Integrative care therapies and pain in hospitalized children and adolescents: a retrospective database review.

Sian Cotton, Christina M Luberto, Lois H Bogenschutz, Terri J Pelley, Jeffrey Dusek
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引用次数: 23

Abstract

BACKGROUND Complementary or integrative care therapies are promising adjunctive approaches to pain management for pediatric inpatients that are currently underused and understudied. The purpose of this study was to examine the potential benefits of integrative care therapies delivered to hospitalized children and adolescents at a large Midwestern academic pediatric medical center over a 1-year period. METHODS A retrospective chart review of an inpatient clinical database maintained by integrative care therapists over a 1-year period was used for the current study. Pre/post pain and relaxation scores associated with the delivery of inpatient integrative care therapies (primarily massage therapy and healing touch) were examined. RESULTS Five-hundred nineteen hospitalized children and adolescents were treated by integrative care therapists for primarily pain or anxiety needs. Patients had a mean age of 10.2 years (standard deviation, 7.0), 224 were female (43%), 383 were white (74%), and most (393 [77%]) received massage therapy. Mean pain and relaxation scores decreased significantly from pre- to post-therapy across all demographic and clinical subgroups (p≤.001). CONCLUSIONS Although integrative care therapies are increasingly requested and offered in children's hospitals, provision of these approaches is driven primarily by consumer demand rather than evidence-informed practice. Future controlled studies should examine the incremental effects of integrative care therapies as an adjunct to conventional treatment, assess how these therapies work mechanistically, and determine whether they improve outcomes, such as pain and cost, for hospitalized children and adolescents.
住院儿童和青少年的综合护理治疗和疼痛:回顾性数据库回顾。
背景:补充或综合护理治疗是目前未充分利用和研究的儿科住院患者疼痛管理的有希望的辅助方法。本研究的目的是研究中西部一家大型学术儿科医学中心对住院儿童和青少年进行为期一年的综合护理治疗的潜在益处。方法:目前的研究使用了一项回顾性图表,回顾了由综合护理治疗师维护的住院患者临床数据库超过1年的时间。检查与住院综合护理治疗(主要是按摩治疗和愈合触摸)相关的前后疼痛和放松评分。结果:519名住院儿童和青少年主要因疼痛或焦虑需要接受综合护理治疗师的治疗。患者平均年龄10.2岁(标准差7.0),女性224例(43%),白人383例(74%),多数(393例[77%])接受按摩治疗。从治疗前到治疗后,所有人口统计学和临床亚组的平均疼痛和放松评分均显著下降(p≤0.001)。结论:尽管儿童医院越来越多地要求和提供综合护理疗法,但提供这些方法主要是由消费者需求驱动的,而不是循证实践。未来的对照研究应检查作为常规治疗辅助的综合护理疗法的增量效应,评估这些疗法的机制如何起作用,并确定它们是否改善住院儿童和青少年的结局,如疼痛和成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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