Elderly surgical patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age ≥ 60 years old 2. Elective surgery under GA/RA 3. At least 7 days prior operation 4. ASA physical status 1,2, 3 5. Having music playing equipment eg. smart phone, computer, laptop, or tablet 6. Having DVD / VCD/ Clip VDO file playing equipment eg. computer, laptop, DVD player, smart phone, or tablet 7. Able to read, write, communicate with Thai language
Exclusion criteria
Exclusion criteria: 1. Been diagnosed of dementia, delirium, or mental retardation (History / Medical record) 2. Been diagnosed of active psychiatric disorder or organic mental disorder (History / Medical record) 3. HADS-A ≥ 12 with suicidal ideation or need of seeing a psychiatrist 4. Current taking antidepressants, antipsychotics, or benzodiazepines 5. Unable to practice music therapy and /or relaxation training 6. Hearing and/ or Visual deficit (Deafness, Blindness) 7. Brain or heart surgery 8. Surgery under monitor anesthesia care (MAC) 9. Refuse to sign consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety At admission, Postoperative day 2 or 3, At 1-month & 3-month post-surgery Thai Hospital Anxiety and Depression Scale (Anxiety score) Thai version | — |
Secondary
| Measure | Time frame |
|---|---|
| The effect of anxiety on Quality of recovery At admission, Postoperative day 2 or 3, At 1-month & 3-month post-surgery Quality of recovery-35 Thai version,The effect of anxiety on ICU length of stay Postoperative Patient reported outcome using medical record,The effect of anxiety on Hospital length of stay Postoperative Patient reported outcome using medical record,The effect of anxiety on discharge status Postoperative Patient reported outcome using medical record,The effect of postoperative complications Postoperative Patient reported outcome using medical record,Average pain score on postoperative day 1,2,3, and total dose of pain medication Postoperative Patient reported outcome using medical record,Functional status at 1 and 3 month Post-operation questionnaire interview,Re-operation post-discharge at 1 and 3 month Post-operation questionnaire interview,Incidence of death at 1 and 3 month Post-operation questionnaire interview (data from relatives),Readmission at 1 and 3 month Post-operation questionnaire interview | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj Hospital, Mahidol University