Precision Nursing Intervention Program on Cognitive Function、Sleep Quality and Emotional State of Frail Female Elderly

Study Overview
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Brief Summary
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Background: Taiwan's community population is aging rapidly, and women in the aging community account for the majority of frail elderly.In the process of aging, you must face changes in cognitive function, sleep disorders, and emotional state. Female elders have more impact on physical health than male elders. Precision nursing is a new trend in nursing in recent years. It is based on individual differences in disease type, gender, lifestyle, family, race, social and cultural factors, etc., to provide the most suitable empirical-based nursing treatment. It can also prevent and delay disability in improving the cognitive function, sleep quality and emotional state of frail female elderly in the community. Purpose: This study explored the effectiveness of precision nursing intervention program on cognitive function,sleep quality and emotional state of frail female elderly in the community. Methods: This study utilized a quasi-experimental research design. The subjects divided to 35 persons of experimental group and 35 people of comparison group. The experimental group implemented a weekly precision care program course for frail female elderly in the community for a total of 12 weeks; the control group maintained normal daily life. We collected cognitive function、sleep quality and emotional state from before and after intervention among frail female elderly in the community. The statistical methods uses were descriptive analysis, chi square, t test, generalized estimating equation (GEE), and difference-in-differences. Expected benefit: The precise care plan of this study can benefit the cognitive function, sleep quality and emotional state of frail female elders in the community, and then extend it to various aging communities. According to the characteristics of the community elders and making good use of health policies and local resources, we will arrange and design appropriate courses to create a localized healthy aging life circle, and achieve the goal of preventing and delaying disability for the elderly and frail.

Official Title
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The Effectiveness of Precision Nursing Intervention Program on Cognitive Function、Sleep Quality and Emotional State of Frail Female Elderly in the Community

Conditions
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The Effectiveness of Precision Nursing Intervention Program on Cognitive Function、Sleep Quality and Emotional State of Frail Femal Elderly in the Community

Intervention / Treatment
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* Behavioral: Design course


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: (1) Elders over 65 years old can come and return home on their own. (2) Clear awareness and barrier-free communication. (3) Those who are frail or above detected by SOF screening, SOF ≥ 2 or above. (4) Agree to participate in this research and complete the consent form. Exclusion Criteria: -(1) Severe visual and hearing impairment, unable to cooperate with the researcher. (2) Those whose limbs cannot participate in activities normally. (3) For chronic physical diseases, doctors have ordered those who are prohibited from exercising.

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Precision Nursing, Frail women, Cognitive function, Sleep quality, Emotional state,<br>According to the characteristics of the elders in the community and making good use of health policies and local resources, a 12-week appropriate diversified curriculum is arranged as intervention measures. | Behavioral: Design course<br>* Precision nursing is a new trend in nursing in recent years. It is based on individual differences in disease type, gender, lifestyle, family, race, social and cultural factors, etc., to provide the most suitable empirical-based nursing treatment.Diverse courses include music, breathing exercises, cognitive training, hand-made knitting, etc.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Short Portable Mental State Questionnaire, SPMSQ | The Short Portable Mental Status Questionnaire (SPMSQ) is a widely used 10-item cognitive screening instrument,whose items test orientation to time and place, memory, current event information (date, day of the week, name of this place, telephone number, date of birth, age, name of current prime minister and previous prime minister, mother's maiden name), and calculation (subtract 3s starting with number 20). The total number of errors is computed and it ranges from 0 to 10. | 1 week | 
| Pittsburgh Sleep Quality Index, PSQI | The Pittsburgh Sleep Quality Index (PSQI),a self-rating questionnaire for measuring subjective sleep quality that specifically assesses the preceding I-month period . The PSQI yields a global score that is the sum of seven component scores, each of which addresses a specific aspect of subjective sleep quality. | 1 month | 
| BSRS-5 (5-item Brief Symptom Rating Scale) | The five items of psychological symptoms and is commonly used for screening psychological disorders and is available in Taiwan with excellent validity and reliability . For suicide prevention, the Taiwan BSRS-5 adds the sixth additional item that directly asks the subject about the urge of suicide attempts . The BSRS-5 is a 5-item, self-administered questionnaire that is derived from the 50-item brief symptom rating scale, which measures anxiety , depression , hostility , interpersonal sensitivity , and additional symptoms . The score for each item ranges from 0 to 4 (0, not at all; 1, a little bit; 2, moderately; 3, quite a bit; and 4, extremely). A total score above 14, or a score of more than 1 on the additional suicide survey item. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Precision Nursing, Frail women, Cognitive function, Sleep quality, Emotional state