Non-Pharmacological Therapies in Pain Management

Demir, Yurdanur

doi:10.5772/30050

Cited by 35 publications

(40 citation statements)

References 67 publications

(59 reference statements)

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“…The data of the study were collected by using a questionnaire prepared by the researchers based on the literature review. 2,6,7 The questionnaire was designed as a two-part form. The first part of the form included questions about the nurses' descriptive characteristics (age, gender, educational level, and marital status), workrelated characteristics (period of working as a nurse, weekly working duration, the number of beds in the service, the number of postoperative patients hospitalized in the service per day, and the status of choosing the profession willingly), and pain managementrelated properties (the status of receiving the training on pain management and the status of using the nonpharmacologic practices for postoperative pain management).…”

Section: Data Collection Tools and Data Collectionmentioning

confidence: 99%

“…2,5 The nonpharmacologic methods used for pain management are classified as physical, cognitive, behavioral, invasive, or noninvasive methods. 6 These methods include distraction, relaxation, hot and cold application, positioning, exercise, therapeutic touch, massage, transcutaneous nerve stimulation, reiki, reflexology, acupuncture, aromatherapy, and music therapy. 7 For example, massage repeated after cardiac surgery has been observed to alleviate the pain level of the patient.…”

mentioning

confidence: 99%

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Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

Gümüş

Müsüroğlu

Özlü

et al. 2020

Journal of PeriAnesthesia Nursing

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The purpose of this study was to determine the use of nonpharmacologic methods by surgical nurses for postoperative pain management and to identify the influencing professional factors. Design: A regional survey model. Methods: The sample of the study consisted of 443 surgical nurses working in regions of Turkey. The data were collected using a personal information form and questionnaire. Findings: Hot-cold application (53.3%), exercise (50.8%), positioning (68.8%), movement restriction (35.7%), resting (55.5%), and distraction (42.2%) were among the methods usually used by nurses. The nurses who were working in the Black Sea region chose the nursing profession willingly, received the training on pain management, and used nonpharmacologic methods at higher rates (P < .030, P < .004, P < .033, and P < .000, respectively). Conclusions: Gender, geographic region of work, choosing the profession willingly, and receiving training on pain management affected the nurses' rate of using nonpharmacologic methods.

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Section: Data Collection Tools and Data Collectionmentioning

confidence: 99%

mentioning

confidence: 99%

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

Gümüş

Müsüroğlu

Özlü

et al. 2020

Journal of PeriAnesthesia Nursing

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“…Medical drugs are being used for treating the somatic (physiological and emotional) dimension of the pain, but non-pharmacological therapies aim to treat the affective, cognitive, behavioral and socio-cultural dimensions of the pain (14). Hence nurses' utilization of non-pharmacological methods can collaborate to the unresolved postoperative pain conditions (15).…”

Section: Introductionmentioning

confidence: 99%

Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

Kidanemariam

Elsholz

Simel

et al. 2020

Preprint

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Background Postoperative pain remains a concern to both patients and health care professionals. Non-pharmacological pain relief methods have the potential to complement pharmacological interventions and may offer alternative treatment options. The aim of the study was to assess nurses’ utilization of postoperative nurses’ non-pharmacological pain relief methods and the perceived barriers for their implementation in the National Hospitals. Methods Descriptive cross sectional study was conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation of those methods were used to collect data. Descriptive statistics for the demographic data, independent samples t-test and one way ANOVA for the nurses’ utilization of the non-pharmacological methods and perceived barriers were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were reported to be the most frequently used methods, whereas the cognitive-behavioral (5.9%) and physical methods (5.8%) were found with less frequency. The results also show that characteristics, such as the nurses' age (p = 0.013), education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods. Among the various perceived barriers, health care system related barriers such as heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), lack of administrative support (76.6%) followed by patient related barriers such as patients uncooperative behavior (57.1%) were identified. Conclusion Only few of the non-pharmacological methods were found to be utilized by the nurses as pain relieving strategies and various perceived barriers are existing among the nurses towards the utilization of these methods. Nurses in these settings need training and education on non-pharmacological pain relief methods, particularly on methods that are utilized less often.

