Education Importance and Pain Belief Differences Among Patients Who Underwent Orthopedic Surgery

Sponsor
Duzce University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT06104254
Collaborator
(none)
140
2
6.4

Study Details

Study Description

Brief Summary

The assessment of pain plays a crucial role in pain management. Nurses are instrumental in the identification, evaluation, and initiation of pain management strategies. In the literature, it is strongly recommended to provide education about postoperative pain management to patients, their families, and those responsible for patient care. Additionally, the development of a pain management plan and goals is advocated.

The optimal timing, content, and objectives of patient education depend on the type of pain (acute or chronic), the availability and effectiveness of treatment, and the patient's level of education and literacy. Educating individuals undergoing elective surgery or outpatient treatment about the likelihood and magnitude of acute pain they may experience, as well as informing them about available methods to prevent or alleviate this pain, is critical for pain management. Shindo et al. conducted a study suggesting that perioperative pain education significantly reduces postoperative opioid use.

According to the Health Belief Model, an individual's perception of health is influenced by their perception of the value of health, beliefs about illness, and beliefs about the consequences of illness. Therefore, when a patient's health beliefs and attitudes are determined, health education and treatment planning can be tailored more appropriately.

Condition or Disease Intervention/Treatment Phase
  • Other: education
N/A

Detailed Description

The assessment of pain plays a crucial role in pain management. Nurses are instrumental in the identification, evaluation, and initiation of pain management strategies. In the literature, it is strongly recommended to provide education about postoperative pain management to patients, their families, and those responsible for patient care. Additionally, the development of a pain management plan and goals is advocated.

The optimal timing, content, and objectives of patient education depend on the type of pain (acute or chronic), the availability and effectiveness of treatment, and the patient's level of education and literacy. Educating individuals undergoing elective surgery or outpatient treatment about the likelihood and magnitude of acute pain they may experience, as well as informing them about available methods to prevent or alleviate this pain, is critical for pain management. Shindo et al. conducted a study suggesting that perioperative pain education significantly reduces postoperative opioid use.

According to the Health Belief Model, an individual's perception of health is influenced by their perception of the value of health, beliefs about illness, and beliefs about the consequences of illness. Therefore, when a patient's health beliefs and attitudes are determined, health education and treatment planning can be tailored more appropriately.

Preoperative education is a significant component of the surgical process. Preoperative patient education is known to contribute to reduced postoperative pain and anxiety, as well as early discharge. Grä Sjöling et al. (2003) demonstrated in their study that preoperative education/information had an impact on postoperative pain scores. Furthermore, another study indicated that the majority of patients' greatest concern was the pain they might experience in the postoperative period. The information provided to patients about pain is associated with a high level of satisfaction. In this study, the aim is to determine the beliefs about postoperative pain and pain scores of patients undergoing orthopedic surgery following preoperative education. In this context, the study also aims to highlight the importance of involving patients in pain management and the preoperative patient education in the literature.

In this regard, the objective of the study is to examine the effects of postoperative mobilization times on patients' recovery status, pain levels, quality of life, and the development of complications after spinal surgery. By reporting the results of the study, it is anticipated that contributions will be made to the literature and that it will serve as a source for future research.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
140 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Masking Description:
single
Primary Purpose:
Supportive Care
Official Title:
Determining the Effect of Preoperative Education on Orthopedic Surgery Patients on Pain Beliefs and Pain-Related Care Needs in the Postoperative Period
Anticipated Study Start Date :
Nov 1, 2023
Anticipated Primary Completion Date :
Feb 15, 2024
Anticipated Study Completion Date :
May 15, 2024

Arms and Interventions

Arm Intervention/Treatment
No Intervention: control group

The patient who assign to control group, they will give standard ward care before surgery and we measure their pain beliefs and pain level. After operation we will asses their pain beliefs and pain level. the last measure will be carried out after 30 days operation.

Experimental: experimental group

The patient who assign to experimental group, we will measure their pain beliefs and pain level before surgery. After that a researcher will give an education before operation to these patients about pain, potential pain and pain management after surgery. we will asses these patients pain beliefs and pain level after surgery and 30 days later again.

Other: education
we will give an education to experimental group about pain and pain management.

Outcome Measures

Primary Outcome Measures

  1. Pain level [before operation and after surgery in the 30 days process]

    we will use to measure patient pain level Numeric Pain Scale (NPS) several times. The intensity of pain will measure the area in which the individual mark between 0 (no pain) and 10 (worst pain i felt in my life).

  2. Pain Beliefs [before operation and after surgery in the 30 days process]

    we will use to measure patient' pain belief with Pain Beliefs Questionnaire. Edwards and coworkers developed this survey to measure patients' pain beliefs in 1992. the survey has 12 questions. Likert-type scale items range from 1. (never) to 6 (always). An increase in the score obtained from the scale sub-dimension indicates a high pain belief in the sub-dimension, and a decrease in the score indicates a low pain belief in the relevant sub-dimension. Thanks to this survey we can measure both psychological and organic pain beliefs of patients. we will use the survey several times in different stages.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 70 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • being over 18 years old.

  • being conscious

  • there have not any auditory and understanding problem

  • being an elective surgery patient

Exclusion Criteria:
  • Being under 18 years of age,

  • being unconscious,

  • Rheumatoid arthritis patients,

  • Patients with mental illness,

  • Patients using psychiatric drugs,

  • Patients with a known history of cancer

  • Patients requiring urgent surgery

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Duzce University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Duzce University
ClinicalTrials.gov Identifier:
NCT06104254
Other Study ID Numbers:
  • ismailasatir
First Posted:
Oct 27, 2023
Last Update Posted:
Oct 31, 2023
Last Verified:
Oct 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Duzce University
Additional relevant MeSH terms:

Study Results

No Results Posted as of Oct 31, 2023