Enhancing Patient Experience of Pain and Sleep Through Non-Pharmacological Strategies

Overview

Comfort can be a physical sensation, a psychological state, or both simultaneously (Pearson, 2009). Patient comfort in an inpatient setting is a subjective state that varies from each individual based on different factors and situations. The Richards-Campbell Sleep Questionnaire (R-CSQ) (Emami, Heidari, & Naseri et. al, 2019) and the Revised American Pain Society Outcome Questionnaire (APS-POQ-R) (Gordon, Palomino, & Pellino, et. al, 2010) are tools that have been developed to assess patient satisfaction and comfort in the hospital setting. The R-CSQ is a scale used to measure different aspects of sleep quality. This scale allows the patient to rate their quality and amount of sleep on a scale of 0-100. The R-CSQ allows the patient to rate six different components of their sleep, including sleep depth, sleep latency, awakenings, returning to sleep, sleep quality, and noise. The APS-POQ-R can be utilized to measure perceived levels of pain in patients. The APS-POQ-R scale is a validated scale that is used in the hospital setting with reliable and consistent results. This scale measures five aspects of a patient's perception and experiences with pain and a sixth aspect including nonpharmacological interventions.

We propose that if patients implement interventions that promote sleep and decrease pain, comfort will be improved.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: July 15, 2021

Detailed Description

Aim(s)/Objective(s)

- Improve patient sleep during their hospital stay.

- Determine patient self-reported pain assessment using non-pharmacologic strategies.

- Determine if the "patient toolkit" improves patient experience of pain and sleep.

Hypothesis 1. Primary Hypothesis Patients' experience of pain and sleep will improve with the implementation of interventions from our "patient toolkit".

.2. Secondary Hypothesis Patients will report an increase in sleep and a decrease in pain after use of the interventions provided in the "patient toolkit".

3. Tertiary Hypothesis Patients will report satisfaction with results gained through implementation of our "patient toolkit".

STUDY DESIGN

- 60 to 80 medical surgical patients per campus (MCMC, MDMC, MMMC, MRMC) will be recruited to participate (total: 240 to 320 patients) Only adult medical surgical patients over the age 20 will be recruited.

- Quasi-experimental, pre-/post-test, repeated measures interventional study

- Length of patients hospital stay will determine length of intervention used; average estimate is a four-day length of stay

- Give pre-assessment the morning after first night of admission (Day 2)

- Participants will receive a toolkit upon informed consent completion that will include intervention strategies (eye mask; ear plugs; puzzle book; adult coloring book; colored pencils; aromatherapy patches; herbal tea bags) and data collection booklet for pre-survey, daily survey, and post-survey

- Data will be collected over 6 to 10 weeks to achieve desired number of participants

- Anticipated completion of study will be December 2020

Interventions

  • Other: The Richards-Campbell Sleep Questionnaire (R-CSQ)
    • Tool developed to assess patient satisfaction and comfort in the hospital setting. The R-CSQ is a scale used to measure different aspects of sleep quality. This scale allows the patient to rate their quality and amount of sleep on a scale of 0-100. The R-CSQ allows the patient to rate six different components of their sleep, including sleep depth, sleep latency, awakenings, returning to sleep, sleep quality, and noise.
  • Other: Revised American Pain Society Outcome Questionnaire (APS-POQ-R)
    • The APS-POQ-R can be utilized to measure perceived levels of pain in patients. The APS-POQ-R scale is a validated scale that is used in the hospital setting with reliable and consistent results. This scale measures five aspects of a patient’s perception and experiences with pain and a sixth aspect including nonpharmacological interventions.

Arms, Groups and Cohorts

  • Hospitalized patients
    • Any patient admitted to the study units (MDMC: 10ST; MCMC: A6; MMMC: A3; MRMC: 3Medical ) that do not have any of the exclusion criteria

Clinical Trial Outcome Measures

Primary Measures

  • Patient Perception of Pain
    • Time Frame: From July 2020 until December 2020
    • The APS-POQ-R will measure patient perception of pain. This scale measures five aspects of patient’s perception and experiences with pain and a sixth aspect including nonpharmacological interventions.

Secondary Measures

  • Sleep Quality
    • Time Frame: From July 2020 until December 2020
    • The R-CSQ will measure different aspects of sleep quality. The R-CSQ allows the patient to rate six different components of their sleep, including sleep depth, sleep latency, awakenings, returning to sleep, sleep quality, and noise.

Participating in This Clinical Trial

Inclusion Criteria

Hospitals eligible to participate will meet the following criteria:

  • Part of the MHS (MCMC, MDMC, MMMC, MRMC)
  • The hospital has at least one clinical site/sub-investigator on-staff
  • Hospital has 150 or more inpatient beds

Patients eligible to participate will meet the following criteria:

  • Any patient admitted to the study units (MDMC: 10ST; MCMC: A6; MMMC: A3; MRMC: 3Medical ) that do not have any of the exclusion criteria described below
  • Age: 20+ y/o
  • Must be able to speak/read/write/understand English
  • Willing to utilize study interventions and complete survey booklet

Exclusion Criteria

Hospitals outside of MHS will be excluded.

Patients will be excluded for the following reasons:

  • Patients admitted for surgical procedure
  • Change in clinical status and deterioration requiring higher level care
  • Altered mental status
  • Any history of dementia and/or Alzheimer's
  • Disoriented/confused
  • Patients suffering with chronic pain
  • Patients on patient-controlled analgesia
  • Observation status patients

Gender Eligibility: All

Minimum Age: 20 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Methodist Health System
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Laura Sweatt, MSN, RN, Principal Investigator, Methodist Health System
  • Overall Contact(s)
    • Crystee Cooper, DHEd, 214-947-1285, CrysteeCooper@mhd.com

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