Orthopedic surgery patients. Disorder of continuity of bone, unspecified
Conditions
Interventions
Intervention 1: Intervention group: First, in order to check the patient's medical history, allergy history, drug history and to ensure the absence of allergies and specific drug reactions, the electr
Sponsors
Khoram-Abad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame |
|---|---|
| Length 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. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMansureh Sohrabi
Khoram-Abad University of Medical Sciences
Outcome results
None listed