Effects of nurse-led nonpharmacological pain interventions for patients with cancer: A systematic review and meta-analysis.

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Date: July 2022
From: Journal of Nursing Scholarship(Vol. 54, Issue 4)
Publisher: Wiley Subscription Services, Inc.
Document Type: Report; Brief article
Length: 369 words

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Abstract :

Keywords: cancer nursing; education; meta-analysis; systematic review; music therapy; neoplasms; pain management Abstract Purpose The purposes of this study were to review the types of nurse-led nonpharmacological pain interventions (NPI) offered to cancer patients and/or family caregivers, and to determine a comprehensive and robust estimate of the effect size of nurse-led NPI for cancer patients on various pain-related outcomes. Design Systematic review and meta-analysis. Studies assessing nurse-led NPIs targeting cancer patients and published between January 2008 and December 2020 were identified by searching multiple literature databases, including MEDLINE.sup.®, EMBASE, Google Scholar, Cochrane Library, ProQuest Medical Library, and CINAHL.sup.®. Methods This review was conducted in accordance with the Preferred Reporting Item for Systematic Reviews and Meta-analyses guidelines. The selected randomized clinical trials were independently assessed for methodological quality. The effect sizes (ESs) of treatment were presented as standardized mean differences (Hedges' g) and 95% confidence intervals (CIs). Findings A meta-analysis was performed to analyze data from 22 randomized clinical trials. Three types of nurse-led NPI were offered, mainly to cancer patients but also to some caregivers: music, physical, and psycho-educational interventions. The dose and duration of nonpharmacological interventions varied widely. The study participants ranged in age from 44.1 to 67.3 years. Meta-analysis indicated that, although these interventions had small effects in long-term (g = 0.24, 95% CI: 0.06-0.43, p = 0.011) to medium effects in short-term (g = 0.43, 95% CI: 0.32-0.53, p Conclusion The combined ES showed that these nurse-led NPIs were significantly effective in both the short and long-term. Types of intervention as a potential moderator were associated with short-term and long-term effects of nonpharmacological interventions on patient outcomes. Clinical relevance Research-tested interventions should be provided to help patients cope effectively with pain. CAPTION(S): Fig S1 Fig S2 Table S1-S3 Supplementary Material Byline: Youn Jin Park, Myung Kyung Lee

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Gale Document Number: GALE|A709984758