Skip to main content
Journal cover image

The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma.

Publication ,  Journal Article
Tanabe, P; Thomas, R; Paice, J; Spiller, M; Marcantonio, R
Published in: Journal of emergency nursing
April 2001

The purposes of this study were to determine the most effective nursing intervention to decrease pain for patients with minor musculoskeletal trauma and moderate pain at triage and to examine patient satisfaction.Patients were assigned to 1 of 3 intervention groups: (1) standard care (ice, elevation, and immobilization); (2) standard care and ibuprofen; or (3) standard care and music distraction. Patients were monitored for pain ratings for 60 minutes. Patients who sustained minor musculoskeletal trauma within the past 24 hours and presented with pain ratings of 4 or greater were included. Two patient satisfaction questions were asked upon discharge from the emergency department.Seventy-seven patients met the inclusion criteria. No differences in pain ratings between groups were demonstrated. A statistically significant reduction in pain for all patients occurred at 30 minutes (F = 16.18, P <.01) and was maintained at 60 minutes. However, 70% of patients continued to report pain ratings of 4 or greater (on a scale of 1 to 10) at 60 minutes. The reduction in pain was not found to be clinically significant.Eighty-four percent of patients stated that they were more satisfied with their overall care in the emergency department because of the immediate attention to pain relief they received at triage. No differences in satisfaction existed between treatment groups, although patients who reported higher pain ratings expressed statistically significant lower satisfaction with pain management scores (F = 9.375, P =.003).None of the therapies-standard care (ice, elevation, immobilization), standard care with ibuprofen, or standard care with music distraction-provided clinically significant pain relief to patients who had minor musculoskeletal trauma (ie, sprains and fractures) and moderate pain at triage. Interestingly, satisfaction scores were sometimes positive, even when pain was not relieved.

Duke Scholars

Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

April 2001

Volume

27

Issue

2

Start / End Page

124 / 131

Related Subject Headings

  • Time Factors
  • Splints
  • Rest
  • Patient Satisfaction
  • Pain Measurement
  • Pain Management
  • Pain
  • Nursing
  • Music Therapy
  • Musculoskeletal System
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tanabe, P., Thomas, R., Paice, J., Spiller, M., & Marcantonio, R. (2001). The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma. Journal of Emergency Nursing, 27(2), 124–131. https://doi.org/10.1067/men.2001.114386
Tanabe, P., R. Thomas, J. Paice, M. Spiller, and R. Marcantonio. “The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma.Journal of Emergency Nursing 27, no. 2 (April 2001): 124–31. https://doi.org/10.1067/men.2001.114386.
Tanabe P, Thomas R, Paice J, Spiller M, Marcantonio R. The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma. Journal of emergency nursing. 2001 Apr;27(2):124–31.
Tanabe, P., et al. “The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma.Journal of Emergency Nursing, vol. 27, no. 2, Apr. 2001, pp. 124–31. Epmc, doi:10.1067/men.2001.114386.
Tanabe P, Thomas R, Paice J, Spiller M, Marcantonio R. The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma. Journal of emergency nursing. 2001 Apr;27(2):124–131.
Journal cover image

Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

April 2001

Volume

27

Issue

2

Start / End Page

124 / 131

Related Subject Headings

  • Time Factors
  • Splints
  • Rest
  • Patient Satisfaction
  • Pain Measurement
  • Pain Management
  • Pain
  • Nursing
  • Music Therapy
  • Musculoskeletal System