Pediatric perioperative measures of sleep, pain, anxiety and anesthesia emergence: A healing touch proof of concept randomized clinical trial
| Autor: | Michele M. Gottschlich, J. McCall, Judith K. Nelson, Lois C. Cone, Laura E. James |
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| Rok vydání: | 2018 |
| Předmět: |
Complementary and Manual Therapy
Adult Male medicine.medical_specialty Adolescent Sedation Vital signs Polysomnography Anxiety law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Randomized controlled trial Pain assessment law medicine Humans Anesthesia 030212 general & internal medicine Child Advanced and Specialized Nursing Pain Postoperative medicine.diagnostic_test business.industry Perioperative Plastic surgery Complementary and alternative medicine Child Preschool Female medicine.symptom business Sleep 030217 neurology & neurosurgery |
| Zdroj: | Complementary therapies in medicine. 42 |
| ISSN: | 1873-6963 |
| Popis: | Background and purpose The purpose of this study was to determine the impact of healing touch (HT) on sleep, anxiety, anesthesia emergence and pain. Methods HT, sham HT, control with an aide (CP) and control groups without the presence of an aide (CNP), underwent polysomnography (PSG) preoperatively. The Yale Preoperative Anxiety Scale (YPAS) score was obtained preoperatively before medications were given and in the preoperative surgery area. Sedation score, anesthesia emergence score and vital signs were recorded. Pain scores were determined by the Observation Pain Assessment Scale (OPAS) postoperatively and at time of discharge. Preoperative laboratory blood was drawn for C-reactive protein (CRP), glucose, cortisol and vitamin D25 levels as indicators of stress and anxiety, and a HT satisfaction survey was given. Results Thirty-nine patients consented to participate and were randomly assigned to HT (9), HT sham (12), CP (7) and CNP (11) groups. Mean patient age was 13.0 years, and no significant group differences were found for age, sex, race or patient procedure, categorized as laser, burn reconstruction and plastic surgery reconstruction. Additionally, no significant group differences were detected for any of the PSG parameters, YPAS scores, OPAS scores, medications, anesthesia emergence score, bloodwork or satisfaction survey score. CRP, glucose and cortisol levels were higher in the CNP group, suggesting that pediatric patients undergoing elective surgeries may benefit from more pre-operative support, possibly by HT. Conclusions Although no tracked parameters showed statistically significant findings, anecdotal HT benefits included enhanced relaxation and sounder sleep. |
| Databáze: | OpenAIRE |
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