Effect of Preoperative Information About Pain on Postoperative Pain Experience and Patient Satisfaction (epps)

Makerere University

Status: Unknown

Conditions: Post Operative Pain

Treatments: Other: preoperative information about pain

Study type: Interventional

Funder types: Other

Identifiers

NCT03056521

2014/HD07/939U

Details and patient eligibility

About

Patients are randomized into 2 groups. The intervention group which receives preoperative counseling about pain and a control group which does not receive this counseling.

The patients are followed up looking at pain scores and pain experience and satisfaction with pain management for 2 days post operative.

Full description

• All patients admitted for elective upper and lower limb surgery, will be expected to have a preoperative visit by the anesthetic provider on the day before surgery.
• Those who will have consented to participate in the study will be randomized to either the intervention or control group.
• The intervention group will receive specific preoperative information about pain in private by the principal investigator in addition to the preoperative assessment.
• The following variables will be recorded preoperatively: socio-demographics (age, gender, tribe, education level) and vital signs (pulse rate, blood pressure and oxygen saturation).
• A Numerical pain score will be explained to patient before it is recorded preoperatively.
• The patient will also be informed that the pain scores will be repeated after surgery at (someone will take the pain scores again after surgery at) 0, 6, 12, 24, 48hours or till discharge if less than 48hours. In addition the pulse rate, number of analgesic intravenous/ intramuscular injections or tablets needed/or given will be recorded.
• Assessed pain will be classified as no pain (1-3), pain (4-10) but also as no pain (0), mild (1-3), moderate (4-6) and severe pain (7-10).
• Intra operatively, the anaesthetic technique (general or regional), medications given, duration of surgery will be recorded in) the questionnaires.

Enrollment: 340 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age of 18 years and above
• Elective orthopedic surgery patients admitted to orthopedic/trauma ward Mulago hospital
• Patient who gives consent

Exclusion criteria

• Patients with chronic pain not related to the surgery they are to undergo
• Patients with bone cancer
• Inability to speak or hear (deaf or dumb)
• Previously recruited but comes for re-surgery for same condition

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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340 participants in 2 patient groups

Info

Experimental group

Description:

In this arm the patients are counseled preoperatively about post operative pain. Specific information about post operative pain which includes both pharmacologic and non-pharmacologic treatments, complications of pain and benefits of good pain management. This is in addition to the routine care provided

Treatment:

Other: preoperative information about pain

No info

No Intervention group

Description:

These patients are in the control group. They are left to receive only the routine preoperative care as made available to them while on ward.