The effectiveness, suitability, and sustainability of non-pharmacological methods of managing pain in community-dwelling older adults: a systematic review.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.