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The effectiveness, suitability, and sustainability of non-pharmacological methods of managing pain in community-dwelling older adults: a systematic review.

BMC public health
January 1, 1970
Shuk Kwan Tang et al. (4 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness, suitability, and sustainability of non-pharmacological pain management interventions, including acupressure, for community-dwelling older adults with chronic non-cancer pain.

Results Summary

The study found that acupressure, among other interventions, reduced pain intensity in older adults, with net changes ranging from -3.13 to -0.65 on a 0-10 scale. The results suggest non-pharmacological methods like acupressure are effective for pain management in this population.

Population

Community-dwelling older adults over 65 years old with chronic non-cancer pain and mental competence.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
acupressure
decrease
pain intensity
community-dwelling older adults
-
decreased
#1
acupuncture
decrease
pain intensity
community-dwelling older adults
-
decreased
#2
guided imagery
decrease
pain intensity
community-dwelling older adults
-
decreased
#3
qigong
decrease
pain intensity
community-dwelling older adults
-
decreased
#4
periosteal stimulation
decrease
pain intensity
community-dwelling older adults
-
decreased
#5
Tai Chi
decrease
pain intensity
community-dwelling older adults
-
decreased
#6
non-pharmacological pain management interventions
decrease
pain levels
community-dwelling older adults
-
effective in lowering
#7
non-pharmacological pain management interventions
decrease
pain intensity
participants over 65 years old, community-dwelling, and mentally competent
net changes ranged from -3.13 to -0.65 on a zero to ten numeric rating scale
decreased
#8
Abstract

BACKGROUND: Pain is common in older adults. To maintain their quality of life and promote healthy ageing in the community, it is important to lower their pain levels. Pharmacological pain management has been shown to be effective in older adults. However, as drugs can have various side effects, non-pharmacological pain management is preferred for community-dwelling older adults. This systematic review evaluates the effectiveness, suitability, and sustainability of non-pharmacological pain management interventions for community-dwelling older adults. METHODS: Five databases, namely, CINHAL, Journals@Ovid, Medline, PsycInfo, and PubMed, were searched for articles. The criteria for inclusion were: full-text articles published in English from 2005 to February 2019 on randomized controlled trials, with chronic non-cancer pain as the primary outcome, in which pain was rated by intensity, using non-pharmacological interventions, and with participants over 65 years old, community-dwelling, and mentally competent. A quality appraisal using the Jadad Scale was conducted on the included articles. RESULTS: Ten articles were included. The mean age of the older adults was from 66.75 to 76. The interventions covered were acupressure, acupuncture, guided imagery, qigong, periosteal stimulation, and Tai Chi. The pain intensities of the participants decreased after the implementation of the intervention. The net changes in pain intensity ranged from - 3.13 to - 0.65 on a zero to ten numeric rating scale, in which zero indicates no pain and ten represents the worst pain. CONCLUSIONS: Non-pharmacological methods of managing pain were effective in lowering pain levels in community-dwelling older adults, and can be promoted widely in the community.

Medical Subject Headings (MeSH)
AgedAnalgesics, OpioidChronic PainComplementary TherapiesFemaleHumansIndependent LivingMalePain ManagementQuality of LifeRandomized Controlled Trials as TopicTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations27
Citations/Year4.5
Relative Citation Ratio2.22
NIH Percentile77.5%
Research Impact Scores
APT Score0.95
Weight Score1.78
Normalized Score0.66
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