Contributing Factors and Induced Outcomes of Psychological Stress Response in Stroke Survivors: A Systematic Review

Zhang, Song; Yuan, Yuan; Zhuang, Wenwen; Xiong, Tianqing; Xu, Yijun; Zhang, Jingwen; Tao, Chunhua; Liang, Jingyan; Wang, Yingge

doi:10.3389/fneur.2022.843055

Cited by 5 publications

(2 citation statements)

References 54 publications

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“…This is congruent with the other literature. 31,32 Throughout the included studies, poststroke stress was negatively associated with resilience, resourcefulness, and SOC and positively associated with SCCs, depression, and low functional independence, as detailed hereinafter.…”

Section: Discussionmentioning

confidence: 99%

An Integrative Review of the Utilization of the Perceived Stress Scale in Stroke Recovery

Prather

Stanfill²

2023

Journal of Neuroscience Nursing

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BACKGROUND: Stroke survivors (SS) may experience alterations in physical and cognitive processes that increase stress and reduce well-being. Timely and accurate measurement of stress throughout the continuum of recovery is necessary to inform targeted interventions that will improve quality of life for this group. OBJECTIVE: The aim of this study was to describe the utilization of the Perceived Stress Scale (PSS) during recovery in SS. METHODS: A comprehensive literature search was conducted using CINAHL, PsycINFO, PubMed, and Scopus databases. Studies were included if they captured primary data collection using any version of the PSS at any time point in the poststroke recovery period and were published in English between 2011 and 2022. Systematic reviews and meta-analyses were excluded. Evidence was synthesized, and themes were discussed. RESULTS: Among 397 studies, a total of 13 met inclusion criteria. Of these, 8 were cross-sectional studies, 3 were longitudinal studies, 1 was a randomized controlled trial, and the remaining study was a prospective nonrandomized trial. The PSS-10 (n = 7, 54%) was the most used version of the instrument, followed by the PSS-14 (n = 3, 23%) and PSS-4 (n = 2, 15.4%), with the modified PSS-10 being used in only 1 (7.6%) study. The PSS surveys were administered at various time points, ranging from the first day of admission to 3, 6, 9, or 12 months after discharge. Perceived stress may continue to negatively influence SS's psychological and physical well-being throughout the chronic phase of recovery. CONCLUSIONS: Stress is a unique and individualized experience that influences recovery trajectories in SS, an experience often overlooked or marginalized by clinicians and healthcare providers. To help mobilize strategies to achieve long-term health and wellness goals, future studies should explore and tailor interventions to minimize the influence of stress, as identified by the PSS, on well-being and quality of life during poststroke recovery.

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Section: Discussionmentioning

confidence: 99%

An Integrative Review of the Utilization of the Perceived Stress Scale in Stroke Recovery

Prather

Stanfill²

2023

Journal of Neuroscience Nursing

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“…Stres mengacu pada perubahan keadaan emosional dan fungsional negatif ketika individu mengalami kondisi kekurangan sumber daya dan kemampuan untuk menghadapi ancaman (Zhang et al, 2022). Kondisi stroke sangat erat kaitannya dengan stres dengan yang dialami pasien seperti pada hasil penelitian ini dimana mayoritas pasien stroke berulang mengalami stres dengan kategori sedang yang menunjukkan pasien stroke dengan serangan berulang memiliki tingkat stres yang lebih tinggi dibandingkan dengan pasien stroke serangan pertama yang mayoritas berada pada tingkat stres normal.…”

Section: Pembahasanunclassified

Perbedaan Tingkat Stres Serangan Pertama dengan Serangan Berulang pada Pasien Stroke

