scholarly journals Efficacy of the complementary therapies in the management of cancer pain in palliative care: A systematic review

2020 ◽  
Vol 28 ◽  
Author(s):  
Luís Carlos Lopes-Júnior ◽  
Gabriela Sylvestre Rosa ◽  
Raphael Manhães Pessanha ◽  
Sara Isabel Pimentel de Carvalho Schuab ◽  
Karolini Zuqui Nunes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Cancer Pain ◽  
Complementary Therapies ◽  
Data Extraction ◽  
Muscle Relaxation ◽  
Massage Therapy ◽  
Complementary Therapy ◽  
Progressive Muscle Relaxation ◽  
Manual Search

Objective: to synthesize the knowledge and to critically evaluate the evidences arising from randomized controlled trials on the efficacy of the complementary therapies in the management of cancer pain in adult patients with cancer in palliative care. Method: a systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The search for articles in the MEDLINE, ISI Web of Knowledge, CENTRAL Cochrane, and PsycINFO databases, as well as the manual search, selection of studies, data extraction, and methodological assessment using the Cochrane Bias Risk tool were performed independently by two reviewers. Results: eight hundred and fifteen (815) studies were identified, six of them being selected and analyzed, of which three used massage therapy, one study used a combination of progressive muscle relaxation and guided imaging, and another two studies used acupuncture. Most of the studies had an uncertain risk of bias (n=4; 67%). Conclusion: while the evidence from the studies evaluating the use of massage therapy or the use of progressive muscle relaxation and guided imaging for the management of cancer pain in these patients demonstrated significant benefits, the other two studies that evaluated the use of acupuncture as a complementary therapy showed contradictory results, therefore, needing more research studies to elucidate such findings.

scholarly journals Pendampingan Program Farkom (Farmakology and Complementary Therapy) Untuk Pasien dan Keluarga Penderita Kanker Payudara

2020 ◽  
Vol 3 (2) ◽  
pp. 95
Author(s):  
Indah Sri Wahyuningsih ◽  
Fitria Endah Janitra ◽  
Asih Puji Lestari
Keyword(s):  
Breast Cancer ◽  
Palliative Care ◽  
Community Service ◽  
Psychological Health ◽  
Muscle Relaxation ◽  
Family Members ◽  
Complementary Therapy ◽  
Progressive Muscle Relaxation ◽  
Relaxation Techniques ◽  
Breast Cancer Patients

Breast cancer patients need to get palliative care to improve their quality of life. Family existence becomes an important role for breast cancer sufferers to fulfill physical and psychological health. Palliative care can be given to patients in the form of complementary and pharmacological therapy (FARKOM). FARKOM's community service program aims to improve family knowledge and abilities in the care of family members with breast cancer and support for taking medication control. The target of this community service activity is to involve five families with breast cancer members in the Bandarharjo Village. The methods of this activity include lectures on the Farkom program (Pharmacology and complementary therapy), demonstrations of progressive muscle relaxation techniques and how to make beetroot juice, simulations by grouping participants according to family members and practicing, then monitoring and evaluating related to the Farkom program. Based on the pre-test and post-test results after being given treatment, there was an increase in the percentage value, namely a 25% increase in progressive muscle relaxation exercises, herbal juice production increased 30% and monitor filling schedule for taking medication increased 30%. Thus, this mentoring activity can be said to be successful because it can increase the knowledge and ability of participants in participating in community service activities.

scholarly journals Acupuncture for palliative cancer pain management: systematic review

2021 ◽  
pp. bmjspcare-2020-002638
Author(s):  
Juan Yang ◽  
Dietlind L Wahner-Roedler ◽  
Xuan Zhou ◽  
Lesley A Johnson ◽  
Alex Do ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Pain Management ◽  
Cancer Pain ◽  
Included Study ◽  
Favourable Effect ◽  
Levels Of Evidence ◽  
Patients With Cancer ◽  
Level 3 ◽  
Randomised Controlled

