Effect of Preoperative Information About Pain on Postoperative Pain Experience and Patient Satisfaction

Not Applicable

• Conditions: Post Operative Pain
• Interventions: Other: preoperative information about pain

• Registration Number: NCT03056521
• Lead Sponsor: Makerere University

Brief Summary

Patients are randomized into 2 groups. The intervention group which receives preoperative counseling about pain and a control group which does not receive this counseling.

The patients are followed up looking at pain scores and pain experience and satisfaction with pain management for 2 days post operative.

Detailed Description

* All patients admitted for elective upper and lower limb surgery, will be expected to have a preoperative visit by the anesthetic provider on the day before surgery.

* Those who will have consented to participate in the study will be randomized to either the intervention or control group.

* The intervention group will receive specific preoperative information about pain in private by the principal investigator in addition to the preoperative assessment.

* The following variables will be recorded preoperatively: socio-demographics (age, gender, tribe, education level) and vital signs (pulse rate, blood pressure and oxygen saturation).

* A Numerical pain score will be explained to patient before it is recorded preoperatively.

* The patient will also be informed that the pain scores will be repeated after surgery at (someone will take the pain scores again after surgery at) 0, 6, 12, 24, 48hours or till discharge if less than 48hours. In addition the pulse rate, number of analgesic intravenous/ intramuscular injections or tablets needed/or given will be recorded.

* Assessed pain will be classified as no pain (1-3), pain (4-10) but also as no pain (0), mild (1-3), moderate (4-6) and severe pain (7-10).

* Intra operatively, the anaesthetic technique (general or regional), medications given, duration of surgery will be recorded in) the questionnaires.

Study Timeline

• Study Start: 2016-06
• Status Verified: 2017-02
• Primary Completion: 2017-02
• Study First Submitted: 2017-02-15
• Study First Submitted QC: 2017-02-16
• Last Update Submitted: 2017-02-16
• Study First Posted: 2017-02-17
• Last Update Posted: 2017-02-17
• Study Completion: 2017-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 340

Inclusion Criteria

• Age of 18 years and above
• Elective orthopedic surgery patients admitted to orthopedic/trauma ward Mulago hospital
• Patient who gives consent

Exclusion Criteria

• Patients with chronic pain not related to the surgery they are to undergo
• Patients with bone cancer
• Inability to speak or hear (deaf or dumb)
• Previously recruited but comes for re-surgery for same condition

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Info	preoperative information about pain	In this arm the patients are counseled preoperatively about post operative pain. Specific information about post operative pain which includes both pharmacologic and non-pharmacologic treatments, complications of pain and benefits of good pain management. This is in addition to the routine care provided

Primary Outcome Measures

Name	Time	Method
Post operative pain experience (yes or no answer)	2 days	Patients subjectively tell you if their pain has been adequately controlled with a yes or no answer
Patient satisfaction (answer yes or no)	2 days	Is the patient happy with how the pain has been managed answer yes or no

Secondary Outcome Measures

Name	Time	Method
Time to ambulation	3 days	when does the patient start doing some activity with the operated limb less than or greater than 3 days

Trial Locations

Locations (1)

Mulago National Referral Hospital; 🇺🇬 Kampala, Uganda