THE EFFECT OF "HENS" APPLICATION (HEALTHY EMOTIONAL FREEDOM TECHNIQUE OF STROKE PATIENTS) ON THE STRESS LEVEL OF POST STROKE PATIENTS

Ika Yuni Widyawati, Ni Luh Putu Thrisna Dewi, Ni Made Nopita Wati, Khatijah Liem

= http://dx.doi.org/10.24990/injec.v19i1.644
Abstract views = 21 times | views = 13 times

Abstract


Introduction: Stroke is  characterized  by neurological deficits resulting fromacute focal injury to  the central nervous system, originating from blood vessels such as cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage. Stress is a known trigger for  stroke and  various  therapies are available to manage  stress. This study explores the effectiveness of a mind body therapy, specifically the HENS application on Android in reducing stress in post stroke patients.

Method: The study employs a  quasi-experimental  design with a pre-test and post-test  with control group. The sampling technique in the study was  convenience sampling with a sample size of 48 post-stroke patients (24 for each intervention and control group). Data was collected using the DASS questionnaire and the HENS application.

Results: The results revealed significant changes in stress levels before and after the six-day intervention with the  HENS Application. The intervention group showed a p value=0.000 indicating a significant reduction in stress levels. In contrast,  the control group’s  p value  was 0.853, suggesting  no significant change without treatment.

Conclusions: The HENS application has the potential to provide post-stroke patients with independent support for managing stress. It offers clear and useful guidelines for implementing HENS techniques which can improve confidence of post stroke patients in independently managing stress.


Keywords


post stroke; stress level; EFT; HENS

Full Text:

PDF

References


Anagnostou, M., & Drigas, A. (2022). Mobile applications for stress management. Scientific Electronic Archives, 15(2). https://doi.org/10.36560/15220221507

Chen, H., He, Y., Chen, S., Qi, S., & Shen, J. (2020). Therapeutic targets of oxidative/nitrosative stress and neuroinflammation in ischemic stroke: Applications for natural product efficacy with omics and systemic biology. Pharmacological Research, 158, 104877. https://doi.org/10.1016/j.phrs.2020.104877

Church, D., & Brooks, A. J. (2010). The effect of a brief EFT (Emotional Freedom Techniques) self-intervention on anxiety, depression, pain and cravings in healthcare workers. Integrative Medicine: A Clinician’s Journal, 9(5), 40–44.

Dewi, N. L. P. T., Arifin, M. T., & Ismail, S. (2020). The influence of gayatri mantra and emotional freedom technique on quality of life of post-stroke patients. Journal of Multidisciplinary Healthcare, 13, 909–916. https://doi.org/10.2147/JMDH.S266580

Dincer, B., & Inangil, D. (2021). The effect of Emotional Freedom Techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: A randomized controlled trial. EXPLORE, 17(2), 109–114. https://doi.org/10.1016/j.explore.2020.11.012

Drissi, N., Ouhbi, S., Janati Idrissi, M. A., & Ghogho, M. (2020). An analysis on self-management and treatment-related functionality and characteristics of highly rated anxiety apps. International Journal of Medical Informatics, 141, 104243. https://doi.org/10.1016/j.ijmedinf.2020.104243

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., & Pandian, J. (n.d.). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022.

Feinstein, D. (2019). Energy psychology: Efficacy, speed, mechanisms. EXPLORE, 15(5), 340–351. https://doi.org/10.1016/j.explore.2018.11.003

Gyawali, P., Wong, D., Hordacre, B., Ong, L. K., & English, C. (2023). Editorial: Stress, mood, and fatigue: Tackling “invisible” obstacles in stroke rehabilitation and recovery. Frontiers in Neurology, 13. https://doi.org/10.3389/fneur.2022.1121667

Hartman, S. (2014). Energy Eft (Book & Digital Downloads): Next Generation Tapping & Emotional Freedom Techniques. DragonRising Publishing.

