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Complementary Therapies

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Abstract

An increasing number of patients now survive with chronic and terminal diseases. However, these patients often have traumatic experiences during and after hospital and ICU stays experiencing fear, depression, pain, and loneliness. There is an increasing call for nonpharmacologic treatments and adjunct therapies with less side effects that many medications have, especially when the patient has to take these drugs for long periods of time. Complementary therapies have increased in popularity and usage among patients and healthcare professionals. There has been some initial reticence in using these techniques and interventions primarily because of the lack of knowledge and training that healthcare professionals receive in regard to these therapeutic options. Despite this, there is an increased demand for these interventions to be implemented by patients, families, and healthcare professionals. There are a variety of interventions that have been proposed, and some of these have resulted in positive and beneficial effects on patients’ overall well-being, mood, pain, and even stabilization of vital signs and outcomes. Despite the lack of many rigorous randomized controlled trials, the use of these interventions has now become widely accepted. Their utilization and planning should be carried out by multidisciplinary teams within the hospital and within the ICU venue in order to optimize their use and avoid potential conflicts with other traditional therapies.

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References

  1. Snyder M. An overview of complementary/alternative therapies. In: Snyder M, Lindquist R, editors. Complementary/alternative therapies in nursing. 4th ed. New York: Springer; 2002. p. 3–15.

    Google Scholar 

  2. Adhikari NK, Fowler RA, Bhagwanjee S, Rubenfeld GD. Critical care and the global burden of critical illness in adults. Lancet. 2010;376:1339–46.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Brown S, Beesley S, Hopkins R. Humanizing intensive care: theory, evidence, and possibilities. In: Vincent J-L, editor. Annual update in intensive care and emergency medicine 2016. Cham: Springer; 2016. p. 405–20.

    Chapter  Google Scholar 

  4. Chlan L. Integrating nonpharmacological, adjunctive interventions into critical care practice: a means to humanize care? Am J Crit Care. 2002;11:14–6.

    Article  PubMed  Google Scholar 

  5. Haines KJ, Kelly P, Fitzgerald P, Skinner EH, Iwashyna TJ. The untapped potential of patient and family engagement in the organization of critical care. Crit Care Med. 2017;45:899.

    Article  PubMed  Google Scholar 

  6. Jackson JC, Santoro MJ, Ely TM, Boehm L, Kiehl AL, Anderson LS, et al. Improving patient care through the prism of psychology: application of Maslow’s hierarchy to sedation, delirium, and early mobility in the intensive care unit. J Crit Care. 2014;29:438–44.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Eakin MN, Patel Y, Mendez-Tellez P, Dinglas VD, Needham DM, Turnbull AE. Patients’ outcomes after acute respiratory failure: a qualitative study with the PROMIS framework. Am J Crit Care. 2017;26(6):456–65.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Chahraoui K, Laurent A, Bioy A, Quenot J-P. Psychological experience of patients 3 months after a stay in the intensive care unit: a descriptive and qualitative study. J Crit Care. 2015;30:599–605.

    Article  PubMed  Google Scholar 

  9. Whorton JC. Nature cures: the history of alternative medicine in America. New York: Oxford University Press; 2002.

    Google Scholar 

  10. Dossey BM. Theory of integral nursing. Adv Nurs Sci. 2008;31:E52–73.

    Article  Google Scholar 

  11. National Center for Complementary and Alternative Medicine. What is complementary and alternative medicine (CAT)? Available at: http://nccam.nci.nih.gov/health/ whatiscam. Accessed 22 May 2019.

  12. National Center for Complementary and Integrative Health. 2016. Complementary, alternative, or integrative health: What’s in a name? Retrieved from https://nccih.nih.gov/health/integrative-health

  13. Lindquist R, Snyder M, Tracy MF. Complementary and alternative therapies in nursing. 7th ed. New York: Springer; 2014.

    Google Scholar 

  14. Kramlich D. Strategies for acute and critical care nurses implementing complementary therapies requested by patients and their families. Crit Care Nurse. 2016;36(6):52–8.

