Application of Dynamic Pain Assessment and Management System in Perioperative Period of Patients With Incarcerated Mixed Hemorrhoids

Early Phase 1Not Yet RecruitingNCT07183345

The Affiliated Hospital of Putian University64 enrolled

Overview

This study aims to investigate whether the dynamic pain assessment and management system can alleviate postoperative pain in patients with incarcerated mixed hemorrhoids and reduce the incidence of complications. A total of 64 eligible patients were enrolled and randomly divided into two groups, with the specific grouping and intervention methods as follows: ① Control Group: Routine drug analgesia and conventional nursing education were adopted. ② Study Group: Patients were managed with the dynamic pain assessment and management system, which included preoperative administration of analgesic drugs, postoperative traditional Chinese medicine (TCM) fumigation, wrist-ankle acupuncture for pain relief, and personalized nursing education. The study evaluated the effect of the dynamic pain assessment and management system on postoperative analgesia by comparing the Numerical Rating Scale (NRS) scores for pain, recording the Visual Analogue Scale (VAS) scores for quality of life, and analyzing the incidence of complications among patients in different groups. The primary hypothesis of the study is that, compared with routine pain management methods, the dynamic pain assessment and management system can significantly reduce postoperative pain in patients, improve their quality of life, and decrease the incidence of complications (such as bleeding and urinary retention).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Incarcerated Mixed Hemorrhoids

Interventions

Dynamic Pain Assessment and Management SystemOTHER

Personalized nursing education was adopted. These measures include the use of preoperative analgesic drugs, postoperative Traditional Chinese Medicine (TCM) fumigation, and wrist-ankle acupuncture for pain relief.

Routine drug analgesiaDRUG

adopted routine drug analgesia and conventional nursing education

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged between 18 and 75 years old * Diagnosed with grade III-IV incarcerated mixed hemorrhoids according to the Goligher classification * Undergoing standard hemorrhoidectomy * Receiving simple intraspinal anesthesia Exclusion Criteria: * Pregnant or lactating patients * Patients receiving immunotherapy or with coagulation dysfunction * Patients who need to use various analgesic drugs daily * Complicated with other anorectal diseases (such as perianal abscess, anal fistula, anal incontinence) * Complicated with other systemic diseases (cardiac insufficiency; hepatic or renal insufficiency; diabetes mellitus; coagulation disorders; peptic ulcer, etc.) * Incomplete perioperative clinical data * Unable to cooperate with follow-up

Outcomes

Primary Outcomes

Pain Numerical Rating Scale (NRS)

The NRS uses a linear numerical range of "0 to 10" to represent pain intensity. Patients select the corresponding number based on their own perception, where a score of 0 indicates no pain at all, and a score of 10 represents the most severe pain you can imagine.

Time frame: Baseline, Day 1, 3, 5, 7, and Day 14±2

Secondary Outcomes

Incidence Rate of Complications

Measurements include the incidence rate of complications such as postoperative hemorrhage and urinary retention

Time frame: within 30 days after surgery

Length of Hospital Stay

with hours as the unit, and standardized discharge criteria are adopted.

Time frame: from the end of surgery to discharge (a maximum of 7 days)