the Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain

Zhejiang University

Status: Unknown

Conditions: Anaplasia; Pain, Postoperative

Treatments: Drug: Routine Dynastat or Flurbiprofen Axetil jinjection; Drug: Adjusted Dynastat or Flurbiprofen Axetil jinjection; Drug: Adjusted Dezocine injection; Drug: Routine Dezocine injection; Drug: adjusted analgesia pump administration; Drug: normal analgesia pump administration; Other: postoperative rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT03823846

2017-084

Details and patient eligibility

About

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.

Full 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.

Enrollment: 80 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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80 participants in 2 patient groups

Experimental Group

Experimental group

Description:

Patients in the experimental group were received doctor-nurse-patient cooperative analgesic linkage program.

Treatment:

Other: postoperative rehabilitation

Drug: adjusted analgesia pump administration

Drug: Adjusted Dynastat or Flurbiprofen Axetil jinjection

Drug: Adjusted Dezocine injection

control group

Active Comparator group

Description:

Patients in the control group were received routine analgesic and functional rehabilitation.

Treatment:

Other: postoperative rehabilitation

Drug: normal analgesia pump administration

Drug: Routine Dezocine injection

Drug: Routine Dynastat or Flurbiprofen Axetil jinjection