Effects of the use of complementary therapies by nurses on labor pain: an integrative review
DOI:
https://doi.org/10.26694/reufpi.v14i1.5820Keywords:
Pregnant Women, Complementary Therapies, Nursing Care, Labor painAbstract
Objective: To identify in the literature the effects of the use of complementary therapies by nurses on labor pain. Methods: Integrative literature review, carried out in the following databases: MEDLINE (via PubMed), CINAHL, Web of Science, and SciElo Virtual Library. The search took place in a paired manner in January 2023, with articles available in full that addressed Integrative and Complementary Practices and the inclusion of Nursing in this context. Results: 11 articles were included which showed that complementary therapies reduced pain during labor, helped to relieve symptoms of stress-medium tension and anxiety, as well as increased emotional well-being and relaxation. Nursing professionals appeared to be responsible for offering and supporting the use of methods to humanize care and encourage women's autonomy during the process. Conclusion: Complementary therapies have been shown to be effective in minimizing pain during childbirth and nursing care was the crucial element in providing opportunities for the use of these methods and their effects.
References
Cabral BTV, Rocha MCS, Almeida VRM, Petrônio CCAD, Azevedo IC, Martins QCS, et al. Non-pharmacological measures for pain relief in childbirth: a systematic review. Rev Bras Saude Mater Infant [Internet]. 2023;23:e20210439. DOI: https://doi.org/10.1590/1806-9304202300000439-en.
Rocha NFF, Ferreira J. A escolha da via de parto e a autonomia das mulheres no Brasil: uma revisão integrativa. Saúde debate [Internet]. 2020;44(125):556–68. DOI: https://doi.org/10.1590/0103-1104202012521.
Backes MT, Carvalho KM, Ribeiro LN, Amorim TS, Santos EK, Backes DS. The prevalence of the technocratic model in obstetric care from the perspective of health professionals. Rev Bras Enferm [Internet]. 2021;74(Suppl 4):e20200689. DOI: https://doi.org/10.1590/0034-7167-2020-0689.
Leal MC, Bittencourt SA, Esteves-Pereira AP, Ayres BVS, Silva LBRAA, Thomaz EBAF, et al. Progress in childbirth care in Brazil: preliminary results of two evaluation studies. Cad Saúde Pública [Internet]. 2019;35(7):e00223018. DOI: https://doi. org/10.1590/0102-311X00223018.
Araújo ASC, Correia AM, Rodrigues DP, Lima LM, Gonçalves SS, Viana APS. Métodos não farmacológicos no parto domiciliar. Rev Enferm UFPE On Line. 2018;12(4):1091. DOI: https://doi.org/10.5205/1981-8963-v12i4a230120p1091-1096-2018.
Silva ACL, Oliveira AC, Nery IS, Nunes BMVT. Integrative therapies and additional: reflections on the acceptance and applicability praxis in nursing. Rev Enferm UFPI. 2012;1(3):230-3. DOI: https://doi.org/10.26694/reufpi.v1i3.782.
Cofen. Conselho Federal De Enfermagem (BR). Resolução COFEN Nº 197/1997. Estabelece e reconhece as Terapias Alternativas como especialidade e/ou qualificação do profissional de Enfermagem. Brasília (DF): COFEN, 1997. Disponível em: http://www.cofen.gov.br/resoluo-cofen-1971997_4253.html.
Cassiano AN, Menezes RMP, Medeiros SM, Silva CJ, Lima MCRA. Atuação do enfermeiro obstétrico na perspectiva das epistemologias do Sul. Esc Anna Nery [Internet]. 2021;25(1):e20200057. DOI: https://doi.org/10.1590/2177-9465-EAN-2020-0057.
Klein BE, Gouveia HG. Utilização de métodos não farmacológicos para alívio da dor no trabalho de parto. Cogitare Enferm [Internet]. 2022;27:e80300. DOI: https://doi.org/10.5380/ce.v27i0.80300.
Mendes KDS, Silveira RCC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64, dez. 2008. DOI: https://doi.org/10.1590/s0104-07072008000400018.
Santos CMC, Pimenta, CAM, Nobre, MRC. The pico strategy for the research question construction and evidence search. Rev. Latino-Am. Enfermagem. 2007;15(3): 508-11. DOI: https://doi.org/10.1590/s010411692007000300023.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 29(71): 1-8. DOI: https://doi.org/10.1136/bmj.n71.
Ursi ES, Galvão CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Rev. Latino-Am. Enfermagem. 2006;14(1): 124-31. DOI: https://doi.org/10.1590/s0104-11692006000100017.
Melnyk BM, Fineout-overholt E, Stillwell SB, Williamson KM. Evidence-Based Practice: Step by Step: Igniting a Spirit of Inquiry. AJN, American Journal of Nursing. 2009;109(11): 49-52. DOI: https://doi.org/10.1097/01.naj.0000363354.53883.58.
Sescato AC, Souza SRRK, Wall ML. Os cuidados não-farmacológicos para alívio da dor no trabalho de parto: orientações da equipe de enfermagem. Cogitare Enferm [Internet]. 2008;13(4):585-90. DOI: https://doi.org/10.5380/ce.v13i4.13120.
