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Pain Neuroscience Education in elective surgery patients: study protocol for a randomised controlled trial. | LitMetric

AI Article Synopsis

  • Pain Neuroscience Education (PNE) aims to help patients understand pain mechanisms to improve postoperative recovery by potentially reducing pain levels, anxiety, and the reliance on medication.
  • The study involves a randomized controlled trial with 100 participants undergoing elective surgery, where one group receives PNE educational sessions alongside standard care, while the control group only gets the standard care.
  • Ethical approval has been secured, and the recruitment process for participants began in June 2023, ensuring informed consent is obtained before inclusion in the study.

Article Abstract

Background: Pain Neuroscience Education (PNE) consists of an educational strategy that seeks to understand the biological processes of pain and how to control it. The main objective of this study will be to evaluate the impact of PNE on outcomes related to the postoperative period. The hypothesis is that the intervention may positively influence postoperative recovery, contributing to pain control, clinical indications, acceptance and consumption of analgesics and other pharmacological drugs that contribute to its control, as well as psychological aspects, such as anxiety, depression and pain catastrophising.

Methods And Analysis: This will be an open, parallel, multicentre and randomised controlled clinical trial. A total of 100 participants aged between 18 and 59 years of age, of both genders, who are going to have elective general surgery will be evaluated. The intervention group will participate in a preoperative pain neuroscience educational session and also receive usual preoperative care, while the control group receives usual preoperative care as well. The educational session will last 30 min and consists of a video (5:20 min), a questionnaire about the content, time for participants to express their beliefs, thoughts and doubts. Participants will be evaluated preoperatively and there will be one postintervention evaluation. The intensity and characteristics of pain and anxiety are evaluated as primary outcomes. As secondary outcomes, pain catastrophising and depression are taken into account.

Ethics And Dissemination: The project was approved by the Research Ethics Committee of the Faculty of Ceilandia, the Research Ethics Committee of the Institute of Strategic Health Management of the Federal District and the Research Council of the Hospital of Brasília-Rede Dasa (CAAE: 28572420.3.0000.8093). Recruitment began in June of 2023. All participants were included in the study only after their written consent. All data obtained will be analysed and distributed through publication in journals and at scientific events.

Trial Registration Number: Brazilian Registry of Clinical Trials (ReBEC) (RBR-23mr7yy).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982765PMC
http://dx.doi.org/10.1136/bmjopen-2023-078743DOI Listing

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