Alzheimer Disease, Depression, Anxiety, Narrative
Conditions
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.
Interventions
BEHAVIORALNarrative nursing
Narrative nursing is an intervention mode of psychological nursing.
Sponsors
Nanjing Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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. |
| 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. |
| 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. |
Countries
China
Outcome results
None listed