Effect of comprehensive nursing interventions on psychological well-being and treatment adherence in dementia patients.

Abstract

Objective: To investigate the effects of comprehensive nursing interventions on psychological well-being and rehabilitation treatment adherence in patients with dementia.

Methods: A retrospective analysis was conducted on 90 dementia patients treated at the First Hospital of Fuyang Hangzhou. Patients were divided into an observation group (n=45) and a control group (n=45). The control group received standard nursing care, while the observation group received comprehensive nursing interventions. Key outcomes included negative emotions, treatment adherence, quality of life, sleep quality, caregiver emotional well-being, and caregiver satisfaction.

Results: The observation group had significantly lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores than the control group (both P<0.001). Treatment adherence, including disease awareness, medication compliance, and nutritional support, was significantly higher in the observation group (all P<0.05). The observation group showed better quality of lifeand lower Pittsburgh Sleep Quality Index (PSQI) scores (all P<0.001). Caregivers in the observation group reported higher satisfaction, with significantly lower SAS and SDS scores (all P<0.05). Mini-Mental State Examination (MMSE) scores were also higher in the observation group post-intervention (P<0.05). Additionally, the observation group had a better prognosis with fewer complications (P<0.05).

Conclusion: Comprehensive nursing interventions significantly improve psychological well-being, treatment adherence, cognitive function, and overall quality of life for dementia patients. They also reduce anxiety, depression, and complications, and improve caregiver satisfaction. These findings support the benefits of comprehensive nursing interventions.