Daily Fluid Intake, Dehydration, Urinary Infections
Conditions
Keywords
dehydration, aged, nursing homes, robotics, fluid intake
Brief summary
The aim of this clinical trial is to evaluate the effectiveness of a hydration educational program executed through a robot in comparison with the usual hydration program in terms of fluid intake and general health status of the residents. The main question to be answered is whether the use of robotics through a humanoid robot increases the hydration of institutionalized older people. Participants: * The intervention group will receive a hydration plan executed by the robot and the control group will receive the center's usual hydration plan. * Healthcare personnel will receive reminders from the robot to record fluid intake through it. In the control group, health personnel will perform the fluid intake record in paper format and at the end of the shift, as usual.
Interventions
DEVICEhumanoid robot
The humanoid robot will execute an educational hydration plan that will be integrated into the usual dynamics of the residence. In order to increase the fluid intake of the residents, stimulation activities will be proposed that will be carried out by the robot such as reminders, interactive activities and positive reinforcement. It will also allow the daily recording fluid intake of each residents. This intervention will last two months.
OTHERUsual care
The center's usual hydration plan
Sponsors
Agency for Management of University and Research Grants (Catalonia, Spain)
Hospital Universitari Santa Maria (Lleida, Spain)
Universitat de Lleida
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age equal to or greater than 65 years. No
Exclusion criteria
have been established.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily fluid intake | From enrollment to the end of intervention at 8 weeks | Amount in milliliters (ml) |
| Blood Urea Nitrogen | 8 weeks | BUN = Urea/2.1428. Dehydration \> 20mg/dl |
| Serum osmolarity | 8 weeks | Serum osmolarity: \[1,86\*(Na+K)+1,15\*Glucose+urea+14)\]. Dehydration \> 300mOsm/kg |
| Urine color | 8 weeks | Urine color chart (Armstrong, 2000). Values = 1 - 8. Dehydration: scores \>= 4 |
| Number of urinary infections | 8 weeks | Obtained through a urine sample and evaluated with the Combur-Test. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacological treatment | 8 weeks | Number of medicines taken by the participant per day and type of medicine. |
| Nutritional status | 8 weeks | Assessed through the Mini Nutritional Assessment (MNA). Values = 0 - 30. Malnutrition: scores \< 17 |
| Risk of pressure ulcers | 8 weeks | Braden Scale. Values = 6 - 23. Risk of pressure ulcers: scores \< 19 |
| Functional status | 8 weeks | Barthel index. Values = 0 - 100. Functional impairment: scores \< 90 |
| Hospital admissions | 8 weeks | Number of hospital admissions |
| Efficacy and safety of swallowing | 8 weeks | Volume-Viscosity swallow test (V-VST): identify clinical signs of impaired efficacy (labial seal, oral and pharyngeal residue, and piecemeal deglutition) and impaired safety of swallow (voice changes, cough and decrease in oxygen saturation ≥3%). It starts with nectar viscosity and increasing bolus volume, then liquid and finally pudding viscosity |
| Dry Skin | 8 weeks | Skin turgor: if skin remains elevated after being pulled up and released |
| Cognitive status | 8 weeks | The Mini Cognitive Examination (MEC) (Values = 0 - 30). Cognitive impairment: scores \<= 23 |
| Risk of falls | 8 weeks | Downton scale. Values = 0 - 11. Risk of falls: scores \> 2 |
| Illnesses | 8 weeks | Diseases that the participant currently presents |
Other
| Measure | Time frame | Description |
|---|---|---|
| Education level | Baseline | Choose between: no studies, primary studies, secondary studies and university studies. |
| Sex | Baseline | Female or male sex |
| Date of institutionalization | Baseline | Date in yyyy/mm/dd format when the resident began to be institutionalized in the center. |
| Marital status | Baseline | The answer options are: single, married, in partnership (but not married), separated or divorced (currently without a partner), widow (If the answer is yesmust be specified if less than one year or not). |
| Birthdate | Baseline | Date of birth in yyyy/mm/dd format |
Countries
Spain
Outcome results
None listed