Symptoms and General Pathology

All Conditions

Digestive System Diseases

Neoplasms

Nervous System Diseases

Pain, Postoperative

Pain

Pancreatic Diseases

Anaplasia

Postoperative Complications

Neurologic Manifestations

Gastrointestinal Diseases

Neoplastic Processes

Analgesics

All Drugs and Chemicals

Anti-Inflammatory Agents

Antirheumatic Agents

Central Nervous System Depressants

Parecoxib

Flurbiprofen

Dezocine

Flurbiprofen axetil

Anti-Inflammatory Agents, Non-Steroidal

Analgesics, Non-Narcotic

Cyclooxygenase Inhibitors

Enzyme Inhibitors

Cyclooxygenase 2 Inhibitors

Analgesics, Opioid

Narcotics

Patients in the experimental group were received doctor-nurse-patient cooperative analgesic linkage program.

Patients in the control group were received routine analgesic and functional rehabilitation.

Dezocine 10mg were intramuscular injected at 8:00am, 4:00pm and 12:00pm.

Routine Dezocine injection

Dezocine 10mg were intramuscular injected at at 6:00am, 2:00pm and 10:00pm.

Adjusted Dezocine injection

Dynastat 40mg or Flurbiprofen Axetil 50mg were administrated intravenously at 9:00am, 4:00pm and 12:00pm.

Routine Dynastat or Flurbiprofen Axetil jinjection

Dynastat 40mg or Flurbiprofen Axetil 50mg were administrated intravenously at at 6:00am, 2:00pm and 10:00pm.

Adjusted Dynastat or Flurbiprofen Axetil jinjection

Rehabilitation was conducted at 8:00am and 2:00pm.

postoperative rehabilitation

Dose of analgesia pump was added if needed.

normal analgesia pump administration

Dose of analgesia pump was added if needed. Add one dose of analgesia pump 10 minutes before rehabilitation.

adjusted analgesia pump administration

Caijuan Xu, master

Yuping Zhang, master

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.

the Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain

The Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain After Laparotomy for Patients With Hepatobiliary and Pancreatic Disease

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.

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.

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.

Record the time of first bowel movement after surgery

record and calculate the total dose of analgesics

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.

adverse events during rehabilitation, such as nausea, vomiting, headache, falls

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
the Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain	NCT03823846	Pain, Postopera... Anaplasia	Routine Dezocin... Adjusted Dezoci... Routine Dynasta... Adjusted Dynast... postoperative r... normal analgesi... adjusted analge...	18 Years -	Second Affiliated Hospital, School of Medicine, Zhejiang University
the Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain	NCT03823846	Pain, Postopera... Anaplasia	Routine Dezocin... Adjusted Dezoci... Routine Dynasta... Adjusted Dynast... postoperative r... normal analgesi... adjusted analge...	18 Years -	Second Affiliated Hospital, School of Medicine, Zhejiang University

Spots Global Cancer Trial Database for normal analgesia pump administration