Evaluation of the Effectiveness of Narrative Nursing

NCT06473220 | Completed

• 1 other identifier: 310638478
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Alzheimer Disease; Narrative; Depression, Anxiety

Outcome Measures

Primary Outcomes (4)

• 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

Study Arms (2)

Reference group

OTHER

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

Study group

EXPERIMENTAL

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

Interventions

Narrative nursing BEHAVIORAL

Narrative nursing is an intervention mode of psychological nursing.

Reference group; Study group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Nanjing Medical University: lead

Study Sites (1)

Gulou District

Nanjing, Jiangsu, 210029, China

Location

MeSH Terms

Conditions

Alzheimer Disease; Narration; Depression; Anxiety Disorders

Condition Hierarchy (Ancestors)

Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Communication; Behavior; Behavioral Symptoms

Study Officials

• Huang C ying, Bachelor

  The Affiliated Brain Hospital of Nanjing Medical University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 18, 2024
• First Posted: June 25, 2024
• Study Start: October 1, 2022
• Primary Completion: October 1, 2023
• Study Completion: October 30, 2023
• Last Updated: June 25, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)