Palyatif Bakımda Tamamlayıcı ve Bütünleştirici Terapilerin Ağrı Yönetimine Etkisi: Bir Sistematik Derleme

Duygu Yıldırım; Merve Kırşan; Servet Kıray; Esra Akın Korhan

EN TR

The Effect of Complementary and Integrative Therapies On Pain Management In Palliative Care: a Systematic Review

Abstract

Purpose: This study was conducted to investigate and systematically review the data obtained from published studies relating to the effect of complementary and integrative therapies on pain management of patients within palliative care units.Method: This study was carried out using the Google Scholar, Pubmed, Science Direct, Proquest, Cochrane, EBSCOhost, Clinical Key, and Ovid databases. The search was limited to between 1 January 2012 and 31 January 2017 and retrieved both national and international research using the following keywords: reflexology, aromatherapy, music therapy, yoga, massage therapy, reiki, TENS, acupuncture, hypnosis, therapeutic touch, acupressure, mind and body practices, complementary and alternative medicine, pain management, palliative care. Thirteen publications were evaluated as being in accordance with the inclusion criteria for the content of the study.Results: The publications comprised four descriptive studies, one retrospective study, one group with no controls, a quasi-experimental, mixed-methods design, one semi-experimental pre-test and post-test control subgroups within non-randomized groups design, two semi-experimental single group pre-post-test, with randomized controls and one qualitative design. The studies included made use of the “Visual Analogue Scale VAS ”, “Measure-Yourself Concerns and Wellbeing Questionnaire”, “Numeric Scale NRS ”, “Well-Being Scale”, “Functional Analog Scale VAS ”, “Pain Scale”, “Nursing Assessment of Pain Intensity Scale”, “Face to Face Interview Technique” and “The Edmonton Symptom Assessment Scale ESAS ”. These data collection tools were used to evaluate the effect of complementary and integrative therapies on pain.Conclusion: Evidence was collated through systematic review of all the relevant studies on complementary and integrative therapies applied to patients in palliative care settings and the decrease in the severity of pain perceived by the patients compared. On the basis of this review, it is concluded that these therapies can be used to manage pain in palliative care patients

Keywords

Palliative care,complementary and integrative therapies,pain management

Palyatif Bakımda Tamamlayıcı ve Bütünleştirici Terapilerin Ağrı Yönetimine Etkisi: Bir Sistematik Derleme

Öz

Amaç: Bu çalışma, palyatif bakımdaki hastalara uygulanan tamamlayıcı ve bütünleştirici terapilerin ağrı yönetimine etkisi ile ilgili olan yayımlanmış çalışmaların gözden geçirilmesi ve çalışmadan elde edilen verilerin sistematik biçimde incelenmesi amacıyla gerçekleştirilmiştir.Yöntem: Çalışma; Google Scholar, Pubmed, Science Direct, Proquest, Cochrane, EBSCOhost, Clinical Key, Ovid, Google Akademik veri tabanlarında, tarih aralığı 1 Ocak 2012- 31 Ocak 2017 ile sınırlandırılarak ve “reflexology, aromatherapy, music therapy, yoga, massage therapy, reiki, TENS, acupuncture, hypnosis, therapeutic touch, acupressure, mind and body practices, complementary and alternative medicine, pain management, palliative care”, “refleksoloji, aromaterapi, müzik terapi, yoga, masaj terapi, transkütanöz elektiriksel sinir stimülasyonu, akupunktur, hipnoz, terapötik dokunma, akupresür, zihin-beden uygulamaları, tamamlayıcı ve alternatif terapi, ağrı yönetimi, palyatif bakım” anahtar kelimeleri ile ulaşılan ulusal ve uluslararası çalışmalar taranarak gerçekleştirilmiştir. Araştırmaya dâhil edilme kriterlerine uyan 13 yayın çalışma kapsamında değerlendirilmiştir.Bulgular: Araştırma kapsamına alınan çalışmalardan 4’ü tanımlayıcı, 2’si restrospektif, 1’i kontrol grubu olmayan yarı deneysel mix method, 1’i yarı deneysel randomize olmayan gruplarda ön test-son test kontrol gruplu , 2’si yarı deneysel tek gruplu ön test- son test , 2’si deneysel randomize kontrollü , 1’i nitel tasarıma sahiptir. Bu çalışmalarda “Vizüel Analog Skala VAS ”, “Measure Yourself Concerns and Wellbeing Questionnaire”, “Numerik Skala NRS ”, “Well-Being Scale”, “Fonksiyonel Ağrı Skalası”, “Nursing Assessment of Pain Intensity Scale”, “Yüz yüze Görüşme Tekniği”, “The Edmonton Symptom Assessment Scale ESAS ” veri toplama araçlarından yararlanılmıştır.Sonuç: Konu ile ilgili çalışmaların sistematize edilmesi sonucu palyatif bakımdaki hastalara uygulanan tamamlayıcı ve bütünleştirici terapiler ile hastaların algıladığı ağrı şiddetinde azalma olduğuna dair kanıtlara ulaşılmıştır. Buradan hareketle, bu terapilerin palyatif bakımdaki hastaların ağrı yönetiminde kullanıldığı ve kullanılabileceği sonuçlarına varılmıştır

