Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study

Background. Pain is commonly experienced following surgical procedures. Suboptimal management is multifactorial. Objectives. The primary objective was to assess whether patients used a device (Navimed) to self-report pain over and above a normal baseline of observations. Secondary outcome measures i...

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Main Authors: Luke Mordecai, Frances H. L. Leung, Clarissa Y. M. Carvalho, Danielle Reddi, Martin Lees, Stephen Cone, Zoe Fox, Amanda C. de C. Williams, Brigitta Brandner
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2016/9704185
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author Luke Mordecai
Frances H. L. Leung
Clarissa Y. M. Carvalho
Danielle Reddi
Martin Lees
Stephen Cone
Zoe Fox
Amanda C. de C. Williams
Brigitta Brandner
author_facet Luke Mordecai
Frances H. L. Leung
Clarissa Y. M. Carvalho
Danielle Reddi
Martin Lees
Stephen Cone
Zoe Fox
Amanda C. de C. Williams
Brigitta Brandner
author_sort Luke Mordecai
collection DOAJ
description Background. Pain is commonly experienced following surgical procedures. Suboptimal management is multifactorial. Objectives. The primary objective was to assess whether patients used a device (Navimed) to self-report pain over and above a normal baseline of observations. Secondary outcome measures included comparison of pain scores and patient use of and feedback on the device. Methods. In a prospective randomized controlled trial, elective gynaecological surgery patients received standard postoperative pain care or standard care plus the Navimed, which allowed them to self-report pain and offered interactive self-help options. Results. 52 female patients, 26 in each of device and standard groups, did not differ in the frequency of nurse-documented pain scores or mean pain scores provided to nurses. The device group additionally reported pain on the device (means 18.50 versus 11.90 pain ratings per day, t(32)=2.75, p<0.001) that was significantly worse than reported to nurses but retrospectively rated significantly less anxiety. 80% of patients found the device useful. Discussion and Conclusion. This study demonstrates that patients used the Navimed to report pain and to help manage it. Further work is required to investigate the difference in pain scores reported and to develop more sophisticated software.
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spelling doaj-art-004ffb1e7d4545d9bfbf1dc2c9b39b532025-08-20T02:01:46ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/97041859704185Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept StudyLuke Mordecai0Frances H. L. Leung1Clarissa Y. M. Carvalho2Danielle Reddi3Martin Lees4Stephen Cone5Zoe Fox6Amanda C. de C. Williams7Brigitta Brandner8University College London Hospital, London NW1 2BU, UKUniversity College London Hospital, London NW1 2BU, UKUniversity College London Hospital, London NW1 2BU, UKUniversity College London Hospital, London NW1 2BU, UKUniversity College London Hospital, London NW1 2BU, UKUniversity College London Hospital, London NW1 2BU, UKUCL and the Education Unit, Biomedical Research Centre, UCL Institute of Neurology, London WC1E 6BT, UKResearch Department of Clinical, Educational & Health Psychology, University College London, London WC1E 6BT, UKUniversity College London Hospital, London NW1 2BU, UKBackground. Pain is commonly experienced following surgical procedures. Suboptimal management is multifactorial. Objectives. The primary objective was to assess whether patients used a device (Navimed) to self-report pain over and above a normal baseline of observations. Secondary outcome measures included comparison of pain scores and patient use of and feedback on the device. Methods. In a prospective randomized controlled trial, elective gynaecological surgery patients received standard postoperative pain care or standard care plus the Navimed, which allowed them to self-report pain and offered interactive self-help options. Results. 52 female patients, 26 in each of device and standard groups, did not differ in the frequency of nurse-documented pain scores or mean pain scores provided to nurses. The device group additionally reported pain on the device (means 18.50 versus 11.90 pain ratings per day, t(32)=2.75, p<0.001) that was significantly worse than reported to nurses but retrospectively rated significantly less anxiety. 80% of patients found the device useful. Discussion and Conclusion. This study demonstrates that patients used the Navimed to report pain and to help manage it. Further work is required to investigate the difference in pain scores reported and to develop more sophisticated software.http://dx.doi.org/10.1155/2016/9704185
spellingShingle Luke Mordecai
Frances H. L. Leung
Clarissa Y. M. Carvalho
Danielle Reddi
Martin Lees
Stephen Cone
Zoe Fox
Amanda C. de C. Williams
Brigitta Brandner
Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study
Pain Research and Management
title Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study
title_full Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study
title_fullStr Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study
title_full_unstemmed Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study
title_short Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study
title_sort self managing postoperative pain with the use of a novel interactive device a proof of concept study
url http://dx.doi.org/10.1155/2016/9704185
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