Daily Sleep Enhancement for Hospitalized People With Dementia Following a 7 Step Nursing Protocol: a Quasi-experimental Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 主要终点
- Bedtime in minutes
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •diagnosis of dementia of any severity and type
- •Allocation to geriatric rehabilitation treatment
排除标准
- •sleep related respiratory or moving related disorders or Parasomnia
- •end of life care
研究组 & 干预措施
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)
干预措施: daily sleep enhancement nursing protocol (Procedure)
usual nursing care
结局指标
主要结局
Bedtime in minutes
时间窗: Daily for up to 14 days from date of giving informed consent to hospital discharge
Protocol of daily bedtime
次要结局
- 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)
- 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)
- Cognitive performance (Mini-mental-status-test score)(Once in first three days after giving informed consent and another time 7 or 14 days later)
- 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)
- 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 chart review for discharge domicile after hospitalisation (nursing home, home, other institution, other)(day 7 or 14)