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Research Project on the Risk of Discomfort, Pain, Alteration of Skin Condition in Bedpan Use by Patients and Caregivers

Recruiting
Conditions
Nurse-Patient Relations
Interventions
Other: Questioning the patient during hygiene care
Registration Number
NCT06332495
Lead Sponsor
Nantes University Hospital
Brief Summary

The hypothesis is that the current bedpan is not adapted to the diversity of patients encountered. It is necessary to collect the opinions of patients themselves on the current pool in different departments in order to validate our hypothesis.

The objective is to evaluate pain in patients with reduced or very reduced mobility caused by the bedpan currently used in current practice through an observational study.

Detailed Description

Patients with reduced or severely reduced mobility, over 18 years of age, bedridden and requiring the use of a bedpan, estimated hospitalization equal to or greater than 2 days on the ward.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
300
Inclusion Criteria
  • Patient of legal age (age ≥ 18 years).
  • Patient with reduced and very reduced mobility, bedridden requiring the use of a bedpan.
  • Estimated length of hospital stay on the ward ≥ 2 days.
  • Patient affiliated to a social security system.
  • Patient able to understand the protocol.
  • Patient having given oral non-opposition to participate.
  • Patient who has received the study information note.
  • Patient who had never had a pelvis placed by the evaluating caregiver prior to inclusion.
  • Patient who had never participated in this study.
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Exclusion Criteria
  • Patients with cognitive impairment preventing objective pain assessment or with neurological pathologies.
  • Patients under guardianship, curatorship or safeguard of justice.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Assessment of pain during pelvic positioningQuestioning the patient during hygiene care48-hour follow-up of patients included in the study, with data collected on two pelvis fittings per 24 hours of follow-up (one fitting = one installation and one removal).
Primary Outcome Measures
NameTimeMethod
Assessment of pain in a patient with reduced or very reduced mobility when using a bedpan.Four assessments in 48 hours

Pain will be assessed using a numerical pain scale (EN). The caregiver will ask the patient to rate his or her pain between 0 (no pain) and 10 (the most intense pain imaginable).

Secondary Outcome Measures
NameTimeMethod
Assess alteration of skin condition at the seat of the patient using the bedpan48 hours

Appearance of stage I redness or pressure sores (redness that does not disappear) on the patient's seat, after using the bedpan

Assess the caregiver's pain when handling the bedpan, placing the bedpan in position and removing the bedpan.48 hours

Pain will be assessed using a numerical pain scale (EN). The caregiver will rate his or her pain between 0 (no pain) and 10 (the most intense pain imaginable).

Evaluate the effect of time spent on the bedpan on: pain, skin alteration and discomfort48 hours
Assess the proportion of patients with a MCID of the pain felt by the patient in pre-installation > 1.348 hours
Assess patient discomfort on the bedpan48 hours

discomfort will be defined by the addition of a cushion, rolled towel, treatment oil or the need for the bedpan to be repositioned

Assess the risk factors associated with the onset of pain when placing a bedpan.48 hours
Assess the maximum pain felt by the patient pre/post and per/post use of the bedpan.48 hours

Pain will be assessed using a numerical pain scale (EN). The caregiver will ask the patient to rate his or her pain between 0 (no pain) and 10 (the most intense pain imaginable).

Assess the difficulty of positioning and removing the bedpan.48 hours

Painfulness of placing and removing the bedpan, assessed by the caregiver using a Likert scale between 1 (easy) and 5 (impossible alone)

Assess bedpan stability during use48 hours

Stability will be evaluated by the tilting, or not, of the bedpan during use by the patient.

Trial Locations

Locations (5)

Nantes University Hospital

🇫🇷

Nantes, Loire Atlantique, France

CHU Cholet

🇫🇷

Cholet, France

CHU Laval

🇫🇷

Laval, France

CH Le Mans

🇫🇷

Le Mans, France

CHU Orleans

🇫🇷

Orléans, France

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