Nurse Initiated Auricular Acupressure for Post-operative Pain Management in Knee and Hip Arthroplasty Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 65
- 试验地点
- 2
- 主要终点
- Visual Analogue Pain Scale
研究概览
简要总结
The purpose of pilot study is to test the feasibility of nurse initiated post-operative bilateral auricular acupressure as an adjunct to medication for post-operative pain management.
详细描述
Postoperative pain management has become an area of concern over the last decade due to the opioid epidemic and concerns related to their use as the primary pain management strategy. Joint Commission requires that hospitals have additional pain non-pharmacologic pain management tools at their disposal to an effort decrease the reliance on opioids. Acupuncture and acupressure have been used for centuries in the management of a variety of disorders including pain. Unlike acupuncture, acupressure can be easily applied with limited training and is within the scope of practice for nurses, according to the North Carolina Board of Nursing. Thus evidence based non-pharmacologic strategies that can be deployed by nursing are of benefit to hospital organizations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Statistician blinded to study arms during analysis phase.
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults 18-80 admitted for knee or hip arthroplasty
- •Pre-surgery morphine equivalent < 50
- •American Society of Anaesthesiologists (ASA) score < 3
排除标准
- •Participants with a history of skin disease (psoriasis), adhesive allergy, history of delirium, or cognitive impairment
结局指标
主要结局
Visual Analogue Pain Scale
时间窗: Up to Post-operatively day 4, at the end of the day approximately 10 pm
Average "pain before bed" score from 0 to 10 using visual analogue scale (0= no pain, 10= worst pain).Pain score averaged across post-op days 0 - 4.
Medication Use - Inpatient Opioids
时间窗: Up to post-operatively day 4
Amount of medication recorded in morphine equivalent dose while in hospital (not including anesthesia)
Medication Use - Outpatient Opioids
时间窗: Up to post-operatively day 4
Amount of medication use after discharge recorded in total morphine equivalent dose from discharge through day 4 postoperatively
Medication Use - Total Other Analgesics
时间窗: Up to post-operatively day 4
Amount of of other analgesics other than aspirin and not part of anesthesia record from immediate post-operative period to day 4 post-op in reported milligrams.
次要结局
- Mean Number of Pellets Retained(Up to post-operatively day 4)
- Number of Participants Who Responded "Yes, Would Definitely Consider Using in the Future."(post-operatively day 4)
- Visual Analogue Pain Scale(post-operatively day 4, at the end of the day)
- Number of Participants Who Responded They Were Satisfied With Pain Management(post-operatively day 4)
- Nurse Time to Deploy Pellets(post-operatively day 5)
- Number of Nurse Concerns Reported(post-operatively day 0 and 1)