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Icke-farmakologiska smärtlindringsmetoder till patienter med akut smärta: En litteraturöversikt
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Acute pain is a globally occurring reason for inpatient suffering and the most common treatment is different forms of analgesics prescribed by doctors. The aim of this study is to identify effects of various non-pharmacological pain relief methods the registered nurse can offer patients with acute pain.

 

Method: This study is performed as a literature review to examine up to date evidence for non pharmacological pain relief alternatives. The literature search was made in the databases CINAHL, Cochrane and PubMed. A total of ten randomized controlled trial and three quasi experimental studies were included.

 

Results: When the studies were reviewed significant results were seen for complementary therapies. The results of the included studies showed that complementary therapies, such as cryotherapy, analgesic enhancement, massage, pain dissipation and activity, are effective non-pharmacologic alternatives the registered nurse can offer their patients. Included studies show few negative side effects and could be cost effective. Most of the included methods are easy to use and cost effective, while others are more complicated, expensive and need education to perform.

 

Conclusion: The study finds that several alternative pain relief methods, available for the registered nurse to offer, give effective relief for inpatients with acute pain. The knowledge of non pharmacological pain relief methods need to be encouraged when training to be a nurse and in the workfield of registered nurses. More research in the area is required to increase the evidence of the methods.

Abstract [sv]

Bakgrund: Akut smärta är en globalt förekommande orsak till lidande hos människor och den vanligaste behandlingen är olika former av analgetika som förskrivs av läkare. Syftet med denna studie är att undersöka effekterna av olika icke-farmakologiska smärtlindringsmetoder som sjuksköterskan kan erbjuda inneliggande patienter.

 

Metod: Studien utformas som en litteraturöversikt för att undersöka aktuell evidens för icke-farmakologiska smärtlindringsalternativ. Sökningar gjordes i databaserna CINAHL, Cochrane och PubMed. Totalt inkluderades tio randomiserade kontrollerade studier och tre kvasiexperimentella studier.  

 

Resultat: Efter granskning av studierna framkommer signifikanta resultat för smärtlindrande effekter av icke-farmakologisk smärtlindring. De inkluderade studiernas resultat visar att alternativa smärtlindringsmetoder, som kyla och värme, analgetikaförstärkning, massage, smärtavledning och aktivitet är effektiva komplement som sjuksköterskan kan erbjuda sina patienter. De studier som inkluderats beskriver dessutom få negativa effekter och vissa kostnadsbesparingar. De flesta icke-farmakologiska metoderna är enkla och kostnadseffektiva, medan andra är mer komplicerade, kräver utbildning och är kostsamma.

 

Slutsats: Studien finner att det finns flera effektiva icke-farmakologiska smärtlindringsmetoder, som sjuksköterskan kan erbjuda inneliggande patienter med akut smärta. Kunskaperna om icke-farmakologiska smärtlindringsalternativ inom sjuksköterskeutbildningarna bör uppdateras samt uppmuntras mer ute på avdelningarna. Vidare forskning inom området är nödvändigt för att öka evidensen ytterligare.

Place, publisher, year, edition, pages
2019. , p. 32
Keywords [en]
acute pain, complementary therapies, pain relief, hospital, cryotherapy
Keywords [sv]
akut smärta, komplementär och alternativ medicin, smärtlindring, sjukhus, kryoterapi
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-382534OAI: oai:DiVA.org:uu-382534DiVA, id: diva2:1307372
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2019-04-30 Created: 2019-04-26 Last updated: 2019-04-30Bibliographically approved

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