A Effectiveness of Multi-Intervention Programme Combining Benson's Relaxation Therapy and Counseling on Perceived Stress among Stroke Victims


Authors : Ligi. K.O; Dr. Molly John

Volume/Issue : Volume 10 - 2025, Issue 4 - April


Google Scholar : https://tinyurl.com/3utbn5eh

Scribd : https://tinyurl.com/2tft2jzn

DOI : https://doi.org/10.38124/ijisrt/25apr1338

Google Scholar

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 15 to 20 days to display the article.


Abstract : Background: The global incidence of stroke reached 11.9 million cases in 2021, a 70% rise since 1990, with India contributing 1.25 million new cases, or 10% of the global burden. High perceived stress levels among stroke survivors negatively impact rehabilitation outcomes and quality of life.  Methods: His randomized controlled trial employed a quantitative pre-test post-test control group design. Conducted in the Thrissur District, Kerala, the study enrolled 60 stroke patients, selected via simple random sampling. A multi-intervention program, including Benson’s relaxation therapy and counseling, was administered to the experimental group. Perceived stress levels were reassessed after one month.  Results: After one month, the experimental group demonstrated a 78.77% reduction in perceived stress (pre-test mean score = 70.40, post-test mean score = 14.93), compared to the control group, which showed no significant change. Statistical analysis confirmed a significant decrease in perceived stress across time points in the experimental group (p<0.001) but not in the control group (p=0.700).  Conclusion: The multi-intervention program significantly reduced perceived stress among stroke patients, underscoring the value of combining physical and psychological rehabilitation strategies for improved recovery outcomes.

Keywords : Stroke Victims, Perceived Stress, Multi-intervention Program, Benson's Relaxation Therapy, Counseling.

References :

  1. Feigin, Valery L et al Global, regional, and national burden of stroke and its risk factors, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021.The Lancet Neurology, Volume 23, Issue 10, 973 – 1003
  2. Hinwood M, Ilicic M, Gyawali P, Coupland K, Kluge MG, Smith A, Bowden S, Nilsson M, Walker FR. Psychological Stress Management and Stress Reduction Strategies for Stroke Survivors: A Scoping Review. Ann Behav Med. 2023 Feb 4;57(2):111-130. doi: 10.1093/abm/kaac002. PMID: 35689664; PMCID: PMC9899067.
  3. Robinson, R. G., & Jorge, R. E. (2016, March 1). Post-stroke depression: A review. The American Journal of Psychiatry, 173(3), 221–231. 10.1176/appi.ajp.2015.15030363 [DOI] [PubMed] [Google Scholar]
  4. Hafsteinsdóttir TB, Grypdonck M. Being a stroke patient: a review of the literature. J Adv Nurs. 1997;26(3):580–588. [PubMed] [Google Scholar]
  5. Clark MS, Smith DS. Psychological correlates of outcome following rehabilitation from stroke. Clin Rehabil. 1999;13(2):129–40. [PubMed] [Google Scholar]
  6. Gillen G. A comparison of situational and dispositional coping after a stroke. Occup Ther Ment Health. 2006;22(2):31–59. [Google Scholar]
  7. Gustafson Y, Nilsson I, Mattsson M, Aström M, Bucht G. Epidemiology and treatment of post-stroke depression. Drugs Aging. 1995;7(4):298–309. [PubMed] [Google Scholar]
  8. Hanger HC, Fogarty B, Wilkinson TJ, Sainsbury R. Stroke patients’ views on stroke outcomes: death versus disability. Clin Rehabil. 2000;14(4):417–424. [PubMed] [Google Scholar]
  9. Glass TA, Matchar DB, Belyea M, Feussner JR. Impact of social support on outcome in first stroke. Stroke. 1993;24(1):64–70. [PubMed] [Google Scholar]
  10. Bhogal SK, Teasell RW, Foley NC, Speechley MR. Community reintegration after stroke. Top Stroke Rehabil. 2003;10(2):107–129. [PubMed] [Google Scholar]
  11. Ghauri, M. W., Hafeez, M., Raza, S., Ahmad, H. I., & Salam, A. (2021). Impact of perceived level of stress among post-stroke patients. Rawal Medical Journal, 46(3), 644-647
  12. Mulianda D, Pudjonarko D, Kusuma H. Effects of Benson’s Relaxation Response on Physiological Responses in Patients with Acute Ischemic Stroke in Several Regional Hospitals in Semarang. In: Suhartini S, KartikaSari R, Yulianti NR, Nuraeni A, Kusuma H, Kusumawati FT, Riani S, Larasati AD, editors. Nurse as a Leader to Enhance the Societies in Continuum of Health Outcomes; A Voice to Lead - Health is a Human Right. Semarang: Indonesian National Nurse Association, Central Java Province; 2022. p. [38]. ISBN 978-602-52081-0-2
  13. Zhang S, Yuan Y, Zhuang W, Xiong T, Xu Y, Zhang J, Tao C, Liang J, Wang Y. Contributing factors and induced outcomes of psychological stress response in stroke survivors: A systematic review. Front Neurol. 2022;13:843055. doi: 10.3389/fneur.2022.843055. Available from: https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.843055.)

Background: The global incidence of stroke reached 11.9 million cases in 2021, a 70% rise since 1990, with India contributing 1.25 million new cases, or 10% of the global burden. High perceived stress levels among stroke survivors negatively impact rehabilitation outcomes and quality of life.  Methods: His randomized controlled trial employed a quantitative pre-test post-test control group design. Conducted in the Thrissur District, Kerala, the study enrolled 60 stroke patients, selected via simple random sampling. A multi-intervention program, including Benson’s relaxation therapy and counseling, was administered to the experimental group. Perceived stress levels were reassessed after one month.  Results: After one month, the experimental group demonstrated a 78.77% reduction in perceived stress (pre-test mean score = 70.40, post-test mean score = 14.93), compared to the control group, which showed no significant change. Statistical analysis confirmed a significant decrease in perceived stress across time points in the experimental group (p<0.001) but not in the control group (p=0.700).  Conclusion: The multi-intervention program significantly reduced perceived stress among stroke patients, underscoring the value of combining physical and psychological rehabilitation strategies for improved recovery outcomes.

Keywords : Stroke Victims, Perceived Stress, Multi-intervention Program, Benson's Relaxation Therapy, Counseling.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe