A Clinical Evaluation of the Relationship Between Preoperative Immune-Nutritional Scores and Postoperative Sleep Quality in Women Undergoing Total Abdominal Hysterectomy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 主要终点
- Postoperative Sleep Quality Score
研究概览
简要总结
This prospective observational study aims to evaluate the relationship between preoperative immune-nutritional status and postoperative sleep quality in women undergoing total abdominal hysterectomy under general anesthesia. Immune-nutritional scores, including the Prognostic Nutritional Index (PNI) and Hemoglobin-Albumin-Lymphocyte-Platelet (HALP) score, will be calculated using routine preoperative blood parameters. Postoperative sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire (RCSQ). Secondary outcomes include postoperative pain scores and patient satisfaction. The study will enroll 60 patients and seeks to determine whether preoperative physiological markers can predict subjective recovery parameters such as sleep and comfort, potentially contributing to personalized perioperative care.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Female patients aged 18-70
- •ASA physical status I-III
- •Undergoing elective total abdominal hysterectomy under general anesthesia
- •Available complete blood count and biochemistry results within 24 hours preoperatively
- •Planned to stay at least one night postoperatively
- •Sufficient cognitive ability to understand and complete questionnaires
- •Provided written informed consent
排除标准
- •History of neurological or psychiatric illness
- •Diagnosed sleep disorders
- •Current use of sedative or hypnotic medications
- •Undergoing additional surgical procedures during operation
- •Requiring postoperative intensive care
- •Operated under spinal or epidural anesthesia
结局指标
主要结局
Postoperative Sleep Quality Score
时间窗: Postoperative first night
Sleep quality will be measured using the Richards-Campbell Sleep Questionnaire (RCSQ), a validated 5-item instrument assessing sleep depth, latency, number of awakenings, efficiency, and overall quality. Each item is scored from 0 to 100, with higher scores indicating better sleep quality.
次要结局
- Postoperative Pain Score(Post-anesthesia care unit (PACU), postoperative day 1 and day 2 (rest and mobilization))
- Patient Satisfaction Score(Postoperative day 2)
研究者
İlke Dolgun
Assoc. prof
Haseki Training and Research Hospital