Influence of comprehensive rehabilitation nursing on cognitive function and ability of daily living activities of elderly patients with vascular dementia

Objective To implement comprehensive rehabilitation nursing among elderly patients with vascular dementia and discuss its influence on the cognitive function and ability of daily living activities in order to provide guidance for clinical application.Methods Fifty-six elderly patients with vascular dementia admitted to Xiangya Hospital of Central South University from March 2010 to August 2012 were selected and randomly divided into the study group and the control group using the random number table,with 28 patients in each group.The study group was given comprehensive rehabilitation nursing measures and the control group was given conventional nursing measures.The mini-mental state examination(MMSE),Hasegawa Dementia Scale(HDS),Clinical Dementia Scale(CDR),Wechsler Memory Scale(WMS-RC),simple Fugl-Meyer motor function score(FMA),activities of daily living scale(ADL) and social function activity questionnaire(FAQ) were given to both groups of patients before the intervention and 4 weeks after the intervention,and the results were recorded and compared.Results In the study group,there existed statistical difference in each scale score between before the intervention and after the intervention(P 0.05).In the control group,there existed statistical difference in only MMSE,CDR,HDS and FAQ scores between before the intervention and after the intervention(P 0.05),and the other scores were not different(P 0.05 s).At the end of the 4th week after the intervention,the study group had a MMSE score of(19.85?a3.14),HDS score of(24.84?a2.38),WMS-RC score of(68.23?a8.72),FMA score of(68.71?a14.19),ADL score of(67.38?a14.28) and FAQ score of(5.42?a1.05),which were all higher than those of the control group,with significant difference(P 0.05).Conclusion For elderly patients with vascular dementia,the implementation of a comprehensive rehabilitation nursing can improve the patient's cognitive function and ability of daily living activities,achieving satisfactory clinical results.