The purpose of this study is to investigate whether the effects of biofeedback-based music programs using a smart device application can improve perioperative sleep quality in patients undergoing breast cancer surgery.
In a biofeedback-based music group, the patient performs an active respiratory intervention session, which induces a slow breathing pattern. If breathing has been slow enough, the automatic mode is activated to provide music based on the patient's own breathing pattern. The investigators will provide biofeedback-based music, which incorporates the patient's respiratory information, while no intervention will be performed in the control group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
68
The investigators will provide biofeedback-based music, which incorporates the patient's respiratory information. In a biofeedback-based music group, the patient performs an active respiratory intervention session, which induces a slow breathing pattern. If breathing has been slow enough, the automatic mode is activated to provide music based on patient's own breathing pattern. It automatically will be terminated 30 minutes after intervention.
The investigators will provide noise-canceling earplugs to minimize bias from noise in the ward.
Seoul National University Hospital
Seoul, South Korea
RECRUITINGThe Richards-Campbell Sleep Questionnaire on the day of the surgery
sleep quality questionnaires that are most commonly used in the ICU setting, RCSQ 1-5 (0-100), Average RCSQ (0-100), higher scores mean a better outcome
Time frame: The daytime after the surgery (POD1)
The Richards-Campbell Sleep Questionnaire on the day before the surgery
sleep quality questionnaires that are most commonly used in the ICU setting, RCSQ 1-5 (0-100), Average RCSQ (0-100), higher scores mean a better outcome
Time frame: on the day of the surgery before surgery
Pittsburgh Sleep Quality Index
A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. C1-7 (0-3), total (0-21), higher scores mean a worse outcome
Time frame: on the day before the surgery
Quality of recovery score 15 (QoR 15)
Korean version of quality of recovery-15 (0-150), higher scores mean a better outcome
Time frame: on the day before the surgery
Hospital Anxiety and Depression scale
Method to measure anxiety and depression in a general medical population of patient, total (0-42), K-HADS depression subscale(0-21), K-HADS anxiety (0-21), higher scores mean a worse outcome
Time frame: on the day before the surgery
The Richards-Campbell Sleep Questionnaire (baseline, usual patients' pattern)
sleep quality questionnaires that are most commonly used in the ICU setting, RCSQ 1-5 (0-100), Average RCSQ (0-100), higher scores mean a better outcome
Time frame: on the day before the surgery
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Quality of recovery score 15 (QoR 15)
Korean version of quality of recovery-15 (0-150), higher scores mean a better outcome
Time frame: after the surgery (POD1; Postoperative 24 hours)
Postoperative Pain
NRS score (0-11) of pain, higher scores mean a worse outcome
Time frame: after the surgery (POD1; Postoperative 24 hours)
The incidence of postoperative nausea and vomiting
Postoperative nausea and vomiting
Time frame: after the surgery (POD1; Postoperative 24 hours)
Postoperative opioid consumption
Postoperative opioid requirement
Time frame: after the surgery (POD1; Postoperative 24 hours)
Analgesics requirement
Analgesics other than opioid requirement
Time frame: after the surgery (POD1; Postoperative 24 hours)
Total sleep time (hours)
Duration of sleep
Time frame: The daytime after the surgery (POD1)
Time to fall asleep (minutes)
The time to sleep from intervention
Time frame: The daytime after the surgery (POD1)
Sleep quality (0-100)
VAS score for sleep quality (0-100), higher scores mean a better outcome
Time frame: The daytime after the surgery (POD1)
Sleep disturbance
Awakened from sleep (yes/no)
Time frame: The daytime after the surgery (POD1)
The reasons of sleep disturbance
Ask the patients who answered "yes" to the question of whether there was a disturbance during sleep.
Time frame: The daytime after the surgery (POD1)