Determination of the Effect of Puzzle Use on Cognitive Functions, Surgical Recovery and Quality of Life in Elderly Patients Undergoing Orthopedic Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 主要终点
- Change of Quality of Life by Quality of Life Scale in Older People (CASP-19)
研究概览
简要总结
The aim of this study is to determine the effects of the use of a simple, reliable and cost-effective puzzle on post-operative cognitive function changes, postoperative recovery, and quality of life using questionnaires and face-to-face interview techniques.
详细描述
Aging is a process involving biological, physiological and psychological changes. With aging, deterioration in brain, behavior and cognitive functions is observed. In this process, physical and cognitive deficiencies and slow thinking can be seen. The independence of elderly individuals in meeting their self-care decreases. Over time, individuals become unable to meet their needs and this reduces the quality of life of individuals. With the developing technology, perioperative care techniques began to develop and the number of surgical procedures applied to elderly patients began to increase.One of the most important goals in the field of health today and in the future will be to increase the quality of life of individuals. It is becoming increasingly important to determine the effective factors to protect cognitive functions in elderly individuals.After surgical procedures, patients may experience memory loss and decrease in concentration. Symptoms indicating a decrease in cognitive functions were named as postoperative cognitive dysfunction. Compared to other individuals undergoing surgery, the rate of cognitive changes in the early period is higher in the elderly.Especially, elderly patients who underwent orthopedic surgery are thought to be a risky patient group for postoperative cognitive impairment.Solving jigsaw puzzles is a low-cost, motivating, visuospatial cognitive-challenging activity.This study will be conducted in order to determine the effect of this strain on the cognitive functions of the individual and to investigate the effect of focusing on completing the puzzle on post-operative recovery and quality of life, as it will focus the individual's perception on a certain point.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •65 years and older,
- •Having been hospitalized in the orthopedic service for at least three days after the operation,
- •Having undergone orthopedic surgery,
- •No hearing or vision problems,
- •Able to communicate,
- •No cognitive or psychiatric problems,
- •At least primary school graduate,
- •Patients who agreed to participate in the study
排除标准
- •Using jigsaw puzzles regularly,
- •Using drugs that affect memory and thinking
- •These drugs are:
- •Sedative and Hypnotic Drugs
- •Benzodiazepines
- •Barbiturates
- •Non-barbiturate
- •Other Sedative and Hypnotics (zolpidem, buspirone, hydroxyzine)
- •Anticonvulsant Drugs
- •Drugs Used in Parkinson's Treatment
- •Drugs Used in the Treatment of Psychiatric Diseases
- •Drugs with Narcotic Analgesic Effects
- •Anesthetic Drugs
- •Neuromuscular Blocking Drugs - Patients with cerebrovascular accident or head injury
结局指标
主要结局
Change of Quality of Life by Quality of Life Scale in Older People (CASP-19)
时间窗: 3rd day after the surgery
Quality of Life Scale in Older People (CASP-19) will be applied on the 3rd postoperative day. The scale consists of 19 items and four sub-dimensions. These sub-dimensions are control, autonomy, pleasure, and self-actualization. Each item of the original scale was graded as a 4-point Likert-type scale ranging from "never" (0 points) to "always" (3 points). Scale items are scored between 0 and 3 points. An increase in the score obtained from the scale indicates an increase in the quality of life.
Change of Cognitive Function by the Standardized Mini-Mental Test
时间窗: 1st, 2nd and 3rd days after the surgery
1st, 2nd and 3rd days after the surgery, the puzzle will be applied to the patients once a day. Then the Standardized Mini-Mental Test will be applied to the patients.This test is a measurement tool that can be easily administered within 5-10 minutes, does not include questions about mental processes, and focuses only on cognitive processes.The Standardized Mini Mental Test consists of 11 items under 5 main headings: orientation (10 points), attention and calculation (5 points), recording (3 points) and recall memory (3 points) and language (9 points). It is evaluated out of 30 points. The increase in the score obtained from the test indicates that the severity of cognitive destruction decreases.
Change of Postoperative Recovery by the Postoperative Recovery Index
时间窗: 3rd day after the surgery
Postoperative Recovery Index will be applied on the 3rd postoperative day. Postoperative Recovery Index consists of 5 sub-dimensions and 25 items. Sub dimensions; psychological symptoms, physical activities, general symptoms, intestinal symptoms, and craving-desire symptoms. While determining the sub-dimension score, the scores of the related items are summed and their arithmetic averages are taken. For the total score; All items are summed and the arithmetic average is taken. It states that the higher the scores obtained from the index, the more difficulty in post-operative recovery, and the easier the post-operative recovery as the scores decrease.
次要结局
未报告次要终点
研究者
Elif Gezginci
Assoc. Prof
Saglik Bilimleri Universitesi