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“…Yoğun bakım ünitelerinde bu üç sınıflama içerisinde farmakolojik olmayan yöntemlerden pozisyon değişikliğinin yanı sıra masaj, müzik terapi, soğuk ve sıcak uygulama yoğun bakım hemşireleri tarafından en çok uygulanan ve üzerinde en çok çalışma yapılan uygulamalardır (Faigeles, Miaskowski, Howie Esquivel ve diğ., 2010;Erstad, Uuntillo, Gİlbert ve diğ., 2009;Demir, 2017;Çelik, 2016).…”

Section: Ağrı Yönetimine Yönelik Farmakolojik Olmayan Girişimlerunclassified

“…Müzik terapi: Müzik terapi, fiziksel, psikolojik, sosyal, emosyonel ve manevi iyileşmede etkin bir role sahip olup kullanım açısından hemşirelerin kolaylıkla uygulayabileceği, pahalı olmayan doğal bir girişimdir (Esch, Guarna, Bianchi, Zhu, Stefano, 2004 (Myers, 2008;Yavuz, 2006;Gelinas, Arbour, Michaund, Rober, Cote, 2012;Martorella, Boitor, Michaud, Gelinas, 2014;Demir, 2017) Ağrı ile başa çıkmada rutin analjezik prosedürünün yetersiz kaldığı, analjezik tüketiminin fazlalığı gibi sorunlar son yıllarda farmakolojik olmayan girişimlerin kullanımını artırmaktadır.…”

Section: Ağrı Yönetimine Yönelik Farmakolojik Olmayan Girişimlerunclassified

Yoğun Bakım Hemşireliğinde Ağrı Değerlendirmesi ve Ağrı Yönetimi

Alakan¹,

Ünal²

2017

Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi

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ÖzetKanıtlar YBÜ'de hastaların entübasyon ve sedasyon gibi çeşitli nedenlerle iletişim kuramama problemlerinin yatışları süresince hoş olmayan duygular, stres ve kötü deneyimler yaşamalarına sebep olduğunu belirtmektedir. Ağrı, yalnızlık duygusu, izolasyon, iletişim yetersizliği, uyku bozukluğu, korku ve kabuslar bunlar arasında sayılabilir. Bu olumsuz deneyimler arasında ağrı, önemli bir "stresör" olarak yoğun bakım hastalarının karşısına çıkmaktadır. Ağrı değerlendirmesinde en güvenilir kaynak hastanın kendisidir. Ancak ağrılarını entübasyon ve sedasyon nedeniyle sözel olarak ifade edemeyen yoğun bakım hastaları çeşitli davranışsal ve fizyolojik belirtilerle ağrılarını ifade etmektedirler. Bu nedenle yoğun bakımlarda ağrıya davranışsal ve davranışsalfizyolojik yanıtın değerlendirildiği özel tanılama araçlarının kullanılması önemlidir. Yoğun bakım hemşireleri bakım temelli ekip üyeleri olmaları sebebiyle hasta ile en çok vakit geçiren ve onları yakından izleyen sağlık profesyonelleri oldukları için ağrının değerlendirilmesi ve yönetiminde anahtar rol oynamaktadır. AbstractEvidence suggests that patients with communication inability problems for various reasons, such as intubation and sedation, cause unpleasant, stress and bad experiences during their time in intensive care unit. Pain, loneliness, isolation, communication inability, sleep disturbance, fear and nightmares can be counted. Among these negative experiences, pain is encountering intensive care patients as an important "stressor". The most reliable source of pain assessment is the patient itself. However, intensive care patients who cannot express their pain verbally due to intubation and sedation express their pain with various behavioral and physiological indications. For this reason, it is important to use special diagnostic tools that assess behavioral and behavioralphysiological responses to pain in intensive care. Intensive care nurses play a key role in the evaluation and management of pain because they are health care professionals who spend most of their time with patients and closely monitor them because they are maintenance-based team members.

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Non-Pharmacological Therapies in Pain Management

Cited by 35 publications

References 67 publications

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

Yoğun Bakım Hemşireliğinde Ağrı Değerlendirmesi ve Ağrı Yönetimi

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