Unbound MEDLINE

Supplementing relaxation and music for pain after surgery.

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 nonpharmacological adjuvants to analgesics can ease pain without adding side effects.

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  • Publisher Full Text
  • Authors

    Good M, Albert JM, Anderson GC, Wotman S, Cong X, Lane D, Ahn S

    Source

    Nursing research 59:4 pg 259-69

    MeSH

    Adult
    Aged
    Analgesia, Patient-Controlled
    Attitude to Health
    Clinical Nursing Research
    Combined Modality Therapy
    Female
    Humans
    Laparotomy
    Male
    Middle Aged
    Midwestern United States
    Multivariate Analysis
    Music Therapy
    Pain Measurement
    Pain, Postoperative
    Patient Education as Topic
    Postoperative Care
    Relaxation Therapy
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial
    Research Support, N.I.H., Extramural

    Language

    eng

    PubMed ID

    20585222