Study of the Benefit of a Nurse (IDE) Pre and Post-operative Framework in Proctology Outpatient Surgery

Study Overview
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Brief Summary
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Evaluate the complement of patient care course in the development of proctology outpatient surgery (CAP) by providing: An additional preoperative nurse consultation day hospital And a phone call from a nurse at D + 1 of the operation This corresponds to a reinforced support.

Detailed Description
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Main objective of the study: help improve the care of patients in CAP including during their exit after surgery. To evaluate the quality of patient care related to this enhanced system is a lever of development assistance outpatient surgical activity. Secondary Objectives: To evaluate the impact of this new organization Satisfaction of patients and caregivers The effectiveness of the management of patients' pain Study period: 3 months extendable a month, no start date announced Workforce to include 100 patients at 3 months (10 per week), 50 in the enhanced support group and 50 in the group usual care Expected results: The main objective evaluation criteria: Evaluation support the success rate. Evaluation performed 45 days after the patient's surgery. Secondary objectives: patient satisfaction (telephone questionnaire to 45 days of operation), caregivers, pain assessment (painkillers booklet completed by the patient during his first consultation), consultation or rehospitalization for emergency patients and finally degree trust the doctor vis-à-vis this new support.

Official Title
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Study of the Benefit of a Nurse (IDE) Pre and Post-operative Framework in Proctology Outpatient Surgery

Conditions
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Proctology, Surgery

Intervention / Treatment
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* Procedure: Enhanced support
* Procedure: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient man or woman major Patient primary surgery and requiring care in CAP Patient affiliated to a social security scheme or of such a scheme Exclusion Criteria: Bedridden patient and / or not communicating Patient opposing his participation in the study after information Patient has already undergone anal surgery

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patients having Enhanced Support<br>A preoperative consultation with a nurse. This time will be dedicated to the preparation of returning home: explanation of the clinical pathway, realization of postoperative wound care, information on pain management and answer any questions the patient. A nurse call on D + 1, the day after the operation to ensure the smooth running of returning home, assess postoperative pain, the correct performance of local care, answer questions from the patient, and provide advice to to limit pain .. A reminder to J2 / J3 will be produced at the request of the patient or on FDI initiative if particular difficulties are reported | Procedure: Enhanced support<br> <br> |
| Experimental: Patients having usual care<br>no intervention will be made for this group. Patients will receive usual care respecting intern procedure | Procedure: Usual care<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of the success rate of the treatment using intern questionary score |  | Day 45 after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of patient satisfaction by intern phone questionary Score |  | Day 45 after surgery |