Stress: Concepts, Theoretical Models and Nursing Interventions
American Journal of Nursing Science
Volume 4, Issue 2-1, March 2015, Pages: 45-50
Received: Dec. 21, 2014; Accepted: Dec. 23, 2014; Published: Dec. 31, 2014
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Ioanna V. Papathanasiou, Nursing Department, Technological Educational Institute of Thessaly, Larissa, Greece
Konstantinos Tsaras, Nursing Department, Technological Educational Institute of Thessaly, Larissa, Greece
Anna Neroliatsiou, Psychiatric Department, University Hospital of Larissa, Larissa, Greece
Aikaterini Roupa, Nursing Department, Technological Educational Institute of Thessaly, Larissa, Greece
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Stress is a fact of everyday life and it can be defined either as a reaction or as a stimulus. Over the years and with the progress of science many factors have been identified as sources of stress, such as Biological, Chemicals, Microbial, Psychological, Developmental, Socio-cultural and Environmental. Propose of this study is to present the basic concepts and the main theoretical models of stress, its effects on the individual, the coping strategies and the nursing methods of addressing it. The main theoretical approaches for stress are interpreting it differently, either as a stimulus, as a response or as a transaction. Nurses, after the recognition of patients’ needs and reactions, should choose those interventions that will be the most effective for each particular patient. Most important interventions for alleviating stress are: anxiety reduction, anger management, relaxation and sleep, proper diet, physical exercise, relaxation techniques and effective time management.
Stress, Concept of Stress, Theories of Stress, Stress Results, Nursing Interventions
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Ioanna V. Papathanasiou, Konstantinos Tsaras, Anna Neroliatsiou, Aikaterini Roupa, Stress: Concepts, Theoretical Models and Nursing Interventions, American Journal of Nursing Science. Special Issue: Mental Health Care: Aspects, Challenges and Perspectives. Vol. 4, No. 2-1, 2015, pp. 45-50. doi: 10.11648/j.ajns.s.2015040201.19
Peplau H. A working definition of anxiety. In : Burd SF., Marshall MA. Some clinical approaches to psychiatric nursing. New York: Macmillan, 1968.
Raya A. Mental Health Nursing and Psychiatric Nursing. Athens, 1993.
Marttin P., Long MV.,Poon LW. Age changes and differences in personality traits and states of the old and very old. The Journals of Gerontology 2002; 57B: 144-152.
Manos N. Basics of clinical psychiatry. University Studio Press. Thessaloniki, 1988.
Selye H. Stress Syndrome. Am J Nurs 1965; 65(3): 97-99.
Speileberg C. Anxiety and stress. Psychogios Editions. Athens, 1980.
Holmes TS. Life situations and disease. J AcadPsychosom Med 1978; 19:747.
Reynaud SN., Meeker BJ. Coping styles of older adults with ostomies. Journal of Gerontological Nursing 2002; 28(5): 30-36.
Wu CY., Baig K., WichaikhumO. Coping behaviours of individuals with chronic obstructive pulmonary, disease. MedsurgNursing 2001;10: 315-320.
Richardson C., Poole H. Chronic pain and coping: A proposed role for nurses and nursing models. Journal of Advanced Nursing 2001; 34: 659-667.
Zook R. Learning to use positive defence mechanisms. American Journal of Nursing 1998; 98(3). 16B, F. H.
Rogers CR. Client – centered therapy: It’s current practice, implications and theory.Hougthon Mifflin. Boston, 1951.
Schafer W. Stress management for well¬ness - 4th ed. Stamford. CT: International Thomson Publishing, 2000.
Logothetis I. Introduction in Psychiatry. 2nd Edition, Thessaloniki, 1981.
Selye H. The stress of life. New York: McGraw-Hill, 1956.
Selye H. The stress of life (revised ed.). New York: McGraw-Hill, 1976.
Selye H. Stress without distress. Lippincott: Philadelphia, 1974.
Selye H. The stress of life. 2nded. New York : Mc Gray – Hill, 1978.
Lazarus RS. Stress and coping (3rd ed). New York: Columbia University Press, 1995.
Lazarus RS. Psychological stress and coping process. Edit: Hill Book, N.Y., 1966.
Lazarus RS., Launier R. Stress related transaction between person and environment. Edit :McGraw - Hill Book, N.Y., 1978.
Lazarus RS. Coping and adaptation in health and illness. Edit : Free Press N.Y., 1983.
Folkman S., Lazarus RS. Manual for the ways of copping Questionnaire. CA Consulting Psychologist Press, Palo Alto, 1988.
FoLkman S., Lazarus RS. Coping and emotion. In A. Monat& R. S., 1991
Lazarus R.S., Folkman S. Stress appraisal and coping. New York, Springer, 1984.
Fontana D.Anxiety and its coping. Methods of stress reducing. Hellenic Letters Editions. Athens, 1996.
Hertig V. (2004) Stress, stress response, and health. Nursing Clinics of North America 2004; 39: 1-17.
Lindop E. (1991). Individual stress among nurses in training: Why some leave while others stay. Nurse Education Today 1991; 11: 110-120.
Hermes TH., Rahe RH. The social readjustment rating scale. Journal of Psychosomatic Research 1967; 11:213-218.
Hanson PG. The joy of stress. Ontario : Hanson Stress Manag. Organ, 1985.
MacGowan B. Self reported stress and its effects on nurses. Nursing Standard 2001; 15(42): 33-38.
Gates DM. Stress and coping: A model for the workplace. AAOHN Journal 2001; 49: 390-398.
Grandinetti DA. Two ways to beat stress. RN 2002; 65( 3): 4-7.
GoldJ., Thornton L.Simple strategies for managing stress. RN 2001; 64(12): 65-68.
