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A Systematic Review of the Effectiveness of Non-Pharmacological Therapies Used by Nurses in Children Undergoing Surgery.

Pain management nursing : official journal of the American Society of Pain Management Nurses
April 1, 2024
Andreu Moll-Bertó et al. (5 authors)
Systematic ReviewJournal ArticleReviewHuman Study
Study Details

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

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
HumansChildPain, PostoperativePain ManagementMusic TherapyCognitive Behavioral Therapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality75/10
Citation Metrics
Total Citations2
Citations/Year2.0
Research Impact Scores
APT Score0.50
Weight Score2.60
Normalized Score0.59
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