This systematic review found that non pharmacological interventions may have beneficial effects and can play an important role in controlling pain in lung cancer patients. It is also important to think of ways to apply these and improve pain control among lung cancer patients.
A variety of non-pharmacological interventions were employed for controlling pain: Exercise, Technology, Cognitive training/coping, Self-management and Coaching, Massage, Acupuncture and Acupressure, Mindfulness based stress reduction, Choir singing, Water foot-bath, Empowerment, Electrical nerve stimulation and multicomponent interventions that incorporated a combination of any of these approaches. The methods employed in the different types of interventions seem …show more content…
We found evidence of significant and clinically meaningful differences between most interventions. Only exceptions were the MBSR and Strength and endurance training for improving pain. We also found fair evidence that massage including physiotherapy is slightly superior to traditional exercises for pain control. We did not find any reports of side-effects or serious adverse events for any of the noninvasive therapies considered in this review. One of the reason might be the minimal reporting of the adverse event itself. Study publishing protocols should encourage better reporting of adverse events to obtain more homogenous assessment s of interventions.
In view of the above findings the customized combination of different non-pharmacological interventions in a combined, flexible and innovative way which addresses the patients’ needs and promotes better pain relief is likely to produce the best outcome. Qualitative research could give us more information about patients’ perceptions of non-pharmacological interventions and could help us to comprehensively define the indications and feasible modalities for each of the above
A variety of non-pharmacological interventions were employed for controlling pain: Exercise, Technology, Cognitive training/coping, Self-management and Coaching, Massage, Acupuncture and Acupressure, Mindfulness based stress reduction, Choir singing, Water foot-bath, Empowerment, Electrical nerve stimulation and multicomponent interventions that incorporated a combination of any of these approaches. The methods employed in the different types of interventions seem …show more content…
We found evidence of significant and clinically meaningful differences between most interventions. Only exceptions were the MBSR and Strength and endurance training for improving pain. We also found fair evidence that massage including physiotherapy is slightly superior to traditional exercises for pain control. We did not find any reports of side-effects or serious adverse events for any of the noninvasive therapies considered in this review. One of the reason might be the minimal reporting of the adverse event itself. Study publishing protocols should encourage better reporting of adverse events to obtain more homogenous assessment s of interventions.
In view of the above findings the customized combination of different non-pharmacological interventions in a combined, flexible and innovative way which addresses the patients’ needs and promotes better pain relief is likely to produce the best outcome. Qualitative research could give us more information about patients’ perceptions of non-pharmacological interventions and could help us to comprehensively define the indications and feasible modalities for each of the above