Henrique AJ, Gabrielloni MC, Cavalcanti ACV, Melo PS, Barbieri M. Hydrotherapy and the Swiss ball in labor: randomized clinical trial. Acta Paul Enferm. 2016;29(6):686–92. DOI: https://doi.org/10.1590/1982-0194201600096.
Lehugeur D, Strapasson MR, Fronza E. Manejo não farmacológico de alívio da dor em partos assistidos por enfermeira obstétrica. Rev Enferm UFPE On Line,. 2017;11(12): 4929. DOI: https://doi.org/10.5205/1981-8963v11i12a22487p4929-4937-2017.
Dias EG, Ferreira AR, Martins AM, Nunes MM, Alves JC. Eficiência de métodos não farmacológicos para alívio da dor no trabalho de parto normal. Enferm Em Foco [Internet]. 2018;9(2): 35-9. DOI: https://doi.org/10.21675/2357-707x.2018.v9.n2.1398.
Santana AT, Felzemburgh RDM, Couto TM, Pereira LP. Performance of resident nurses in obstetrics on childbirth care. Rev Bras Saude Mater Infant [Internet]. 2019;19(1):135–44. DOI: http://dx.doi.org/10.1590/180693042019000100008.
Mafetoni RR, Rodrigues MH, Silva FMB da, Jacob LMS, Shimo AKK. Effectiveness of auricular therapy on labor pain: a randomized clinical trial. Texto Contexto Enferm [Internet]. 2019 [cited 2022 Apr 26];28. DOI: http://dx.doi.org/10.1590/1980-265X-TCE-2018-0110.
Melo PD, Barbieri M, Westphal F, Fustinoni SM, Henrique AJ, Francisco AA, Gabrielloni MC. Parâmetros maternos e perinatais após intervenções não farmacológicas: um ensaio clínico randomizado controlado. Acta Paul Enferm [Internet]. 2020 [citado 26 Apr 2019];33. DOI: https://doi.org/10.37689/acta-ape/2020ao0136.
Lara SRG, Gabrielloni MC, Cesar MBN, Barbieri M. Efetividade das essências florais no trabalho de parto e nascimento: avaliação dos parâmetros obstétricos e neuroendócrinos. Acta Paulista de Enfermagem. 2022;35. DOI: https://doi.org/10.37689/acta-ape/2022AO029166.
Gönenç IM, Terzioglu F. Effects of Massage and Acupressure on Relieving Labor Pain, Reducing Labor Time, and Increasing Delivery Satisfaction. Journal of Nursing Research [Internet]. 2020;28(1). DOI: https://doi.org/10.1097/jnr.0000000000000344.
Eskandari F, Mousavi P, Valiani M, Ghanbari S, Iravani M. A comparison of the effect of Swedish massage with and without chamomile oil on labor outcomes and maternal satisfaction of the childbirth process: a randomized controlled trial. European Journal of Medical Research [Internet]. 2022;27(1):266. DOI: https://doi.org/10.1186/s40001-022-00901-x.
Baljon K, Romli MH, Ismail AH, Khuan L, Chew BH. Effectiveness of Breathing Exercises, Foot Reflexology and Massage (BRM) on Maternal and Newborn Outcomes Among Primigravidae in Saudi Arabia: A Randomized Controlled Trial. International Journal of Women’s Health. 2022;14:279–295. DOI: https://doi.org/10.1136/bmjopen2019-033844.
Cabral BT, Rocha MC, Almeida VR, Petrônio CC, Azevedo IC, Martins QC, et al. Non-pharmacological measures for pain relief in childbirth: a systematic review. Rev Bras Saude Matern Infant [Internet]. 2023 [citado 3 abr 2024];23. Disponível em: https://doi.org/10.1590/1806-9304202300000439.
Biana CB, Cecagno D, Porto AR, Cecagno S, Marques VD, Soares MC. Non-pharmacological therapies applied in pregnancy and labor: an integrative review. Rev Esc Enferm USP [Internet]. 2021 [citado 3 abr 2024];55. Disponível em: https://doi.org/10.1590/s1980-220x2019019703681.
Pinto KRTF, Maffei MCV, Zani AV, Bernardy CCF, Sodré TM. Uso de métodos não farmacológicos para o alívio da dor durante o trabalho de parto. Revista de Enfermagem UFPE on line. 2021;15(1). DOI: https://doi.org/10.5205/1981-8963.2021.245001.
Silva HL, Almeida MVS, Diniz JSP, Leite FMC, Moura MAV, Bringuente MEO, et al. Efeitos da auriculoterapia na ansiedade de gestantes no pré-natal de baixo risco. Acta Paulista de Enfermagem. 2020;33. DOI: https://doi.org/10.37689/acta-ape/2020ao0016.
Mafetoni RR, Rodrigues MH, Jacob LMS, Shimo AKK. Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial. Revista Latino-Americana de Enfermagem. 2018; 26. DOI: https://doi.org/10.1590/1518-8345.2471.3030.
