title: Self-Managing Postoperative Pain with the Use of a Novel, Interactive Device: A Proof of Concept Study.
abstract: 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.
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Luke
authors.initials: L
authors.lastname: Mordecai
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Frances H L
authors.initials: FH
authors.lastname: Leung
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Clarissa Y M
authors.initials: CY
authors.lastname: Carvalho
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Danielle
authors.initials: D
authors.lastname: Reddi
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Lees
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Stephen
authors.initials: S
authors.lastname: Cone
authors.affiliation: UCL and the Education Unit, Biomedical Research Centre, UCL Institute of Neurology, London WC1E 6BT, UK.
authors.forename: Zoe
authors.initials: Z
authors.lastname: Fox
authors.affiliation: Research Department of Clinical, Educational & Health Psychology, University College London, London WC1E 6BT, UK.
authors.forename: Amanda C de C
authors.initials: AC
authors.lastname: Williams
authors.affiliation: University College London Hospital, London NW1 2BU, UK.
authors.forename: Brigitta
authors.initials: B
authors.lastname: Brandner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D030141:Feedback, Psychological / Q000502:physiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology; D010147:Pain Measurement; D010149:Postoperative Pain / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D011446:Prospective Studies; D012648:Self Care / Q000295:instrumentation / Q000379:methods*; D057566:Self Report; D016037:Single-Blind Method; D013997:Time Factors; D055815:Young Adult