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Evid Based Nurs 5:58 doi:10.1136/ebn.5.2.58
  • Treatment

A support programme for patients with dementia and their caregivers lowered institutionalisation rates initially


 
 QUESTION: In patients with dementia, does a 2 year support programme based on nurse case management prolong care in the community?

Design

Randomised {allocation concealed}*, {unblinded}*, controlled trial with 2 years of follow up.

Setting

5 municipalities in Finland.

Patients

100 patients who were ≥ 65 years of age (mean age 79 y, 53% women), entitled to payments from the Social Insurance Institution for community care because they had dementia, and lived at home with primary support from an informal caregiver (mean age 64 y, 69% women). Exclusion criteria were other severe diseases that might lead to institutionalisation or inability of patients and caregivers to participate in annual training courses. Follow up was 100%.

Intervention

Patients were allocated to a support programme (n=53) or usual care (n=47). The 2 year support programme consisted of systematic and …

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