Exploring the Use and Efficacy of Complementary and Alternative Interventions for Managing Chronic Pain in Older Adults: A systematic review
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เผยแพร่แล้ว:
ก.พ. 13, 2019
คำสำคัญ:
Chronic pain Arthritis Pain management Complementary and alternative medicine Aged or elderly
Main Article Content
บทคัดย่อ
The aim of this study was to synthesize and critically appraise the existing literature examining the use and efficacy of CAM in community-dwelling older adults with chronic pain. The PRISMA model guided a literature review search method. A literature search was undertaken using MEDLINE, CINAHL, Ovid, ProQuest, and hand searching. The search included articles written in English published for the period of 2000-June 2018. The finding of the study showed that: A literature search yielded 20 experimental designs (13 for physical interventions and 7 for psychosocial interventions). Seventeen articles were randomized controlled trials, two articles were a pilot study, and one article was a quasi-experimental design. Twelve articles (60%) reported statistically significant differences (p<.05) between the CAM treatment intervention groups and the control groups in pain scores; the CAM treatment groups showed lower in pain intensity. Many CAM interventions in all of the studies reported improvement of chronic pain management among older adults. However, the limitations of the reviewed studies are small sample sizes and absence of randomization. More research is needed to investigate CAM interventions and its long-term effects and its efficacy with selected conditions such as chronic neck and back pain, arthritis, and post-surgical rehabilitation.
Article Details
บท
บทความวิจัย (Research articles)
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารวิจัยการพยาบาลและวิทยาศาสตร์สุขภาพ เป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมศิษย์เก่า ไม่จำเป็นต้องเห็นด้วย และบทความที่ได้รับการตีพิมพ์เผยแพร่ถือเป็นลิขสิทธิ์ของวารสารวิจัยการพยาบาลและวิทยาศาสตร์สุขภาพ
References
1 Alexander, L.L. (2009). Palliative care and pain management at the end of life. Continuing Medical Education Research, 134, 61-109.
2 American geriatrics society panel on pharmacological management of persistent pain in older persons. (2009). Pharmacological management of persistent pain in older persons. Journal of the American Geriatrics Society, 57(8), 1331-1346
3 Aslam, S., & Emmanuel, P. (2010). Formulating a researchable question: A critical step for facilitating good clinical research. Indian Journal of Sexually Transmitted Diseases, 31(1), 47-50.
Baird, C. L., & Sands, L. (2004). A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties of osteoarthritis. Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses, 5(3), 97-104.
4 Berman, B. M., Lao, L., Langenberg, P., Lee, W. L., Gilpin, A. M., & Hochberg, M. C. (2004). Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: A randomized, controlled trial. Annals of Internal Medicine, 141(12), 901-910.
5 Black, D. S., O'Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Internal Medicine, 175(4), 494-501.
6 Cuellar, N. G., Rogers, A. E., & Hisghman, V. (2007). Evidenced based research of complementary and alternative medicine (CAM) for sleep in the community dwelling older adult. Geriatric Nursing (New York, N.Y.), 28(1), 46-52; quiz 53.
7 Cherniack, E. P., Senzel, R. S., & Pan, C. X. (2001). Correlates of use of alternative medicine by the elderly in an urban population. Journal of Alternative and Complementary Medicine (New York, N.Y.), 7(3), 277-280.
8 Cheung, C., Wyman, J. F., Resnick, B., & Savik, K. (2014). Yoga for managing knee osteoarthritis in older women: A pilot randomized controlled trial. BMC Complementary and Alternative Medicine, 14. Retrieved from https://doi.org/10.1186/1472-6882-14-160
9 Dearholt, S., Dang, Deborah, & Sigma Theta Tau International. (2012). Johns Hopkins Nursing Evidence-based Practice: Models and guidelines.
10 Dedhiya, S. D., Hancock, E., Craig, B. A., Doebbeling, C. C., & Thomas, J.,3rd. (2010). Incident use and outcomes associated with potentially inappropriate medication use in older adults. The American Journal of Geriatric Pharmacotherapy, 8(6), 562-570.
11 Dunn, K. S., & Horgas, A. L. (2000). The prevalence of prayer as a spiritual self-care modality in elders. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses'Association, 18(4), 337-351
12 Eggermont, L. H., Penninx, B. W., Jones, R. N., & Leveille, S. G. (2012). Depressive symptoms, chronic pain, and falls in older community-dwelling adults: The MOBILIZE Boston study. Journal of the American Geriatrics Society, 60(2), 230-237.