    Article  PubMed  Google Scholar 

  15. Kramlich D. Introduction to complementary, alternative, and traditional therapies. Crit Care Nurse. 2014;34(6):505–56.

    Article  Google Scholar 

  16. Erdogan Z, Atik D. Complementary health approaches used in the intensive care unit. Holist Nurs Pract. 2017;31(5):325–42.

    Article  PubMed  Google Scholar 

  17. Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA. 1998;280:1569–75.

    Article  CAS  PubMed  Google Scholar 

  18. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States: prevalence, costs, and patterns of use. N Engl J Med. 1993;328:246–52.

    Article  CAS  PubMed  Google Scholar 

  19. Yates JS, Mustian KM, Morrow GR, Gillies LJ, Padmanaban D, Atkins JN, Atkins JN, Issell B, Kirshner JJ, Colman LK. Prevalence of complementary and alternative medicine use in cancer patients during treatment. Support Care Cancer. 2005;13(10):806–11.

    Article  PubMed  Google Scholar 

  20. American Association of Critical-Care Nurses. AACN research priorities. Available at: http://www.aacn.org. Accessed 24 May 2019.

  21. Hayes J, Cox C. Immediate effects of a five-minute foot massage on patients in critical care. Intensive Crit Care Nurs. 1999;15(2):77–82.

    Article  CAS  PubMed  Google Scholar 

  22. Tracy MF, Lindquist P, Watanuki S, et al. Nurse attitudes towards the use of complementary and alternative therapies in critical care. Heart Lung. 2003;32:197–209.

    Article  PubMed  Google Scholar 

  23. Lindquist R, Tracy MF, Savik K, Watanuki S. Regional use of complementary and alternative therapies by critical care nurses. Crit Care Nurse. 2005;25(2):63–75.

    PubMed  Google Scholar 

  24. Tracy MF, Lindquist R, Savik K, Watanuki S, Sendelbach S, Kreitzer MJ, Berman B. Use of complementary and alternative therapies: a national survey of critical care nurses. Am J Crit Care. 2005;14:404–16.

    PubMed  Google Scholar 

  25. Vreeland R, Ellis GL. Stresses on the nurse in the intensive care unit. JAMA. 1969;208:332–4.

    Article  CAS  PubMed  Google Scholar 

  26. Lindquist R, Tracy MF, Savik K. Personal use of complementary and alternative therapies by critical care nurses. Crit Care Nurs Clin North Am. 2003;15:393–9.

    Article  PubMed  Google Scholar 

  27. Chang HY, Chang HL. A review of nurses’ knowledge, attitudes, and ability to communicate the risks and benefits of complementary and alternative medicine. J Clin Nurs. 2015;24:1466–78.

    Article  PubMed  Google Scholar 

  28. Osaka I, Kurihara Y, Tanaka K, Nishizaki H, Aoki S, Adachi I. Attitudes toward and current practice of complementary and alternative medicine in Japanese palliative care units. J Palliat Med. 2009;12:239–44.

    Article  PubMed  Google Scholar 

  29. Chu FY, Wallis M. Taiwanese nurses’ attitudes towards and use of complementary and alternative medicine in nursing practice: a cross-sectional survey. Int J Nurs Stud. 2007;44:1371–8.

    Article  PubMed  Google Scholar 

  30. Keegan L. Alternative and complementary therapies for managing stress and anxiety. Crit Care Nurse. 2000;20:93–6.

    Article  CAS  PubMed  Google Scholar 

  31. Alspach JG. The shortage of critical care nurses: readership survey results. Crit Care Nurse. 1988;8:14–5, 18–21.

    Article  CAS  PubMed  Google Scholar 

  32. Admi H, Eilon-Moshe Y, Ben-Ayre E. Complementary medicine and the role of oncology nurses in an acute care hospital: the gap between attitudes and practice. Oncol Nurs Forum. 2017;44(5):553–61.

    Article  PubMed  Google Scholar 

  33. Hajbaghery M, Abasi A, Rajabi-Beheshtabad R. Whole body massage for reducing anxiety and stabilizing vital signs of patients in cardiac care unit. Med J Islam Repub Iran. 2014;28:47.

