Pain is one of the most common chief symptoms of patients seeking emergency health care services. Many patients, who needlessly suffer during painful procedures, may benefit from nonpharmacological pain relief interventions in addition to pharmacological therapies. Guided imagery and music (GIM) offer safe, adjuvant modalities of pain and anxiety reduction. This experimental pretest-posttest study investigated the effect of a combined GIM intervention on both physiological (sensory) and psychological (affective) components of acute pain and situational anxiety during laceration repair in the emergency department (ED). The acute pain management theory (Good & Moore, 1996) and the gate control theory (Melzack & Casey, 1968) provided the conceptual framework.Using a completely randomized experimental design, a convenience sample of 84 adults presenting with uncomplicated lacerations in three urban medical center EDs, were randomly assigned to a one of two groups: (1) GIM or (2) control group. Subjects in the treatment group listened to a combination of GIM that began with the first suture to the tying of the last suture. Pre- and posttest data were collected via the situational anxiety, pain sensation, and pain distress 100 mm visual analogue scales.Partial correlation analyses revealed that situational anxiety was significantly related to pain sensation while controlling for distress (r = .37, p < .001), and that situational anxiety was also significantly related to pain distress while controlling for pain sensation (r = .43, p < .001). Therefore, the pretests scores were used as covariates in the multiple regression analyses.Using multiple regressions with gender, local anesthetic, and pretest measures as covariates, the combination of GIM did not significantly decrease pain sensation, pain distress, or situational anxiety. Pre- to posttest pain sensation, distress, and situational anxiety decreased by 48%, 27%, and 33% as compared to 50%, 69%, and 22% in the control group, respectively. Although effects on pain outcomes were not found, 81% of the patients reported that the intervention was slightly to very beneficial, 71% would use it again for other painful procedures, and 91% would recommend it to others.
CITATION STYLE
RE, A. (2001). The effect of guided imagery and music on pain and anxiety during laceration repair. Effect of Guided Imagery & Music on Pain & Anxiety During Laceration Repair. Case Western Reserve University (Health Sciences). Retrieved from https://proxy.lib.ohio-state.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=109876304&site=ehost-live
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