Postoperative Environment on Pain Following Pelvic Reconstructive Surgery



Status:Recruiting
Conditions:Post-Surgical Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - 85
Updated:7/15/2018
Start Date:May 2, 2018
End Date:December 2019
Contact:Eunsun Yook, MS
Email:eunsun_yook@trihealth.com
Phone:513-463-4300

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The Influence of Postoperative Environment on Patient Satisfaction and Perception of Care Following Pelvic Reconstructive Surgery

This study is to determine if patients following prolapse repair including vaginal vault
suspension have decreased pain measured via a visual analog scale (VAS) on postoperative day
one and just prior to discharge when exposed to the diad of music and positive images
compared to patients receiving standard care.

Over the past decade, interest has grown in improving the patient experience. As part of this
movement, studies have sought to evaluate the mechanisms by which the postoperative
environment affects a patient's outcome and perception of healing.

Literature review reveals efforts by both medical and design teams towards improving the
experience of the patient and developing an environment that promotes healing. Changes to the
physical environment have been shown to have an impact on satisfaction. These parameters have
included music and art. Considering the effort that is now going into improving the patient
experience and developing this theory of healing spaces, there has yet to be a randomized
controlled trial evaluating these alternative therapies in the urogynecologic patient
population. Although each of these modalities appears beneficial, we believe that a
combination of these would be even more useful. Indeed, these treatments are also relatively
easy to implement without undue cost or burden to the hospital. This study seeks to determine
the influence of applying music and art to the post operative environment for patients
recovering from major urogynecologic surgery on pain.

Inclusion Criteria:

- Adults 18-85 years of age

- English speaking

- Undergoing surgery for pelvic organ prolapse to include an apical vaginal vault
suspension by a physician at Cincinnati Urogynecology Associates, TriHealth

- Concomitant procedures such as hysterectomy, suburethral sling, anterior or posterior
colporrhaphy, bilateral salpingectomy or salpingooophorectomy will be included

- Ability to complete the questionnaires and provide consent

- Willingness to listen to music at the minimum recommended time intervals

Exclusion Criteria:

- Unwillingness to participate in the study

- Physical or mental impairment that would affect the subject's ability to utilize the
modified environment such as deafness, blindness or dementia

- Patients who take daily narcotics or NSAIDS

- Patients with history of Drug or Alcohol Abuse

- Patients with chronic pain syndromes

- Non English speaking

- Patients that do not undergo a vaginal apical suspension procedure
We found this trial at
1
site
Cincinnati, Ohio 45220
Principal Investigator: Rachel N Pauls, MD
?
mi
from
Cincinnati, OH
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