Daily Sleep Enhancement for Hospitalized People With Dementia Following a Nursing Protocol

Not Applicable

Completed

• Conditions: Sleep; Dementia
• Interventions: Procedure: daily sleep enhancement nursing protocol

• Registration Number: NCT02953574
• Lead Sponsor: University of Zurich

Brief Summary

The purpose of this study is to determine if the daily performance of a 7 step bedtime nursing protocol for hospitalized people living with dementia is feasible and if it has an effect on bedtime and daytime variables.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-09
• Study First Submitted: 2016-10-20
• Study First Submitted QC: 2016-10-31
• Study First Posted: 2016-11-03
• Status Verified: 2017-08
• Primary Completion: 2017-08-03
• Study Completion: 2017-08-03
• Last Update Submitted: 2017-08-07
• Last Update Posted: 2017-08-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• diagnosis of dementia of any severity and type
• Allocation to geriatric rehabilitation treatment

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Exclusion Criteria

• sleep related respiratory or moving related disorders or Parasomnia
• delirium
• end of life care

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
daily sleep enhancement nursing protocol	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)

Primary Outcome Measures

Name	Time	Method
Bedtime in minutes	Daily for up to 14 days from date of giving informed consent to hospital discharge	Protocol of daily bedtime

Secondary Outcome Measures

Name	Time	Method
Sleeps through the night consistently, 5 point ordinal scale from "severe compromised" to "not compromised"	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: 1. severe compromised; 2. substantial compromised; 3. moderate compromised; 4. mild compromised; 5. not compromised
Inappropriate napping, 5 point ordinal scale ranging from "sever" to "none"	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: 1. severe; 2. substantial; 3. moderate; 4. mild; 5. none
Cognitive performance (Mini-mental-status-test score)	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
Physical performance measured with the Handgrip strength test	Once in first three days after giving informed consent and another time 7 or 14 days later	Handgrip strength in Pascal
Use of drugs promoting sleep (sedative neuroleptics, hypnotics, sedative antidepressant in the time between 18:00-24:00) (nominal variable: yes or no)	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 )
Medical chart review for discharge domicile after hospitalisation (nursing home, home, other institution, other)	day 7 or 14	Domicile after hospital discharge