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17-04-2023 | ORIGINAL PAPER

The Analgesic Effects of Nurse-Led, Ultra-Brief Mindfulness Interventions: A Randomized Controlled Trial

Auteurs: Adam W. Hanley, Jan Hinich, Alexandra Kennedy, Chyrese Newman, Geraldine Martorella, Lucas Anderson, Christopher Pelt, Jeremy Gililland, Eric L. Garland

Gepubliceerd in: Mindfulness | Uitgave 5/2023

Abstract

Objective

Mindfulness-based interventions have been shown to improve total joint arthroplasty patient outcomes. However, traditional mindfulness-based interventions are not always accessible to total joint arthroplasty patients and they use many different styles of mindfulness practice. Thus, critical steps in improving total joint arthroplasty patient outcomes include (1) improving accessibility to mindfulness-based interventions and (2) identifying the most effective style of mindfulness practice for total joint arthroplasty patients.

Method

We conducted a single site, three-arm, randomized clinical trial to evaluate the effects of two different nurse-led, ultra-brief (i.e., 3-min), mindfulness-based interventions on total joint arthroplasty patients’ (n = 127) preoperative (i.e., pain intensity, pain unpleasantness, and pain medication desire) and postoperative (physical function) outcomes. Participants were randomly assigned to either a standard, preoperative nurse consultation, a preoperative nurse consultation that included a 3-min mindfulness of breath practice, or a preoperative nurse consultation that included a 3-min mindfulness of pain practice.

Results

The mindfulness of breath and mindfulness of pain practices resulted in less pain intensity (Breath: -0.69, p = 0.006; Pain: -0.57, p = 0.010) and pain unpleasantness (Breath: -0.94, p = 0.001; Pain: -0.62, p = 0.026) relative to the standard nurse consultation. Additionally, the mindfulness of pain practice resulted in less pain medication desire relative to the mindfulness of breath practice (-0.92, p = 0.011) and standard nurse consultation (-1.12, p = 0.002). No effect was observed on postoperative physical function.

Conclusion

Embedding nurse-led, ultra-brief, mindfulness-based interventions in total joint arthroplasty patients’ surgical care pathways appears to be an effective nonpharmacological pain management strategy.

Preregistration

ClinicalTrials.gov NCT04800354.

vorige artikel Neurophysiological Evidence of the Transient Beneficial Effects of a Brief Mindfulness Exercise on Cognitive Processing in Young Adults: An ERP Study

volgende artikel Longitudinal Impact of Self-Compassion and Psychological Flexibility on Mental Illness Recovery: The Mediating Roles of Self-Stigma and Mental Health Service Engagement

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Titel: The Analgesic Effects of Nurse-Led, Ultra-Brief Mindfulness Interventions: A Randomized Controlled Trial
Auteurs: Adam W. Hanley
Jan Hinich
Alexandra Kennedy
Chyrese Newman
Geraldine Martorella
Lucas Anderson
Christopher Pelt
Jeremy Gililland
Eric L. Garland
Publicatiedatum: 17-04-2023
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-023-02112-9

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Abstract

Objective

Method

Results

Conclusion

Preregistration

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