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
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：非随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：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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无干预：usual nursing care
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Bedtime in minutes
大体时间：Daily for up to 14 days from date of giving informed consent to hospital discharge
|
Protocol of daily bedtime
|
Daily for up to 14 days from date of giving informed consent to hospital discharge
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Sleeps through the night consistently, 5 point ordinal scale from "severe compromised" to "not compromised"
大体时间：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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Inappropriate napping, 5 point ordinal scale ranging from "sever" to "none"
大体时间：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
|
|
Cognitive performance (Mini-mental-status-test score)
大体时间：Once in first three days after giving informed consent and another time 7 or 14 days later
|
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
大体时间：Once in first three days after giving informed consent and another time 7 or 14 days later
|
Handgrip strength in Pascal
|
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)
大体时间：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
|
|
Medical chart review for discharge domicile after hospitalisation (nursing home, home, other institution, other)
大体时间：day 7 or 14
|
Domicile after hospital discharge
|
day 7 or 14
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Application frequency of the nursing (ritual) protocol
大体时间：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
|
合作者和调查者
调查人员
- 首席研究员：Hanna Burkhalter, Dr. sc. med.、Center of Sleep Medicine
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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