Non-Pharmacological Pain Management

Geziry, Ahmed El; Toble, Yasser; Kadhi, Fathi Al; Pervaiz, Muhammad Khalid; Nobani, Mohammad Al

doi:10.5772/intechopen.79689

Cited by 25 publications

(32 citation statements)

References 42 publications

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“…The data were collected using observed structured cheek list with interviewer administered tools which contained socio-demographic questions, non-pharmacological pain management checklist and barriers that hindered the use of non-pharmacological pain management methods questions ( S1 File ). The tools were validated and adapted from a previous study with in-depth literature review [ 14 , 18 , 21 , 22 ]. The questionnaires were prepared in English and deployed for the respondents.…”

Section: Methodsmentioning

confidence: 99%

“…According to the ANA, one of the role of nurses are managing patient pain based on non-pharmacologic pain management strategies such as psychological, educational and parental support [ 9 , 10 ]. Pain is influenced by psychological [ 11 ], cultural [ 12 ], social [ 13 ], and spiritual [ 14 ] factors. Even if non-pharmacological pain management do not replace pharmacological treatment, but these non-pharmacological pain management strategies used as a complementary to reduce symptoms, affect pain perception, assist with relaxation and to improve sleep pattern [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

2021

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Background Pain is an unpleasant sensory and emotional experience associated with or resembling that actual or potential tissue damage. Different study findings show that about 55% to 78.6% of inpatients experience moderate-to-severe pain. Nurses are one of the health professional who may hear of pain suffered by the patients and who can manage patient suffering by themselves. Therefore, their correct skill is very important in non- pharmacology and pharmacology pain management methods. Objective To assess non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia. Methods Data were collected using structured observational check list with interviewer administered questionnaires that measure nurses’ practice on non-pharmacological pain management. Data were entered using Epi Data version 3.1 and analyzed using SPSS (Stastical Package for Social Sciences) version 23. Bivariable and multivariable analysis were conducted to examine the association between independent and outcome variables. Results A total of 169 nurses participated in the study, with a response rate of 100%. Among the study participants 94 (55.6%) were females, and the mean age of nurses were 34.9(SD = 5.7) years. Only 44(26%) of nurses had good practice on non- pharmacology pain management methods. About 130(77.55%), 125(74.0%), and 123(72.8%) of nurses reported that inadequate cooperation of physicians, multiple responsibilities of nurses and insufficient number of nurses per patient ratio as barriers for practice of non -pharmacology pain management respectively. Conclusion Majority of nurses didn’t apply non-pharmacological pain management practices for their patients in pain and the overall practice level of nurses was very poor. The major identified obstacle factors for the poor practice of non–pharmacological pain management methods were nurses’ fatigue, inadequate cooperation of physicians, heavy workload, multiple responsibilities of nurses, and insufficient number of nurses per patient ratio and unfavorable attitude of nurse on non-pharmacology pain management. Even if nurses experiences different challenges, they shall use non‐pharmacological pain management methods complementary to pharmacological treatment of pain as they are low cost and safe. And also boosting nurse’s attitude towards the effect of non–pharmacological pain management methods is crucial.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

2021

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“…Nonpharmacological management of pain involves the use of suitable housing, bed rest, gentle handling and manipulation (massage, osteopathic and chiropractic), meditative movements (such as Tai Chi and yoga), and diets [30,31]. Much recent strategies for non-pharmacological pain management were classified into sensory (massage, positioning, acupuncture, hot and cold treatment, progressive muscle relaxation, and transcutaneous electrical nerve stimulation), psychological interventions, and others including music, belief, and spirituality [31,32]. These non-pharmacological means are thought to play a huge role in relieving postsurgical pain.…”

Section: Pain Managementmentioning

confidence: 99%

Why Effective Pain Management Remains a Challenge

Ugwu¹

2021

Pain Management - Practices, Novel Therapies and Bioactives

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Pain is a subjective expression of neural impulses induced by a stimulus with a capacity to potentially damage tissues of the body. Simply put, pain is the reaction of the body to a potentially noxious or noxious stimulus, which threatens the normal homeostasis if unrelieved. Pain can be managed via pharmacological and non-pharmacological means, and pharmacological agents are the most widely accepted means, which have been shown to have variable effectiveness against pain. The barriers to effective pharmacological pain management in clinical practice are discussed in this chapter.

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“…Non-pharmacological pain management (NPM) during labour refer to approaches used to increase comfort, promote rest, facilitate the woman to cope with the labour pain, and prevent her from suffering without the use of medication [8,9]. The NPM can be achieved through strategies like education for childbirth preparation, performing breathing exercises, frequently change of positions during labour, taking warm bath, sitting on the birth ball, massage and listening to music [8][9][10]. NPM reduce labour pain with less or no effect on the mother, foetus and progress of labour [10,11].…”

Section: Introductionmentioning

confidence: 99%

Use of Non-pharmacological Methods in Managing Labour Pain: Experiences of Nurse- midwives in Two Selected Districts Hospital of Pwani and Dar es Salaam Region, Tanzania

Mwakawanga

Mselle

Chikwala

et al. 2021

Preprint

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Background: Labour pain usually bring worries and most of the concerns to a woman and her family. Thus, the majority of the women in labour pain may require some sort of pain relief method be it pharmacological or non-pharmacological during this period. However, in Tanzania, the use of non-pharmacological labour pain-relieving methods remain low among nurse-midwives. This study analyzed the experiences of nurse-midwives on the use of non-pharmacological methods to manage labour pain in two selected districts of Pwani region Tanzania.Materials and Methods: An exploratory qualitative study using a semi-structured interview guide was conducted to purposefully recruited nurse-midwives working in labour ward in two district hospitals in Pwani region Tanzania. Data were analysed using a qualitative content analysis approach to generate categories describing the experiences of using non-pharmacological methods in managing labour pain. Results: Encouraging women on the tolerability of pain, provision of instructions onchanging positions, deep mouth breathing techniques and exercises, provision of psychological support and provision of sacral massage emerged as the common non-pharmacological methods used by nurse-midwives. Comfortability on using the methods to both nurse-midwives and the women was stated to make both the nurse-midwives and women use them. Furthermore, some nurse-midwives did not use the methods because of limited skills, the misconception that labour pain to delivering women is necessary and lack of awareness of its benefits. Conclusion: The findings of this study underscores that knowledge on benefits on non-pharmacological methods, skills on using non-pharmacological pain and misconception of nurse-midwives on labor pain influence use of non-pharmacological labor pain management.

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Non-Pharmacological Pain Management

Cited by 25 publications

References 42 publications

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

Why Effective Pain Management Remains a Challenge

Use of Non-pharmacological Methods in Managing Labour Pain: Experiences of Nurse- midwives in Two Selected Districts Hospital of Pwani and Dar es Salaam Region, Tanzania

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