BackgroundPain is one of the most common and problematic symptoms encountered by patients with cancer. Due to the multifactorial aetiology, pain management of these patients frequently requires multidisciplinary interventions including conventional support and specialty palliative care. Acupuncture has been identified as a possible adjunctive therapy for symptom management in cancer pain, and there is currently no systematic review focused solely on the evidence of acupuncture on cancer pain in palliative care.ObjectiveTo critically analyse currently available publications regarding the use of acupuncture for pain management among patients with cancer in palliative care settings.MethodsMultiple academic databases were searched from inception to 29 October 2020. Randomised controlled trials involving acupuncture in palliative care for treatment of cancer-related pain were synthesised. Data were extracted by two independent reviewers, and methodological quality of each included study was assessed using the Oxford Centre for Evidence-Based Medicine (OCEBM) 2011 Levels of Evidence.ResultsFive studies (n=189) were included in this systematic review. Results indicated a favourable effect of acupuncture on pain relief in palliative care for patients with cancer. According to OCEBM 2011 Levels of Evidence, they were level 2 in one case (20%), level 3 in two cases (40%) and level 4 in the remaining (40%). Low-level evidence adversely affects the reliability of findings.ConclusionsAcupuncture may be an effective and safe treatment associated with pain reduction in the palliative care of patients with cancer. Further high-quality, adequately powered studies are needed in the future.

scholarly journals Massage Therapy for Pulmonary Function in Patients Recovering From Covid-19: A Protocol for Systematic Review and Meta-analysis

2020 ◽  
Author(s):  
Kelin Zhou ◽  
Shuo Dong ◽  
Guobing Fu ◽  
Shusheng Cui ◽  
Sheng Guo
Keyword(s):  
Systematic Review ◽  
Pulmonary Function ◽  
Alternative Medicine ◽  
Data Extraction ◽  
Meta Analysis ◽  
Massage Therapy ◽  
Respiratory Illness ◽  
Current Evidence ◽  
Pubmed Database ◽  
Tuina Therapy

Abstract Background:Starting in December 2019 in Wuhan (Hubei province, China), a novel coronavirus, designated SARS-CoV-2, has caused an international outbreak of a respiratory illness and rapidly evolved into a pandemic.Given the rapidly growing pandemic and the overwhelmedmedical system, the number of self‐quarantined and recovering patients is increasing.There is an urgentneed of alternative medicine to help patients relieve symptoms duringself‐quarantine, and possibly to help increase their chances of survivaland recovery from COVID-19.Massage (tuina) therapy is one of the widely employed complementary and alternative medicine interventions in the world.Long-term clinicalpractices and experiences have shown that massage therapy could significantly contribute to the healing of most respiratory conditions and lung disease.This systematic review and meta-analysis will summarize the current evidence of tuina (massage) used as an intervention for pulmonary function in COVID-19 recovering patients.Methods:We will search the following electronic databases for randomized controlled trials to evaluate the effectiveness and safety of massage therapy inimproving pulmonary function ofCOVID-19 recovering patients: Wanfang and Pubmed Database, CNKI, CENTRAL, CINAHL, EMBASE and MEDLINE. Each database will be searched from inception to June 2020. The entire process will include study selection, data extraction, risk of bias assessment and meta-analyses.Discussion:This proposed systematic review will evaluate the existing evidence and explore the potential roleof massage therapyon the effectiveness and safety in pulmonary function of COVID-19 recovering patients.The outcomes will include the improvement of pulmonary function and adverse effect.PROSPERO registration number:CRD42020192107

Literature review : Pengaruh Teknik Relaksasi Otot Progresif Untuk Mengurangi Nyeri Pada Pasien Gastritis

2021 ◽  
Vol 1 ◽  
pp. 737-743
Author(s):  
Marita Purwaningsih ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi
Keyword(s):  
Literature Review ◽  
Personal Experience ◽  
Muscle Relaxation ◽  
Signs And Symptoms ◽  
Complementary Therapy ◽  
Scientific Paper ◽  
The Body ◽  
Progressive Muscle Relaxation ◽  
Relaxation Techniques ◽  
The Individual

