Pain in Psychiatry : Impact on Length of Hospital Stays
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 137
- 试验地点
- 1
- 主要终点
- Influence of pain on hospitalization stay evaluated with pain visual analogic scale
研究概览
简要总结
For several decades, authors are interested in the existence and meaning of painful symptoms in a population of psychiatric inpatients. But, to date, studies specifically focused on the impact of pain in patient populations in psychiatric hospitals are few. More recently, a review of the literature highlights the difficulties of evaluation of pain in populations of psychiatric patients but also the complex interrelationships between painful symptoms and psychiatric diseases. The first national survey conducted among 172 health which evaluate pain and its management in the field of psychiatry concluded on the need to develop research in this area.
详细描述
Pain in all the populations remains a major public health issue. Patients with mental illness consult less their general practitioners while they have an increased risk of physical disease. In addition, they have a net reduction in life expectancy due to their mental illness, living conditions and drug treatments.
In this particular population, doctors faces especially difficulties assessment and treatment of pain. Indeed, there is for example in some of these patients difficulties to express that pain.
These painful events make more complex the care of hospitalized patients (eg interrelationship between pain complaints and psychiatric symptoms) and seem to lengthen their hospital stay. This is not without consequences as long as hospitalizations represent an obstacle to the patients psychosocial rehabilitation (installation of daytime activities, project work rehabilitation, development of social network ...) and impair their quality of life.
And for the patients with psychiatric disorders some points can be noticed :
- An increased risk of physical disease
- Warning signs like pain poorly known and poorly evaluated ... and poorly supported
- The presence of the pain seems to lengthen the hospital stay
- An extension of the hospital stay, which represent an obstacle to the psychosocial rehabilitation This research project is to test if the presence of a painful complaint among psychiatric inpatients is associated lengthening of the hospitalization duration.
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 eighteen years old
- •Patient hospitalized in psychiatric service at Toulouse University Hospital
- •Informed consent signed
排除标准
- •Patient treated with maintenance sismotherapy
结局指标
主要结局
Influence of pain on hospitalization stay evaluated with pain visual analogic scale
时间窗: 2 days before patient end of hospitalization
Multivariate regression analysis
次要结局
- Evaluation of pain in psychiatric population with visual analogic scale of pain(2 days before patient end of hospitalization)
- Evaluation of pain intensity impact on Mini International Neuropsychiatric Interview score(2 days before the patient end of hospitalization)
- Evaluation of gender impact on pain intensity using visual analogic scale of pain(2 days before the patient end of hospitalization)
- Evaluation of age impact on pain intensity using visual analogic scale of pain(2 days before the patient end of hospitalization)
- Evaluation of Mini International Neuropsychiatric Interview score impact on hospitalization stay(2 days before the patient end of hospitalization)