Effect of guided imagery on anxiety, muscle pain, and vital signs in patients with COVID-19: A randomized controlled trial.
Naser Parizad, Rasoul Goli, Navid Faraji and 6 others
PMID 33647676WHAT IT FOUND
In isolated COVID-19 patients, ten sessions of nurse-led guided imagery reduced anxiety and muscle pain compared with routine care alone.
Heart rate, systolic blood pressure and oxygen saturation also shifted in the guided imagery group.
Key findings
01After the intervention, the guided imagery group had significantly lower state and trait anxiety scores than the control group.
02The guided imagery group reported significantly lower pain quality and intensity than controls after the intervention.
03Within the guided imagery group, heart rate and systolic blood pressure fell and oxygen saturation rose after the sessions, while the control group showed no such changes.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study population was restricted to patients aged 18 to 60 who were conscious, oriented, and had oxygen saturation above 90%, so the findings do not apply to older adults, those with severe respiratory distress, or those who are confused. The control group received routine care only, so it is unclear whether the benefits were due to the guided imagery itself or the extra attention and contact with the nurse during the sessions. The researchers noted that the high contagious nature of COVID-19 and the isolation setting may have influenced the anxiety levels of both patients and staff. The sample size was relatively small and recruitment was done via convenience sampling in a single setting in Iran, which may limit generalizability to other populations or healthcare systems.
Declared interests
The authors declare no conflict of interest. The research did not receive specific grant funding from any public, commercial, or not-for-profit sectors.
The easy way to misread this
Do not assume guided imagery is a standalone treatment for COVID-19 or that it works for all patients. This study only included adults aged 18 to 60 who were stable enough to be in temporary accommodations with oxygen saturation above 90%. It showed that guided imagery added to routine care helped this specific group feel less anxious and in pain; it did not test guided imagery instead of medical care, nor did it include patients in intensive care or those with severe respiratory failure.