Haber J., Hoskins P., Leach A., Sideleau B. Comprehensive Psychiatric Nursing. McGraw – Hill, New York, 1987.
Grieve RJ. Day surgery preoperative anxiety reduction and coping strategies. British Journal of Nursing 2002; 11:670-673, 676-678.
Keable D. The management of Anxiety. A guide for therapists. 2nd Edition. Ed. Churchill Livingstone. New York, 1997.
MonatA., Lazarus RS. Stress and coping- 3rd ed. New York: Columbia University Press, 1991.
Skinner BF. Whatever happened to psychology as the swcience of behavior? American Psychologist 1987;42: 780-786.
Black JM., Matassarin JE. Nursing clinical management for continuity of care. 5th ed., Saunders, Philadelphia, 1997.
Edlim G., Golanty E., Brown KM. Health and wellness: A holistic approach (7th ed). Boston: Jones & Bartlett, 2002.
Papathanasiou I., Sklavou M., Kourkouta L. Holistic Nursing Care: Theories and Perspectives. American Journal of Nursing Science 2013; 2(1): 1-5.
Jones I. How to assess stress: A significant step for nursing students. Journal of Nursing Education 1988; 27: 227-230
Papathanasiou IV., Kleisiaris Ch., et al.Critical Thinking: The Development of an Essential Skill for Nursing Students. ActaInformaticaMedica 2014; 22(4): 283-286.
Fontaine KL., Fletcher JS. Mental health nursing (5th ed.). Upper Saddle River. NJ: Pearson Education Inc, 2003.
FreudS. Theegoandthemechanismsofdefence. NewYork: InternationalUniversitiesPress, 1946.
GarpenitoLJ. Nursing diagnosis: Application to clinical practice (9th ed.}. Philadelphia: Lippincott, 2001.
Bigger T., Zimmerman R., Alpert G. Nursing, nursing education and anxiety. Journal of Nursing Education 1988; 27: 411-117.
Biley FC. Nurses' perception of stress in preoperative surgical patients. Journalof Advanced Nursing 1989; 14: 575-581.
Carbee DD., Gentry JA. Coping with the stress of surgery. Association of Operating. Room Nurses Stress Journal 2001; 73: 946-951.
Carr JA., Powers MJ. Stressors in associated with coronary bypass surgery. Nursing Research 1986; 35(4): 243-246.
Walters. KL. SimoniJM. Reconceptualising Native women’s health: An "indigenist" stress coping model. Journal of Public Health 2002; 92: 520-52.
CarrieniV.L. Pathophysiological Phenomena in Nursing. C. West, 1989.
GettrustKV.,Brade PD. Nursing Diagnostic Process and Clinical Practice: Guides of Nursing Care. EllinEditions. Athens, 1997.
Gordon M. Manual of Nursing Diagnostic Process. Beta Editions. Athens, 2009.
Campbell C. Crisis in care – stress survey, disturbing findings. Nursing Mirror 1985; 160: 16-24.
Johnson M., Maas M., Moorhead S. Nursing outcomes classification (NOC) (2nd ed.). St. Louis. MO: Mosby, 2000.
Plati C. Specific clinical problems: Nursing approach. Athens, 1998.
Pianos KH. Counseling therapeutic dialogue: Theory and Practice. EllinEditions. Athens, 1998.
NANDA International. NANDA nursing di¬agnoses: Definitions and classification 2003-2004. Philadelphia, 2003.
Lango D. Communications and human behavior. In: LangoD.,Williams R. eds. Clinical practice in psychosocial nursing : Assessement and intervention. New York: Appleton - Century – Groffts, 1978.
Kourkouta L., Papathanasiou IV. Communication in Nursing Practice. Materia Socio Medica 2014; 26(1): 65-67
Luban BP., Walter P., Frieder KR., Kurt LH. The psychosomatic patient in daily medical practice. Parisianos Editions. Athens, 1997.
Lunch SM., George LK. Interlocking trajectories of loss related events and depressive symptoms among elders. TheJournalsofGerontology 2002; 57B, S :117-125.
Wilson-Barnett J. Stress in hospitalization: Patients Psychological Reaction to illness and Health care. Churcill - Livingstone, Edinburg, 1979.
McCloskey JC.,Bulechek GM. Nursing interventions classification(NIC) - 3rd ed. St. Louis MO: Mosby, 2000.
Varcarolis E. Foundation of psychiatric-mental health nursing. Saunders, Philadelphia, 1990.
Moulinos G. Nutrition for a better life; myths and truths, dietary recommendations and diets. PsychogiosEditions. Athens, 2013.
Papathanasiou I., Kotrotsiou E. Alternative Methods of Pain Treatment. Hellenic Journal of Nursing 2000; 39(2): 131-138.
Athanasiou E. Treatment of color and its application in painting. The new dimension of color in painting. Ellin Editions. Athens, 2002..
Allen K., Shykoff B., Izzo J. Pet ownership, but not ACE inhibitor therapy, blunts home pressure responses to mental stress. Hypertension 2001, 38: 815.
Amber RB. Colour therapy. N.M: Aurora Press, Santa Fe, 1983.
Beck AT.Cognitive therapies and the emotional disorder. International University Press, New York, 1976.
Loupasakis A. Laugh the best treatment. Kedros 2ndEidtion. Athens, 2002.
Murray RB., Huelskoetter MM. Psychiatric mental health nursing - Giving emotional care. EnglewwodGliffs, N.J., 1983.
Yurkovich E. (1989) Patient and nurse roles in the therapeutic community. Perspect Psychiatric Care 1989; 15(3): 18-22.
Fradelos E., Komini A. The use of essential oils as a complementary treatment for anxiety. American Journal of Nursing Science. Special Issue: Mental Health Care: Aspects, Challenges and Perspectives .2015; 4(2-1):1-5.
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