    Google Scholar 

  34. Azimi AV, Ebadi A, Jafarabadi MA, Saadat S, Ahmadi F. Effect of massage therapy on vital signs and GCS scores of ICU patients: a randomized controlled clinical trial. Trauma Mon. 2014;19:e17031.

    Google Scholar 

  35. Boitor M, Martorella G, Arbour C, Midbaud C, Gelinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs. 2015;16:354–66.

    Article  PubMed  Google Scholar 

  36. Hatefi M, Jaafarpour M, Khani A, Khajavikhan J, Kokhazade T. The effect of whole body massage on the process and physiological outcome of trauma ICU patients: a double-blind randomized clinical trial. J Clin Diagn Res. 2015;9:UC05–8.

    PubMed  PubMed Central  Google Scholar 

  37. Moeini M, Khadibi M, Bekhradi R, Mahmoudian SA, Nazari F. Effect of aromatherapy on the quality of sleep in ischemic heart disease patients hospitalized in intensive care units of heart hospitals of the Isfahan University of Medical Sciences. Iran J Nurs Midwifery Res. 2010;15:234–9.

    PubMed  PubMed Central  Google Scholar 

  38. Cho MY, Min ES, Hur MH, Lee MS. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units. Evid Based Complement Alternat Med. 2013;2013:1–6.

    Google Scholar 

  39. Lytle J, Mwatha C, Davis KK. Effect of lavender aromatherapy on vital signs and perceived quality of sleep in the intermediate care unit: a pilot study. Am J Crit Care. 2014;23:24–9.

    Article  PubMed  Google Scholar 

  40. Karadag E, Samancioglu S, Ozden D, Bakir E. Effects of aromatherapy on sleep quality and anxiety of patients. Nurs Crit Care. 2015;22(2):105–12.

    Article  PubMed  Google Scholar 

  41. Chlan L, Tracy MF. Music therapy in critical care: indications and guidelines for intervention. Crit Care Nurse. 1999;19:35–41.

    Article  CAS  PubMed  Google Scholar 

  42. Wong HLC, Nahas VLI, Molassiotis A. Effects of music therapy on anxiety in ventilator-dependent patients. Heart Lung. 2001;30:376–87.

    Article  CAS  PubMed  Google Scholar 

  43. Almerud S, Petersson K. Music therapy—a complementary treatment for mechanically ventilated intensive care patients. Intensive Crit Care Nurs. 2003;19:21–30.

    Article  PubMed  Google Scholar 

  44. Lee OKA, Chung YFL, Chan MF, Chan WM. Music and its effect on the physiological responses and anxiety levels of patients receiving mechanical ventilation: a pilot study. J Clin Nurs. 2005;14:609–20.

    Article  PubMed  Google Scholar 

  45. Han L, Li JP, Sit WH, Chuong L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomised controlled trial. J Clin Nurs. 2010;19:978–87.

    Article  PubMed  Google Scholar 

  46. Chlan LL, Weinert CR, Heiderscheit A, et al. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. JAMA. 2013;309(22):2335–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Aktas YY, Karabulut N. The effects of music therapy in endotracheal suctioning of mechanically ventilated patients. Nurs Crit Care. 2016;21:44–52.

    Article  Google Scholar 

  48. Harrison LL, Williams AK, Berbaum ML, Stem JT, Leeper J. Physiologic and behavioral effects of gentle human touch of preterm infants. Res Nurs Health. 2000;23(6):435–46.

    Article  CAS  PubMed  Google Scholar 

  49. Bijari BB, Iranmanesh S, Eshghi F, Baneshi MR. Gentle human touch and Yakson: the effect on preterm’s behavioral reactions. ISRN Nurs. 2012;2012:1–6.

    Article  Google Scholar 

  50. Im H, Kim E. Effect of Yakson and gentle human touch versus usual care on urine stress hormones and behaviors in preterm infants: a quasiexperimental study. Int J Nurs Stud. 2009;46:450–8.

