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Surgery to correct scoliosis (spinal fusion)generates a severe pain intensity rending pain management a complex task. Several studies have found out that pharmacological interventions alone were not enough to provide optimal pain management for these patients. The investigators developed a DVD on guided imagery, customized for teenagers, to help them cope better with their pain. The investigators believe that this type of intervention combined with their usual analgesic medication will help them to control their pain and foster rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard care | No Intervention | ||
| Guided imagery | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Guided imagery intervention | Behavioral | A 30-min DVD was developed which included general information on pain management as well as a section on guided imagery using sounds and images. |
| Measure | Description | Time Frame |
|---|---|---|
| Level of pain intensity | Pain was measured before the patients left the hospital on their 7th postoperative day (T-1, time of discharge from hospital). It was measured again at two week post-discharge (T-2) and also at one month post-discharge (T-3) on their visit to the orthopedic clinic. Our primary outcome was at T-2. | Level of pain intensity at two weeks after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Level of anxiety | Anxiety was measured as baseline data on the pre-operative visit (24 hrs before surgery). It was also measured at two weeks post-discharge and at one month on the day of the visit to the orthopedic clinic. | Level of anxiety from 24-hrs before the surgery, to two weeks and to one month after the surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sylvie Le May, RN, PhD | Université de Montréal | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Ste-Justine Hospital | Montreal | Quebec | H3T 1C5 | Canada |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D012600 | Scoliosis |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013121 | Spinal Curvatures |
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| Level of coping |
Coping strategies of adolescents regarding their pain management were also measured pre-operatively (24 hrs before surgery), at two weeks and one month post-surgery. |
| Level of coping from Baseline (pre-operative), to two weeks and to one month after the surgery |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |