Hemorrhoid Pain
Conditions
Keywords
hemorrhoid, pain, deep breathing, multimodal pain control
Brief summary
This is a quality assurance trial to evaluate the effectiveness of guided breathing exercises on reducing the symptoms of hemorrhoidal disease in colorectal surgery patients. All patients who undergo hemorrhoid surgery are educated on breathing exercises that can be used to reduce pain and increase relaxation. These patients will be surveyed at their post-operative visit regarding pain and other symptoms and at their one month post operative visit on the any hospitalizations and emergency room visits since their surgery.
Detailed description
The effectiveness of guided breathing exercises on reducing the symptoms of hemorrhoidal disease in colorectal surgery patients will be assessed in this quality assurance trial. During the pre-operative clinic visit, patients to undergo hemorrhoid surgery are educated on breathing exercises that can be used to reduce pain and increase relaxation. In this year long study patient self-reported utilization of the breathing exercises and their level of pain, sleep quality, gastrointestinal symptoms (diarrhea, constipation, etc), emergency room visits, and hospitalizations in the month post hemorrhoid surgery will be evaluated. All patients will be asked to complete a brief survey at their pre-operative and one month post-operative visits.
Interventions
BEHAVIORALdeep breathing exercises
Patients receive education on deep breathing exercises for pain control as part of their pre-operative appointment
Sponsors
Boston Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Undergoing elective hemorrhoid surgery
Exclusion criteria
* Emergent/urgent hemorrhoid surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores | within ~30 days of surgery, at the time of post-operative clinic visit | The Wong-Baker faces pain score scale which displays 6 faces with scores of 0, 2, 4, 6, 8, 10, where 0=no hurt and 10=worst hurt will be used in the pre-operative and post-operative surveys to assess each patient's self reported pain level. the lower the score the more favorable/less pain. |
| Utilization of breathing exercises | within ~30 days of surgery, at the time of post-operative clinic visit | Response to two questions in the post-operative survey will be used to assess wehether the patient did the breathing exercises after surgery (yes or no) and if they did how man times daily did they do the breathing exercises- \<2, 3-5, or \>5. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Admissions within 30 Days of Surgery | within 30 days of surgery | The number of patients who required admission for pain control/infection/bleeding/other complication within 30 days of surgery will be determined from a review of the medical records. |
| Emergency Department visits within 30 Days of Surgery | within 30 days of surgery | Evaluating number of patients who visited the Emergency Department within 30 days of surgery will be determined from a review of the medical records. |
Countries
United States
Outcome results
None listed