13 Ersek, M., Turner, J. A., Cain, K. C., & Kemp, C. A. (2008). Results of a randomized controlled trial to examine the efficacy of a chronic pain self-management group for older adults [ISRCTN11899548. Pain, 138(1), 29-40.
14 Ersek, M., Turner, J. A., McCurry, S. M., Gibbons, L., & Kraybill, B. M. (2003). Efficacy of a self-management group intervention for elderly persons with chronic pain. The Clinical Journal of Pain, 19(3), 156-167.
15 Foster, N. E., Thomas, E., Barlas, P., Hill, J. C., Young, J., Mason, E., & Hay, E. M. (2007). Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomized controlled trial. British Medical Journal (Clinical Research Ed.), 335(7617), 436.
16 Foster, N. E., Thomas, E., Hill, J. C., & Hay, E. M. (2010). The relationship between patient and practitioner expectations and preferences and clinical outcomes in a trial of exercise and acupuncture for knee osteoarthritis. European Journal of Pain (London, England), 14(4), 402-409.
17 Ga, H., Choi, J. H., Park, C. H., & Yoon, H. J. (2007). Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients-a randomized trial. Acupuncture in Medicine: Journal of the British Medical Acupuncture Society, 25(4), 130-136.
18 Green, S. M., Hadjistavropoulos, T., Hadjistavropoulos, H., Martin, R., & Sharpe, D. (2009). A controlled investigation of a cognitive behavioural pain management program for older adults. Behavioral and Cognitive Psychotherapy, 37(2), 221-226.
19 Haas, M., Groupp, E., Muench, J., Kraemer, D., Brummel-Smith, K., Sharma, R., Fairweather, A. (2005). Chronic disease self-management program for low back pain in the elderly. Journal of Manipulative and Physiological Therapeutics, 28(4), 228-237.
20 Hashefi, M., Katz, J.D., Reid, M.C. (2013). Nonpharmacologic, complementary, and alternative interventions for managing chronic pain in older adults. Clinical Geriatrics, 21(3), 18-27.
Herr, K. A., & Mobily, P. R. (1991). Complexities of pain assessment in the elderly clinical considerations. Journal of Gerontological Nursing, 17(4), 12-19.
21 Hughes, S. L., Seymour, R. B., Campbell, R., Pollak, N., Huber, G., & Sharma, L. (2004). Impact of the fit and strong intervention on older adults with osteoarthritis. The Gerontologist, 44(2), 217-228.
22 Jakobsson, U., & Hallberg, I. R. (2002). Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: A literature review. Journal of Clinical Nursing, 11(4), 430-443.
23 Leveille, S. G., Jones, R. N., Kiely, D. K., Hausdorff, J. M., Shmerling, R. H., Guralnik, J.M., Bean, J. F. (2009). Chronic musculoskeletal pain and the occurrence of falls in an older population. The Journal of the American Medical Association, 302(20), 2214-2221.
24 McCaffrey, R., & Freeman, E. (2003). Effect of music on chronic osteoarthritis pain in older people. Journal of Advanced Nursing, 44(5), 517-524.
25 McCaffery, M., Pasero. C. (1999) Pain: Clinical Manual. London: Mosby.
26 Meng, C. F., Wang, D., Ngeow, J., Lao, L., Peterson, M., & Paget, S. (2003). Acupuncture for chronic low back pain in older patients: A randomized, controlled trial. Rheumatology (Oxford, England), 42(12), 1508-1517.
27 Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & PRISMA Group (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery (London, England), 8(5), 336-341.
28 Najm, W., Reinsch, S., Hoehler, F., & Tobis, J. (2003). Use of complementary and alternative medicine among the ethnic elderly. Alternative Therapies in Health and Medicine, 9(3), 50-57.
29 National Center for Complementary and Integrative Health (NCCIH). The Use of Complementary and Alternative Medicine in the United States. 2015.
Ness, J., Cirillo, D. J., Weir, D. R., Nisly, N. L., & Wallace, R. B. (2005). Use of complementary medicine in older Americans: Results from the health and retirement study. The Gerontologist, 45(4), 516- 524.
