The effects of increased therapy time on cognition and mood in frail patients with a stroke who rehabilitate on rehabilitation units of nursing homes in the Netherlands: a protocol of a comparative study

BMC Geriatrics

Erik Scherder¹  Peter van Rooden¹  Arno Rademaker¹  Marleen Huijben-Schoenmakers¹ 

[1] Department of Clinical Neuropsychology, Free University of Amsterdam, Van der Boechorststraat 1, Amsterdam 1081 BT, The Netherlands

关键词: Clinical nursing rehabilitation stroke guideline;    Activities of daily living;    Mood;    Cognition;    Rehabilitation;    Stroke;   

Others  :  854703
DOI  :  10.1186/1471-2318-14-68

 received in 2013-02-01, accepted in 2014-05-12,  发布年份 2014

【 摘 要 】

Background

Recovery after stroke is dependent on how much time can be spent on rehabilitation. Recently, we found that therapy time for older stroke patients on a rehabilitation unit of a nursing home could be increased significantly from 8.6 to at least 13 hours a week. This increase was attained by the implementation of interventions, focused on strength, mobility and balance. Nurses carried out these exercises with the patients during their daily activities. The aim of the present study is to investigate if increased therapy time has a positive effect on cognition, mood (depression and anxiety), and ADL in stroke patients.

Methods

A comparative single blind controlled study will be applied. Patients suffering from a stroke and staying on one of the rehabilitation units of the nursing homes are eligible for participation. Participants belong to the intervention group if they stay in two nursing homes where four interventions of the Clinical Nursing Rehabilitation Stroke Guideline were implemented. Participants who stay in two nursing homes where therapy is given according to the Dutch stroke Guideline, are included in the control group. Clinical neuropsychologists will assess patients’ cognitive functioning, level of depression (mood) and anxiety. Nurses will assess a Barthel Index score on a weekly basis (ADL). These variables are measured at baseline, after 8 weeks and at the moment when participants are discharged from the nursing home.

Discussion

The present study evaluates the effect of increased therapy time on cognition, mood (level of depression and anxiety), and ADL in stroke patients. When positive effects will be found this study can guide policy makers and practitioners on how to implement more therapy time on rehabilitation wards of nursing homes.

Trial registration

TNR Our study has been documented in the Dutch Trial Registration, TC = 3871.

【 授权许可】

   
2014 Huijben-Schoenmakers et al.; licensee BioMed Central Ltd.

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