Non-pharmacology Interventions on Pain in Critically Ill Patient: A Scoping Review
Keywords:Non-pharmacology intervention, Pain, Critically ill patients
treatment process. The cause of pain in critically ill patients is caused by the accompanying disease process or the treatment procedures carried out. Pharmacological therapies such as analgesics and opioids are often given to critically ill patients but cannot progressively manage pain. Another impact arising from pharmacological treatment is the side effects that can affect the care and healing of critically ill patients. This Scoping Review provides evidence on non-pharmacological interventions that can be used to prevent and reduce pain intensity in critically ill patients admitted to the ICU. This scoping review aims to identify non-pharmacological therapies that can be used as alternative or adjunct therapies to help manage pain in critically ill patients. Three electronic databases were used to conduct article searches: Science Direct, Pubmed, and CINAHL Ebsco. The inclusion criteria used were articles with RCT research, peer review articles, English articles, and publication of research articles between 2009 and 2020. The search results obtained 1875 articles and 11 articles that met the inclusion criteria and were analyzed. Found several non-pharmacological interventions to prevent and reduce pain intensity in critically ill patients, including music therapy, massage, reflexology, cold therapy, and topical heat therapy.
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Dehghani Z, Keikhaei A, Yaghoubinia F, Keykha A, Khoshfetrat M. Impact of pain management algorithm on pain intensity of patients with loss of consciousness hospitalized in intensive care unit: A clinical trial. Med Surg Nurs J. 2019;7(4):90274. https://doi.org/10.5812/msnj.90274
Reardon DP, Anger KE, Szumita PM. Pathophysiology, assessment, and management of pain in critically ill adults. Am J Health Syst Pharm. 2015;72(18):1531-44. https://doi.org/10.2146/ajhp140541 PMid:26346209
Practice EN. AACN practice alert assessing pain in critically Ill adults. Crit Care Nurse. 2018;38(6):13-7. PMid:30504505
Urden LD, Stacy KM, Lough ME. Priorities in Critical Care Nursing. 7th ed. Amsterdam, Netherlands: Elsevier. 2016. p. 659.
Khalil NS. Critical care nurses’ use of non-pharmacological pain management methods in Egypt. Appl Nurs Res. 2018;44:33-8. https://doi.org/10.1016/j.apnr.2018.09.001 PMid:30389057
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ. 2009;339:b2700.
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1. https://doi.org/10.1186/2046-4053-4-1 PMid:25554246
Yarahmadi S, Mohammadi N, Gholami N. The combined effects of cold therapy and music therapy on pain following chest tube removal among patients with cardiac bypass surgery. Complement Ther Clin Pract. 2018;31:71-5. https://doi.org/10.1016/j.ctcp.2018.01.006 PMid:29705484
Ozturk R, Sevil U, Sargin A, Yucebilgin MS. The effects of reflexology on anxiety and pain in patients after abdominal hysterectomy: A randomised controlled trial. Complement Ther Med. 2018;36:107-12. https://doi.org/10.1016/j.ctim.2017.12.005 PMid:29458915
Ghezeljeh TN, Ardebili FM, Rafii F. The effects of massage and music on pain, anxiety and relaxation in burn patients: Randomized controlled clinical trial. Burns. 2017;43(5):1034-43. https://doi.org/10.1016/j.burns.2017.01.011 PMid:28169080
Bayindir SK, Curuk GN, Oguzhan A. Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Res Manag. 2017;2017: 1-7.
Boitor M, Martorella G, Maheu C, Laizner AM, Gelines C. Effects of massage in reducing the pain and anxiety of the cardiac surgery critically Ill a randomized controlled trial. Pain Med. 2018;19(12):2556-69. https://doi.org/10.1093/pm/pny055 PMid:29618079
Hsu K, Chen LF, Hsiep PH. Effect of music intervention on burn patients’ pain and anxiety during dressing changes. Burns. 2016;42(8):1789-96. https://doi.org/10.1016/j.burns.2016.05.006 PMid:27263418
Papathanassoglou ED, Hadjibalassi M, Miltiadous P, Lambrinou E, Papastavrou E, Paikousis L, et al. Effect of an integrative nursing intervention on pain in critically ill patients: A pilot clinical trial. Am J Crit Care. 2018;27(3):172-85. https://doi.org/10.4037/ajcc2018271 PMid:29716903
Liu Y, Petrini MA. Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complement Ther Med. 2015;23(5):714-8. https://doi.org/10.1016/j.ctim.2015.08.002 PMid:26365452
Saadatmand V, Rejeh N, Heravi-Karimooi M, Davood S, Tadrisi, Vaismoradi M, et al. Effects of natural sounds on pain: A randomized controlled trial with patients receiving mechanical ventilation support. Pain Manag Nurs. 2015;16(4):483-92. https://doi.org/10.1016/j.pmn.2014.09.006 PMid:26092195
Aktas YY, Karabulut N. The effects of music therapy in endotracheal suctioning of mechanically ventilated patients. Br Assoc Crit Care. 2016;21(1):44-52. https://doi.org/10.1111/nicc.12159 PMid:25721305
Mohammadpour A, Mohammadian B, Moghadam MB, Reza M. The effects of topical heat therapy on chest pain in patients with acute coronary syndrome: A randomised double-blind placebo-controlled clinical trial. J Clin Nurs. 2014;23(23-24):3460-7. https://doi.org/10.1111/jocn.12595 PMid:24698126
Dehghan M, Fatehi A, Mehdipoor R. Complementary therapies in clinical practice does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube? A randomized clinical trial. Complement Ther Clin Pract. 2018;30:122-8. https://doi.org/10.1016/j.ctcp.2017.12.018 PMid:29389471
Huether SE, McCance KL. Understanding Pathophysiology. 6th ed. Singapore: Elsevier; 2019. p. 3751.
Solehati T, Kosasih CE, Jayanti TN, Ardiyanti A, Sari RI, Siska GA, et al. Non-pharmacological therapy of pain in labor: a systematic review. J Nursing Muhammadiyah. 2018;3(1):1568.
Kirksey KM, Glory GM, Sefcik EF. Pain assessment and management in critically Ill. Crit Care Nurs. 2015;38(3):237-44. https://doi.org/10.1097/CNQ.0000000000000071 PMid:26039645
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