30 Ng, M. M., Leung, M. C., & Poon, D. M. (2003). The effects of electro-acupuncture and transcutaneous electrical nerve stimulation on patients with painful osteoarthritic knees: A randomized controlled trial with follow-up evaluation. Journal of Alternative and Complementary Medicine (New York, N.Y.), 9(5), 641-649.
31 Nguyen, H. T., Grzywacz, J. G., Lang, W., Walkup, M., & Arcury, T. A. (2010). Effects of complementary therapy on health in a national U.S. sample of older adults. Journal of Alternative and Complementary Medicine (New York, N.Y.), 16(7), 701-706.
32 Pargament, K. I. (1997). The psychology of religious and coping. New York: Guilford.
33 Parmelee, P. A., Kleban, M. H., Lawton, M. P., & Katz, I. R. (1991). Depression and cognitive change among institutionalized aged. Psychology and Aging, 6(4), 504-511.
34 Park, J., McCaffrey, R., Newman, D., Cheung, C., & Hagen, D. (2014). The effect of sit 'n' fit chair yoga among community-dwelling older adults with osteoarthritis. Holistic Nursing Practice, 28(4), 247-257.
35 Park, J., McCaffrey, R., Dunn, D., & Goodman, R. (2011). Managing osteoarthritis: Comparisons of chair yoga, reiki, and education (pilot study). Holistic Nursing Practice, 25(6), 316-326.
36 Park, J., & McCaffrey, R. (2012). Chair yoga: Benefits for community-dwelling older adults with osteoarthritis. Journal of Gerontological Nursing, 38(5), 12-22; quiz 24-5.
37 Reid, M. C., Papaleontiou, M., Ong, A., Breckman, R., Wethington, E., & Pillemer, K. (2008). Self-management strategies to reduce pain and improve function among older adults in community settings: A review of the evidence. Pain Medicine (Malden, Mass.), 9(4), 409-424.
38 Roy, Sr. C., & Andrews, H. A. (1991). The Roy adaptation model: The definitive statement. Norwalk, CT: Appleton and Lange.
39 Rybarczyk, B., DeMarco, G., DeLaCruz, M., Lapidos, S., & Fortner, B. (2001). A classroom mind/body wellness intervention for older adults with chronic illness: Comparing immediate and 1-year benefits. Behavioral Medicine (Washington, D.C.), 27(1), 15-27.
40 von Trott, P., Wiedemann, A. M., Ludtke, R., Reishauer, A., Willich, S. N., & Witt, C. M. (2009). Qigong and exercise therapy for elderly patients with chronic neck pain (QIBANE): A randomized controlled study. The Journal of Pain: Official Journal of the American Pain Society, 10(5), 501-508.
41 Williamson, A. T., Fletcher, P. C., & Dawson, K. A. (2003). Complementary and alternative medicine use in an older population. Journal of Gerontological Nursing, 29(5), 20-28.
42 Yang, K. H., Kim, Y. H., & Lee, M. S. (2005). Efficacy of qi-therapy (external qigong) for elderly people with chronic pain. The International Journal of Neuroscience, 115(7), 949-963
43 Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.
2 American geriatrics society panel on pharmacological management of persistent pain in older persons. (2009). Pharmacological management of persistent pain in older persons. Journal of the American Geriatrics Society, 57(8), 1331-1346
3 Aslam, S., & Emmanuel, P. (2010). Formulating a researchable question: A critical step for facilitating good clinical research. Indian Journal of Sexually Transmitted Diseases, 31(1), 47-50.
Baird, C. L., & Sands, L. (2004). A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties of osteoarthritis. Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses, 5(3), 97-104.
4 Berman, B. M., Lao, L., Langenberg, P., Lee, W. L., Gilpin, A. M., & Hochberg, M. C. (2004). Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: A randomized, controlled trial. Annals of Internal Medicine, 141(12), 901-910.
5 Black, D. S., O'Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Internal Medicine, 175(4), 494-501.
6 Cuellar, N. G., Rogers, A. E., & Hisghman, V. (2007). Evidenced based research of complementary and alternative medicine (CAM) for sleep in the community dwelling older adult. Geriatric Nursing (New York, N.Y.), 28(1), 46-52; quiz 53.
