Case management program in care nursing of patients with dementia

Objective: To explore the effect of case care management program in the nursing of patients with dementia.Methods: Eighty cases of dementia syndrome were randomly divided into observation group and control group.The control group received routine nursing intervention and the observation group received case care nursing plan which included the training of daily life skills,memory and expression ability,logical thinking ability,social intercourse and the psychological nursing.The patients' daily life skills and dementia severity were compared between the two groups when discharged from hospital.Results: At discharge,the patients main nursing problems such as hunger,restlessness,agitation,confusion of day and night and constipation problems in the observation group were less than those in the control group(P<0.05 to P< 0.01);there was no statistically significant difference in the incidence of incontinence and delusional behavior between the two groups(P>0.05);the daily life ability scale score of the observation group was significantly lower than that of the control group(P<0.01);the dementia severity of the observation group determined by clinical hospital rating scale was significantly higher than that of the control(P<0.01).Conclusions: Application of case care could significantly decrease the main nursing problems of patients with dementia syndrome,which would improve the effect of nursing care and the rehabilitation of the patients.