Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review.
Identifieur interne : 000198 ( Main/Exploration ); précédent : 000197; suivant : 000199Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review.
Auteurs : Reidun K. Sandvik [Norvège] ; Brita F. Olsen [Norvège] ; Lars-J Rgen Rygh [Norvège] ; Asgjerd Litlere Moi [Norvège]Source :
- Journal of clinical nursing [ 1365-2702 ] ; 2020.
Descripteurs français
- KwdFr :
- Confort du patient (méthodes), Gestion de la douleur (méthodes), Gestion de la douleur (psychologie), Humains (MeSH), Hypnose (méthodes), Massage (méthodes), Musicothérapie (méthodes), Personnel infirmier hospitalier (organisation et administration), Personnel infirmier hospitalier (psychologie), Techniques de physiothérapie (MeSH), Unités de soins intensifs (organisation et administration).
- MESH :
- méthodes : Confort du patient, Gestion de la douleur, Hypnose, Massage, Musicothérapie.
- organisation et administration : Personnel infirmier hospitalier, Unités de soins intensifs.
- psychologie : Gestion de la douleur, Personnel infirmier hospitalier.
- Humains, Techniques de physiothérapie.
English descriptors
- KwdEn :
- Humans (MeSH), Hypnosis (methods), Intensive Care Units (organization & administration), Massage (methods), Music Therapy (methods), Nursing Staff, Hospital (organization & administration), Nursing Staff, Hospital (psychology), Pain Management (methods), Pain Management (psychology), Patient Comfort (methods), Physical Therapy Modalities (MeSH).
- MESH :
- methods : Hypnosis, Massage, Music Therapy, Pain Management, Patient Comfort.
- organization & administration : Intensive Care Units, Nursing Staff, Hospital.
- psychology : Nursing Staff, Hospital, Pain Management.
- Humans, Physical Therapy Modalities.
Abstract
AIMS AND OBJECTIVES
To describe what is known from the existing literature on nonpharmacological interventions targeting pain in patients admitted to the ICU.
BACKGROUND
Patients receiving intensive care nursing are exposed to a wide range of pain provoking tissue damage, diseases, surgery and other medical procedures in addition to the pain caused by nursing care procedures. The present shift to light sedation to improve patient outcomes and comfort underscores the need for effective pain management. Opioids are the mainstay for treating pain in the ICUs, whereas nonpharmacological treatments are understudied and possibly under-used.
METHOD
A scoping review was undertaken using five of the six steps in the Arksey and O´Malley framework: (a) identification of the research question, (b) identification of relevant studies, (c) study selection, (d) charting the data and (e) collating, summarising and reporting the results. CINAHL, MEDLINE, PubMed, BMJ Best Practice, British Nursing Index and AMED databases were searched using relevant keywords to capture extensive evidence. Data were analysed using the six-step criteria for scoping reviews suggested by Arksey and O´Malley for data extraction. To ensure quality and transparency, we enclosed the relevant Equator checklist PRISMA.
RESULTS
Our search yielded 10,985 articles of which 12 studies were included. Tools for pain assessments were VAS, NRS, ESAS and BPS. Interventions explored were hypnosis, simple massage, distraction, relaxation, spiritual care, harp music, music therapy, listening to natural sounds, passive exercise, acupuncture, ice packs and emotional support. Reduction in pain intensity was conferred for hypnosis, acupuncture and natural sounds.
CONCLUSION
The findings support further investigations of acupuncture, hypnosis and listening to natural sounds.
RELEVANCE TO CLINICAL PRACTICE
The main finding suggests the use of comprehensive multimodal interventions to investigate the effects of nonpharmacological treatment protocols on pain intensity, pain proportion and the impact on opioid consumption and sedation requirements.
