Adult, Cardiac Surgery, Pain, Pain Management
Conditions
Keywords
acute postoperative pain, nursing intervention
Brief summary
The purpose of this project is to develop and evaluate the effects of a computer-tailored intervention targeting pain barriers and catastrophizing in adults having cardiac surgery. The hypotheses are that in the experimental group, in comparison to the control group, participants will show lower levels of pain, less pain interference in their activities, less attitudinal barriers, and less pain catastrophizing. A pilot-RCT is privileged to assess the preliminary effects of the intervention on the following outcomes: pain intensity, analgesic consumption, pain interference, barriers and pain catastrophizing.
Interventions
VITaPaCS consists in a 30 minute-computer-tailored preoperative session, which is animated by a virtual nurse who guides the participant through a learning process about analgesic medication intake, pain communication, and cognitive restructuring. The information and the strategies provided are specifically tailored to the participants' profile, determined by a screening questionnaire, but also by their responses in real-time during the computer session. Two postoperative clinical reinforcements of ten minutes are also provided by the treating nurse based on the flags identified through the preoperative session.
Sponsors
Study design
Eligibility
Inclusion criteria
* first intention cardiac surgery * 18 years old or more * able to fill up questionnaires in french
Exclusion criteria
* participation to another psychosocial intervention * cognitive or psychiatric disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain intensity | 24, 48, 72 hrs, 7 days, 6 months after surgery |
Countries
Canada