7 Cherniack, E. P., Senzel, R. S., & Pan, C. X. (2001). Correlates of use of alternative medicine by the elderly in an urban population. Journal of Alternative and Complementary Medicine (New York, N.Y.), 7(3), 277-280.
8 Cheung, C., Wyman, J. F., Resnick, B., & Savik, K. (2014). Yoga for managing knee osteoarthritis in older women: A pilot randomized controlled trial. BMC Complementary and Alternative Medicine, 14. Retrieved from https://doi.org/10.1186/1472-6882-14-160
9 Dearholt, S., Dang, Deborah, & Sigma Theta Tau International. (2012). Johns Hopkins Nursing Evidence-based Practice: Models and guidelines.
10 Dedhiya, S. D., Hancock, E., Craig, B. A., Doebbeling, C. C., & Thomas, J.,3rd. (2010). Incident use and outcomes associated with potentially inappropriate medication use in older adults. The American Journal of Geriatric Pharmacotherapy, 8(6), 562-570.
11 Dunn, K. S., & Horgas, A. L. (2000). The prevalence of prayer as a spiritual self-care modality in elders. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses'Association, 18(4), 337-351
12 Eggermont, L. H., Penninx, B. W., Jones, R. N., & Leveille, S. G. (2012). Depressive symptoms, chronic pain, and falls in older community-dwelling adults: The MOBILIZE Boston study. Journal of the American Geriatrics Society, 60(2), 230-237.
13 Ersek, M., Turner, J. A., Cain, K. C., & Kemp, C. A. (2008). Results of a randomized controlled trial to examine the efficacy of a chronic pain self-management group for older adults [ISRCTN11899548. Pain, 138(1), 29-40.
14 Ersek, M., Turner, J. A., McCurry, S. M., Gibbons, L., & Kraybill, B. M. (2003). Efficacy of a self-management group intervention for elderly persons with chronic pain. The Clinical Journal of Pain, 19(3), 156-167.
15 Foster, N. E., Thomas, E., Barlas, P., Hill, J. C., Young, J., Mason, E., & Hay, E. M. (2007). Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomized controlled trial. British Medical Journal (Clinical Research Ed.), 335(7617), 436.
16 Foster, N. E., Thomas, E., Hill, J. C., & Hay, E. M. (2010). The relationship between patient and practitioner expectations and preferences and clinical outcomes in a trial of exercise and acupuncture for knee osteoarthritis. European Journal of Pain (London, England), 14(4), 402-409.
17 Ga, H., Choi, J. H., Park, C. H., & Yoon, H. J. (2007). Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients-a randomized trial. Acupuncture in Medicine: Journal of the British Medical Acupuncture Society, 25(4), 130-136.
18 Green, S. M., Hadjistavropoulos, T., Hadjistavropoulos, H., Martin, R., & Sharpe, D. (2009). A controlled investigation of a cognitive behavioural pain management program for older adults. Behavioral and Cognitive Psychotherapy, 37(2), 221-226.
19 Haas, M., Groupp, E., Muench, J., Kraemer, D., Brummel-Smith, K., Sharma, R., Fairweather, A. (2005). Chronic disease self-management program for low back pain in the elderly. Journal of Manipulative and Physiological Therapeutics, 28(4), 228-237.
20 Hashefi, M., Katz, J.D., Reid, M.C. (2013). Nonpharmacologic, complementary, and alternative interventions for managing chronic pain in older adults. Clinical Geriatrics, 21(3), 18-27.
Herr, K. A., & Mobily, P. R. (1991). Complexities of pain assessment in the elderly clinical considerations. Journal of Gerontological Nursing, 17(4), 12-19.
21 Hughes, S. L., Seymour, R. B., Campbell, R., Pollak, N., Huber, G., & Sharma, L. (2004). Impact of the fit and strong intervention on older adults with osteoarthritis. The Gerontologist, 44(2), 217-228.
22 Jakobsson, U., & Hallberg, I. R. (2002). Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: A literature review. Journal of Clinical Nursing, 11(4), 430-443.
23 Leveille, S. G., Jones, R. N., Kiely, D. K., Hausdorff, J. M., Shmerling, R. H., Guralnik, J.M., Bean, J. F. (2009). Chronic musculoskeletal pain and the occurrence of falls in an older population. The Journal of the American Medical Association, 302(20), 2214-2221.
