Assessing the Effects of Educational Training Aimed to Improve Pain-reporting Reliability in Children After Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Surgery
- Sponsor
- University of Haifa
- Enrollment
- 98
- Locations
- 1
- Primary Endpoint
- Quality of pain intensity scores based on the concordance between pain reports on different scales.
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Treating pain, just as treating other medical conditions, depends on accurate assessment of patient's condition. When assessing pain, as other subjective symptoms, the challenge is twofold because the assessment is dependent on patient's understanding and use of the scale, all the more so in children
So far, attempts to improve pain assessments have been focused on the development and refining pain scales. No emphasis has been placed on improving patient's ability to report their pain. Our purpose is to evaluate a training program designed to improve the quality of children's post-surgical pain intensity reports.
After receiving Helsinki approval, eligible children and their parents will signed informed-consent. After surgery, the children, their parents, and the department nurses will assess children's pain intensity. Immediately after the nurse assessment, parents will assess their child's pain (blindly and independently) and the children will report their pain on four different pain scales.
Children aged 8-17, hospitalized in Rambam medical-center for elective surgery will be invited to participate. Children in the experimental group will be exposed to a training program, developed for this study, aimed to teach and train how to report pain. The control group will receive the standard pre-surgical instructions.
Investigators
Eligibility Criteria
Inclusion Criteria
- •children at age 8-17 years;
- •absence of psychiatry, cognitive, and/or neurological disorders;
- •understand the purpose and the instructions of the study, agree to participate and parent signed inform consent.
Exclusion Criteria
- •children suffering from Post traumatic stress disorder.
Outcomes
Primary Outcomes
Quality of pain intensity scores based on the concordance between pain reports on different scales.
Time Frame: Pain intensity rating one hour after analgesic consumption.
The average difference between scores reported on the different scales was calculated as follows: The difference between to pain scores reported on each possible pairs of two scales was calculated in absolute values. The average difference of the 6 pairs was calculated. The 5-point CAT was transformed into a 0-10 scale by multiplying its values by 2.5.
Secondary Outcomes
- The average difference between children assessment vs. parents.(NPS ratings before and one hour after analgesic consumption)
- The difference between children assessment vs. nurses assessment.(NPS ratings before and one hour after analgesic consumption)
- Quality of pain intensity scores based on the concordance between pain reports on different scales.(Pain intensity ratings one hour after analgesic consumption.)
- The average decrease in pain following analgesia: NPS(NPS ratings before and one hour after analgesic consumption)