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Titre du document / Document title

Supplementing Relaxation and Music for Pain After Surgery

Auteur(s) / Author(s)

GOOD Marion ; ALBERT Jeffrey M. ; CRANSTON ANDERSON Gene ; WOTMAN Stephen ; XIAOMEI CONG ; LANE Deforia ; AHN Sukhee ;

Résumé / Abstract

▶ Background: Most postoperative patients have unrelieved pain despite the use of patient-controlled analgesia. Nurses need additional effective modalities. Relaxation and music (RM), in addition to analgesics, have been shown to reduce pain more than do analgesics alone. Objectives: The objectives of the study were to test an intervention of patient teaching for pain management (PT) and compare it with RM for immediate and general effects on postoperative pain. Methods: Patients having abdominal surgery and receiving patient-controlled analgesia aged 18-75 years (n = 517) were randomized to four groups: PT, RM, a combination (PTRM), and a control. A 2 x 2 factorial design was used to assess PT-Effects and RM-Effects. Immediate effects on pain were measured on visual analogue sensation and distress scales before and after five 20-min tests in the first 2 days. Because participants also listened independently, general nonimmediate effects were examined at eight other times. Results: Using multivariate analysis of covariance with contrasts and pretest control, immediate RM-Effects on pain were found at Day 1 a.m. (p < .001), Day 1 p.m. (p = .04), and Day 2 a.m. (p = .04). No PT-Effects or nonimmediate RM-Effects were found. Discussion: Patient teaching did not result in less pain and did not support the theoretical proposition that PT reduces pain. However, the immediate RM-Effects supported the proposition that non pharmacological adjuvants to analgesics can ease pain without adding side effects.

Revue / Journal Title

Nursing research    ISSN  0029-6562 

Source / Source

2010, vol. 59, no4, pp. 259-269 [11 page(s) (article)]

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1952) (Revue)

Mots-clés d'auteur / Author Keywords

music and relaxation

;

patient teaching

;

postoperative pain

;

Localisation / Location

INIST-CNRS, Cote INIST : 21604, 35400019472324.0050

Nº notice refdoc (ud4) : 23016900



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