    Article  PubMed  Google Scholar 

  51. Ramada NC, Almedia FA, Cunha ML. Therapeutic touch: influence on vital signs of newborns. Einstein (Sao Paulo). 2013;11:421–5.

    Article  Google Scholar 

  52. MacIntyre B, Hamilton J, Fricke T, Ma W, Mehle S, Michel M. The efficacy of healing touch in coronary artery bypass surgery recovery: a randomized clinical trial. Altern Ther Health Med. 2008;14:24–32.

    PubMed  Google Scholar 

  53. Kaur J, Kaur S, Bhardwaj N. Effect of “foot massage and reflexology” on physiological parameters of critically ill patients. Nurs Midwifery Res J. 2012;8:223–33.

    Google Scholar 

  54. Ebadi A, Kavei P, Moradian ST, Saeid Y. The effect of foot reflexology on physiologic parameters and mechanical ventilation weaning time in patients undergoing open-heart surgery: a clinical trial study. Complement Ther Clin Pract. 2015;21:188–92.

    Article  PubMed  Google Scholar 

  55. Tsay SL, Wang JC, Lin KC, Chung UL. Effects of acupressure therapy for patients having prolonged mechanical ventilation support. J Adv Nurs. 2005;52:142–50.

    Article  PubMed  Google Scholar 

  56. Yucel SC, Eser I. Effects of hand massage and acupressure therapy for mechanically ventilated patients. Int J Hum Sci. 2015;12:881–96.

    Google Scholar 

  57. Chen JH, Chao YH, Lu SF, Shiung TF, Chao YF. The effectiveness of valerian acupressure on the sleep of ICU patients: a randomized clinical trial. Int J Nurs Stud. 2012;49:913–20.

    Article  PubMed  Google Scholar 

  58. Nesami BG, Gorji MAH, Rezaie S, Pouresmail Z, Chorati JY. The effect of acupressure on the quality of sleep in patients with acute coronary syndrome in cardiac care unit. Iran J Crit Care Nurs. 2014;7:7–14.

    Google Scholar 

  59. Harris WS, Gowda M, Kolb JW, et al. A randomized, controlled trial of the effects of remote, intercessory prayer on outcomes in patients admitted to the coronary care unit. Arch Intern Med. 1999;159:2273–8.

    Article  CAS  PubMed  Google Scholar 

  60. Karati KT, Asadzandi M, Tadrisi SD, Ebadi A. Effect of prayer on severity of patients illness in intensive care units. Iran J Crit Care Nurs. 2011;4:1–6.

    Google Scholar 

  61. Hosey MM, Jaskulski J, Wegener ST, Chlan LL, Needham DM. Animal-assisted interventions in the ICU: a tool for humanization. Crit Care Nurse. 2018;22:22.

    Google Scholar 

  62. Bernabei V, De Ronchi D, La Ferla T, Moretti F, Tonelli L, Ferrari B, et al. Animal-assisted interventions for elderly patients affected by dementia or psychiatric disorders: a review. J Psychiatr Res. 2013;47:762–73.

    Article  CAS  PubMed  Google Scholar 

  63. Hoffmann AO, Lee AH, Wertenauer F, Ricken R, Jansen JJ, Gallinat J, et al. Dog-assisted intervention significantly reduces anxiety in hospitalized patients with major depression. Eur J Integr Med. 2009;1:145–8.

    Article  Google Scholar 

  64. Lasa SM, Ferriero G, Brigatti E, Valero R, Franchignoni F. Animal-assisted interventions in internal and rehabilitation medicine: a review of the recent literature. Panminerva Med. 2011;53:129–36.

    Google Scholar 

  65. Halm MA. The healing power of the human-animal connection. Am J Crit Care. 2008;17:373–6.

    Article  PubMed  Google Scholar 

  66. Pullen PR, Nagamia SH, Mehta PK, Thompson WR, Benardot D, Hammoud R, Parrott JM, Sola S, Khan BV. Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure. J Card Fail. 2008;14(5):407–13.

