Effect of multicomponent intervention on delirium and sleep quality in orthopedic patients

Not Applicable

Recruiting

Conditions: Orthopedic surgery patients.
Disorder of continuity of bone, unspecified
M84.9

Registration Number: IRCT20150919024080N22

Lead Sponsor: Khoram-Abad University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 96

Inclusion Criteria

Patients with orthopedic traumas including upper, lower limbs, pelvis and single fractures of the spine, who need at least 3 days of hospitalization after surgery in the surgery department and are on the surgery list
Having consent to cooperate
Not having a hearing problem (based on the whisper test)
Age range of 55 years and above
The duration of the patient's anesthesia for surgery is between 30 minutes and 3 hours
Absence of confusion based on CAM test
Mini–mental state examination (MMSE) score in the range of 18 to 30
Non-diagnosis of mental patients and history of taking haloperidol, risperidone, quetiapine, hypnotic herbal supplements and hypnotic drugs before hospitalization (self-report)

Exclusion Criteria

Transfer to another center and not providing treatment due to the death of the patient or medical reasons
Concurrent participation in similar research
Patients with dementia (MMSE less than 18)
Patients with head, face, chest and spinal cord injuries
Patients who undergo orthopedic surgery more than once during hospitalization
Patients with history of traumatic brain injury, brain surgery and stroke in the last 6 months
Occurrence of delirium or severe sleep disorder that makes the patient need drug treatment

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Delirium. Timepoint: Before the intervention and 48 and 72 hours after surgery. Method of measurement: Confusion Assessment Method (CAM).;Sleep quality. Timepoint: Before the intervention and 48 hours after surgery. Method of measurement: Richards Campbell Sleep Questionnaire.

Secondary Outcome Measures

Name	Time	Method
ength of stay of orthopedic surgery patients after surgery in the surgery department. Timepoint: The length of the patient's stay in the ward after surgery until discharge. Method of measurement: Based on the patient's electronic file.;Mortality rate during the first month after surgery. Timepoint: 30 days after surgery. Method of measurement: Telephone interview.