A Systematic Review of the Effectiveness of Non-Pharmacological Therapies Used by Nurses in Children Undergoing Surgery.
Study Goal
The researchers aimed to evaluate the effectiveness of massage as a non-pharmacological therapy for reducing postoperative pain in children.
Results Summary
Massage was found to be effective in reducing pediatric postoperative pain in two studies but ineffective in another, indicating mixed results. The abstract suggests that more evidence is needed to conclusively determine its efficacy.
Population
Children undergoing surgery.
Effective Dosage
Not available
Duration
Not available
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
music therapy | decrease | postoperative pain | children | - | effective in reducing | #1 |
video therapy | decrease | postoperative pain | children | - | effective in reducing | #2 |
therapeutic play | decrease | postoperative pain | children | - | effective | #3 |
laughter therapy | decrease | postoperative pain | children | - | effective | #4 |
deep breathing | decrease | postoperative pain | children | - | effective | #5 |
massage | decrease | pediatric postoperative pain | children | - | effective | #6 |
massage | no change | pediatric postoperative pain | children | - | ineffective | #7 |
OBJECTIVE: The aim of this study was to identify non-pharmacological pain relief therapies in children undergoing surgery. DESIGN AND DATA SOURCES: Using keywords extracted from Medical Subject Headings and "Descriptores en Ciencias de la Salud" we searched for articles in the Web of Science, Scopus, Cuiden, PubMed, and CINHAL databases from the last five years, and performed a reverse search. We assessed the documentary quality of the articles using various standardized instruments. RESULTS: The final review included eleven studies. In terms of cognitive-behavioral techniques, there is evidence that both music and video therapy are effective in reducing postoperative pain in children in seven studies, and therapeutic play in five studies. Other methods used less frequently but found to be effective included laughter therapy in one study and deep breathing in another. Regarding physical methods of pain relief, massage was found to be an effective non-pharmacological therapy for reducing pediatric postoperative pain in two studies and ineffective in another. CONCLUSIONS: In this study, we highlight the importance of non-pharmacological therapies in pediatric postoperative pain management. Cognitive-behavioral techniques, especially music therapy, video therapy, and therapeutic play, reduce pediatric postoperative pain. They are therefore effective therapies that nurses can use in this area. Further research into the effectiveness of storytelling is necessary, as the evidence is not entirely conclusive. More evidence is also needed on physical methods of pain relief, particularly massage.