DOI: 10.1111/jocn.15194
PubMed: 31989720
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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douleur</term><term>Hypnose</term><term>Massage</term><term>Musicothérapie</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Personnel infirmier hospitalier</term><term>Unités de soins intensifs</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Intensive Care Units</term><term>Nursing Staff, Hospital</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Gestion de la douleur</term><term>Personnel infirmier hospitalier</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nursing Staff, Hospital</term><term>Pain Management</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Techniques de physiothérapie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS AND OBJECTIVES</b></p><p>To describe what is known from the existing literature on nonpharmacological interventions targeting pain in patients admitted to the ICU.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Patients receiving intensive care nursing are exposed to a wide range of pain provoking tissue damage, diseases, surgery and other medical procedures in addition to the pain caused by nursing care procedures. The present shift to light sedation to improve patient outcomes and comfort underscores the need for effective pain management. Opioids are the mainstay for treating pain in the ICUs, whereas nonpharmacological treatments are understudied and possibly under-used.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A scoping review was undertaken using five of the six steps in the Arksey and O´Malley framework: (a) identification of the research question, (b) identification of relevant studies, (c) study selection, (d) charting the data and (e) collating, summarising and reporting the results. CINAHL, MEDLINE, PubMed, BMJ Best Practice, British Nursing Index and AMED databases were searched using relevant keywords to capture extensive evidence. Data were analysed using the six-step criteria for scoping reviews suggested by Arksey and O´Malley for data extraction. To ensure quality and transparency, we enclosed the relevant Equator checklist PRISMA.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Our search yielded 10,985 articles of which 12 studies were included. Tools for pain assessments were VAS, NRS, ESAS and BPS. Interventions explored were hypnosis, simple massage, distraction, relaxation, spiritual care, harp music, music therapy, listening to natural sounds, passive exercise, acupuncture, ice packs and emotional support. Reduction in pain intensity was conferred for hypnosis, acupuncture and natural sounds.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The findings support further investigations of acupuncture, hypnosis and listening to natural sounds.</p></div><div type="abstract" xml:lang="en"><p><b>RELEVANCE TO CLINICAL PRACTICE</b></p><p>The main finding suggests the use of comprehensive multimodal interventions to investigate the effects of nonpharmacological treatment protocols on pain intensity, pain proportion and the impact on opioid consumption and sedation requirements.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31989720</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>22</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2702</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>9-10</Issue><PubDate><Year>2020</Year><Month>May</Month></PubDate></JournalIssue><Title>Journal of clinical nursing</Title><ISOAbbreviation>J Clin Nurs</ISOAbbreviation></Journal><ArticleTitle>Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review.</ArticleTitle><Pagination><MedlinePgn>1488-1498</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jocn.15194</ELocationID><Abstract><AbstractText Label="AIMS AND OBJECTIVES" NlmCategory="OBJECTIVE">To describe what is known from the existing literature on nonpharmacological interventions targeting pain in patients admitted to the ICU.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients receiving intensive care nursing are exposed to a wide range of pain provoking tissue damage, diseases, surgery and other medical procedures in addition to the pain caused by nursing care procedures. The present shift to light sedation to improve patient outcomes and comfort underscores the need for effective pain management. Opioids are the mainstay for treating pain in the ICUs, whereas nonpharmacological treatments are understudied and possibly under-used.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A scoping review was undertaken using five of the six steps in the Arksey and O´Malley framework: (a) identification of the research question, (b) identification of relevant studies, (c) study selection, (d) charting the data and (e) collating, summarising and reporting the results. CINAHL, MEDLINE, PubMed, BMJ Best Practice, British Nursing Index and AMED databases were searched using relevant keywords to capture extensive evidence. Data were analysed using the six-step criteria for scoping reviews suggested by Arksey and O´Malley for data extraction. To ensure quality and transparency, we enclosed the relevant Equator checklist PRISMA.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Our search yielded 10,985 articles of which 12 studies were included. Tools for pain assessments were VAS, NRS, ESAS and BPS. Interventions explored were hypnosis, simple massage, distraction, relaxation, spiritual care, harp music, music therapy, listening to natural sounds, passive exercise, acupuncture, ice packs and emotional support. Reduction in pain intensity was conferred for hypnosis, acupuncture and natural sounds.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The findings support further investigations of acupuncture, hypnosis and listening to natural sounds.</AbstractText><AbstractText Label="RELEVANCE TO CLINICAL PRACTICE" NlmCategory="CONCLUSIONS">The main finding suggests the use of comprehensive multimodal interventions to investigate the effects of nonpharmacological treatment protocols on pain intensity, pain proportion and the impact on opioid consumption and sedation requirements.</AbstractText><CopyrightInformation>© 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sandvik</LastName><ForeName>Reidun K</ForeName><Initials>RK</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-1111-1817</Identifier><AffiliationInfo><Affiliation>Departement of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Global Public Health and Primary Care, Centre for Elderly and Nursing Home Medicine, University of Bergen, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Olsen</LastName><ForeName>Brita F</ForeName><Initials>BF</Initials><AffiliationInfo><Affiliation>Intensive and Post-operative Unit, Østfold Hospital Trust, Sarpsborg, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Health and Welfare, Østfold University College, Fredrikstad, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rygh</LastName><ForeName>Lars-Jørgen</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moi</LastName><ForeName>Asgjerd Litlere</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Departement of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Plastic, Hand and Reconstructive Surgery, National Burn Centre, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Clin Nurs</MedlineTA><NlmUniqueID>9207302</NlmUniqueID><ISSNLinking>0962-1067</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006990" MajorTopicYN="N">Hypnosis</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008405" MajorTopicYN="N">Massage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009147" MajorTopicYN="N">Music Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009741" MajorTopicYN="N">Nursing Staff, Hospital</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000070659" MajorTopicYN="N">Patient Comfort</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">intensive care unit</Keyword><Keyword MajorTopicYN="N">nonpharmacological treatment</Keyword><Keyword MajorTopicYN="N">pain</Keyword><Keyword MajorTopicYN="N">pain management</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>07</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>12</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>01</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>1</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>1</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31989720</ArticleId><ArticleId IdType="doi">10.1111/jocn.15194</ArticleId></ArticleIdList><ReferenceList><Title>REFERENCES</Title><Reference><Citation>American Nurses Association (2018). 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Olsen</name><name sortKey="Rygh, Lars J Rgen" sort="Rygh, Lars J Rgen" uniqKey="Rygh L" first="Lars-J Rgen" last="Rygh">Lars-J Rgen Rygh</name><name sortKey="Sandvik, Reidun K" sort="Sandvik, Reidun K" uniqKey="Sandvik R" first="Reidun K" last="Sandvik">Reidun K. Sandvik</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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