Effects of Nurse-Led Pain Management Interventions for Patients with Total Knee/Hip Replacement.
Pain Manag Nurs 2020;
22:111-120. [PMID:
33353818 DOI:
10.1016/j.pmn.2020.11.005]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 10/07/2020] [Accepted: 11/16/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND
A literature review was conducted to assess nurse-led nonpharmacologic pain management interventions intended for total knee/hip replacement patients.
DESIGN
This was a systematic review and meta-analysis.
DATA SOURCES
The PubMed, Embase, CINAHL, and Cochrane Library databases were searched to identify relevant studies.
REVIEW METHODS
The systematic review was conducted based on the Cochrane Handbook for Systematic Reviews of Interventions and all Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) reporting guidelines. Two reviewers independently selected the studies and appraised their quality. Thereafter, the effects of all described nurse-led nonpharmacologic pain management interventions were estimated regarding pain, anxiety, and satisfaction through a meta-analysis.
RESULTS
In total, 219 relevant studies were found through a search. Finally, 23 studies were selected for review, with 17 included in the meta-analysis. Nurse-led nonpharmacologic pain management was effective for pain relief (effect size, -0.22; 95% confidence interval [CI], -0.42 to -0.02), and educational interventions were especially effective (effect size, -0.36; 95% CI, -0.69 to -0.03). Although interventions reduced anxiety and improved satisfaction, these results were not statistically significant based on the analysis.
CONCLUSION
Our findings support that nurse-led nonpharmacologic pain management interventions could help reduce pain in patients with total knee/hip replacement by supplementing pharmacologic pain management.
IMPLICATIONS FOR NURSING
Nurse-led nonpharmacologic pain interventions should be considered to reduce patient pain with total knee/hip replacement.
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