Effect of Cognitive Behavioral Therapy Before Surgery on Delirium in School-Aged Children With Sleep Disorders Undergoing Heart Surgery

What this Trial Is About

Researchers are investigating whether preoperative sleep interventions can reduce the occurrence of postoperative delirium in school-aged children with sleep disorders undergoing congenital heart surgery. This multicenter, randomized, controlled clinical trial includes children aged 6 to 12 years with sleep disorders confirmed by the Childrens Sleep Habits Questionnaire. The study aims to provide guidance on preventing delirium after cardiac surgery by comparing an intervention group receiving a cognitive-behavioral therapy CBT with a control group receiving standard care. Participants in the intervention group receive a short, intensive cognitive-behavioral intervention 7 to 14 days before surgery, delivered daily through a WeChat mini-program. Guardians help implement the therapy and record daily sleep diaries. Children wear actigraph devices before and after surgery to monitor sleep. The control group follows routine clinical practice without intervention. Researchers monitor sleep quality, pain, organ injury, and recovery outcomes during the hospital stay. Children are assessed through questionnaires, actigraphy, and sleep diaries before surgery and followed up within seven days post-surgery to evaluate delirium incidence and other health outcomes. Sleep habits are reassessed the day before surgery. Researchers also measure blood markers related to inflammation and organ function at specific perioperative times. The total study participation includes preoperative intervention, hospitalization monitoring, and postoperative follow-up until discharge or seven days after surgery.

Preoperative Sleep Intervention on Postoperative Delirium in School-aged Children Undergoing Congenital Heart Surgery