Guided Imagery Intervention does not Affect Surgical Outcome of Patients Undergoing laparoscopic Cholecystectomy: A Multi-Centre, Randomised Controlled Study
- Corresponding Author:
- YJong MC
Department of Nutrition and Health
Louis Bolk Institute
Driebergen, The Netherland
Tel: +31 343 523860
Fax: +31 343 515 611
E-mail: [email protected]
Received date: August 18, 2016; Accepted date: September 01, 2016; Published date: September 07, 2016
Citation: Pijl AJ, de Gast HM, Jong M, Hoen MB, Kluyver EB, et al. (2016) Guided Imagery Intervention does not Affect Surgical Outcome of Patients Undergoing laparoscopic Cholecystectomy: A Multi-Centre, Randomised Controlled Study. J Pat Care 2:119.doi:10.4172/2573-4598.1000119
Copyright: © 2016 Pijl AJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: To investigate if a “non-pharmacological” intervention with guided imagery could reduce postoperative analgesic consumption, pain perception and preoperative anxiety, compared to standard care, in patients undergoing laparoscopic cholecystectomy (LC).
Methods: A randomized controlled study with two parallel groups was performed at two hospital departments of anesthesiology. A total of 140 patients (≥ 18 years) that were scheduled for LC were randomized to either receive guided imagery (N=70) or standard care instructions (N=70) as a control group. Patients in the guided imagery group were provided a CD to practice guided imagery once a day, 7 days prior to surgery. Primary outcome measurement was post-operative analgesic consumption. Secondary outcomes were preoperative anxiety, post-operative self-rated pain, patient satisfaction and adverse events.
Results: Of 140 patients that were randomized, 95 patients completed the study, 43 in the guided imagery group and 52 in the control group. Both groups were comparable at baseline with respect to demographic data. Compliance with intervention was fairly good as 77% of the patients had listened to the CD according to instructions. No significant differences (p=0.34) were observed for postoperative morphine use between the intervention (15.8 ± 18.5 mg) and control group (12.5 ± 13.6 mg). Secondary outcomes such as preoperative anxiety (APAIS: 15.2 ± 5.9 vs. 16.4 ± 5.9; p=0.36)), postoperative pain (VAS: 3.4 ± 1.8 vs. 3.0 ± 1.8; p=0.31) and patient satisfaction (PSQ: 4.1 ± 0.9 vs. 3.9 ± 0.8; p=0.47) also demonstrated no significant differences. No adverse events were reported in both groups.
Conclusion: A short preoperative guided imagery intervention demonstrated no additional beneficial effects compared to standard care for patients undergoing LC. It therefore seems not to be as simple as to provide patients with a CD before surgery in order to effectively self-manage postoperative pain.