• Pain Manag Nurs · Apr 2024

    Review

    A Systematic Review of the Effectiveness of Non-Pharmacological Therapies Used by Nurses in Children Undergoing Surgery.

    • Andreu Moll-Bertó, Nerea López-Rodrigo, Néstor Montoro-Pérez, María Isabel Mármol-López, and Raimunda Montejano-Lozoya.
    • From the La Fe School of Nursing, Affiliated Center of the University of Valencia, Spain.
    • Pain Manag Nurs. 2024 Apr 1; 25 (2): 195203195-203.

    ObjectiveThe aim of this study was to identify non-pharmacological pain relief therapies in children undergoing surgery.Design And Data SourcesUsing keywords extracted from Medical Subject Headings and "Descriptores en Ciencias de la Salud" we searched for articles in the Web of Science, Scopus, Cuiden, PubMed, and CINHAL databases from the last five years, and performed a reverse search. We assessed the documentary quality of the articles using various standardized instruments.ResultsThe final review included eleven studies. In terms of cognitive-behavioral techniques, there is evidence that both music and video therapy are effective in reducing postoperative pain in children in seven studies, and therapeutic play in five studies. Other methods used less frequently but found to be effective included laughter therapy in one study and deep breathing in another. Regarding physical methods of pain relief, massage was found to be an effective non-pharmacological therapy for reducing pediatric postoperative pain in two studies and ineffective in another.ConclusionsIn this study, we highlight the importance of non-pharmacological therapies in pediatric postoperative pain management. Cognitive-behavioral techniques, especially music therapy, video therapy, and therapeutic play, reduce pediatric postoperative pain. They are therefore effective therapies that nurses can use in this area. Further research into the effectiveness of storytelling is necessary, as the evidence is not entirely conclusive. More evidence is also needed on physical methods of pain relief, particularly massage.Copyright © 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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