Evaluation of the Effectiveness of Narrative Nursing
- Conditions
- NarrativeDepression, AnxietyAlzheimer Disease
- Interventions
- Behavioral: Narrative nursing
- Registration Number
- NCT06473220
- Lead Sponsor
- Nanjing Medical University
- Brief Summary
To explore the effects of narrative nursing on mental state, life ability and emotion of patients with Alzheimer's disease (AD).
- Detailed Description
There is no effective clinical treatment, mainly through taking Western drugs to control the Alzheimer's disease, but the treatment cycle is long, the cost of drugs is high, and the patient's family nee care, resulds long-termting in a huge economic and psychological burden on the patient and family recipients. Narrative nursing is an intervention mode of psychological nursing.In practice, narrative nursing can guide patients to actively organize experiences into various events with certain practical significance, attach importance to personal feelings and experiences, promote the psychological growth of patients and promote the generation of upward motivation.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 100
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Reference group Narrative nursing 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. Study group Narrative nursing 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.
- Primary Outcome Measures
Name Time Method MMSE sore After 1, 2 and 4 weeks after hospitalization 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.
HAMD score After 1, 2 and 4 weeks after hospitalization 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.
ESCA score After 1, 2 and 4 weeks after hospitalization 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.
HAMA score After 1, 2 and 4 weeks after hospitalization 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.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Gulou District
🇨🇳Nanjing, Jiangsu, China