Skip to main navigation menu Skip to main content Skip to site footer
##common.pageHeaderLogo.altText##

Review

Vol. 2 No. 2 (2023): May 2023

Non-pharmacological intervention to reduce pain post-appendectomy: A rapid review of randomized controlled trial studies

DOI
https://doi.org/10.55048/jpns18
Published
2023-05-30

Abstract

Background: Appendicitis leads to post-appendectomy pain with significant physical and mental implications, necessitating non-pharmacological pain management approaches.

Objective: This study aimed to determine which non-pharmacological interventions can effectively reduce postoperative pain following an appendectomy.

Design: A rapid review study design was employed.

Data Sources: The databases used were EBSCOhost-CINAHL and PubMed. The article search was conducted on March 14, 2022.

Review Methods: The identified articles were described using PRISMA guidelines and sorted based on inclusion criteria. These criteria included patients with appendicitis aged 18-59 years who underwent appendectomy, non-pharmacological pain management interventions, studies utilizing the Randomized Controlled Trial (RCT) method, full-text articles available, English language, and articles published between 2012-2022. Studies involving pediatric and elderly appendectomy patients, as well as studies with insignificant results, were excluded. 

Results: Four articles were analyzed, revealing four types of interventions: Foot and Hand Reflexology (Massage), Lavender Aromatherapy and Almond oil (Aromatherapy), Inhalation aromatherapy with sweet-scented geranium essential oil, and Acupressure Le7. These interventions were then classified into two categories: aromatherapy-based interventions and neurostimulation-based interventions. All interventions were found to significantly reduce pain in appendectomy patients.

Conclusions: Non-pharmacological therapies, such as lavender and almond oil aromatherapy, sweet-scented geranium aromatherapy, foot and hand reflexology, and Le7 acupressure, have demonstrated positive effects in reducing long-term pain after an appendectomy.

