Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review.
Antonio Reaza-Alarcón, Beatriz Rodríguez-Martín
PMID 31487447WHAT IT FOUND
Nursing educational interventions before or after surgery showed mixed effects on post-surgical pain: some studies reported lower pain, while other studies did not find significant differences.
Anxiety improved more consistently.
Key findings
01The review did not find consistent evidence that educational interventions reduce post-surgical pain.
02Studies that measured anxiety reported significant between-group differences after the educational intervention.
03The included studies varied widely in intervention format, surgery type and outcomes, so a clear practical recommendation is not possible.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review found heterogeneous interventions, surgeries and outcome measures, so the results do not support a clear pooled effect on pain. Many included studies were judged to have low or moderate methodological quality, and the authors note the evidence is not conclusive. The search was limited to English and Spanish articles, so relevant studies in other languages may have been missed. Pain was not always the primary outcome in the included studies, and positive findings often concerned anxiety or secondary outcomes. Studies that also educated nursing staff cannot separate patient education effects from staff knowledge effects.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that nurse-led preoperative education reliably reduces post-surgical pain. The review found inconsistent pain results, and the authors state the evidence does not permit generalisation of effectiveness.