Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review

  • Antonio Reaza-Alarcón Nurse. Universidad de Castilla-La Mancha, Facultad de Ciencias de la Salud, Talavera de la Reina (Toledo), Spain. Email: areazal96@gmail.com
  • Beatriz Rodríguez Martín Nurse, Masters, Ph.D. Associate Professor, Universidad de Castilla-La Mancha, Facultad de Ciencias de la Salud, Talavera de la Reina (Toledo), España. Visiting Researcher; University College Dublin, Ireland. Email: Beatriz.RMartin@uclm.es
Keywords: Effectiveness, nursing research, pain, postoperative, pain management, patient education as topic, review.


Objective. Analyze and integrate studies that inquire on the benefits of nursing educational interventions to manage post-surgical pain.

Methods. A systematic search was conducted in the databases of Scopus, Medline (Pubmed), Web of Science, The Cochrane Library, and CINAHL of systematic reviews, randomized clinical trials, and quasiexperimental studies published in English and Spanish until 2018 that analyzed the effectiveness of educational interventions in managing post-surgical pain in adult patients.

Results. Twelve studies complied inclusion criteria, of which nine reported less pain in the group receiving the educational intervention. These interventions also helped to diminish the level of anxiety and improved functionality to perform activities of daily life. The level of quality of the studies was medium.

Conclusion. Although the review showed that nursing educational interventions could influence on the relief of post-surgical pain, more rigorous studies are necessary, with bigger sample sizes and higher methodological quality, which help to establish the real effectiveness in managing post-surgical patients with pain.


How to cite this article: Reaza-Alarcón A, RodríguezMartín B. Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review. Invest. Educ. Enferm. 2019; 37(2):e10.

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(1) National Institute of Health. Pain. Hope through research [Internet]. NIH; 2018 [cited 10 May 2018]. Available fron: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Pain-Hope-Through-Research

(2) Subramanian P, Ramasamy S, Ng KH, Chinna K, Rosli R. Pain experience and satisfaction with postoperative pain control among surgical patients. Int. J. Nurs. Pract. 2016; 22(3):232-8.

(3) Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth. Anal. 2007; 105(1):205-21.

(4) Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J. Pain. 2016; 17(2):131-57.

(5) Sommer M, de Rijke JM, van Kleer M, Kessels AGH, Peters ML, Geurts JWJM, et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur. J. Anaesthesiol. 2008; 25:267-74.

(6) McNeill, JA, Sherwood GD, Starck PL, Nieto B. Pain management outcomes for hospitalized Hispanic patients. Pain Manag. Nurs. 2001; 2(1):25-36.

(7) O’Donnell KF. Preoperative pain management education: a quality Improvement project. J. Perianesth. Nurs. 2015; 30:221-7.

(8) Oshodi TO. The impact of preoperative education on postoperative pain. Part 2. Br. J. Nurs. 2007; 16(13):790-7.

(9) Urrútia G, Bonfill X. The PRISMA statement: a step in the improvement of the publications of the Revista Española de Salud Pública. Rev. Esp. Salud Pública 2013; 87(2):99-102.

(10) Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med. Res. Methodol. 2007; 7:10.

(11) Aromataris E, Fernandez R, Godfrey C, Holly C, Kahlil H, Tungpunkom P. Summarizing systematic reviews: methodological development, conduct and reporting of an Umbrella review approach. Int. J. Evid. Based Health 2015; 13:132-40.

(12) Clark HD, Wells GA, Huët C, McAlister FA, Salmi LR, Fergusson D, et al. Assessing the quality of randomized trials: reliability of the Jadad scale. Control Clin. Trials. 1999; 20:448-52.

(13) Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Chapter 3: Systematic reviews of effectiveness. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer's Manual. Adelaida: The Joanna Briggs Institute; 2017.

(14) Hong S-J, Lee E. Effect of evidence-based postoperative pain guidelines via web for patients undergoing abdominal surgery in South Korea. Asian Nurs. Res. 2014; 8:135-42.

(15) Lee C-H, Liu J-T, Lin S-C, Hsu T-Y, Lin C-Y, Lin L-Y. Effects of educational intervention on state anxiety and pain in people undergoing spinal surgery: A randomized controlled trial. Pain Manag. Nurs. 2018; 19:163-71.

(16) Martorella G, Côté J, Racine M, Choinière M. Web-based nursing intervention for self-management of pain after cardiac surgery: Pilot randomized controlled trial. J. Med. Internet Res. 2012; 14(6):e177.

(17) Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial. Int. J. Nurs. Stud. 2012; 49:129-37.

(18) Kesänen J, Leino-Kilpi H, Lund T, Montin L, Puukka P, Valkeapää K. Increased preoperative knowledge reduces surgery-related anxiety: a randomised clinical trial in 100 spinal stenosis patients. Eur. Spine J. 2017; 26:2520-8.

(19) Bjørnnes AK, Parry M, Lie I, Fagerland MW, Watt-Watson J, Rustøen T, et al. The impact of an educational pain management booklet intervention on postoperative pain control after cardiac surgery. Eur. J. Cardiovasc. Nurs. 2017; 16:18-27.

(20) Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, et al. Effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery: A systematic review and meta-analysis. J. Perianesth. Nurs. 2017; 32:518-29.

(21) Wong Eliza Mi‐Ling, Chan Sally Wai‐Chi, Chair Sek‐Ying. Effectiveness of an educational intervention on levels of pain, anxiety and self‐efficacy for patients with musculoskeletal trauma. J. Adv. Nurs. 2010; 66:1120-31.

(22) Font Calafell A, Prat Borras I, Arnau Bartes A, Jesús Torra Feixas M, Baeza Ransanz T. Nursing educational intervention for the management of postoperative pain in ambulatory surgery. Enferm. Clin. 2011; 21:248-55.

(23) Reynolds MAH. Postoperative pain management discharge teaching in a rural population. Pain Manag. Nurs. 2009; 10:76-84.

(24) van Dijk JFM, van Wijck AJM, Kappen TH, Peelen LM, Kalkman CJ, Schuurmans MJ. The effect of a preoperative educational film on patients’ postoperative pain in relation to their request for opioids. Pain Manag. Nurs. 2015; 16:137-45.

(25) Chen S-R, Chen C-S, Lin P-C. The effect of educational intervention on the pain and rehabilitation performance of patients who undergo a total knee replacement. J. Clin. Nurs. 2014; 23:279-87.

How to Cite
Reaza-Alarcón, A., & Rodríguez Martín, B. (2019). Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review. Investigación Y Educación En Enfermería, 37(2). https://doi.org/10.17533/udea.iee.v37n2e10