Nonpharmacologic Therapies for Postoperative Pain in Cardiac Surgery: A Systematic Review.

Autor: de Andrade ÉV; Stricto sensu Graduate Program Health Care, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Uberaba, Minas Gerais, Brazil., Oliveira LM; Undergraduate Program in Nursing, Federal University of Triângulo Mineiro, Praça Manoel Terra, Uberaba, Minas Gerais, Brazil., Dos Santos Felix MM; Stricto sensu Graduate Program Health Care, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Uberaba, Minas Gerais, Brazil., Raponi MBG; Undergraduate Nursing, Faculty of Medicine, Federal University of Uberlândia. Av. Pará, Minas Gerais, Brazil., de Faria MF; Stricto sensu Graduate Program Health Care, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Uberaba, Minas Gerais, Brazil., Calegari IB; Stricto sensu Graduate Program Health Care, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Uberaba, Minas Gerais, Brazil., da Silva KFN; Professional Education Center, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Minas Gerais, Brazil., Barbosa MH; Teaching and Scientific Department of Nursing in Hospital Care, Institute of Health Sciences, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Minas Gerais, Brazil. Electronic address: maria.barbosa@uftm.edu.br.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2024 Apr; Vol. 25 (2), pp. e59-e75. Date of Electronic Publication: 2024 Feb 09.
DOI: 10.1016/j.pmn.2023.12.007
Abstrakt: Objectives: To search for studies that address the efficacy of nonpharmacologic methods for pain relief in adults undergoing cardiac surgeries.
Design: A systematic review registered in the International Prospective Register of Systematic Reviews (PROSPERO) under number CRD42020168681.
Data Source: PubMed, LILACS, CINAHL, the Web of Science, Scopus, and the Cochrane Central Register of Controlled Trials.
Review/analysis Methods: The review used a PRISMA guideline that selected primary randomized controlled trials on the efficacy of nonpharmacologic pain relief therapies in patients undergoing cardiac surgery, with no time or language restrictions. The Joanna Briggs Institute Critical Appraisal Checklist for Randomized Clinical Trials was used to assess methodological rigor.
Results: After screening, 23 of the 140 studies found in the databases were selected. The studies examined the efficacy of 13 different nonpharmacologic therapies, as well as a combination of therapies, with massage therapy being the most commonly examined, followed by musical intervention and hypnosis.
Conclusions: Some interventions, when combined with pharmacologic therapy, were effective in relieving postoperative pain after cardiac surgeries, according to the studies analyzed. However, most studies had significant methodological flaws, and further studies with high methodological quality are needed.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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