Haerianti,

Yunding,

Muflih

2023

JNC

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Latar Belakang: Stroke merupakan penyebab kematian nomor dua dan disabilitas nomor satu di dunia. Stroke menyebabkan penderita stroke mengalami dua kali serangan yakni serangan pertama dan serangan berulang. Stroke terjadi akibat pembekuan dan pecahnya pembuluh darah di otak yang jika tidak tertangani dengan baik akan menyebabkan stres. Tujuan: mengetahui perbedaan tingkat stres serangan pertama dengan serangan berulang pasien stroke. Metode: Penelitian ini menggunakan rancangan observasional analitik dengan metode cross-sectional study. Pengambilan sampel dilakukan dengan teknik purposive sampling sehingga didapatkan sampel sebanyak 48 responden. Instrumen yang digunakan yakni kuesioner karakteristik demografi dan kuesioner Depression Anxiety Stres Scale 42 (DASS 42) yang dianalisis dengan uji statistik Independent sampel T-Test. Hasil: Kelompok stroke serangan pertama mengalami stres normal (57.9%), sementara serangan berulang mengalami stres sedang (50.0%) dengan hasil uji beda rerata p= 0.017 (p<0.05) yang menunjukkan terdapat perbedaan rerata skor stres antara kelompok stroke serangan pertama dengan serangan berulang. Kesimpulan: Terdapat perbedaan rerata skor stres antara kelompok stroke serangan pertama dengan serangan berulang dengan rerata mayoritas serangan pertama mengalami stres normal, sementara serangan berulang mengalami stres ringan sampai sedang. Keluarga dan petugas kesehatan diharapkan dapat memberikan dukungan, edukasi dan terapi kepada pasien untuk mencegah terjadinya stroke berulang dan menurunkan tingkat stres untuk mencegah komplikasi buruk akibat stres seperti aterosklerosis.Kata kunci: Stres; Stroke Serangan Pertama; Stroke Serangan Berulang

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Nursing’s Role in Psychosocial Health Management After a Stroke Event: A Scientific Statement From the American Heart Association

Zrelak,

Seagraves,

Belagaje

et al. 2024

Stroke

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INTRODUCTION: Stroke can have profound psychosocial health implications. These constructs are often overlooked and undertreated yet can be as devastating as the physical, functional, and cognitive consequences after stroke. AIM: This scientific statement aims to evaluate 5 important aspects of psychosocial health (depression, stress, anxiety, fatigue, and quality of life) after a stroke to provide a framework for related nursing care across the poststroke continuum. METHODS: A narrative review of the literature published from 2018 to 2023 was conducted with databases such as PubMed/MEDLINE, ClinicalTrials.gov, PsychInfo/EBSCOHost, PsychArticles, CINHAL, and the Cochrane Library. RESULTS: Findings reveal a gap in evidence-based nursing interventions for addressing poststroke psychosocial needs. Critical strategies for shaping therapeutic nursing care include enhanced screening with validated tools; educating stroke survivors, families, and staff on symptom recognition, prevention, and treatment; and ensuring appropriate pharmacological management and access to psychological and psychosocial interventions, including referrals to social services and other essential support systems. Care should be comprehensive and interdisciplinary. Nurse-led research can benefit from more inclusive inclusion, including individuals with recurrent strokes and preexisting psychosocial conditions, focusing on the impact of structural racism and care disparities and expanding evidence-based nursing interventions. CONCLUSIONS: Although there is limited high-level evidence on the nursing care for patients with suboptimal psychosocial health after stroke, nurses have a crucial role in addressing these needs. Enhanced screening, assessment, supportive services, and education are vital to ensure that patients receive the necessary treatment and care.

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Contributing Factors and Induced Outcomes of Psychological Stress Response in Stroke Survivors: A Systematic Review

Cited by 5 publications

References 54 publications

An Integrative Review of the Utilization of the Perceived Stress Scale in Stroke Recovery

An Integrative Review of the Utilization of the Perceived Stress Scale in Stroke Recovery

Perbedaan Tingkat Stres Serangan Pertama dengan Serangan Berulang pada Pasien Stroke

Nursing’s Role in Psychosocial Health Management After a Stroke Event: A Scientific Statement From the American Heart Association

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