burn injury burn wound patients in need of Corrective or Reconstructive Surgery
Conditions
Interventions
Intervention group:
In addition to standard care: Patients are provided a CD of the guided imagery
("Gezonde Verbeelding", Elsevier publisher) to take home and practice once a
day during a period o
Sponsors
Rode Kruis Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: •Written informed consent •Age >= 18 year •Patients with previous burn injury with a need for reconstructive or corrective surgery •Ability to understand and speak the Dutch language •Accessible by phone •Access to CD-player at home
Exclusion criteria
Exclusion criteria: •Known contra-indication to medication used in the standard pain- and general anaesthesia protocol (Midazolam, Paracetamol, Diclofenac, Tramadol, Diprivan, Sufentanil, Morphine, Esmeron and Sevofluran) •Actual psychosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Amount of used morphine via the PCA-system during the first 3 days after surgery: Amount of morphine via the Patient Controlled Analgesia (PCA) system will be documented in the anesthesia report, medication lists from the recovery room and nursery department. | — |
Secondary
| Measure | Time frame |
|---|---|
| •Use of all post-operative pain medication: Type and amount of used pain medication and medication for anxiety symptoms will be documented daily during the two weeks of the study in the patient diary. •Pre-operative anxiety state: will be measured 7 days before intervention (T0) and at the day of the surgery (T1) using the 6-item APAIS •Self-rated pain: will be noted daily in the patient diary using a 10-cm visual analogue scale (VAS) for pain (ranging from "no pain" to "pain as bad as could possibly be"), from 7 days before to 7 days after surgery. The first 24 hours after surgery VAS scores will be noted every 6 hours according to standard care. •Self-rated recovery: will be noted daily in the patient diary using a 10-cm visual analogue scale (VAS) for self-assessed surgical recovery (ranging from "poor" to "excellent"), during 7 days after surgery. •Feasibility (compliance to intervention). Patients will be asked to record their daily experiences with guided imagery and standard care in the patient diary. A compliance questionnaire is part of the patient diary. Patients will be called by the pain nurse in the intervention period prior to the surgery to monitor compliance. . Involved nurses and medical doctors will be asked to complete an evaluation form about their opinion of practical use of *guided imagery* | — |
Countries
Netherlands
Outcome results
None listed