AbstractGastritis is inflammation of the gastric mucosa which can last for six months or more and can cause recurrence. Gastritis is characterized by signs and symptoms, namely pain in the gut or epigacentrum, vomiting, nausea and vomiting. Pain is a personal experience that is described by the individual himself with several factors such as psychological that can control the pain. Pain can be treated with pharmacological and non-pharmacological techniques. An example of a non-pharmacological technique is the progressive muscle relaxation technique. Progressive muscle relaxation is a technique for reducing pain by moving the body so that it relaxes tight muscles. The purpose of this scientific paper is to describe the effect of progressive muscle relaxation techniques to reduce pain in gastritis patients. The method used in this scientific paper is Literature review by searching for journals with the title the effect of progressive muscle relaxation techniques to reduce pain in gastritis patients. The results obtained after progressive muscle relaxation measures are reduced or lost pain in gastritis patients. The conclusion of this scientific paper is that progressive muscle relaxation techniques can reduce pain in gastritis patients. Suggestions for nurses are expected to be able to apply complementary therapy to gastritis patients who experience pain with progressive muscle relaxation techniques.Keywords:Gastritis, Pain, Progressive Muscle Relaxation Techniques AbstrakGastritis adalah mukosa lambung mengalami peradangan yang dapat berangsung lama selama enam bulan atau lebih dan dapat menimbulkan kekambuhan. Gastritis ditandai dengan tanda dan gejalanya yaitu nyeri pada ulu hati atau epigasentrum, begah, mual dan muntah. Nyeri merupakan pengalaman pribadi yang digambarkan oleh individu itu sendiri dengan beberapa faktor seperti psikologis yang dapat mengontrol nyeri tersebut. Nyeri dapat ditangani dengan teknik farmakologi dan non farmakologi. Contoh teknik non farmakologi adalah teknik relaksasi otot progresif. Relaksasi otot progresif adalah teknik untuk menurunkan nyeri dengan melakukan gerakan gerakan tubuh sehingga meriekskan otot otot yang kaku. Tujuan karya tulis ilmiah ini adalah untuk mengetahui gambaran pengaruh teknik relaksasi otot progresif untuk menurunkan nyeri pada pasien gastritis. Metode yang digunakan dalam karya tulis ilmiah ini adalah literature riview dengan mencari jurnal dengan judul pengaruh teknik relaksasi otot progresif untuk menurunkan nyeri pada pasien gastritis. Hasil yang didapatkan setelah dilakukan tindakan relaksasi otot progresif adalah berkurang atau hilang rasa nyeri pada pasien gastritis. Kesimpulan karya tulis ilmiah ini adalah teknik relaksasi otot progresif dapat menurunkan nyeri pada pada pasien gastritis. Saran bagi perawat diharapkan dapat menerapkan terapi komplementer terhadap pasien gastritis yang mengalami nyeri dengan teknik relaksasi otot progresif. Kata kunci:Gastritis, Nyeri, Relaksasi otot progrsif

scholarly journals Clinical Procedures for the Prevention of Preeclampsia in Pregnant Women: A Systematic Review

2020 ◽  
Vol 42 (10) ◽  
pp. 659-668
Author(s):  
Nádya Santos Moura ◽  
Maria Luziene Sousa Gomes ◽  
Ivana Rios Rodrigues ◽  
Daniel Lorber Rolnik ◽  
Fabrício Silva Costa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Guideline Development ◽  
Data Extraction ◽  
Qualitative Synthesis ◽  
Manual Search ◽  
The Individual ◽  
Selection Of ◽  
Mcmaster University

Abstract Objective To identify the most effective procedures recommended for the prevention of preeclampsia. Data Sources A systematic review was performed in the following databases: Pubmed/MEDLINE, CINAHL, Web of Science, Cochrane and LILACS via the Virtual Health Library (VHL). A manual search was also performed to find additional references. The risk of bias, the quality of the evidence, and the classification of the strength of the recommendations were evaluated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Selection of Studies In the initial search in the databases, the total number of articles retrieved was 351, and 2 were retrieved through the manual search; after duplicate articles were removed, 333 citations remained. After a thorough review of the titles and abstracts, 315 references were excluded. Accordingly, 18 articles were maintained for selection of the complete text (phase 2). This process led to the exclusion of 6 studies. In total, 12 articles were selected for data extraction and qualitative synthesis. Data Collection The articles selected for the study were analyzed, and we inserted the synthesis of the evidence in the online software GRADEpro Guideline Development Tool (GDT) (McMaster University and Evidence Prime Inc. All right reserved. McMaster University, Hamilton, Ontário, Canada); thus, it was possible to develop a table of evidence, with the quality of the evidence and the classification of the strength of the recommendations. Data Synthesis In total, seven studies recommended the individual use of aspirin, or aspirin combined with calcium, heparin or dipyridamole. The use of calcium alone or in combination with phytonutrients was also highlighted. All of the studies were with women at a high risk of developing preeclampsia. Conclusion According to the studies evaluated, the administration of aspirin is still the best procedure to be used in the clinical practice to prevent preeclampsia.

