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Min and Oh: A Meta-Analysis of Intervention Studies on Cancer Pain
Original Article
Journal of Korean Oncology Nursing

Journal of Korean Oncology Nursing 2011; 11(1): 83-92.

Published online: 14 March 2011

DOI: https://doi.org/10.5388/jkon.2011.11.1.83

A Meta-Analysis of Intervention Studies on Cancer Pain

Young Chun Min1, Pok-Ja Oh2

1Head Nurse, Eden Adventist Hospital, Namyangju, Korea.

2Professor, Department of Nursing, Sahmyook University, Seoul, Korea.

Address reprint requests to: Oh, Pok-Ja. Department of Nursing, Sahmyook University, 26-12 Gongneung 2-dong, Nowon-gu, Seoul 130-650, Korea. Tel: 82-2-3399-1589, Fax: 82-2-3399-1594, ohpj@syu.ac.kr

Received 12 January 2011       Accepted 29 January 2011

© 2011 Korean Oncology Nursing Society

Abstract

Purpose

This study was to analyze the characteristics and effect size of intervention studies in reference to cancer pain.

Methods

In order to conduct a meta-analysis, a total of 208 studies were retrieved from search engine. And 29 studies published from 2000 to 2010 were selected upon their satisfaction with the inclusion criteria. The data was analyzed by the RevMan 5.0 program of Cochrane library.

Results

1) Intervention studies included 7 studies on reflexology (24.1%), 5 for pain management education (17.2%), 3 studies for each music therapy, spiritual care and hand massage (10.3%, respectively), and 2 studies for each hospice and horticultural therapy (6.7%, respectively). 2) The effect size of the intervention studies were high in hand massage (d=-0.98), reflexology (d=-0.74), spiritual care (d=-0.72), pain management education (d=-0.66), music therapy (d=-0.41), and horticultural therapy (d=-0.32).

Conclusion

This study suggest that non-drug therapy can reduce the levels of cancer pain intensity, even though the numbers of intervention studies and randomized controlled trials are very rare.

Keywords: Pain, Neoplasms, Meta-Analysis, Intervention studies

Figures and Tables

Fig. 1
Flow of included studies through database searching.
jkon-11-83-g001
Fig. 2
Forest plot of effect size and 95% CI by foot reflexology on pain.
jkon-11-83-g002
Fig. 3
Forest plot of effect size and 95% CI by foot reflexology (1-2 times) on pain.
jkon-11-83-g003
Fig. 4
Forest plot of effect size and 95% CI by foot reflexology (8-12 times) on pain.
jkon-11-83-g004
Fig. 5
Forest plot of effect size and 95% CI by foot reflexology on pain in operation patients.
jkon-11-83-g005
Fig. 6
Forest plot of effect size and 95% CI by foot reflexology on pain in terminal patients.
jkon-11-83-g006
Fig. 7
Forest plot of effect size and 95% CI by pain control education on pain.
jkon-11-83-g007
Fig. 8
Forest plot of effect size and 95% CI by music therapy on pain.
jkon-11-83-g008
Fig. 9
Forest plot of effect size and 95% CI by spiritual nursing on pain.
jkon-11-83-g009
Fig. 10
Forest plot of effect size and 95% CI by horticulture therapy on pain.
jkon-11-83-g010
Fig. 11
Forest plot of effect size and 95% CI by hand massage on pain.
jkon-11-83-g011
Table 1
Characteristics of included studies (N=29)
jkon-11-83-i001
Table 2
Methodological quality of included studies (N=29)
jkon-11-83-i002
Table 3
Content analysis of interventions on pain (N=29)
jkon-11-83-i003

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