Hinwood, M., Ilicic, M., Gyawali, P., Coupland, K., Kluge, M. G., Smith, A., Bowden, S., Nilsson, M., & Walker, F. R. (2023). Psychological Stress Management and Stress Reduction Strategies for Stroke Survivors: A Scoping Review. Annals of Behavioral Medicine, 57(2), 111–130. https://doi.org/10.1093/abm/kaac002

Hwang, W. J., & Jo, H. H. (2019). Evaluation of the Effectiveness of Mobile App-Based Stress-Management Program: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 16(21), 4270. https://doi.org/10.3390/ijerph16214270

Irmak Vural, P., & Aslan, E. (2019). Emotional freedom techniques and breathing awareness to reduce childbirth fear: A randomized controlled study. Complementary Therapies in Clinical Practice, 35, 224–231. https://doi.org/10.1016/j.ctcp.2019.02.011

Kariasa, I. M., Nurachmah, E., Setyowati, S., & Koestoer, R. A. (2022). The Combination of Sensor Digital Kariasa Early Detection Prototype and Health Education for Self-Management in Preventing Recurrent Ischemic Stroke. SAGE Open Nursing, 8, 237796082211439. https://doi.org/10.1177/23779608221143906

Krisnawati, D., & Anggiat, L. (2021). Terapi latihan pada kondisi stroke: kajian literatur. Jurnal Fisioterapi Terapan Indonesia, 1(1).

Lee, E. B., Hoepfl, C., Werner, C., & McIngvale, E. (2019). A review of tech-based self-help treatment programs for Obsessive-Compulsive Disorder. Journal of Obsessive-Compulsive and Related Disorders, 23, 100473. https://doi.org/10.1016/j.jocrd.2019.100473

Lehman, L. L., Maletsky, K., Beaute, J., Rakesh, K., Kapur, K., Rivkin, M. J., & Mrakotsky, C. (2020). Prevalence of Symptoms of Anxiety, Depression, and Post-traumatic Stress Disorder in Parents and Children Following Pediatric Stroke. Journal of Child Neurology, 35(7), 472–479. https://doi.org/10.1177/0883073820909617

Pangastuti, H. S., Rustina, Y., Kamso, S., & Sitorus, R. (2020). Success Stories From Patient’s with Stroke Recurrence Prevention: A Qualitative Study. INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC), 4(2), 168. https://doi.org/10.24990/injec.v4i2.271

Peters, D. M., O’Brien, E. S., Kamrud, K. E., Roberts, S. M., Rooney, T. A., Thibodeau, K. P., Balakrishnan, S., Gell, N., & Mohapatra, S. (2021). Utilization of wearable technology to assess gait and mobility post-stroke: a systematic review. Journal of NeuroEngineering and Rehabilitation, 18(1), 67. https://doi.org/10.1186/s12984-021-00863-x

Puspitasari, P. N. (2020). Hubungan Hipertensi Terhadap Kejadian Stroke. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 922–926. https://doi.org/10.35816/jiskh.v12i2.435

Rancour, P. (2017). The Emotional Freedom Technique: Finally, a Unifying Theory for the Practice of Holistic Nursing, or Too Good to Be True? Journal of Holistic Nursing, 35(4), 382–388. https://doi.org/10.1177/0898010116648456

Ryan, C. (2018). Computer and Internet Use in the United States: 2016. American Community Survey Reports.

Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J. (Buddy), Culebras, A., Elkind, M. S. V., George, M. G., Hamdan, A. D., Higashida, R. T., Hoh, B. L., Janis, L. S., Kase, C. S., Kleindorfer, D. O., Lee, J.-M., Moseley, M. E., Peterson, E. D., Turan, T. N., Valderrama, A. L., & Vinters, H. V. (2013). An Updated Definition of Stroke for the 21st Century. Stroke, 44(7), 2064–2089. https://doi.org/10.1161/STR.0b013e318296aeca

Sari, I. P. (2016). Faktor-Faktor Yang Berhubungan dengan Terjadinya Stroke Berulang Pada Penderita Pasca Stroke. Jurnal Akademika Baiturrahim , 5(2), 7–11.

Setiawan, D., & Barkah, A. (2022). Hubungan Dukungan Keluarga Terhadap Motivasi Pasien Pasca Stroke Dalam Melakukan Latihan Fisioterapi di Rs. Sukmul Sisma Medika Jakarta Utara Tahun 2022. Jurnal Pendidikan Dan Konseling (JPDK), 4(3), 1707–1715.

Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., Szeto, K., O’Connor, E., Ferguson, T., Eglitis, E., Miatke, A., Simpson, C. E., & Maher, C. (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. British Journal of Sports Medicine, 57(18), 1203–1209. https://doi.org/10.1136/bjsports-2022-106195

World Stroke Organization. (2023). Impact of Stroke. Https://Www.World-Stroke.Org/World-Stroke-Day-Campaign/about-Stroke/Impact-of-Stroke.

Wu, Q., Zhou, A., Han, Y., Liu, Y., Yang, Y., Wang, X., & Shi, X. (2019). Poststroke depression and risk of recurrent stroke. Medicine, 98(42), e17235. https://doi.org/10.1097/MD.0000000000017235


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:

 

 

Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).


View My Stats