Study of the Benefit of a Nurse (IDE) Pre and Post-operative Framework in Proctology Outpatient Surgery (IDEPROCTO)

Fondation Hôpital Saint-Joseph

Status: Withdrawn

Conditions: Surgery; Proctology

Treatments: Procedure: Enhanced support; Procedure: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT02881541

IDEPROCTO

Details and patient eligibility

About

Evaluate the complement of patient care course in the development of proctology outpatient surgery (CAP) by providing:

• An additional preoperative nurse consultation day hospital
• And a phone call from a nurse at D + 1 of the operation

This corresponds to a reinforced support.

Full description

Main objective of the study: help improve the care of patients in CAP including during their exit after surgery. To evaluate the quality of patient care related to this enhanced system is a lever of development assistance outpatient surgical activity.

Secondary Objectives: To evaluate the impact of this new organization

• Satisfaction of patients and caregivers
• The effectiveness of the management of patients' pain

Study period: 3 months extendable a month, no start date announced

Workforce to include 100 patients at 3 months (10 per week), 50 in the "enhanced support" group and 50 in the group "usual care"

Expected results:

The main objective evaluation criteria: Evaluation support the success rate.

Evaluation performed 45 days after the patient's surgery.

Secondary objectives: patient satisfaction (telephone questionnaire to 45 days of operation), caregivers, pain assessment (painkillers booklet completed by the patient during his first consultation), consultation or rehospitalization for emergency patients and finally degree trust the doctor vis-à-vis this new support.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient man or woman major
• Patient primary surgery and requiring care in CAP
• Patient affiliated to a social security scheme or of such a scheme

Exclusion criteria

• Bedridden patient and / or not communicating
• Patient opposing his participation in the study after information
• Patient has already undergone anal surgery

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Patients having Enhanced Support

Experimental group

Description:

* A preoperative consultation with a nurse. This time will be dedicated to the preparation of returning home: explanation of the clinical pathway, realization of postoperative wound care, information on pain management and answer any questions the patient. * A nurse call on D + 1, the day after the operation to ensure the smooth running of returning home, assess postoperative pain, the correct performance of local care, answer questions from the patient, and provide advice to to limit pain .. A reminder to J2 / J3 will be produced at the request of the patient or on FDI initiative if particular difficulties are reported

Treatment:

Procedure: Enhanced support

Patients having usual care

Experimental group

Description:

no intervention will be made for this group. Patients will receive usual care respecting intern procedure

Treatment:

Procedure: Usual care