Non-pharmacological interventions to reduce postoperative pain in adult patients in the post-anesthesia recovery unit

Authors

DOI:

https://doi.org/10.20453/renh.v15i1.5163

Keywords:

interventions, postoperative pain, adults

Abstract

Objective. To analyze the bibliographic production available on non-pharmacological interventions to reduce
postoperative pain in adult patients in the Post-Anesthetia Recovery Unit. Material and methods. A bibliographic review was carried out in the Scientific Electronic Library Online (SciELO), Pubmed, Elsevier and Medigraphic databases, in English and Spanish. In the selection, original and complete articles published between the years 2013 and 2022 were considered; whose non-pharmacological interventions are carried out by nurses and other health professionals; during the postoperative phase. Literature review studies were excluded; and who have difficulty accessing the full document. 30 articles were suitable for the analysis phase. Results. The most frequent nonpharmacological interventions overall were massages (27%), followed by music therapy and aromatherapy (17%). In physical interventions, massages prevailed (62%); in those of a psychosocial, psychoeducational and cognitive behavioral type, Music Therapy and Aromatherapy stood out (38% respectively) and Massage and Aromatherapy of a combined type (50%). Conclusions. Physical, psychosocial, psychoeducational and cognitive-behavioral interventions were identified, and the combination of these as non-pharmacological proposals to reduce pain; standing out among all the massages in the group of physical interventions. 

References

Poggi Machuca L, Ibarra Chirinos O. Manejo del dolor agudo posquirúrgico. Act Méd Peruana [Internet]. 2007; 24(2): 109-115. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172007000200008&lng=es&nrm=iso&tlng=es

Weiser GT, Haynes AB, Molina G, Lipsotz SR, Esquivel MM, Uribe-Leitz T, et al. Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes. The Lancet [Internet]. 2015; 385(Supl. 2): S11. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60806-6/fulltext

Lovich-Sapola J, Smith CE, Brandt CP. Postoperative pain control. Surg Clin North Am [Internet]. 2015; 95(2): 301-318. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0039610914002011?via%3Dihub

Shiraishi-Zapata CJ. Monitorización de indicadores nacionales de atención quirúrgica en el sistema sanitario peruano. Rev Col Anest [Internet]. 2017; 45(3): 210-215. Disponible en: https://www.sciencedirect.com/science/article/pii/S0120334717300369?via%3Dihub

El Peruano. Minsa lanza campaña «Cirugías al día: más operaciones, más salud» [Internet]. 2022, 9 de mayo. El Peruano. Disponible en: https://elperuano.pe/noticia/152959-minsa-lanza-campana-cirugias-al-dia-mas-operaciones-mas-salud

Escola d’ Oficis Catalunya. Tipos de cirugías y su clasificación [Internet]. 2018, 22 de febrero. ECO. Disponible en: https://eoc.cat/tipos-de-cirugias-clasificacion/

Martínez Caballero C, Collado Collado F, Rodríguez Quintosa J, Moya Riera J. El alivio del dolor: un derecho humano universal. Rev Soc Esp Dolor [Internet]. 2015; 22(5): 224-230. Disponible en: http://scielo.isciii.es/pdf/dolor/v22n5/07_aespecial.pdf

Choinière M, Watt-Watson J, Victor JC, Baskett RJF, Bussières JS, Carrier M, et al. Prevalence of and risk factors for persistent postoperative nonanginal pain after cardiac surgery: a 2-year prospective multicentre study. CMAJ [Internet]. 2014; 186(7): e213-e223. Disponible en: https://www.cmaj.ca/content/186/7/E213

Ruiz García MV, Gómez Tomás A, Córcoles Jiménez MP, Herreros Sáez L, Segovia Gil MI, López Simón J, et al. Valoración y manejo del dolor en pacientes hospitalizados. Protocolo consensuado 2013 [Internet]. Complejo Hospitalario Universitario de Albacete; 2013. Disponible en: https://www.chospab.es/enfermeria/RNAO/guias/protocolo_valoracion_y_manejo_del_dolor_en_pacientes_hospitalizados.pdf

