The post-operative geriatric patients who present Post-operative Cognitive Dysfunction (POCD). cognitive dysfunction Postoperative telemedicine Geriatric
Conditions
Interventions
The participants will be asked to complete a 4-week tele-cognitive stimulation program, which consists of online cognitive stimulation exercises and home programs.
1. Online cognitive stimulation exer
Experimental Other,No Intervention No treatment
Telecognitive program,Control
Sponsors
Faculty of Medicine Siriraj hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: The participants will include geriatric patients and their relatives. Patient participants will be included if they: 1. Are aged 60 years or older. 2. Are undergoing medium to large surgeries. 3. Receive anesthesia via general anesthesia (GA), regional anesthesia (RA), or a combination of GA and RA. 4. Present with American Society of Anesthesiologists (ASA) physical status levels I to III. 5. Have a preoperative MoCA score of 19 or higher. 6. Exhibit post-operative cognitive impairment, defined as a reduction in MoCA score of at least 2 points, with a total score not exceeding 24 points approximately one week after surgery. 7. Are able to communicate in Thai, read, write, and perform basic calculations. 8. Have access to a computer or tablet that allows online communication via video conference, and have a home internet service network. 9. Have smartphones with mobile internet service and the Line application. 10. Have relatives who can assist with technology during participation in online cognitive stimulation activities and help with cognitive stimulation exercises at home. Relatives of the patients will be included if they: 1. Are aged 18 years or older. 2. Are a relative of an elderly patient with post-operative cognitive impairment who is participating in this research project. 3. Are able to communicate in Thai, read, write, and perform basic calculations. 4. Can use a computer or tablet to communicate online via video conference and are proficient in using the Line application.
Exclusion criteria
Exclusion criteria: The exclusion criteria are not available in this study. However, the patients will be withdraw following 1. Participants, patients, or relatives wish to withdraw from the research project. Volunteer patients participate in online cognitive stimulation activities less than 70% of the total prescribed number (fewer than 6 times out of 8). participant patients complete cognitive stimulation exercises at home less than 70% of the total prescribed number (fewer than 14 times out of 20). participant patients develop complications that cause cognitive impairment during the research, such as delirium, stroke, or CNS infection. participant patients receive medications that cause cognitive impairment during the research, which include benzodiazepines, antipsychotics, antidepressants, anticonvulsants, anticholinergics, antihistamines, and steroids. Volunteer patients consume alcohol, smoke, use drugs, or use cannabis extracts during the research. Volunteer patients undergo repeat surgery during participation in the research.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| coognitive performance baseline, 4-week, and 12-week after intervention The montreal cognitive assessment (MoCA) score will be compared between control and intervention groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactPanate Pukrittakayamee
Faculty of Medicine Siriraj hospital, Mahidol University.
Outcome results
None listed