Assessment of Anxiety in Patients Treated by SMUR Toulouse and Receiving MEOPA as Part of Their Care
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- The state of anxiety of the patient assessed by Face Anxiety Scale
研究概览
简要总结
The emergency setting, frequently associated with pain and the feeling of loss of control, can cause anxiety in patients.
Reaction anxiety may be an appropriate response to an emergency; Nevertheless, attention must be paid to the evaluation and management of the latter especially as anxiety and pain are closely linked.
详细描述
There is a definite interest in the management of patients' pre-hospital anxiety. The literature reports a strong association between anxiety, post-traumatic stress and chronic pain. A study conducted at SAMU 31 also found that anxiety on arrival at the emergency department was a negative factor in the treatment of pain. Anxiety can reduce the pain threshold and promote hyperalgesia.
The management of patient anxiety in pre-hospital offers interesting results in terms of analgesia and satisfaction of users of care and should not be neglected.
MEOPA has recently been available in SMUR vehicles (emergency and resuscitation mobile service) at SAMU 31 (urgent medical assistance service); its availability can lead teams to change their practices. More and more emphasis is placed on the importance of positive communication and comfort for which MEOPA, with its conscious sedating effect, could be a facilitating factor.
The aim of our study is to evaluate the level of anxiety of patients treated by SMUR teams in Toulouse and receiving MEOPA following the usual indications for pain-induced pain or pain alleviation.
This is a pilot study, which focuses on the assessment of anxiety in patients treated in pre-hospital care by SMUR Toulouse and receiving MEOPA as part of their care. No data exists in the literature on this subject.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient over 18
- •Patient supported by a SMUR team from Toulouse
- •Patient receiving MEOPA during pre-hospital care (in the usual indications for pain relief or pain-induced care)
- •Patient having given his non-opposition to participate in the study
排除标准
- •Any patient with a contraindication to MEOPA:
- •Patient requiring pure oxygen ventilation
- •Intracranial hypertension
- •Any alteration of the state of consciousness preventing the patient's cooperation
- •Traumatic brain injury
- •Pneumothorax
- •Emphysema bubbles
- •Gas embolism
- •Diving accident
- •Abdominal gas distension
- •Patient who received an ophthalmic gas for ocular surgery less than three months old
- •Known and unsubstituted vitamin B12 deficiency
- •Patient under legal protection
- •Refusal of the patient to participate in the study
- •Barrier of the language or alteration of the communication
- •Patient in vital distress
结局指标
主要结局
The state of anxiety of the patient assessed by Face Anxiety Scale
时间窗: 2 hours
The state of anxiety of the patient assessed by FAS (face anxiety scale) self-assessment when supported by a SMUR team with MEOPA administration. The FAS, called the Anxiety Faces Scale, is a validated anxiety assessment scale that was originally developed in the context of Critical Care, Critical Care (ICU) management. The Faces Anxiety Scale is a valid single-item, self-report measure of state anxiety in intensive care patients that is easy to administer and imposes minimal respondent burden. It has the potential to be a useful instrument for the assessment of state anxiety by clinicians and for research into the reduction of anxiety in this vulnerable population.
次要结局
- The pain felt by the patient, evaluated by the numerical scale (EN), in connection with his anxiety(2 hours)