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
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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 :
- 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
- 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.
- 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]
- Hafsteinsdóttir TB, Grypdonck M. Being a stroke patient: a review of the literature. J Adv Nurs. 1997;26(3):580–588. [PubMed] [Google Scholar]
- Clark MS, Smith DS. Psychological correlates of outcome following rehabilitation from stroke. Clin Rehabil. 1999;13(2):129–40. [PubMed] [Google Scholar]
- Gillen G. A comparison of situational and dispositional coping after a stroke. Occup Ther Ment Health. 2006;22(2):31–59. [Google Scholar]
- 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]
- 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]
- 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]
- Bhogal SK, Teasell RW, Foley NC, Speechley MR. Community reintegration after stroke. Top Stroke Rehabil. 2003;10(2):107–129. [PubMed] [Google Scholar]
- 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
- 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
- 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.