Dementia day care and its effects on symptoms and institutionalization--a controlled Swedish study

Scand J Prim Health Care. 1993 Jun;11(2):117-23. doi: 10.3109/02813439308994913.

Abstract

Objective: To examine the effects of Day Care (DC) on demented patients.

Design: A prospective non-randomized concurrent-control study.

Participants: 55 demented patients in DC and 44 controls.

Setting: Sundsvall, an industrial community in northern Sweden.

Main outcome measure: Cognition, ADL-functions, behaviour and institutionalization.

Results: Measurements of cognition, ADL-functions, and behaviour showed no or only small differences between the groups. After one year, 24% of the patients in the DC-group were institutionalized, compared with 44% of the controls. In the control group, the exhaustion of spouse and supervision need were highly correlated to institutionalization (p < 0.001), while high physical nursing load was correlated to institutionalization in the DC-group (p < 0.01).

Conclusion: DC postpones institutionalization, probably because of less exhaustion of spouses and decreased supervision need.

Publication types

  • Clinical Trial

MeSH terms

  • Activities of Daily Living / psychology*
  • Aged
  • Alzheimer Disease / psychology
  • Alzheimer Disease / therapy
  • Caregivers / psychology
  • Day Care, Medical / statistics & numerical data*
  • Dementia / psychology
  • Dementia / therapy*
  • Female
  • Geriatric Assessment
  • Homes for the Aged / statistics & numerical data
  • Humans
  • Institutionalization / trends*
  • Male
  • Mental Status Schedule
  • Neuropsychological Tests
  • Sweden