    Article  PubMed  Google Scholar 

  67. Pullen PR, Seffens WS, Thompson WR. Yoga for heart failure: a review and future research. Int J Yoga. 2018;11(2):91–8.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Yeh GY, McCarthy EP, Wayne PM, Stevenson LW, Wood MJ, Forman D, Davis RB, Phillips RS. Tai chi exercise in patients with chronic heart failure: a randomized clinical trial. Arch Intern Med. 2011;171(8):750–7.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Ben-Arye E, Shulman B, Eilon Y, Woitiz R, Cherniak V, Sharabi I, Sher O, Reches H, Katz Y, Arad M, Schiff E, Samuels N, Caspi O, Lev-Ari S, Frenkel M, Agbarya A, Admi H. Attitudes among nurses toward the integration of complementary medicine into supportive cancer care. Oncol Nurs Forum. 2017;44(4):428–34.

    Article  PubMed  Google Scholar 

  70. Muecke R, Paul M, Conrad C, Stoll C, Muenstedt K, Micke O, Prott FJ, Buentzel J, Huebner J. Complementary and alternative medicine in palliative care. A comparison of data from surveys among patients and professionals. Integr Cancer Ther. 2016;15(1):10–6.

    Article  PubMed  Google Scholar 

  71. Shorofi SA, Arbon P. Complementary and alternative medicine (CAM) among Australian hospital-based nurses: knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. Complement Ther Clin Pract. 2017;27:37–45.

    Article  PubMed  Google Scholar 

  72. Cowen VS, Cyr V. Complementary and alternative medicine in US medical schools. Adv Med Educ Pract. 2015;6:113–7.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Wetzel MS, Eisenberg DM, Kaptchuk TJ. Courses involving complementary and alternative medicine at US medical schools. JAMA. 1998;280(9):784–7.

    Article  CAS  PubMed  Google Scholar 

  74. Brokaw JJ, Tunnicliff G, Raess BU, Saxon DW. The teaching of complementary and alternative medicine in US medical schools: a survey of course directors. Acad Med. 2002;77(9):876–81.

    Article  PubMed  Google Scholar 

  75. Servan-Schreiber D. The instinct to heal. Curing stress, anxiety, and depression without drugs and without talk therapy. New York: St. Martin’s Press; 2004.

    Google Scholar 

  76. Eliopoulos C. Using complementary and alternative therapies wisely. Geriatr Nurs. 1999;20:139–42.

    Article  CAS  PubMed  Google Scholar 

  77. Lu Y. Herb use in critical care: what to watch for. Crit Care Nurs Clin North Am. 2003;15:313–9.

    Article  PubMed  Google Scholar 

  78. Sparber A. Complementary therapy in critical care settings: a review of surveys and implications for nurses. Crit Care Nurs Clin North Am. 2003;15:305–12.

    Article  PubMed  Google Scholar 

  79. National Center for Complementary and Integrative Health. Credentialing, licensing, and education. National Institutes of Health. https://nccih.nih.gov/health/decisions/credentialing.htm. Published September 2013. Last modified March 25, 2016. Accessed 24 May 2019.

  80. Gilmour J, Harrison C, Asadi L, Cohen MH, Vohra S. Hospitals and complementary and alternative medicine: managing responsibilities, risk, and potential liability. Pediatrics. 2011;128(suppl 4):S193–9.

    Article  PubMed  Google Scholar 

  81. Gilmour J, Harrison C, Vohra S. Concluding comments: maximizing good patient care and minimizing potential liability when considering complementary and alternative medicine. Pediatrics. 2011;128(suppl 4):S206–12.

    Article  PubMed  Google Scholar 

  82. Bezold C. Envisioning the future. In: Faass N, editor. Integrating complementary medicine into health systems. Gaithersburg: Aspen Publications. Bower, H; 2001. p. 708–18.

    Google Scholar 

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Correspondence to Marie R. Baldisseri .

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Baldisseri, M.R. (2020). Complementary Therapies. In: Hidalgo, J., Pérez-Fernández, J., Rodríguez-Vega, G. (eds) Critical Care Administration. Springer, Cham. https://doi.org/10.1007/978-3-030-33808-4_17

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