Determination of the Effect of Puzzle Use in Elderly Patients

NCT ID: NCT05796830

Last Updated: 2023-04-04

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-03-28
• Study Completion Date: 2023-12-29

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.

Conditions

Quality of Life; Surgery; Postoperative Confusion; Cognitive Dysfunction

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

Intervention Group

Before the operation, the rules of the puzzle will be explained to the patients in the intervention group and how it will be applied will be shown. Then, Patient Diagnosis Form, Mini-Mental State Test and Quality of Life Scale will be administered.On the 1st, 2nd and 3rd days after the surgery, the rules of the puzzle will be reminded again and the puzzle will be applied to the patients once a day. After the puzzle application on the 1st, 2nd and 3rd days after the surgery, the Mini-Mental State Test will be applied to the patients. Postoperative Recovery Index and Quality of Life Scale will be applied on the 3rd postoperative day.

Group Type: ACTIVE_COMPARATOR

Puzzle application

Intervention Type: OTHER

Five expert opinions will be taken for the puzzle application to be applied after the surgery, and the application and difficulty level of the puzzle will be decided.

Control Group

Patients in the control group will be followed according to routine clinical procedure. Since there are no procedures or interventions in clinical procedures, only patient monitoring will be performed. The patients in the control group will also be followed and evaluated with the same forms at the same time.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Puzzle application

Five expert opinions will be taken for the puzzle application to be applied after the surgery, and the application and difficulty level of the puzzle will be decided.

Intervention Type: OTHER

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

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Saglik Bilimleri Universitesi

OTHER

Sponsor Role: lead

Responsible Party

Elif Gezginci

Assoc. Prof

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Emel Çanakçı, RN

Role: PRINCIPAL_INVESTIGATOR

Saglik Bilimleri Universitesi

Central Contacts

Emel ÇANAKÇI, RN

Role: CONTACT

canakciiemel@gmail.com

+905454710063

Elif Gezginci, Assoc. Prof.

Role: CONTACT

elif.gezginci@sbu.edu.tr

+905320656343

References

Rundshagen I. Postoperative cognitive dysfunction. Dtsch Arztebl Int. 2014 Feb 21;111(8):119-25. doi: 10.3238/arztebl.2014.0119.

Reference Type: BACKGROUND

PMID: 24622758 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 28877756 (View on PubMed)

Other Identifiers

22-106

Identifier Type: -

Identifier Source: org_study_id