Non-pharmacology Interventions on Pain in Critically Ill Patient: A Scoping Review

Abstract

treatment process. The cause of pain in critically ill patients is caused by the accompanying disease process or the treatment procedures carried out. Pharmacological therapies such as analgesics and opioids are often given to critically ill patients but cannot progressively manage pain. Another impact arising from pharmacological treatment is the side effects that can affect the care and healing of critically ill patients. This Scoping Review provides evidence on non-pharmacological interventions that can be used to prevent and reduce pain intensity in critically ill patients admitted to the ICU. This scoping review aims to identify non-pharmacological therapies that can be used as alternative or adjunct therapies to help manage pain in critically ill patients. Three electronic databases were used to conduct article searches: Science Direct, Pubmed, and CINAHL Ebsco. The inclusion criteria used were articles with RCT research, peer review articles, English articles, and publication of research articles between 2009 and 2020. The search results obtained 1875 articles and 11 articles that met the inclusion criteria and were analyzed. Found several non-pharmacological interventions to prevent and reduce pain intensity in critically ill patients, including music therapy, massage, reflexology, cold therapy, and topical heat therapy.