24 McCaffrey, R., & Freeman, E. (2003). Effect of music on chronic osteoarthritis pain in older people. Journal of Advanced Nursing, 44(5), 517-524.
25 McCaffery, M., Pasero. C. (1999) Pain: Clinical Manual. London: Mosby.
26 Meng, C. F., Wang, D., Ngeow, J., Lao, L., Peterson, M., & Paget, S. (2003). Acupuncture for chronic low back pain in older patients: A randomized, controlled trial. Rheumatology (Oxford, England), 42(12), 1508-1517.
27 Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & PRISMA Group (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery (London, England), 8(5), 336-341.
28 Najm, W., Reinsch, S., Hoehler, F., & Tobis, J. (2003). Use of complementary and alternative medicine among the ethnic elderly. Alternative Therapies in Health and Medicine, 9(3), 50-57.
29 National Center for Complementary and Integrative Health (NCCIH). The Use of Complementary and Alternative Medicine in the United States. 2015.
Ness, J., Cirillo, D. J., Weir, D. R., Nisly, N. L., & Wallace, R. B. (2005). Use of complementary medicine in older Americans: Results from the health and retirement study. The Gerontologist, 45(4), 516- 524.
30 Ng, M. M., Leung, M. C., & Poon, D. M. (2003). The effects of electro-acupuncture and transcutaneous electrical nerve stimulation on patients with painful osteoarthritic knees: A randomized controlled trial with follow-up evaluation. Journal of Alternative and Complementary Medicine (New York, N.Y.), 9(5), 641-649.
31 Nguyen, H. T., Grzywacz, J. G., Lang, W., Walkup, M., & Arcury, T. A. (2010). Effects of complementary therapy on health in a national U.S. sample of older adults. Journal of Alternative and Complementary Medicine (New York, N.Y.), 16(7), 701-706.
32 Pargament, K. I. (1997). The psychology of religious and coping. New York: Guilford.
33 Parmelee, P. A., Kleban, M. H., Lawton, M. P., & Katz, I. R. (1991). Depression and cognitive change among institutionalized aged. Psychology and Aging, 6(4), 504-511.
34 Park, J., McCaffrey, R., Newman, D., Cheung, C., & Hagen, D. (2014). The effect of sit 'n' fit chair yoga among community-dwelling older adults with osteoarthritis. Holistic Nursing Practice, 28(4), 247-257.
35 Park, J., McCaffrey, R., Dunn, D., & Goodman, R. (2011). Managing osteoarthritis: Comparisons of chair yoga, reiki, and education (pilot study). Holistic Nursing Practice, 25(6), 316-326.
36 Park, J., & McCaffrey, R. (2012). Chair yoga: Benefits for community-dwelling older adults with osteoarthritis. Journal of Gerontological Nursing, 38(5), 12-22; quiz 24-5.
37 Reid, M. C., Papaleontiou, M., Ong, A., Breckman, R., Wethington, E., & Pillemer, K. (2008). Self-management strategies to reduce pain and improve function among older adults in community settings: A review of the evidence. Pain Medicine (Malden, Mass.), 9(4), 409-424.
38 Roy, Sr. C., & Andrews, H. A. (1991). The Roy adaptation model: The definitive statement. Norwalk, CT: Appleton and Lange.
39 Rybarczyk, B., DeMarco, G., DeLaCruz, M., Lapidos, S., & Fortner, B. (2001). A classroom mind/body wellness intervention for older adults with chronic illness: Comparing immediate and 1-year benefits. Behavioral Medicine (Washington, D.C.), 27(1), 15-27.
40 von Trott, P., Wiedemann, A. M., Ludtke, R., Reishauer, A., Willich, S. N., & Witt, C. M. (2009). Qigong and exercise therapy for elderly patients with chronic neck pain (QIBANE): A randomized controlled study. The Journal of Pain: Official Journal of the American Pain Society, 10(5), 501-508.
41 Williamson, A. T., Fletcher, P. C., & Dawson, K. A. (2003). Complementary and alternative medicine use in an older population. Journal of Gerontological Nursing, 29(5), 20-28.
42 Yang, K. H., Kim, Y. H., & Lee, M. S. (2005). Efficacy of qi-therapy (external qigong) for elderly people with chronic pain. The International Journal of Neuroscience, 115(7), 949-963
43 Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.