Inpatient Acupuncture for Symptom Management: A Pilot Feasibility Project

Abstract

Purpose, problem statement, PICO: The objective of this pilot was to use a quasi-experimental, quality improvement design to assess both the feasibility and impact of an acupuncture service within an inpatient setting.

Summary/Synthesis of Evidence: 1 level 1 article, 2 level 2 articles. 2 level 3 articles, 3 level 5 articles showing good and consistent evidence warranting a pilot.

Method of Evaluation/Validation of Evidence: All eligible inpatients admitted to pilot units over a 6-month period were offered acupuncture services regardless of diagnosis. Pilot interventions included implementation of an initial acupuncture service and follow-up services as able. Pre- and post-acupuncture symptom assessment was recorded using a modified Edmonton Symptom Assessment System scale.

Results/Relevance to Pain Management: Among 136 matched observations with complete pre- and post-acupuncture notes, there was significant improvement in average pain, anxiety, nausea, and well-being scores (p<0.001 for each). The largest impact was a reduction in average pain score of -1.6 (95%CI -1.89, -1.31).

Future Implications for Nursing Profession: Acupuncture is a low risk, non-pharmacological, integrative care intervention. It has proven to be effective with symptom management among hospitalized patients on the oncology medical-surgical units. This pilot demonstrated both feasibility and improvement of symptoms and overall well-being. No adverse events were reported during this pilot.