Effects of the cognitive stimulation therapy based on Roy's adaptation model on Alzheimer's patients' cognitive functions, coping‐adaptation skills, and quality of life: A randomized controlled trial.

Purpose: This study aims to specify the effects of Cognitive Stimulation Therapy based on Roy's adaptation model (RAM) on Alzheimer's patients' coping and adaptation skills, cognitive functions, and quality of life (QOL). Design and methods: This is an experimental and randomized controlled trial. P...

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Published in:Perspectives in Psychiatric Care Vol. 56; no. 3; pp. 581 - 593
Main Authors: Lok, Neslihan, Buldukoglu, Kadriye, Barcin, Ebru
Format: research tables/charts randomized controlled trial Journal Article
Published: Wiley-Blackwell Jul2020
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ppc.12472
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        atl: Effects of the cognitive stimulation therapy based on Roy's adaptation model on Alzheimer's patients' cognitive functions, coping‐adaptation skills, and quality of life: A randomized controlled trial.
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          Lok, Neslihan
          Buldukoglu, Kadriye
          Barcin, Ebru
        affil: Department of Psychiatric Nursing, Faculty of Nursing, Selcuk University, Konya, Turkey
      sug:
        subj:
          Cognitive Therapy
          Alzheimer's Disease Therapy
          Psychiatric Patients
          Quality of Life
          Coping
          Adaptation, Psychological
          Roy Adaptation Model
          Cognition
          Treatment Outcomes
          Human
          Psychiatric Nursing
          Funding Source
          Questionnaires
          Experimental Studies
          Randomized Controlled Trials
          Random Assignment
          Pretest-Posttest Design
          Turkiye
          Scales
          Coefficient alpha
          Descriptive Statistics
          Paired T-Tests
          Mann-Whitney U Test
          Wilcoxon Rank Sum Test
          Male
          Female
          Male
          Female
      ab: Purpose: This study aims to specify the effects of Cognitive Stimulation Therapy based on Roy's adaptation model (RAM) on Alzheimer's patients' coping and adaptation skills, cognitive functions, and quality of life (QOL). Design and methods: This is an experimental and randomized controlled trial. Patients in the experimental group received cognitive stimulation therapy (CST) based on RAM. Findings: The cognitive function level of the experimental group was found to be higher than that of the control group at the end of the measurements (performed in the 7th week); the difference was found to be statistically significant (P <.05). In the experimental group, dimensions of troubleshooting and focusing, making physical decisions, attention processing, systematizing, learning, and establishing relationships were found to be better than those of the control group after the application, and the difference was found to be statistically significant (P <.05). However, after the application, QOL of the experimental group was found to be better than that of the control group following the measurements; the difference was found to be statistically significant (P <.05). Practice implications: Psychiatric nurses should evaluate the patients using Standardize Mini‐Mental Test Examination before applying RAM‐based CST, and they should apply CST to early‐ and mid‐stage Alzheimer's disease (AD) patients at the end of the evaluation and work with groups consisting of six persons at most. Since the cognitive functions of individuals with AD decline from the first stage, coping‐adaptation, and QOL levels will also be affected, so it is recommended to evaluate the cognitive functions, coping‐adjustment and QOL levels of individuals before applying RAM‐based CST. Trial registration number: NCT02229474
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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