Daily Sleep Enhancement for Hospitalized People With Dementia Following a Nursing Protocol
Daily Sleep Enhancement for Hospitalized People With Dementia Following a 7 Step Nursing Protocol: a Quasi-experimental Pilot Study
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- diagnosis of dementia of any severity and type
- Allocation to geriatric rehabilitation treatment
Exclusion Criteria:
- sleep related respiratory or moving related disorders or Parasomnia
- delirium
- end of life care
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：daily sleep enhancement nursing protocol
A 7 step nursing protocol. Each step is daily provided to the demented patient through a nurse by bedtime. Step 1: serve a late snack Step 2: evening care (brush teeth, get pyjama on, go to toilette) Step 3: note and treat physical circumstances that restrain sleep (pain, obstipation,...) Step 4: ensure comfortable position abed Step 5: assist to eliminate stressful situation (calm, reorientating conversation) Step 6: turn off the light Step 7: care for a silent environment (turn off Television, radio and "do not disturb"-sign at the door) |
|
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介入なし：usual nursing care
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Bedtime in minutes
時間枠：Daily for up to 14 days from date of giving informed consent to hospital discharge
|
Protocol of daily bedtime
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Daily for up to 14 days from date of giving informed consent to hospital discharge
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Sleeps through the night consistently, 5 point ordinal scale from "severe compromised" to "not compromised"
時間枠：Every second day for up to 14 days from date of giving informed consent to hospital discharge
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Subitem of the Outcome 'Sleep' from the Nursing Outcome Classification (NOC) Scale:
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Every second day for up to 14 days from date of giving informed consent to hospital discharge
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Inappropriate napping, 5 point ordinal scale ranging from "sever" to "none"
時間枠：Every second day for up to 14 days from date of giving informed consent to hospital discharge
|
Subitem of the Outcome 'Sleep' from the Nursing Outcome Classification (NOC) Scale:
|
Every second day for up to 14 days from date of giving informed consent to hospital discharge
|
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Cognitive performance (Mini-mental-status-test score)
時間枠：Once in first three days after giving informed consent and another time 7 or 14 days later
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Mini-mental-status-test score (range 0-30). Any score greater than or equal to 24 points (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment |
Once in first three days after giving informed consent and another time 7 or 14 days later
|
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Physical performance measured with the Handgrip strength test
時間枠：Once in first three days after giving informed consent and another time 7 or 14 days later
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Handgrip strength in Pascal
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Once in first three days after giving informed consent and another time 7 or 14 days later
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Use of drugs promoting sleep (sedative neuroleptics, hypnotics, sedative antidepressant in the time between 18:00-24:00) (nominal variable: yes or no)
時間枠：day 1,2 and day 6,7 or 13,14
|
Medical charts review for sedative neuroleptics (e.g.
Quetiapine, Haloperidol), sedative antidepressives (e.g.
Trazodon), hypnotics present (Benzodiazepines, benzodiazepine-like drugs) in the time between 18:00-24:00 (nominal variable: yes or no )
|
day 1,2 and day 6,7 or 13,14
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Medical chart review for discharge domicile after hospitalisation (nursing home, home, other institution, other)
時間枠：day 7 or 14
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Domicile after hospital discharge
|
day 7 or 14
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Application frequency of the nursing (ritual) protocol
時間枠：Every day for up to 14 days from date of giving informed consent to hospital discharge
|
Daily protocol of the received and of the refused interventions of the nursing ritual (frequency)
|
Every day for up to 14 days from date of giving informed consent to hospital discharge
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Hanna Burkhalter, Dr. sc. med.、Center of Sleep Medicine
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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