About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial population
The study population will consist of adult female patients (≥18 years old) scheduled for elective mastectomy surgery at a single academic hospital
Trial design
Cohort
Prospective
Treatments tested in this trial
Regional Analgesic Block
Other interventionPreoperative 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).
Treatment groups
Trial outcomes
Primary outcomes
Postoperative Sleep Quality Measured by RCSQ
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.
Locations
Sponsors and contacts
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Istinye University
Lead sponsor
Haseki Training and Research Hospital
Sponsor institution
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