• Gail Elliott Patricolo, Amanda LaVoie, Barbara Slavin, Nancy L Richards, Deborah Jagow, and Karen Armstrong.
• Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan. gail.elliottpatricolo@beaumont.org.
• Crit Care Nurse. 2017 Feb 1; 37 (1): 62-69.

BackgroundPatients in the progressive care unit typically experience high levels of pain and anxiety and exhibit difficulty sleeping.ObjectiveTo determine whether either clinical massage or guided imagery could reduce pain and anxiety and improve sleep.MethodsThis study included 288 inpatients on 2 floors of a progressive care unit. On 1 floor, each patient was offered daily a 15-minute complimentary clinical massage, whereas the patients on the other floor were provided access to a 30-minute guided-imagery recording. Patients were asked to rate their pain and anxiety levels immediately before and after the massage intervention or were asked whether the guided-imagery intervention was helpful for pain, anxiety, or insomnia.ResultsThe massage intervention showed an immediate and significant reduction in self-reported pain and anxiety (P < .001); likewise, a significant number of patients self-reported that guided imagery helped alleviate pain, anxiety, and insomnia (P < .001).ConclusionThe results of this study indicate that clinical massage and guided imagery can benefit patients in the progressive care unit.©2017 American Association of Critical-Care Nurses.

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