Clinical trial NCT05796830: Determination of the Effect of Puzzle Use in Elderly Patients
Official title: Determination of the Effect of Puzzle Use on Cognitive Functions, Surgical Recovery and Quality of Life in Elderly Patients Undergoing Orthopedic Surgery
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Quality of Life
Surgery
Postoperative Confusion
Cognitive Dysfunction
Keywords: Postoperative Recovery, Cognitive Function, Surgery, Quality of Life, Elderly Patient
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
First posted: 2023-04-04
Enrollment: 70
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This studyis a single-center and randomized controlled clinical trial. Patients who accepted to participate in the study and met the inclusion criteria will be assigned to the intervention (n= 35) or control group (n= 35) according to the computer- based randomization table.
Primary purpose: OTHER

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* Using jigsaw puzzles regularly,
* Using drugs that affect memory and thinking

These drugs are:

1. Sedative and Hypnotic Drugs

   * Benzodiazepines
   * Barbiturates
   * Non-barbiturate
   * Other Sedative and Hypnotics (zolpidem, buspirone, hydroxyzine)
2. Anticonvulsant Drugs
3. Drugs Used in Parkinson's Treatment
4. Drugs Used in the Treatment of Psychiatric Diseases
5. Drugs with Narcotic Analgesic Effects
6. Anesthetic Drugs
7. Neuromuscular Blocking Drugs - Patients with cerebrovascular accident or head injury

Primary outcomes:
measure: Change of Cognitive Function by the Standardized Mini-Mental Test
timeFrame: 1st, 2nd and 3rd days after the surgery
measure: Change of Postoperative Recovery by the Postoperative Recovery Index
timeFrame: 3rd day after the surgery
measure: Change of Quality of Life by Quality of Life Scale in Older People (CASP-19)
timeFrame: 3rd day after the surgery
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Saglik Bilimleri Universitesi
name: Emel Çanakçı, RN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Rundshagen I. Postoperative cognitive dysfunction. Dtsch Arztebl Int. 2014 Feb 21;111(8):119-25. doi: 10.3238/arztebl.2014.0119.
citation: Fissler P, Kuster OC, Loy LS, Laptinskaya D, Rosenfelder MJ, von Arnim CAF, Kolassa IT. Jigsaw Puzzles As Cognitive Enrichment (PACE) - the effect of solving jigsaw puzzles on global visuospatial cognition in adults 50 years of age and older: study protocol for a randomized controlled trial. Trials. 2017 Sep 6;18(1):415. doi: 10.1186/s13063-017-2151-9.