Investigation of the effects of interventions made according to the progressively lowered stress threshold model on the care outcomes of alzheimer patients and their families: a randomized clinical trial

dc.authorid0000-0002-9635-1539
dc.contributor.authorAşiret, Güler Duru
dc.contributor.authorYılmaz, Cemile Kütmeç
dc.contributor.authorKasar, Kadriye Sayın
dc.date.accessioned2021-11-02T10:04:54Z
dc.date.available2021-11-02T10:04:54Z
dc.date.issued2021
dc.departmentSağlık Bilimleri Fakültesi
dc.description.abstractBackground One of the non-pharmacological methods used to reduce behavioural problems of Alzheimer's patients and the negative emotions accordingly experienced by caregivers consists of interventions performed according to the Progressively Lowered Stress Threshold (PLST) model. Methods This randomized controlled study aimed to determine the effect of interventions performed according to PLST on the care burden, care satisfaction, and life satisfaction of caregivers of middle and advanced stage Alzheimer's disease patients, and on the neuropsychiatric symptoms and agitation levels of these patients. The research was conducted with a total of 29 caregivers divided into intervention (15) and control (14) groups. Data were collected using an Introductory Information Form, plus the Standardised Mini-Mental State Examination, Neuropsychiatric Inventory, Cohen-Mansfield Agitation Inventory, Carer's Assessment of Satisfaction Index, and Life Satisfaction Scale. Three home visits were made to the caregivers by the researchers in the first, second, and twelfth weeks of the intervention. During the home visits, face-to-face training was given as necessary to the individual caring for problems identified in the nursing care plan according to PLST. Results As a result of the PLST training, there was a decrease in the behavioural problems of Alzheimer's patients, along with a decrease in the care burden of the caregivers and an increase in their care satisfaction. When the scale total scores of the individuals in the intervention and control groups were compared, it was found that only caregivers' care satisfaction increased at a statistically significant level (P < 0.05). Conclusion At the end of the training given according to PLST, it was found that behavioural problems of Alzheimer's patients and the care burden of caregivers had decreased, and the care satisfaction of caregivers increased. It is recommended that Alzheimer's patients and their caregivers be given training and interventions according to PLST.
dc.identifier.doi10.1111/psyg.12734
dc.identifier.endpage748en_US
dc.identifier.issn1346-3500
dc.identifier.issn1479-8301
dc.identifier.issue5en_US
dc.identifier.pmid34233376
dc.identifier.scopusqualityQ2
dc.identifier.startpage738en_US
dc.identifier.urihttps:/dx.doi.org/10.1111/psyg.12734
dc.identifier.urihttps://hdl.handle.net/20.500.12451/8560
dc.identifier.volume21en_US
dc.identifier.wosWOS:000670385900001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJohn Wiley and Sons Inc
dc.relation.ispartofPsychogeriatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAgitation
dc.subjectAlzheimer
dc.subjectCare Burden
dc.subjectCare Satisfaction
dc.titleInvestigation of the effects of interventions made according to the progressively lowered stress threshold model on the care outcomes of alzheimer patients and their families: a randomized clinical trial
dc.typeArticle

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