Hernández-Saldívar ML. Manejo del dolor postoperatorio: experiencia terapéutica en Unidad de Terapia Quirúrgica Central del Hospital General de México. Rev Mex Anest [Internet]. 2008; 31(Supl. 1): S246-S251. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=15957

Ucuzal M, Kanan N. Foot massage: effectiveness on postoperative pain in breast surgery patients. Pain Manag Nurs [Internet]. 2014; 15(2): 458-465. Disponible en: https://www.painmanagementnursing.org/article/S1524-9042(12)00038-0/fulltext

Pasyar N, Rambod M, Kahkhaee FR. The effect of foot massage on pain intensity and anxiety in patients having undergone a tibial shaft fracture surgery: a randomized clinical trial. J Orthop Trauma [Internet]. 2018; 32(12): e482-e486. Disponible en: https://journals.lww.com/jorthotrauma/Abstract/2018/12000/The_Effect_of_Foot_Massage_on_Pain_Intensity_and.13.aspx

Çankaya A, Saritaş S. Effect of classic foot massage on vital signs, pain, and nausea/vomiting symptoms after laparoscopic cholecystectomy [Internet]. 2018; 28(6): 359-365. Disponible en: https://journals.lww.com/surgical-laparoscopy/Abstract/2018/12000/Effect_of_Classic_Foot_Massage_on_Vital_Signs,.4.aspx

Koraş K, Karabulut N. The effect of foot massage on postoperative pain and anxiety levels in laparoscopic cholecystectomy surgery: a randomized controlled experimental study. J Perianesth Nurs [Internet]. 2019; 34(3): 551-558. Disponible en: https://www.jopan.org/article/S1089-9472(18)30298-3/fulltext

Koraş Sözen K, Karabulut N. Efficacy of hand and foot massage in anxiety and pain management following laparoscopic cholecystectomy: a controlled randomized study [Internet]. 2019; 30(2): 111-116. Disponible en: https://journals.lww.com/surgical-laparoscopy/Abstract/2020/04000/Efficacy_of_Hand_and_Foot_Massage_in_Anxiety_and.3.aspx

Saatsaz S, Rezaei R, Alipour A, Beheshti Z. Massage as adjuvant therapy in the management of post-cesarean pain and anxiety: a randomized clinical trial. Complement Ther Clin Pract [Internet]. 2016; 24: 92-98. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1744388116300457?via%3Dihub

Simonelli MC, Doyle LT, Columbia M, Wells PD, Benson KV, Lee CS. Effects of connective tissue massage on pain in primiparous women after cesarean birth. J Obstet Gynecol Neonatal Nurs [Internet]. 2018; 47(5): 591-601. Disponible en: https://www.jognn.org/article/S0884-2175(18)30279-X/fulltext

Attias S, Sivan K, Avneri O, Sagee A, Ben-Arye E, Grinberg O, et al. Analgesic effects of reflexology in patients undergoing surgical procedures: a randomized controlled trial. J Altern Complement Med [Internet]. 2018; 24(8): 809-815. Disponible en: https://www.liebertpub.com/doi/10.1089/acm.2017.0167

Mishra K, Jesse E, Bukavina L, Sopko E, Arojo I, Fernstrum A, et al. Impact of music on postoperative pain, anxiety, and narcotic use after robotic prostatectomy: a randomized controlled trial. J Adv Pract Oncol [Internet]. 2022; 13(2): 121-126. Disponible en: https://advancedpractitioner.com/issues/volume-13,-number-2-(mar-2022)/impact-of-music-on-postoperative-pain,-anxiety,-and-narcotic-use-after-robotic-prostatectomy-a-randomized-controlled-trial.aspx