Karaduman S, Akköz Çevik, S. The effect of sacral massage on labor pain and anxiety: A randomized controlled trial. Japan Journal of Nursing Science. 2019;17(1). DOI: https://doi.org/10.1111/jjns.12272.
Araújo ASC, Correia AM, Rodrigues DP, Lima LM, Gonçalves SS, Viana APS. Métodos não farmacológicos no parto domiciliar. Revista de Enfermagem UFPE on line. 2018;12(4):1091-1096. DOI:
https://doi.org/10.5205/1981-8963-v12i4a230120p1091-1096-2018.
Alavi A, Askari M, Nejad E, Bagheri P. Study the effect of massage with jasmine oil in comparison to aromatherapy with jasmine oil on childbirth process in hospitals of Abadan city in 2013. Annals of Tropical Medicine and Public Health. 2017;10(4):904-9. DOI: https://doi.org/10.4103/atmph.atmph_245_17.
Mascarenhas VHA, Lima TR, Silva FMD, Negreiros FS, Santos JDM, Moura MÁP, et al. Scientific evidence on non-pharmacological methods for relief of labor pain. Acta Paulista de Enfermagem. 2019;32(3):350–357. DOI: https://doi.org/10.1590/1982-0194201900048.
Levy I, Attias S, Stern Lavee T, Avneri O, Cohen G, Balachsan S, et al. The effectiveness of foot reflexology in reducing anxiety and duration of labor in primiparas: An open-label randomized controlled trial. Complementary Therapies in Clinical Practice. 2020;38:101085. DOI: https://doi.org/10.1016/j.ctcp.2019.101085.
Arnon Z, Dor A, Bazak H, Attias S, Sagi S, Balachsan S, et al. Complementary medicine for laboring women: a qualitative study of the effects of reflexology. Journal of Complementary and Integrative Medicine. 2018;16(1). DOI: https://doi.org/10.1515/jcim-2018-0022.
Prata JA, Pamplona ND, Progianti JM, Mouta RJO, Correia LM, Pereira ALF. Tecnologias não invasivas de cuidado utilizadas por enfermeiras obstétricas: contribuições terapêuticas. Escola Anna Nery. 2022; 26. DOI: https://doi.org/10.1590/2177-9465-EAN-2021-0182.
Silva MA, Sombra IV de S, Silva JSJ, Silva JCB, Dias LRF de M, Calado RSF, et al. Aromaterapia para alívio da dor durante o trabalho de parto. Revista de Enfermagem UFPE on line. 2019;13(2):455-463. Disponível em: https://doi.org/10.5205/1981-8963-v13i2a237753p455-463-2019.
Pereira ACC, Costa ALML, Costa AB, Geber B, Alkmim BF, Camarano GCV, et al. Métodos não farmacológicos para alívio da dor durante o trabalho de parto: revisão sistemática. Revista Eletrônica Acervo Saúde. 2020;12(10). DOI: https://doi.org/10.25248/reas.e4448.2020.
Smith CA, Levett KM, Collins CT, Crowther CA. Relaxation techniques for pain management in labour. Cochrane Database of Systematic Reviews [Internet]. 2011. DOI: https://doi.org/10.1002/14651858.cd009514.
Mahmoudikohani F, Torkzahrani S, Saatchi K, Nasiri M. Effects of acupressure on the childbirth satisfaction and experience of birth: A randomized controlled trial. Journal of Bodywork and Movement Therapies [Internet]. 2019; 23(4): 728-732. DOI:
https://doi.org/10.1016/j.jbmt.2019.04.002.
Balbino ECR, Santos MCJ, Borges ML. Uso de métodos não farmacológicos no alívio da dor no trabalho de parto: a percepção de mulheres no pós-parto. Revista Brasileira Multidisciplinar. 2020; 23(2Supl.):65–78. DOI: https://doi.org/10.25061/2527-2675/rebram/2020.v23i2supl..812.
Duarte MR, Alves VH, Rodrigues DP, Souza KV, Pereira AV, Pimentel MM. Tecnologias do cuidado na enfermagem obstétrica: contribuição para o parto e nascimento. Cogitare Enferm [Internet]. 2019; 24. DOI: https://doi.org/10.5380/ce.v24i0.54164.
Othman F, Liu Y, Zhang X, Wang P, Deng L, Cheng X. Perinatal women’s satisfaction with nurses caring behaviours in teaching hospitals in China. Scandinavian Journal of Caring Sciences. 2019; 34(2); 390- 400. DOI: https://doi.org/DOI:10.1111/scs.12740.
Camargo CM, Vaz LG, Oliveira SA, Costa CS. A eficácia dos métodos não farmacológicos aplicados pelo enfermeiro obstetra no alívio da dor do trabalho de parto. Revista Científica da Escola Estadual de Saúde Pública de Goiás “Candido Santiago” [Internet]. 2019;5(2): 64-75. DOI: https://doi.org/10.22491/2447-3405.2019.v5n2.art06.
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