Anahtar Kelimeler

Palyatif bakım,tamamlayıcı ve bütünleştirici terapiler,ağrı yönetimi

References

World Health Organization 2017, WHO Definition of palliative care. Reviewed August 2017, http://www.who.int/mediacentre/ factsheets/fs402/en/.
Wiener L, Weaver MS, Bell CJ, Daly UM. Threading the cloak: palliative care education for care providers of adolescents and young adults with cancer. Clin Oncol Adolesc Young Adults 2012;5:1-18.
Borasio GD. Translating the World Health Organization definition of palliative care into scientific practice. Palliative & Supportive Care 2011;9:1-2.
Kabalak AA, Öztürk H, Çağıl H. Yaşam Sonu Bakım Organizasyonu; Palyatif Bakım. Yoğun Bakım Dergisi 2013;11:56-70.
Gutgsell KJ, Schluchter M, Margevicius S, et al. Music therapy reduces pain in palliative care patients: a randomized controlled trial. Journal of Pain and Symptom Management 2013;45:822-31.
Stewart M, Cox-Davenport RA. Comparative Analysis of Registered Nurses’ and Nursing Students’ Attitudes and Use of Nonpharmacologic Methods of Pain Management. Pain Management Nursing 2015;16:499-502.
Uysal N, Şenel G, Karaca Ş, Kadıoğulları N, Koçak N, Oğuz G. Palyatif Bakım Kliniğinde Yatan Hastalarda Görülen Semptomlar ve Palyatif Bakımın Semptom Kontrolüne Etkisi. Ağrı 2015;27:104-10.
Özçelik H, Fadıloğlu Ç. Kanser hastalarının tamamlayıcı ve alternatif tedavi kullanım nedenleri. Türk Onkoloji Dergisi 2009;24:48-52.

Mitchinson A, Fletcher CE, Kim HM, Montagnini M, Hinshaw DB. Integrating massage therapy within the palliative care of veterans with advanced illnesses: an outcome study. American Journal of Hospice and Palliative Medicine 2014;31:6-12.
Ardigo S, Herrmann FR, Moret V, et al. Hypnosis can reduce pain in hospitalized older patients: a randomized controlled study. BMC Geriatrics 2016;16:1-8.
Berger L, Tavares M, Berger BA. Canadian experience of integrating complementary therapy in a hospital palliative care unit. Journal of palliative medicine 2013;16: 1294-8.
Gallagher LM, Lagman R, Bates D, et al. Perceptions of family members of palliative medicine and hospice patients who experienced music therapy. Supportive Care Cancer 2017;25:1769-78.
Lu K, Cheng MJ, Ge X, et al. A retrospective review of acupuncture use for the treatment of pain in sickle cell disease patients: descriptive analysis from a single institution. The Clinical journal of pain 2014;30:825-30.
Gallagher LM, Lagman R, Rybicki L. Outcomes of music therapy interventions on symptom management in palliative medicine patients. American Journal of Hospice and Palliative Medicine 2017;1-8
Krishnaswamy P, Nair S. Effect of music therapy on pain and anxiety levels of cancer patients: A pilot study. Indian journal of palliative care 2016;22:307-11
Romeo MJ, Parton B, Russo RA, Hays LS, Conboy L. Acupuncture to treat the symptoms of patients in a palliative care setting. Explore: The Journal of Science and Healing 2015;11:357-62.
Teut M, Dietrich C, Deutz B, Mittring N, Witt CM. Perceived outcomes of music therapy with Body Tambura in end of life care–a qualitative pilot study. BMC palliative care,2014;13:1-8.
Warth M, Kessler J, Hillecke TK, Bardenheuer HJ. Trajectories of Terminally Ill Patients’ Cardiovascular Response to Receptive Music Therapy in Palliative Care. Journal of pain and symptom management 2016;52:196-204.
(TENS) for cancer bone pain. The Journal of Pain 2010;11:351–9.

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Duygu Yıldırım

Merve Kırşan

Servet Kıray

Esra Akın Korhan

Publication Date

September 1, 2019

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2019 Number: 3

IZ

https://izlik.org/JA25EL57PC

Cite

RIS / Bibtex

EndNote

Yıldırım D, Kırşan M, Kıray S, Korhan EA (September 1, 2019) Palyatif Bakımda Tamamlayıcı ve Bütünleştirici Terapilerin Ağrı Yönetimine Etkisi: Bir Sistematik Derleme. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 511–517.