The Impact of Urban Zen Integrative Therapy on Symptoms and Health-Related Quality of Life for Patients with Pulmonary Hypertension

被引:7
作者
Von Visger, Tania T. [1 ]
Thrane, Susan E. [1 ]
Klatt, Maryanna D. [2 ]
DeVito Dabbs, Annette [3 ]
Chlan, Linda L. [4 ]
Tan, Alai [1 ]
Happ, Mary Beth [1 ]
机构
[1] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA
[2] Ohio State Univ, Coll Med, Clin Family Med, Columbus, OH 43210 USA
[3] Univ Pittsburgh, Sch Nursing, Acute Tertiary Care, Pittsburgh, PA 15261 USA
[4] Mayo Clin, Coll Med & Sci, Dept Nursing, Nursing Res Div, Rochester, MN USA
关键词
complementary health approach; integrative therapy; mindfulness; pulmonary hypertension; quality of life; symptom burden; symptom management; Urban Zen Integrative Therapy; VISUAL ANALOG SCALE; STRESS REDUCTION; BORG SCALE; MINDFULNESS; BREAST; YOGA; REPRODUCIBILITY; RELIABILITY; PREVALENCE; EXERCISE;
D O I
10.1089/jpm.2019.0359
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Patients with pulmonary hypertension (PH) experience distressing symptoms that can undermine quality of life (QoL) and treatment adherence. Complementary health approaches are known to help manage symptoms of chronic conditions and may have therapeutic benefits in PH. Objective: To explore the impact of Urban Zen Integrative Therapy (UZIT) on PH-related symptoms. Design: A within-subjects, pre-/post-intervention, repeated-measures design. Subjects/Setting: Community-dwelling adults with PH received weekly UZIT sessions in an outpatient setting. Measurements: Participants (n = 14) rated symptoms before and after each session and before and after the six-week UZIT program. Mixed-effects modeling with repeated measures was used to estimate differences in mean symptom scores before and after individual sessions. Cohen's d effect sizes were used to evaluate the impact of the UZIT program on symptoms. Results: Mean scores for pain (F-(1,F- 105) = 19.99, p < 0.001), anxiety (F-(1,F- 96) = 24.64, p < 0.001), fatigue (F ((1, 120)) = 15.68, p < 0.001), and dyspnea (F-(1,F- 68) = 16.69, p < 0.001) were significantly reduced after UZIT sessions. Effects were moderate to large for symptom severity (d = 0.59-1.32) and moderate for symptom burden (d = 0.56) and fatigue (d = 0.62), and small for QoL (d = 0.33) after the six-week UZIT program. Conclusions: Individualized UZIT sessions were associated with reductions in symptom severity for pain, anxiety, fatigue, and dyspnea. The six-week UZIT program was associated with improvements in symptom burden, activity limitation, and QoL. ClinicalTrial.gov no.: NCT03194438
引用
收藏
页码:703 / 711
页数:9
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