J Korean Oncol Nurs.  2011 Feb;11(1):83-92.

A Meta-Analysis of Intervention Studies on Cancer Pain

• Min YC
• Oh PJ

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.

Keyword

Pain; Neoplasms; Meta-Analysis; Intervention studies

MeSH Terms

Hand
Horticultural Therapy
Hospices
Clinical Trial
Massage
Music Therapy
Pain Management
Search Engine

Figure

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  Fig. 1 Flow of included studies through database searching.

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  Fig. 2 Forest plot of effect size and 95% CI by foot reflexology on pain.

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  Fig. 3 Forest plot of effect size and 95% CI by foot reflexology (1-2 times) on pain.

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  Fig. 4 Forest plot of effect size and 95% CI by foot reflexology (8-12 times) on pain.

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  Fig. 5 Forest plot of effect size and 95% CI by foot reflexology on pain in operation patients.

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  Fig. 6 Forest plot of effect size and 95% CI by foot reflexology on pain in terminal patients.

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  Fig. 7 Forest plot of effect size and 95% CI by pain control education on pain.

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  Fig. 8 Forest plot of effect size and 95% CI by music therapy on pain.

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  Fig. 9 Forest plot of effect size and 95% CI by spiritual nursing on pain.

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  Fig. 10 Forest plot of effect size and 95% CI by horticulture therapy on pain.

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  Fig. 11 Forest plot of effect size and 95% CI by hand massage on pain.

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