Best Evidence Summary of Non-Pharmacological Pain Assessment and Management in Elderly Patients During the Perioperative Period
- 1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, 310053, People’s Republic of China
Abstract
Background: To evaluate and synthesize the best available evidence on non-pharmacological approaches to pain assessment and management in elderly patients aged ≥60 years during the perioperative period, and to provide an evidence-based reference for clinical practice.
Design: This study synthesized the evidence in accordance with the evidence summary report standards of the Evidence-based Nursing Center at Fudan University.
Methods: A systematic search was conducted to identify evidence on non-pharmacological pain assessment and management in elderly patients during the perioperative period. Eligible literature included clinical decision-making documents, guidelines, expert consensus statements, recommended practices, evidence summaries, systematic reviews, meta-analyses, and randomized controlled trials.
Data Sources: PubMed, CINAHL, the Joanna Briggs Institute (JBI), China National Knowledge Infrastructure (CNKI), Wanfang, and VIP. UpToDate, the Scottish Intercollegiate Guidelines Network (SIGN), the Guidelines International Network (GIN), and Yimaitong were searched from database inception to July 2024.
Results: A total of 12 articles were included, comprising 3 guidelines, 3 expert consensus statements, 4 meta-analyses, 1 randomized controlled trial, and 1 systematic review. From these, 23 evidence statements were extracted and synthesized into four domains: team building, pain assessment, pain management, and health education. The non-pharmacological interventions mainly included physical approaches, psychological interventions, music intervention, and education for patients and caregivers.
Conclusion: The evidence summarized in this study provides a structured reference for non-pharmacological pain assessment and management in elderly perioperative patients. Clinical application should consider the patient’s condition, type of surgery, strength of the evidence, and available healthcare resources.
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BibTeX
@article{guo2026best,
title = {{Best Evidence Summary of Non-Pharmacological Pain Assessment and Management in Elderly Patients During the Perioperative Period}},
author = {Lingxia Guo and Huaping Chen and Ruihua Zhang and Qingqing Wu and Yanyan Lu and Meiling Li and Linjia Zhao and Sichun Mao and Wenwen Fang},
journal = {Journal of Pain Research},
year = {2026},
month = oct,
doi = {10.2147/jpr.s650984},
url = {https://doi.org/10.2147/jpr.s650984},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Best Evidence Summary of Non-Pharmacological Pain Assessment and Management in Elderly Patients During the Perioperative Period
AU - Lingxia Guo
AU - Huaping Chen
AU - Ruihua Zhang
AU - Qingqing Wu
AU - Yanyan Lu
AU - Meiling Li
AU - Linjia Zhao
AU - Sichun Mao
AU - Wenwen Fang
PY - 2026
DA - 2026/10/26
JO - Journal of Pain Research
DO - 10.2147/jpr.s650984
UR - https://doi.org/10.2147/jpr.s650984
AB - Background: To evaluate and synthesize the best available evidence on non-pharmacological approaches to pain assessment and management in elderly patients aged ≥60 years during the perioperative period, and to provide an evidence-based reference for clinical practice. Design: This study synthesized the evidence in accordance with the evidence summary report standards of the Evidence-based Nursing Center at Fudan University. Methods: A systematic search was conducted to identify evidence on non-pharmacological pain assessment and management in elderly patients during the perioperative period. Eligible literature included clinical decision-making documents, guidelines, expert consensus statements, recommended practices, evidence summaries, systematic reviews, meta-analyses, and randomized controlled trials. Data Sources: PubMed, CINAHL, the Joanna Briggs Institute (JBI), China National Knowledge Infrastructure (CNKI), Wanfang, and VIP. UpToDate, the Scottish Intercollegiate Guidelines Network (SIGN), the Guidelines International Network (GIN), and Yimaitong were searched from database inception to July 2024. Results: A total of 12 articles were included, comprising 3 guidelines, 3 expert consensus statements, 4 meta-analyses, 1 randomized controlled trial, and 1 systematic review. From these, 23 evidence statements were extracted and synthesized into four domains: team building, pain assessment, pain management, and health education. The non-pharmacological interventions mainly included physical approaches, psychological interventions, music intervention, and education for patients and caregivers. Conclusion: The evidence summarized in this study provides a structured reference for non-pharmacological pain assessment and management in elderly perioperative patients. Clinical application should consider the patient’s condition, type of surgery, strength of the evidence, and available healthcare resources.
SN - 1178-7090
ER -