Effects of Music on Acute Postoperative Pain Intensity and Mobility After Fragility Hip Fracture: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Pain intensity measured by 11-point pain intensity numerical rating scale after music listening in postoperative Day 1 - 2 among subjects with fragility hip fracture
研究概览
简要总结
Music has been proven to be beneficial in postoperative care by reducing pain. The effects of music listening to reduce pain postoperatively are well studied among cases undergoing elective orthopaedic surgery. No study has been conducted focusing on pain control among cases with fragility hip fractures in an acute ward setting with non-schedule non-elective orthopaedic operation.
In Queen Elizabeth Hospital a standardized analgesic protocol is used for all fragility hip fracture cases unless contraindicated, a suboptimal post-operative pain control is not uncommonly seen. Stepping up analgesics is usually a concern in the elderly with a higher rate of side effects, a safe and simple non-pharmacological intervention for pain control is therefore needed.
The aim of this study is to study the effectiveness of incorporating music on pain intensity and mobility with the standard postoperative rehabilitation care of fragility hip fracture in Queen Elizabeth Hospital.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Emergency admitted to QEH/G9 due to fragility hip fracture (#NOF or # TOF) within the study period
- •Plan for surgical intervention
- •Able to provide written informed consent
- •Able to communicate in Cantonese/ Putonghua/ English
排除标准
- •History of dementia
- •Acute delirium upon admission
- •Disorientated to time, person or place
- •Concurrent fracture at other sites
- •Utilization of other analgesics on top of pain protocol
- •Appreciable deficits in hearing or vision
- •Hemodynamically unstable
- •Plan for neurolysis/ nerve block as definite treatment or opt for conservative treatment
研究组 & 干预措施
Control
Standard of care
Music
Music listening at postoperative day 1 and 2, 1 session per day, 20 minutes per session.
干预措施: music listening (Other)
结局指标
主要结局
Pain intensity measured by 11-point pain intensity numerical rating scale after music listening in postoperative Day 1 - 2 among subjects with fragility hip fracture
时间窗: postoperative day 1 and 2
次要结局
- Modified functional ambulatory classification (MFAC) in postoperative Day 3 among subjects with fragility hip fracture(postoperative day 3)
- New mobility score (NMS) in postoperative Day 3 among subjects with fragility hip fracture(postoperative day 3)
研究者
Lau Kwan Yiu Jeffrey
Advanced Practice Nurse
Hospital Authority, Hong Kong