Clinical trial NCT04044716: Nurse Initiated Acupressure for Pain Management
Official title: Nurse Initiated Auricular Acupressure for Post-operative Pain Management in Knee and Hip Arthroplasty Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pain, Postoperative
Pain, Acute
Keywords: auricular acupressure
anesthesia
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
First posted: 2019-08-05
Enrollment: 65
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Arm 1 Treatment group, Arm 2 Control group, Arm 3 Nurse Interventionist group
Primary purpose: TREATMENT

Brief summary: The purpose of pilot study is to test the feasibility of nurse initiated post-operative bilateral auricular acupressure as an adjunct to medication for post-operative pain management.

Detailed description: Postoperative pain management has become an area of concern over the last decade due to the opioid epidemic and concerns related to their use as the primary pain management strategy. Joint Commission requires that hospitals have additional pain non-pharmacologic pain management tools at their disposal to an effort decrease the reliance on opioids. Acupuncture and acupressure have been used for centuries in the management of a variety of disorders including pain. Unlike acupuncture, acupressure can be easily applied with limited training and is within the scope of practice for nurses, according to the North Carolina Board of Nursing. Thus evidence based non-pharmacologic strategies that can be deployed by nursing are of benefit to hospital organizations.

Eligibility criteria: Inclusion Criteria:

* Adults 18-80 admitted for knee or hip arthroplasty
* Pre-surgery morphine equivalent \< 50
* American Society of Anaesthesiologists (ASA) score \< 3

Exclusion Criteria:

* Participants with a history of skin disease (psoriasis), adhesive allergy, history of delirium, or cognitive impairment

Primary outcomes:
measure: Visual Analogue Pain Scale
timeFrame: Up to Post-operatively day 4, at rising approximately 6 am
measure: Visual Analogue Pain Scale
timeFrame: Up to Post-operatively day 4, at the end of the day approximately 10 pm
measure: Medication Use - Outpatient Opioids
timeFrame: Up to post-operatively day 4
measure: Medication Use - Inpatient Opioids
timeFrame: Up to post-operatively day 4
measure: Medication Use - Total Other Analgesics
timeFrame: Up to post-operatively day 4
Secondary outcomes:
measure: Visual Analogue Pain Scale
timeFrame: Baseline
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 1, at rising
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 2, at rising
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 3, at rising
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 4, at rising
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 1, at the end of the day
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 2, at the end of the day
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 3, at the end of the day
measure: Visual Analogue Pain Scale
timeFrame: post-operatively day 4, at the end of the day
measure: Mean Number of Pellets Retained
timeFrame: Up to post-operatively day 4
measure: Number of Participants Who Responded They Were Satisfied With Pain Management
timeFrame: post-operatively day 4
measure: Number of Participants Who Responded "Yes, Would Definitely Consider Using in the Future."
timeFrame: post-operatively day 4
measure: Nurse Time to Deploy Pellets
timeFrame: post-operatively day 5
measure: Number of Nurse Concerns Reported
timeFrame: post-operatively day 0 and 1
Other outcomes:
Locations:
city: Bermuda Run
country: United States
facility: Davie Medical Center
state: North Carolina
Study officials:
affiliation: Wake Forest University Health Sciences
name: Carolyn S Huffman, WHNP, PhD
role: PRINCIPAL_INVESTIGATOR
References: