1. To establish doctor-nurse-patient cooperative analgesic linkage program. 2. Evaluate the effect of doctor-nurse-patient cooperative analgesic linkage program on movement evoked pain after laparotomy for patients with hepatobiliary and pancreatic disease through quasi-experimental study.
Part I The establishment of doctor-nurse-patient cooperative analgesic linkage program 1. Based on literature review and clinical investigation results, initially make a doctor-nurse-patient cooperative analgesic linkage program through discussion in experts consensus meeting. 2. Using Delphi method, determine the doctor-nurse-patient cooperative analgesic linkage program after two rounds consultation. Part II Clinical application study of doctor-nurse-patient cooperative analgesic linkage program. Conduct non-randomized control study in corresponding period. 80 patients from two wards which managed by the same medical and nursing team were divided into experimental and control group. Patients in the control group were received routine post-operative analgesia pump and analgesics, and functional rehabilitation, while ones in the experimental group were received doctor-nurse-patient cooperative analgesic linkage program. Evaluate the effect of pain control during rehabilitation, adverse events during rehabilitation, patients' satisfaction of pain control.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
80
Dezocine 10mg were intramuscular injected at 8:00am, 4:00pm and 12:00pm.
Dezocine 10mg were intramuscular injected at at 6:00am, 2:00pm and 10:00pm.
Dynastat 40mg or Flurbiprofen Axetil 50mg were administrated intravenously at 9:00am, 4:00pm and 12:00pm.
Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
RECRUITINGmovement evoked pain (Numerical rating scale)
Assess movement evoked pain during rehabilitation. Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain.
Time frame: Each rehabilitation within 3 days after surgery
pain at rest (Numerical rating scale)
Assess pain at rest before rehabilitation.Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain.
Time frame: Each rehabilitation within 3 days after surgery
satisfaction questionare of pain control
Patients answer the questionare and rate the satisfaction of pain control. The questionnaire includes 7 items indicating different aspect of pain control. Patients rate their satisfaction using score. The score ranges from 1 to 5. 1 is extremely not satisfied, 5 is extremely satisfied.
Time frame: three days after surgery
the time of first bowel movement
Record the time of first bowel movement after surgery
Time frame: three days after surgery
total dose of analgesics
record and calculate the total dose of analgesics
Time frame: three days after surgery
pain at night (Numerical rating scale)
Asess the pain at rest during night.Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain.
Time frame: three days after surgery
adverse events during rehabilitation
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Dynastat 40mg or Flurbiprofen Axetil 50mg were administrated intravenously at at 6:00am, 2:00pm and 10:00pm.
Rehabilitation was conducted at 8:00am and 2:00pm.
Dose of analgesia pump was added if needed.
Dose of analgesia pump was added if needed. Add one dose of analgesia pump 10 minutes before rehabilitation.
adverse events during rehabilitation, such as nausea, vomiting, headache, falls
Time frame: three days after surgery