Anaplasia, Pain, Postoperative
Conditions
Keywords
movement evoked pain, analgesia, general surgery, hepatobiliary and pancreatic disease
Brief summary
1. To establish doctor-nurse-patient cooperative analgesic linkage program. 2. Evaluate the effect of doctor-nurse-patient cooperative analgesic linkage program on movement evoked pain after laparotomy for patients with hepatobiliary and pancreatic disease through quasi-experimental study.
Detailed description
Part I The establishment of doctor-nurse-patient cooperative analgesic linkage program 1. Based on literature review and clinical investigation results, initially make a doctor-nurse-patient cooperative analgesic linkage program through discussion in experts consensus meeting. 2. Using Delphi method, determine the doctor-nurse-patient cooperative analgesic linkage program after two rounds consultation. Part II Clinical application study of doctor-nurse-patient cooperative analgesic linkage program. Conduct non-randomized control study in corresponding period. 80 patients from two wards which managed by the same medical and nursing team were divided into experimental and control group. Patients in the control group were received routine post-operative analgesia pump and analgesics, and functional rehabilitation, while ones in the experimental group were received doctor-nurse-patient cooperative analgesic linkage program. Evaluate the effect of pain control during rehabilitation, adverse events during rehabilitation, patients' satisfaction of pain control.
Interventions
DRUGRoutine Dezocine injection
Dezocine 10mg were intramuscular injected at 8:00am, 4:00pm and 12:00pm.
DRUGAdjusted Dezocine injection
Dezocine 10mg were intramuscular injected at at 6:00am, 2:00pm and 10:00pm.
DRUGRoutine Dynastat or Flurbiprofen Axetil jinjection
Dynastat 40mg or Flurbiprofen Axetil 50mg were administrated intravenously at 9:00am, 4:00pm and 12:00pm.
DRUGAdjusted Dynastat or Flurbiprofen Axetil jinjection
Dynastat 40mg or Flurbiprofen Axetil 50mg were administrated intravenously at at 6:00am, 2:00pm and 10:00pm.
OTHERpostoperative rehabilitation
Rehabilitation was conducted at 8:00am and 2:00pm.
DRUGnormal analgesia pump administration
Dose of analgesia pump was added if needed.
DRUGadjusted analgesia pump administration
Dose of analgesia pump was added if needed. Add one dose of analgesia pump 10 minutes before rehabilitation.
Sponsors
Second Affiliated Hospital, School of Medicine, Zhejiang University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Consent to the study. * Normal cognitive ability and speak Chinese * Patients received selective laparotomy under general anesthesia. * Length of stay is longer than three days. * Patients who are allowed to do rehabilitation.
Exclusion criteria
* Patients with Severe organic disease, chronic pain, history of brain injury, history of drug or alcohol addiction. * Psychiatric patients * Consciousness disorder * Patients contradict to opioid medications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| movement evoked pain (Numerical rating scale) | Each rehabilitation within 3 days after surgery | Assess movement evoked pain during rehabilitation. Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain. |
| pain at rest (Numerical rating scale) | Each rehabilitation within 3 days after surgery | Assess pain at rest before rehabilitation.Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| total dose of analgesics | three days after surgery | record and calculate the total dose of analgesics |
| satisfaction questionare of pain control | three days after surgery | Patients answer the questionare and rate the satisfaction of pain control. The questionnaire includes 7 items indicating different aspect of pain control. Patients rate their satisfaction using score. The score ranges from 1 to 5. 1 is extremely not satisfied, 5 is extremely satisfied. |
| adverse events during rehabilitation | three days after surgery | adverse events during rehabilitation, such as nausea, vomiting, headache, falls |
| pain at night (Numerical rating scale) | three days after surgery | Asess the pain at rest during night.Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain. |
| the time of first bowel movement | three days after surgery | Record the time of first bowel movement after surgery |
Countries
China
Contacts
Primary ContactCaijuan Xu, master
Outcome results
None listed