• Pain Manag Nurs · Apr 2024

    Review

    Nonpharmacologic Therapies for Postoperative Pain in Cardiac Surgery: A Systematic Review.

    • Érica Vieira de Andrade, Letícia Modesto Oliveira, Dos Santos FelixMárcia MarquesMMStricto sensu Graduate Program Health Care, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Uberaba, Minas Gerais, Brazil., Maria Beatriz Guimarães Raponi, Maíla Fidalgo de Faria, Isadora Braga Calegari, Karla Fabiana Nunes da Silva, and Maria Helena Barbosa.
    • Stricto sensu Graduate Program Health Care, Federal University of Triângulo Mineiro. Av. Getúlio Guaritá, Uberaba, Minas Gerais, Brazil.
    • Pain Manag Nurs. 2024 Apr 1; 25 (2): e59e75e59-e75.

    ObjectivesTo search for studies that address the efficacy of nonpharmacologic methods for pain relief in adults undergoing cardiac surgeries.DesignA systematic review registered in the International Prospective Register of Systematic Reviews (PROSPERO) under number CRD42020168681.Data SourcePubMed, LILACS, CINAHL, the Web of Science, Scopus, and the Cochrane Central Register of Controlled Trials.Review/Analysis MethodsThe review used a PRISMA guideline that selected primary randomized controlled trials on the efficacy of nonpharmacologic pain relief therapies in patients undergoing cardiac surgery, with no time or language restrictions. The Joanna Briggs Institute Critical Appraisal Checklist for Randomized Clinical Trials was used to assess methodological rigor.ResultsAfter screening, 23 of the 140 studies found in the databases were selected. The studies examined the efficacy of 13 different nonpharmacologic therapies, as well as a combination of therapies, with massage therapy being the most commonly examined, followed by musical intervention and hypnosis.ConclusionsSome interventions, when combined with pharmacologic therapy, were effective in relieving postoperative pain after cardiac surgeries, according to the studies analyzed. However, most studies had significant methodological flaws, and further studies with high methodological quality are needed.Copyright © 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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