Impact of the Progressively Lowered Stress Threshold Model on Alzheimer's Patient and Caregivers' Care Outcomes: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Alzheimer Disease
- Sponsor
- Aksaray University
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Cohen-Mansfield Agitation Inventory
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Today, with the prolongation of human life, the elderly population has increased and the frequency of diseases seen in old age has increased due to this situation. The most common of these diseases is Alzheimer's disease. The Progressively Lowered Stress Threshold (PLST) is a conceptual model for reducing behavioral symptoms in individuals with dementia. In this study, it is aimed to determine the effect of interventions according to Decreased Stress Threshold Model on the level of neuropsychiatric symptoms and agitation of Alzheimer's patient and caregivers care satisfaction and life satisfaction.
Detailed Description
Today, with the prolongation of human life, the elderly population has increased and the frequency of diseases seen in old age has increased due to this situation. The most common of these diseases is Alzheimer's disease. Alzheimer's disease is a progressive neurodegenerative disease which causes cognitive decline and various neuropsychiatric behavioral disorders and disorders in daily living activities. The emergence of these symptoms of Alzheimer's disease leads to an increase in the costs of care provided and a great distress for caregivers. In the literature, it is recommended to use nonpharmacological approaches as the first choice in the treatment of behavioral and psychological symptoms. One of the non-pharmacological approaches is the interventions according to the Progressively Lowered Stress Threshold Model. In this method, taking into account the individuality of the patient, focusing on the interaction of the Alzheimer's patient with the environment and the rearranging of the environment for the reduction of cognitive abilities, focuses on creating a less stressful environment. Since this model uses the steps of the nursing process, home visits are made. This study will be carried out with Alzheimer's patients and caregivers from Aksaray University Education and Research Hospital's Home Health Services unit. In this study, it is aimed to determine the effect of interventions according to Decreased Stress Threshold Model on the level of neuropsychiatric symptoms and agitation of Alzheimer's patient and caregivers care satisfaction and life satisfaction.
Investigators
Güler Duru Aşiret
Principal Investigator
Aksaray University
Eligibility Criteria
Inclusion Criteria
- •18 years and above,
- •Caring for moderate to mild Alzheimer's patients (test cognitive levels score is 19 and below)
- •Being a close relative of the patient,
- •Being the primary caregiver,
- •Having volunteered to participate in the study
- •There is no problem with communication
Exclusion Criteria
- •Younger than 18,
- •Caring for an advanced Alzheimer's patient
- •Paid caregiver
- •Having a communication problem
- •the standardized Mini-Mental State Examination (MMSE) test cognitive levels score is above 20 points
Outcomes
Primary Outcomes
Cohen-Mansfield Agitation Inventory
Time Frame: 3 month
Cohen-Mansfield Agitation Inventory, assessing the frequency of agitation symptoms.The total score that can be taken from the scale ranges between 29-203.
Secondary Outcomes
- Neuropsychiatric Inventory(3 month)
- The Turkish version of the Carer's Assessment of Satisfaction Index.There was no cut-point in score interpretation, and a higher total score indicates higher caregiver satisfaction(3 month)
- Life Satisfaction scale(3 month)
- the standardized Mini-Mental State Examination(1month)