Anesthesia Techniques, Postoperative Recovery, Sleep Quality
Conditions
Brief summary
This prospective observational study investigates the impact of preoperative regional anesthesia on postoperative sleep quality in patients undergoing mastectomy. Sleep quality will be assessed using two validated tools: the Richards-Campbell Sleep Questionnaire (RCSQ) for all participants, and the Pittsburgh Sleep Quality Index (PSQI) in a subgroup. The study also examines the relationship between sleep quality and postoperative pain, patient satisfaction, and psychological status measured by the Hospital Anxiety and Depression Scale (HADS). Patients will be grouped based on anesthesia technique-general anesthesia alone or general anesthesia combined with regional block-and sleep outcomes will be compared. The study aims to provide evidence on how anesthetic technique and psychological factors affect recovery and sleep quality after breast cancer surgery.
Interventions
OTHERRegional Analgesic Block
Preoperative regional analgesic block performed as part of routine clinical care in selected patients undergoing mastectomy (e.g., PECS block, paravertebral block, or other truncal blocks).
Sponsors
Istinye University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Female patients aged 18 years or older * Undergoing elective mastectomy surgery * ASA physical status I to III * Willing and able to provide written informed consent * Expected to remain hospitalized for at least 24 hours postoperatively
Exclusion criteria
* History of major psychiatric or neurological disorders * Regular use of antidepressants, anxiolytics, or hypnotics * Difficult airway management during anesthesia (e.g., intubation or ventilation complications) * Reoperation within the first 24 hours after surgery * Inability to complete questionnaires due to deep sedation or visual/auditory impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Sleep Quality Measured by RCSQ | Postoperative Day 1 (the morning after surgery) | Postoperative sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire (RCSQ) on the first morning after surgery. The total score ranges from 0 (poor sleep) to 100 (excellent sleep). Comparison will be made between patients receiving general anesthesia alone and those receiving general anesthesia combined with regional block. |
Contacts
Primary Contactilke dolgun
Outcome results
None listed