References

  1. Berman, A. T., Snyder, S., & Frandsen, G. (2015). Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice (10th) Edition. Macmillan Heinemann.
  2. Depkes RI. (2015). Riset kesehatan dasar. Jakarta: Departemen Kesehatan.
  3. Adib-Hajbaghery, M., & Etri, M. (2013). Effect of acupressure of Ex-Le7 point on pain, nausea and vomiting after appendectomy: A randomized trial. Journal of Research in Medical Sciences, 18(6), 482–486.
  4. Eghbali, M., Safari, R., Nazari, F., & Abdoli, S. (2012). The effects of reflexology on chronic low back pain intensity in nurses employed in hospitals affiliated with Isfahan University of Medical Sciences. Iranian journal of nursing and midwifery research, 17(3), 239–243.
  5. Ferris, M., Quan, S., Kaplan, B. S., Molodecky, N., Ball, C. G., Chernoff, G. W., Bhala, N., Ghosh, S., Dixon, E., Ng, S., & Kaplan, G. G. (2017). The global incidence of appendicitis: A systematic review of population-based studies. Annals of surgery, 266(2), 237–241. https://doi.org/10.1097/SLA.0000000000002188 DOI: https://doi.org/10.1097/SLA.0000000000002188
  6. M Gallo, S., A Elmelegy, O. I., H Mahmoud, W., & F Bahgat, Z. (2022). Effect of Massage by Using Lavender and Chamomile Oils of Intact Skin on Outcomes of Moderately Burned Patients. Egyptian Journal of Health Care, 13(1), 1387-1405. https://doi.org/10.21608/ejhc.2022.226561 DOI: https://doi.org/10.21608/ejhc.2022.226561
  7. Garimella, V., & Cellini, C. (2013). Postoperative pain control. Clinics in colon and rectal surgery, 26(3), 191–196. https://doi.org/10.1055/s-0033-1351138 DOI: https://doi.org/10.1055/s-0033-1351138
  8. Gazerani, A., Sarchahi, Z., Hosseini, S. S., lakziyan, R., & Abavisani, M. (2021). The effect of inhalation aromatherapy of geranium on pain and physiological indices after appendectomy: A double-blind randomized clinical trial. International Journal of Surgery Open, 28, 44–49. https://doi.org/10.1016/j.ijso.2020.12.004 DOI: https://doi.org/10.1016/j.ijso.2020.12.004
  9. Ghadirian, F., Karami, K., Shirzadegan, R., Raiesifar, Z., Tahery, N., & Almasian, M. (2020). Effects of french lavender aromatherapy on the level of pain and the amount of medications prescribed to reduce post-appendectomy pain: A single-blind randomized clinical trial. Journal of Archives in Military Medicine, 8(3). https://doi.org/10.5812/jamm.109092 DOI: https://doi.org/10.5812/jamm.109092
  10. Khorsand, A., Tadayonfar, M. A. R., Badiee, S., Aghaee, M. A., Azizi, H., & Baghani, S. (2015). Evaluation of the effect of reflexology on pain control and analgesic consumption after appendectomy. Journal of Alternative and Complementary Medicine, 21(12), 774–780. https://doi.org/10.1089/acm.2014.0270 DOI: https://doi.org/10.1089/acm.2014.0270
  11. Jones, M. W., Lopez, R. A., & Deppen, J. G. (2021). Appendicitis. In StatPearls. StatPearls Publishing.
  12. El-Fadl, N. (2021). Effects of reflexology on post-operative pain severity after laparoscopic appendectomy for patients at surgical units. Egyptian Journal of Health Care, 12(1), 587–606. https://doi.org/10.21608/ejhc.2021.143460 DOI: https://doi.org/10.21608/ejhc.2021.143460
  13. Manworren, R. C. B., Cooper, J., Mishra, T., & Kaduwela, N. (2021). Children’s pain at home after laparoscopic appendectomy. Pain Management Nursing, 22(5), 623–630. https://doi.org/10.1016/j.pmn.2021.02.001 DOI: https://doi.org/10.1016/j.pmn.2021.02.001
  14. Metawie, M, A, H., Amasha, H, A, R., Abdraboo, R, A., Ali, S, E. (2015). Effectiveness of aromatherapy with lavender oil in relieving post caesarean incision pain. Journal of Surgery, 3(2-1), 8-13. DOI: https://doi.org/10.11648/j.js.s.2015030201.12
  15. Narimani, M., Jaberi, A., Bonabi, T., & Sadeghi, T. (2018). Effect of acupressure on pain severity in patients undergoing coronary artery graft: A randomized controlled trial. Anesth Pain Med, 1-6. https://doi.org/10.5812/aapm.82920 DOI: https://doi.org/10.5812/aapm.82920
  16. Perez, K. S., & Allen, S. R. (2018). Complicated appendicitis and considerations for interval appendectomy. Journal of the American Academy of Physician Assistants, 31(9), 35–41. https://doi.org/10.1097/01.JAA.0000544304.30954.40 DOI: https://doi.org/10.1097/01.JAA.0000544304.30954.40
  17. Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). Fundamental of Nursing (8th). St. Louis, Missouri Mosby Elsevier.
  18. Shirzadegan, R., Gholami, M., Hasanvand, S., Birjandi, M., & Beiranvand, A. (2017). Effects of geranium aroma on anxiety among patients with acute myocardial infarction: A triple-blind randomized clinical trial. Complementary therapies in clinical practice, 29, 201–206. https://doi.org/10.1016/j.ctcp.2017.10.005 DOI: https://doi.org/10.1016/j.ctcp.2017.10.005
  19. Smeltzer, S. C. (2018). Keperawatan Medika Bedah Brunner & Suddart. Jakarta: EGC.
  20. Surya, M., Zuriati, Z., & Poddar, S. (2020). Nursing aromatherapy using lavender with rose essence oil for post-surgery pain management. Enfermeria clinica, 30, 171-174. https://doi.org/10.1016/j.enfcli.2020.02.001 DOI: https://doi.org/10.1016/j.enfcli.2020.02.001
  21. Taheri, H., Naseri-Salahshour, V., Abedi, A., & Sajadi, M. (2019). Comparing the effect of foot and hand reflexology on pain severity after appendectomy: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 24(6), 451–456. https://doi.org/10.4103/ijnmr.IJNMR_85_1 DOI: https://doi.org/10.4103/ijnmr.IJNMR_85_18
  22. Wijaya, W., Eranto, M., & Alfarisi, R. (2020). Perbandingan jumlah leukosit darah pada pasien appendisitis akut dengan appendisitis perforasi. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 341–346. https://doi.org/10.35816/jiskh.v11i1.288 DOI: https://doi.org/10.35816/jiskh.v11i1.288

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Most read articles by the same author(s)