Research Project on the Risk of Discomfort, Pain, Alteration of Skin Condition in Bedpan Use by Patients and Caregivers
- 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
- 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.
- Patients with cognitive impairment preventing objective pain assessment or with neurological pathologies.
- Patients under guardianship, curatorship or safeguard of justice.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Assessment of pain during pelvic positioning Questioning the patient during hygiene care 48-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
Name Time Method 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
Name Time Method Assess alteration of skin condition at the seat of the patient using the bedpan 48 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 discomfort 48 hours Assess the proportion of patients with a MCID of the pain felt by the patient in pre-installation > 1.3 48 hours Assess patient discomfort on the bedpan 48 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 use 48 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