Gogoularadja A, Bakshi SS. A randomized study on the efficacy of music therapy on pain and anxiety in nasal septal surgery. Int Arch Otorhinolaryngol [Internet]. 2020; 24(2): e232-e236. Disponible en: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0039-3402438

Gökçek E, Kaydu A. The effects of music therapy in patients undergoing septorhinoplasty surgery under general anesthesia. Braz J Otorhinolaryngol [Internet]. 2020; 86(4): 419-426. Disponible en: https://www.sciencedirect.com/science/article/pii/S1808869418306062?via%3Dihub

Kahloul M, Mhamdi S, Nakhli MS, Sfeyhi AN, Azzaza M, Chaouch A, et al. Effects of music therapy under general anesthesia in patients undergoing abdominal surgery. Libyan J Med [Internet]. 2017; 12(1): 1260886. Disponible en: https://www.tandfonline.com/doi/full/10.1080/19932820.2017.1260886

Amirhosseini M, Dehghan M, Mangolian Shahrbabaki P, Pakmanesh H. Effectiveness of aromatherapy for relief of pain, nausea, and vomiting after percutaneous nephrolithotomy: a randomized controlled trial. Complement Med Res [Internet]. 2020; 27(6): 440-448. Disponible en: https://karger.com/ScmHttpHandler/ThemeRedirectByDoiLookUp?doi=508333&ispartialdoi=true&ispdf=false

Bagheri H, Salmani T, Nourian J, Mirrezaie SM, Abbasi A, Mardani A, et al. The effects of inhalation aromatherapy using lavender essential oil on postoperative pain of inguinal hernia: a randomized controlled trial. J Perianesth Nurs [Internet]. 2020; 35(6): 642648. Disponible en: https://www.jopan.org/article/S1089-9472(20)30096-4/fulltext

Olapour A, Behaeen K, Akhondzadeh R, Soltani F, Razavi FAS, Bekhradi R. The effect of inhalation of aromatherapy blend containing lavender essential oil on cesarean postoperative pain. Anesth Pain Med [Internet]. 2013; 3(1): 203-207. Disponible en: https://brieflands.com/articles/aapm-71696.html

Lee J, Hur MH. The effects of aroma essential oil inhalation on stress, pain, and sleep quality in laparoscopic cholecystectomy patients: a randomized controlled trial. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2022; 16(1): 1-8. Disponible en: https://www.asian-nursingresearch.com/article/S1976-1317(21)00090-6/fulltext

Adachi N, Munesada M, Yamada N, Suzuki H, Futohashi A, Shigeeda T, et al. Effects of aromatherapy massage on face-down posture-related pain after vitrectomy: a randomized controlled trial. Pain Manag Nurs [Internet]. 2014; 15(2): 482-489. Disponible en: https://www.painmanagementnursing.org/article/S1524-9042(12)00186-5/fulltext

Mizrak Sahin B, Culha I, Gursoy E, Yalcin OT. Effect of massage with lavender oil on postoperative pain level of patients who underwent gynecologic surgery: a randomized, placebo-controlled study. Holist Nurs Pract [Internet]. 2021; 35(4): 221-229. Disponible en: https://journals.lww.com/hnpjournal/Abstract/2021/07000/Effect_of_Massage_With_Lavender_Oil_on.9.aspx

Bayoumi MMM, Khonji LMA, Gabr WFM. Are nurses utilizing the non-pharmacological pain management techniques in surgical wards? PLoS One [Internet]. 2021; 16(10): e0258668. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0258668

Published

2023-12-20

How to Cite

1.
Durand Morishigue MA, Campos Coronel HR. Non-pharmacological interventions to reduce postoperative pain in adult patients in the post-anesthesia recovery unit. Rev enferm Herediana. [Internet]. 2023 Dec. 20 [cited 2024 May 13];15(1):29-35. Available from: https://revistas.upch.edu.pe/index.php/RENH/article/view/5163

Issue

Section

REVIEW ARTICLE