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Master Thesis

GLOBALPS : prise en charge globale par des pratiques non conventionnelles, choisies par le patient, dans son parcours de soins : une étude randomisée en deux étapes

Abstract : Nowadays, the management of displaced wrist fractures in trauma emergencies is standardised due to their large number. Thereby, we have noticed that patients do not always have a good experience of their visit to the emergency room. In order to improve the experience and the memory of their visit to the emergency room, we decided to make them actors of their care and to take their emotions into account. To do this, we have created a "cart" of unconventional analgesic therapies from which patients can choose the complementary analgesic therapy they want, according to their tastes, emotions and desires and thus make their care unique. The aim of this study is to evaluate the effectiveness of personalized analgesic treatments, using an offer that integrates the addition of non- conventional practices, one of which is chosen by the patient himself as a complement to conventional treatment, compared to the conventional care offer alone, when treating wrist fractures that require orthopedic reduction in an emergency department. This experimental study is a prospective, monocentric, randomized, two-stage, open-label study. An inclusion of 234 subjects over 24 months is necessary to obtain an enough sufficient and satisfactory power. They will be randomized at first. Then, depending on the group in which they belong, they’ll either be randomized a second time or be in measure to choose their treatment arm. The main endpoint is a clinically relevant reduction of 1.3 points on the simple numerical scale of pain when the fracture reduction is done, between conventional treatment alone and the addition of complementary therapies to the latter. This study will enable us to determine the treatment effect of unconventional therapies compared to conventional analgesic treatment alone during an acute painful stimulation (reduction of wrist fracture). It will also allow us to consider the effect of the patient's preference in his treatment as well as the effect of selection. In this way, we hope to improve the analgesic treatment and personalise it for each patient during a visit to the emergency room, in order for them to have better memories and be able to manage their emotions the best way possible. This study has not yet been validated by the ethics committee.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03266199
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, June 30, 2021 - 2:08:22 PM
Last modification on : Friday, July 2, 2021 - 3:27:58 AM

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  • HAL Id : dumas-03266199, version 1

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Julien Granet, Mathieu Zimmermann. GLOBALPS : prise en charge globale par des pratiques non conventionnelles, choisies par le patient, dans son parcours de soins : une étude randomisée en deux étapes. Médecine humaine et pathologie. 2020. ⟨dumas-03266199⟩

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