• Mir Moon, Eui Geum Oh, Wonhee Baek, and Young Man Kim.
• Department of Nursing, Graduate School, Yonsei University, Seoul, Republic of Korea; Acute Pain Service Team, Severance Hospital, Seoul, Republic of Korea.
• Pain Manag Nurs. 2021 Apr 1; 22 (2): 111-120.

BackgroundA literature review was conducted to assess nurse-led nonpharmacologic pain management interventions intended for total knee/hip replacement patients.DesignThis was a systematic review and meta-analysis.Data SourcesThe PubMed, Embase, CINAHL, and Cochrane Library databases were searched to identify relevant studies.Review MethodsThe 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.ResultsIn 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.ConclusionOur 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 NursingNurse-led nonpharmacologic pain interventions should be considered to reduce patient pain with total knee/hip replacement.Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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