Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review.

OBJECTIVES: Analyze and integrate studies that inquire on the benefits of nursing educational interventions to manage post-surgical pain. METHODS: A systematic search was conducted in the databases of Scopus, Medline (Pubmed), Web of Science, The Cochrane Library, and CINAHL of systematic reviews, randomized clinical trials, and quasi-experimental studies published in English and Spanish until 2018 that analyzed the effectiveness of educational interventions in managing post-surgical pain in adult patients. RESULTS: Twelve studies complied inclusion criteria, of which nine reported less pain in the group receiving the educational intervention. These interventions also helped to diminish the level of anxiety and improved functionality to perform activities of daily life. The level of quality of the studies was medium. CONCLUSIONS: Although the review showed that nursing educational interventions could influence on the relief of post-surgical pain, more rigorous studies are necessary, with bigger sample sizes and higher methodological quality, which help to establish the real effectiveness in managing post-surgical patients with pain.

Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review

Abstract Objective. Analyze and integrate studies that inquire on the benefits of nursing educational interventions to manage post-surgical pain. Methods. A systematic search was conducted in the databases of Scopus, Medline (Pubmed), Web of Science, The Cochrane Library, and CINAHL of systematic reviews, randomized clinical trials, and quasiexperimental studies published in English and Spanish until 2018 that analyzed the effectiveness of educational interventions in managing post-surgical pain in adult patients. Results. Twelve studies complied inclusion criteria, of which nine reported less pain in the group receiving the educational intervention. These interventions also helped to diminish the level of anxiety and improved functionality to perform activities of daily life. The level of quality of the studies was medium. Conclusion. Although the review showed that nursing educational interventions could influence on the relief of post-surgical pain, more rigorous studies are necessary, with bigger sample sizes and higher methodological quality, which help to establish the real effectiveness in managing post-surgical patients with pain.

Resumen Objetivo. Analizar e integrar los estudios que indagan en los beneficios de las intervenciones educativas enfermeras para el manejo del dolor postquirúrgico. Métodos. Se realizó una búsqueda sistemática en las bases de datos Scopus, Medline (Pubmed), Web of Science, The Cochrane Library y CINAHL de revisiones sistemáticas, ensayos clínicos aleatorizados y estudios cuasiexperimentales publicados en inglés y castellano hasta 2018 que analizaran la efectividad de las intervenciones educativas en el manejo del dolor postquirúrgico en pacientes adultos. Resultados. Doce estudios cumplieron criterios de inclusión, de los cuales nueve reportaron menor dolor en el grupo que recibió la intervención educativa. Estas intervenciones también ayudaron a disminuir el nivel de ansiedad y mejoraron la funcionalidad para realizar las actividades de la vida diaria. El nivel de calidad de los estudios fue medio. Conclusión. Aunque la revisión mostró que las intervenciones educativas enfermeras podrían influir en el alivio del dolor postquirúrgico, son necesarios estudios más rigurosos, con mayores tamaños muestrales y de mayor calidad metodológica que ayuden a establecer la real efectividad en el manejo del paciente postquirúrgico con dolor.

Resumo Objetivo. Analisar e integrar os estudos que indagarão nos benefícios das intervenções educativas de enfermagem para o manejo da dor pós-cirúrgico. Métodos. Se realizou uma busca sistemática nas bases de dados Scopus, Medline (Pubmed), Web of Science, The Cochrane Library e CINAHL de revisões sistemáticas, ensaios clínicos aleatorizados e estudos quase-experimentais publicados em inglês e castelhano até 2018 que analisassem a efetividade das intervenções educativas no manejo da dor pós-cirúrgico em pacientes adultos. Resultados. Doze estudos cumpriram critérios de inclusão, dos quais nove reportaram menos dor no grupo que recebeu a intervenção educativa. Estas intervenções também ajudaram a diminuir o nível de ansiedade e melhoraram a funcionalidade para realizar as atividades da vida diária. O nível de qualidade dos estudos foi médio. Conclusão. Embora a revisão mostrou que as intervenções educativas de enfermagem poderiam influir no alivio da dor pós-cirúrgico, são necessários estudos mais rigorosos, com maiores tamanhos de amostras e de maior qualidade metodológica, que ajudem a estabelecer a real efetividade no manejo do paciente pós-cirúrgico com dor.