Evaluation of the Effectiveness of Narrative Nursing

Nanjing Medical University100 enrolled

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

100

Conditions

Alzheimer Disease Narrative Depression, Anxiety

Interventions

Narrative nursingBEHAVIORAL

Narrative nursing is an intervention mode of psychological nursing.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Clinical diagnosis of Alzheimer's Disease. 2. Forgetting is the main cognitive impairment;. 3. The patient has basic language communication ability. 4. Patients were treated with the same regimen. Exclusion Criteria: 1. Patients with other common neurological and mental disorders (depression, psychosis, vascular cognitive impairment). 2. Patients with heart, liver and other vital organ dysfunction. 3. Patients with severe cardiovascular disease. 4. Patients with severe physical disorders.

Locations (1)

Gulou District

Nanjing, Jiangsu, China

Outcomes

Primary Outcomes

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.

Time frame: 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.

Time frame: 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.

Time frame: 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.

Time frame: After 1, 2 and 4 weeks after hospitalization

Data from ClinicalTrials.gov

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