Is Positive Communication Sufficient to Modulate Procedural Pain and Anxiety in the Emergency Department? A Randomized Controlled Trial
Bibliographic Data
| ID | 19308077 |
|---|---|
| Authors | Chantal Berna (0000-0001-8258-7412, Centre universitaire de médecine générale et santé publique, Lausanne), Anne Favre-Bulle (University of Lausanne), Adélaïde Bonzon (University of Lausanne), Nathan Gross (University of Lausanne), Ariane Gonthier (University of Lausanne), Hélène Gerhard-Donnet (University of Lausanne), Patrick Taffé (0000-0002-2049-6651, Centre universitaire de médecine générale et santé publique, Lausanne), Olivier Hügli (0000-0003-2312-1625, University of Lausanne) |
| Year | 2023 |
| Volume | 85 |
| Issue | 9 |
| Pages | 772-777 |
| Publication date | 2023-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Psychosomatic Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0033-3174 • E-ISSN: 1534-7796 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/psy.0000000000001246 |
| PMID | 37678374 |
| OpenAlex | W4386526229 |
| Language | EN |
| References cited | 25 |
OBJECTIVE: Research suggests that therapeutic communication could enhance patient comfort during medical procedures. Few studies have been conducted in clinical settings, with adequate blinding. Our hypothesis was that a positive message could lead to analgesia and anxiolysis, and that this effect would be enhanced by an empathetic interaction with the nurse performing the procedure, compared with an audio-taped message. This study aimed to modulate the contents and delivery vector of a message regarding peripheral intravenous catheter (PIC) placement in the emergency department (ED). METHODS: This study was a 2 + 2 randomized controlled trial registered on ClinicalTrials.gov (NCT03502655). A positive versus standard message was delivered through audio tape (double-blind) in the first phase ( N = 131) and through the nurse placing the catheter (single-blind) in the second phase ( N = 120). RESULTS: By design, low practitioner empathic behavior was observed in the first phase (median, 1 of 5 points). In the second phase, higher empathic behavior was observed in the positive than in the standard message (median, 2 versus 3, p .2). CONCLUSIONS: The positive communication intervention did not impact pain or anxiety reports after PIC. There might have been a floor effect, with low PIC pain ratings in a context of moderate pain due to the presenting condition. Hence, such a therapeutic communication intervention might not be sufficient to modulate a mild procedural pain in the ED
Anxiety · Blinding · Clinical trial · Context (archaeology) · Emergency department · Intervention (counseling) · Physical therapy · Psychiatry · Randomized controlled trial · Internal Medicine · Medicine · Music Therapy and Health · Nursing · Patient-Provider Communication in Healthcare · Pediatric Pain Management Techniques
| Highly cited | No |
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