Evaluation of the Effectiveness of Narrative Nursing

Evaluation of the Effectiveness of Narrative Nursing in Patients With Alzheimer's Disease

To explore the effects of narrative nursing on mental state, life ability and emotion of patients with Alzheimer's disease (AD).

Study Overview

• Status: Completed
• Conditions: Alzheimer Disease; Depression, Anxiety; Narrative
• Intervention / Treatment: Behavioral: Narrative nursing

Detailed Description

There is no effective clinical treatment, mainly through taking Western drugs to control the Alzheimer's disease, but the treatment cycle is long, the cost of drugs is high, and the patient's family nee care, resulds long-termting in a huge economic and psychological burden on the patient and family recipients. Narrative nursing is an intervention mode of psychological nursing.In practice, narrative nursing can guide patients to actively organize experiences into various events with certain practical significance, attach importance to personal feelings and experiences, promote the psychological growth of patients and promote the generation of upward motivation.

• Study Type: Interventional
• Enrollment (Actual): 100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• China
  • Jiangsu
    • Nanjing, Jiangsu, China, 210029
      • Gulou District

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Clinical diagnosis of Alzheimer's Disease.
2. Forgetting is the main cognitive impairment;.
3. The patient has basic language communication ability.
4. Patients were treated with the same regimen.

Exclusion Criteria:

1. Patients with other common neurological and mental disorders (depression, psychosis, vascular cognitive impairment).
2. Patients with heart, liver and other vital organ dysfunction.
3. Patients with severe cardiovascular disease.
4. Patients with severe physical disorders.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Reference group; The reference group carried out routine nursing, that is, the most appropriate intervention measures were properly formulated according to the actual condition degree and various levels of physical fitness of the patients, and the patients were urged to take drugs according to the doctor's advice every day. Nurses should conduct oral health promotion for patients; Administering medication and a daily healthy diet regimen; Patients with orientation and language communication disorders were given nursing care step by step. Continuous care for 2 months.	Behavioral: Narrative nursing; Narrative nursing is an intervention mode of psychological nursing.
Experimental: Study group; The research group cooperated with the implementation of narrative nursing. The detailed measures are as follows: ① Establish a narrative nursing special group. ② Narrative data collection. ③ Pay attention to the scientific evaluation of narrative content. ④ Edit the narrative reasonably. ⑤ Strengthen interview intervention. Continuous care for 2 months.	Behavioral: Narrative nursing; Narrative nursing is an intervention mode of psychological nursing.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
MMSE sore	The simple mental state Intelligence Scale (MMSE) was used to evaluate the mental state of the patients before and after the nursing intervention. The scale was mainly composed of 5 dimensions, namely orientation ability, recall ability, memory ability, attention and calculation ability, and language ability, and contained a total of 30 items. The total score was 0-30 points, the higher the score, the better the mental state of the patients.	After 1, 2 and 4 weeks after hospitalization
ESCA score	The self-care ability measurement (ESCA) scale was used to evaluate the practical self-care ability of patients in the two groups before and after nursing intervention. The scale was mainly composed of four dimensions: self-concept, health knowledge mastery level, sense of responsibility, and self-care practical skills, and contained 43 items with a total score of 0-172. It shows that the actual ability of self-care is better.	After 1, 2 and 4 weeks after hospitalization
HAMD score	The score consisted of 17 items, including self-awareness, work and interest, gastrointestinal symptoms, weight loss, hypochondriasis, sleep difficulty, etc. The total score < 7 was considered normal, 7 to 17 divided into possible depression syndrome, > 17-24 were classified as having depression, and> 24 were classified as major depression.	After 1, 2 and 4 weeks after hospitalization
HAMA score	The score includes two dimensions: spirituality and physicality, with a total of 14 items, including gastrointestinal and digestive symptoms, depressive mood, sensory system symptoms, behavioral manifestations when communicating with others, somatic anxiety, cognitive function, etc. The total score is > 28, which is classified as severe anxiety, 21 to 28 grades are anxious, 14 to < 21 is classified as anxiety, 7 to < 14 scores may have anxiety, and <7 is considered normal.	After 1, 2 and 4 weeks after hospitalization

Collaborators and Investigators

• Sponsor: Nanjing Medical University
• Investigators: Study Chair: Huang C ying, Bachelor, The Affiliated Brain Hospital of Nanjing Medical University

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2022
• Primary Completion (Actual): October 1, 2023
• Study Completion (Actual): October 30, 2023

Study Registration Dates

• First Submitted: June 18, 2024
• First Submitted That Met QC Criteria: June 23, 2024
• First Posted (Actual): June 25, 2024

Study Record Updates

• Last Update Posted (Actual): June 25, 2024
• Last Update Submitted That Met QC Criteria: June 23, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Neurodegenerative Diseases; Dementia; Tauopathies; Alzheimer Disease
• Other Study ID Numbers: 310638478

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Respect privacy rights.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No