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NCT Number: NCT06473220

Evaluation of the Effectiveness of Narrative Nursing

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

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Key information

Conditions

Alzheimer Disease Anxiety Disorders Behavior Behavioral Symptoms Brain Diseases Central Nervous System Diseases Communication Dementia Depression Depression, Anxiety Mental Disorders Narration Narrative Nervous System Diseases Neurocognitive Disorders Neurodegenerative Diseases Tauopathies

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Gulou District

Nanjing, Jiangsu, 210029, China

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

Narrative nursing

Behavioral

Narrative nursing is an intervention mode of psychological nursing.

Primary outcomes

  1. MMSE sore

    Time frame: 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.

  2. ESCA score

    Time frame: 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.

  3. HAMD score

    Time frame: 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.

  4. HAMA score

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Nanjing Medical University

Other

Registry information

Official study title

Evaluation of the Effectiveness of Narrative Nursing in Patients With Alzheimer's Disease

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jun 25, 2024
Registry last updated
Jun 25, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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