Dementia, Sleep
Conditions
Keywords
geriatric nursing
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.
Interventions
PROCEDUREdaily sleep enhancement nursing protocol
Sponsors
University of Zurich
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diagnosis of dementia of any severity and type * Allocation to geriatric rehabilitation treatment
Exclusion criteria
* sleep related respiratory or moving related disorders or Parasomnia * delirium * end of life care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bedtime in minutes | Daily for up to 14 days from date of giving informed consent to hospital discharge | Protocol of daily bedtime |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
Other
| Measure | Time frame | Description |
|---|---|---|
| Application frequency of the nursing (ritual) protocol | Every day for up to 14 days from date of giving informed consent to hospital discharge | Daily protocol of the received and of the refused interventions of the nursing ritual (frequency) |
Outcome results
None listed