Determination of the Effect of Puzzle Use in Elderly Patients

The aim of this study is to determine the effects of the use of a simple, reliable and cost-effective puzzle on post-operative cognitive function changes, postoperative recovery, and quality of life using questionnaires and face-to-face interview techniques.

Inclusion Criteria: * 65 years and older, * Having been hospitalized in the orthopedic service for at least three days after the operation, * Having undergone orthopedic surgery, * No hearing or vision problems, * Able to communicate, * No cognitive or psychiatric problems, * At least primary school graduate, * Patients who agreed to participate in the study Exclusion Criteria: * Using jigsaw puzzles regularly, * Using drugs that affect memory and thinking These drugs are: 1. Sedative and Hypnotic Drugs * Benzodiazepines * Barbiturates * Non-barbiturate * Other Sedative and Hypnotics (zolpidem, buspirone, hydroxyzine) 2. Anticonvulsant Drugs 3. Drugs Used in Parkinson's Treatment 4. Drugs Used in the Treatment of Psychiatric Diseases 5. Drugs with Narcotic Analgesic Effects 6. Anesthetic Drugs 7. Neuromuscular Blocking Drugs - Patients with cerebrovascular accident or head injury