posted November 17, 2005 11:58 PM
DALLAS - Charles Denson's face brightens as a speckled Australian shepherd named Bart cuddles next to him while he rests in his hospital bed. "You've got a pretty coat," the 51-year-old heart patient says while stroking Bart's soft fur.New research indicates that hospitals that use such pet therapy sessions aren't barking up the wrong tree.
The novel study, presented Tuesday at an
American Heart Association meeting, is one of the first to use scientific measurements to document that therapeutic dogs lower anxiety, stress and heart and lung pressure among heart failure patients.
"You can see it on their face, first you see a smile and then you see the worries of the world roll off their shoulders," said Kathie Cole, a nurse at the University of California Los Angeles Medical Center who led the study.
Leslie Kern, director of cardiac research for the heart institute at Memorial Medical Center in Long Beach, Calif., said such visits help make patients' lives more normal.
"I'm not surprised at all that something that makes people feel good also makes them feel less anxious, has measurable physiological effects," said Dr. Marc Gillinov, a cardiac surgeon at the Cleveland Clinic who was not involved in the study.
Cole and her colleagues studied 76 heart failure patients — average age 57 — who got either a visit from a volunteer, a volunteer plus a dog, or no visit.
The scientists meticulously measured patients' physiological responses before, during and after the visits.
Anxiety as measured by a standard rating scale dropped 24 percent for those visited by the dog and volunteer team, but only by 10 percent for those visited by just a volunteer. The scores for the group with no visit remained the same.
Levels of epinephrine, a hormone the body makes when under stress, dropped about 17 percent in patients visited by a person and a dog, and 2 percent in those visited just by a person. But levels rose about 7 percent in the group that didn't get visitors.
Heart pressure dropped 10 percent after the visit by the volunteer and dog. It increased 3 percent for those visited by a volunteer and 5 percent for those who got no visit. Lung pressure declined 5 percent for those visited by a dog and a volunteer. It rose in the other two groups.
Gillinov said the study was especially impressive because of the hard data it provided.
"It helps to legitimize that the intervention is more than something nice and something extra to do for the patient, that it has physiologic benefit," said Janet Parkosewich, a cardiac nurse at Yale New Haven Hospital in New Haven, Conn., who attended the study presentation Tuesday.
Cole said she hopes the study, funded by the Pet Care Trust Foundation, a nonprofit that promotes the value of animals in society, helps show that pet therapy is a credible addition to patient care, not just a nicety.
In Dallas, Linda Marler's animal assisted therapy program for the Baylor Healthcare System has grown from one dog in 1985 to 84 dogs today.
"It makes the hospital seem less like a hospital and it lowers people's blood pressure," said Marler, who also works for the Baylor Institute for Rehabilitation.
The dogs used in the study — which ranged from a poodle to a golden retriever to a miniature schnauzer — were carefully screened at UCLA and had to pass a behavior test and checkup by a veterinarian, Cole said. Patients were also asked if they liked dogs and wanted to be part of the study.
Dr. George Dennish, a cardiologist at Scripps Memorial Hospital in La Jolla, Calif., where dogs are occasionally used, said patients feel calmer and more satisfied. But he said more long-term studies with more people need to be done.
For bypass patient Danny Smith, being visited by a furry friend was a highlight of his stay at Scripps Memorial.
"It was very relieving because all they want to do was give you love," said Smith, 57, of Oceanside, Calif.
Back at Baylor University Medical Center, Bart, the Australian shepherd, left Denson and padded into another heart patient's room. The predictable smile emerged as 68-year-old John Coleman began reminiscing: "Last dog I had was a Dachshund"