History, development, and future of the progressively lowered stress threshold: A conceptual model for dementia care
History, development, and future of the progressively lowered stress threshold: A conceptual model for dementia care
复制标题
DOI：
10.1111/j.1532-5415.2004.52473.x
复制
发表时间：
2004-10-01
影响因子：
6.3
通讯作者：
Buckwalter, KC
中科院分区：
文献类型：
--
作者：
Smith, M;Gerdner, LA;Buckwalter, KC
与痴呆症相关的行为症状是经历过这些症状的人以及监督、支持和帮助他们的护理人员的主要关注点。正式和非正式照护者的知识和技能影响到他们所能提供的照护质量以及他们应对照护挑战的能力。护士在提供培训方面处于有利地位，使护理人员具备必要的知识和技能，以减少和更好地管理行为。本文回顾了基于逐步降低压力阈值（PLST）模型的老年护理理论、实践和研究的进展，该模型旨在促进老年痴呆症患者更具适应性和功能性的行为。在超过17年的时间里，该模型已被用于培训家庭、成人日间项目、养老院和急症护理医院的护理人员，并已成为家庭和机构研究的理论基础。护理规划原则和干预措施的关键要素，从模型中流出，并从使用PLST模型的众多研究项目的结果提出。
Behavioral symptoms associated with dementia are a major concern for the person who experiences them and for caregivers who supervise, support, and assist them. The knowledge and skill of formal and informal caregivers affects the quality of care they can provide and their ability to cope with the challenges of caregiving. Nurses are in an excellent position to provide training to empower caregivers with the knowledge and skills necessary to reduce and better manage behaviors. This article reviews advances in geriatric nursing theory, practice, and research based on the Progressively Lowered Stress Threshold (PLST) model that are designed to promote more adaptive and functional behavior in older adults with advancing dementia. For more than 17 years, the model has been used to train caregivers in homes, adult day programs, nursing homes, and acute care hospitals and has served as the theoretical basis for in-home and institutional studies. Care planning principles and key elements of interventions that flow from the model are set forth, and outcomes from numerous research projects using the PLST model are presented.