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Exploring patients' interest in complementary therapies in a specialist palliative care unit

Authors: Harte Joanne, Leahy Helen, McCarthy Jill, O'Brien TonyJournal: International journal of palliative nursingPublished: March 2, 2019DOI: 10.12968/ijpn.2019.25.3.108
Q1 JournalSJR: 0.55h-index: 39
Limited EvidenceCross Sectionaln=71 participants

In Plain Language

The use of complementary therapy has become increasingly integrated into specialist palliative care units (SPCUs). To evaluate patients' interest in and experience of complementary therapies during their inpatient stay in a SPCU. All 179 patients admitted to the SPCU over a 3-month period were assessed on admission. Those deemed suitable to participate by the researcher/clinical nurse specialist were invited to participate in this research. A standardised paper questionnaire was completed by the participating patients. 71 patients (40%) completed the study. Those excluded had cognitive impairment, fatigue, communication difficulties or were imminently dying. Some declined to participate. A variety of age groups and diagnoses were represented. Only 27% of participants had a previous experience of using complementary therapies in the past 12 months. The majority (52%) were 'very interested' in receiving complementary therapy, while 13% reported having 'no interest'. Massage and reflexology were identified as the most popular forms of complementary therapy. The primary anticipated benefits associated with complementary therapy were relaxation and improvement in general wellbeing. This research has indicated a high level of interest in complementary therapies in the study population, across a wide age range regardless of diagnosis or level of disease.

Key Findings: what this cross-sectional study found

  • ✓Only 27% of palliative care patients had prior experience with complementary therapies in the 12 months before admission to the specialist unit.
  • ✓A majority (52%) of participating patients expressed high interest in receiving complementary therapy, while 13% reported no interest.
  • ✓The study included 71 patients (40% of all admissions) as participants, with exclusions based on cognitive impairment, fatigue, communication difficulties, or imminent death.

What This Means for You

While this study shows many palliative care patients are interested in reflexology, the evidence is preliminary and based on patient surveys rather than proven treatment outcomes.

What This Means for Practitioners

Reflexology appears to be one of the most wanted complementary therapies in palliative care settings, suggesting there is patient demand for your services in this clinical environment.

Study Design: how this cross-sectional study was run

Sample Size
71 participants
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Common questions about this study

What does this study mean in practice?

While this study shows many palliative care patients are interested in reflexology, the evidence is preliminary and based on patient surveys rather than proven treatment outcomes.

What did this study find?

Only 27% of palliative care patients had prior experience with complementary therapies in the 12 months before admission to the specialist unit. A majority (52%) of participating patients expressed high interest in receiving complementary therapy, while 13% reported no interest. The study included 71 patients (40% of all admissions) as participants, with exclusions based on cognitive impairment, fatigue, communication difficulties, or imminent death.

How strong is this evidence?

This is a cross-sectional study and we rate its evidence limited. It covers 71 participants. It was published in International journal of palliative nursing, a Q1 journal. This study is indexed here for context; it did not test reflexology itself.

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