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Non-pharmacological therapies for cancer patients in Portugal and Brazil: an experience report

Authors: Silva Leonel Dos Santos, Sousa Ana Filipa Domingues, Carvalho Dulce Helena Ferreira de, Kalinke Luciana PuchalskiJournal: Revista da Escola de Enfermagem da U S PPublished: January 1, 2023DOI: 10.1590/1980-220X-REEUSP-2023-0091en
Limited EvidenceQualitative

In Plain Language: cancer pain, explained

To describe the experience of nurses from a center in Portugal and two in Brazil regarding the use of non-pharmacological therapies in cancer patients. This is a professional experience report. In the Portuguese institution, a group of nurses has been performing massage therapy, reflexology, postural teaching, thermotherapy, relaxation, guided imagery, Reiki, music therapy, aromatherapy, among others, for 17 years, with significant results in pain and vital signs with satisfactory perceptions. In Brazil, the clinical application is incipient, clinical studies with auriculotherapy, relaxation with guided imagery and floral therapy are taking place, with significant results for physical symptoms, anxiety, and quality of life improvement. In both countries, nurses have made efforts to implement non-pharmacological therapies. While in the Portuguese reality they have been formally institutionalized in care, in Brazil the therapies take place with voluntary work and through intervention research. This report can encourage the translation of autonomous practice to clinical studies for proposing evidence of therapies in Integrative Oncology. Descrever a experiência dos enfermeiros de um centro em Portugal e dois no Brasil sobre o uso das terapias não farmacológicas em pacientes com câncer. Trata-se de um relato de experiência profissional. Na instituição portuguesa, há 17 anos um grupo de enfermeiros vem realizando massagem terapêutica, reflexologia, ensinos posturais, termoterapia, relaxamento, imaginação guiada, Reiki, musicoterapia, aromaterapia, entre outras, com resultados significativos na dor, nos sinais vitais e com percepções satisfatórias. Na brasileira, a aplicação clínica é incipiente, ocorrem estudos clínicos com auriculoterapia, relaxamento com imagem guiada e terapia floral, com resultados significativos para sintomas físicos, ansiedade e qualidade de vi

Key Findings: what this qualitative study found about cancer pain

  • ✓Portuguese nurses have successfully implemented and institutionalized multiple non-pharmacological therapies including massage, reflexology, and music therapy over 17 years with significant improvements in cancer patients' pain and vital signs.
  • ✓Brazilian institutions are conducting clinical studies on auriculotherapy, guided imagery relaxation, and floral therapy, demonstrating significant positive effects on physical symptoms, anxiety, and quality of life in cancer patients.
  • ✓Non-pharmacological therapy implementation differs between countries, with Portugal having formal institutional support while Brazil relies on voluntary nursing work and intervention.

What This Means for You

While nurses in Portugal report good results using reflexology and similar therapies for cancer patients, this is based on clinical experience rather than rigorous research, so results may vary for individual patients.

What This Means for Practitioners

This experience report demonstrates that integrating reflexology and other non-pharmacological therapies into oncology nursing care is feasible and valued by patients, supporting the case for conducting formal clinical trials to build stronger evidence.

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Cancer pain: common questions

What does this study say about cancer pain?

While nurses in Portugal report good results using reflexology and similar therapies for cancer patients, this is based on clinical experience rather than rigorous research, so results may vary for individual patients.

What did this study find?

Portuguese nurses have successfully implemented and institutionalized multiple non-pharmacological therapies including massage, reflexology, and music therapy over 17 years with significant improvements in cancer patients' pain and vital signs. Brazilian institutions are conducting clinical studies on auriculotherapy, guided imagery relaxation, and floral therapy, demonstrating significant positive effects on physical symptoms, anxiety, and quality of life in cancer patients. Non-pharmacological therapy implementation differs between countries, with Portugal having formal institutional support while Brazil relies on voluntary nursing work and intervention.

How strong is this evidence?

This is a qualitative study and we rate its evidence limited. It was published in Revista da Escola de Enfermagem da U S P. This study is indexed here for context; it did not test reflexology itself.

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