About this trial
This prospective observational study aims to evaluate the relationship between preoperative immune-nutritional status and postoperative sleep quality in women undergoing total abdominal hysterectomy under general anesthesia. Immune-nutritional scores, including the Prognostic Nutritional Index (PNI) and Hemoglobin-Albumin-Lymphocyte-Platelet (HALP) score, will be calculated using routine preoperative blood parameters. Postoperative sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire (RCSQ). Secondary outcomes include postoperative pain scores and patient satisfaction. The study will enroll 60 patients and seeks to determine whether preoperative physiological markers can predict subjective recovery parameters such as sleep and comfort, potentially contributing to personalized perioperative care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female patients aged 18-70
ASA physical status I-III
Undergoing elective total abdominal hysterectomy under general anesthesia
Available complete blood count and biochemistry results within 24 hours preoperatively
Disqualifiers
History of neurological or psychiatric illness
Diagnosed sleep disorders
Current use of sedative or hypnotic medications
Undergoing additional surgical procedures during operation
Trial population
The study population consists of female patients aged 18 to 70 years undergoing elective total abdominal hysterectomy under general anesthesia at Haseki Training and Research Hospital. Participants must have available preoperative laboratory data and be able to complete postoperative questionnaires.
Trial design
Cohort
Prospective
Treatments tested in this trial
Immune-Nutritional Scoring and Postoperative Sleep Assessment
Other interventionRoutine preoperative laboratory data (hemoglobin, albumin, lymphocyte, platelet) will be used to calculate immune-nutritional scores (HALP, PNI). Postoperative sleep quality will be assessed with the Richards-Campbell Sleep Questionnaire (RCSQ).
Treatment groups
Trial outcomes
Primary outcomes
Postoperative Sleep Quality Score
Sleep quality will be measured using the Richards-Campbell Sleep Questionnaire (RCSQ), a validated 5-item instrument assessing sleep depth, latency, number of awakenings, efficiency, and overall quality. Each item is scored from 0 to 100, with higher scores indicating better sleep quality.
Secondary outcomes
Postoperative Pain Score
Pain levels will be assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst pain imaginable). Scores will be recorded at rest and during mobilization on each postoperative day.
Patient Satisfaction Score
Overall patient satisfaction with the perioperative experience will be assessed using a 0-10 numeric rating scale, with higher scores indicating greater satisfaction.
Locations
Sponsors and contacts
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Istinye University
Lead sponsor
Haseki Training and Research Hospital
Sponsor institution
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