scholarly journals Effect of repetitive transcranial magnetic stimulation (rTMS) for insomnia: a protocol for a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029206 ◽  
Author(s):  
Yu He ◽  
Nianyi Sun ◽  
Zhiqiang Wang ◽  
Wenchen Zou
Keyword(s):  
Systematic Review ◽  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Data Extraction ◽  
Meta Analysis ◽  
Bibliographic Databases ◽  
Manual Search ◽  
Ethical Approval ◽  
Randomised Controlled

IntroductionRepetitive transcranial magnetic stimulation (rTMS), a non-invasive brain stimulation approach, might be a promising technique in the management of insomnia. A systematic review of the available literature on this topic is warranted. The systematic review described in this protocol aims to investigate the efficacy of rTMS as a physical therapy in patients with insomnia.Methods and analysisThis protocol was developed in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. We will retrieve relevant literatures across the following electronic bibliographic databases: CENTRAL, PubMed, EMBASE, PsycINFO, CINAHL, PEDro, CBM, CNKI, WANFANG and VIP. A manual search of the reference lists of all relevant articles will be performed for any additional studies. We will include randomised controlled trials published in English and Chinese examining efficacy of rTMS on patients with insomnia. Two reviewers will independently complete the article selection, data extraction and rating. PEDro scale will be used to assess the methodological quality of the included studies. Narrative and quantitative synthesis will be done accordingly.Ethics and disseminationEthical approval will not be required for this review. The results of this review will be disseminated in a peer-review journal.PROSPERO registration numberCRD42018115033.

Palliative Sedation in End-of-Life Care and Survival: A Systematic Review

2012 ◽  
Vol 30 (12) ◽  
pp. 1378-1383 ◽  
Author(s):  
Marco Maltoni ◽  
Emanuela Scarpi ◽  
Marta Rosati ◽  
Stefania Derni ◽  
Laura Fabbri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Randomized Clinical Trials ◽  
Palliative Sedation ◽  
Life Care ◽  
Review Of Literature ◽  
Refractory Symptoms ◽  
Manual Search

Purpose Palliative sedation is a clinical procedure aimed at relieving refractory symptoms in patients with advanced cancer. It has been suggested that sedative drugs may shorten life, but few studies exist comparing the survival of sedated and nonsedated patients. We present a systematic review of literature on the clinical practice of palliative sedation to assess the effect, if any, on survival. Methods A systematic review of literature published between January 1980 and December 2010 was performed using MEDLINE and EMBASE databases. Search terms included palliative sedation, terminal sedation, refractory symptoms, cancer, neoplasm, palliative care, terminally ill, end-of-life care, and survival. A manual search of the bibliographies of electronically identified articles was also performed. Results Eleven published articles were identified describing 1,807 consecutive patients in 10 retrospective or prospective nonrandomized studies, 621 (34.4%) of whom were sedated. One case-control study was excluded from prevalence analysis. The most frequent reason for sedation was delirium in the terminal stages of illness (median, 57.1%; range, 13.8% to 91.3%). Benzodiazepines were the most common drug category prescribed. Comparing survival of sedated and nonsedated patients, the sedation approach was not shown to be associated with worse survival. Conclusion Even if there is no direct evidence from randomized clinical trials, palliative sedation, when appropriately indicated and correctly used to relieve unbearable suffering, does not seem to have any detrimental effect on survival of patients with terminal cancer. In this setting, palliative sedation is a medical intervention that must be considered as part of a continuum of palliative care.

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