PURPOSE: This study was conducted to identify the effects of sympathetic conversation on stress, anxiety and depression, and muscle tone in chronic stroke patients. METHODS: Patients were randomly assigned to either an experimental group (EG, n=7) or control group (CG, n=7). Both groups participated...
PURPOSE: This study was conducted to identify the effects of sympathetic conversation on stress, anxiety and depression, and muscle tone in chronic stroke patients. METHODS: Patients were randomly assigned to either an experimental group (EG, n=7) or control group (CG, n=7). Both groups participated in a pretest before intervention. Subjects were asked to undergo: 1) electroencephalogram, 2) Stress Response Inventory, 3) Hospital Anxiety and Depression Scale, 4) muscle tone and stiffness testing. After the pretest, EG received sympathetic conversation and CG received a simple explanation about stroke recovery and rehabilitation. Following the intervention, both groups were immediately administered a post test. RESULTS: In EG, the electroencephalogram relative alpha power was significantly increased (p<.05), while the electroencephalogram relative gamma power was significantly decreased (p<.05). The Stress Response Inventory and Hospital Anxiety and Depression Scale scores decreased significantly in both groups (p<.05). In addition, muscle tone and stiffness decreased significantly in the EG (p<.05) CONCLUSION: The results of the present study indicate that sympathetic conversation had a positive effect on stress, anxiety and depression, and muscle tone in patients with chronic stroke. Therefore, sympathetic conversation could be used to improve not only psychological problems in chronic stroke patients including stress and anxiety, but also physical conditions including muscle tone.
PURPOSE: This study was conducted to identify the effects of sympathetic conversation on stress, anxiety and depression, and muscle tone in chronic stroke patients. METHODS: Patients were randomly assigned to either an experimental group (EG, n=7) or control group (CG, n=7). Both groups participated in a pretest before intervention. Subjects were asked to undergo: 1) electroencephalogram, 2) Stress Response Inventory, 3) Hospital Anxiety and Depression Scale, 4) muscle tone and stiffness testing. After the pretest, EG received sympathetic conversation and CG received a simple explanation about stroke recovery and rehabilitation. Following the intervention, both groups were immediately administered a post test. RESULTS: In EG, the electroencephalogram relative alpha power was significantly increased (p<.05), while the electroencephalogram relative gamma power was significantly decreased (p<.05). The Stress Response Inventory and Hospital Anxiety and Depression Scale scores decreased significantly in both groups (p<.05). In addition, muscle tone and stiffness decreased significantly in the EG (p<.05) CONCLUSION: The results of the present study indicate that sympathetic conversation had a positive effect on stress, anxiety and depression, and muscle tone in patients with chronic stroke. Therefore, sympathetic conversation could be used to improve not only psychological problems in chronic stroke patients including stress and anxiety, but also physical conditions including muscle tone.
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문제 정의
However, no studies have investigated the effects of conversation on psychological factors or physical factors in stroke patients. Therefore, this study was conducted to identify the effects of sympathetic conversation on stress, anxiety and depression, muscle strength, and muscle tone in patients with chronic stroke.
가설 설정
It should be noted that this study has several limitations. First, the sample size was small. Second, this study could not identify the long term effects and clinical effects of sympathetic conversation.
제안 방법
After assigning subjects to each group, the subjects agreed to participate in the experiment. In this study, the intervention and every test were performed in one day. The intervention was provided from 6 pm to 8 pm.
86 (depression). The HADS consists of 14 items, seven evaluating anxiety (HADS-A) and seven evaluating depression (HADS-D). Each of the items receives scores that vary from 0 to 3, with a total of up to 21 points for each scale.
, 2001). This scale consists of a total of 39 response items under seven subscales (Tension, Aggression, Somatization, Anger, Depression, Fatigue, Frustration). Moreover, there are six items under the tension subscale, four under the aggression subscale, three under the somatization subscale, six under the anger subscale, eight under the depression subscale, five under the fatigue subscale, and seven under the frustration subscale.
This study employed a pre- and post-test design. Each subject was randomly assigned to either the experimental group (n=7) or control group (n=7).
대상 데이터
A total of 14 chronic stroke patients who voluntarily agreed to this experiment were included in this study. Prior to the start of the study, all subjects understood its content and signed an informed consent form.
A total of 14 subjects participated in this study (experimental group 7, control group 7). There was no significant difference in general characteristics between the two groups (p>.
Electrodes were attached to the head using the ten-twenty electrode system of the International Federation. The EEG system was equipped with four electrodes placed at the following positions related to stress areas: Fp1, Fp2, F3, F4 (Kwon, 2011). Electrodes were also attached to the mastoids (A1 + A2) as a reference (Al-Shargie et al.
데이터처리
0 (IBM Corporation, Armonk, NY, USA). An independent t-test was used to measure the homogeneity of the two groups, while the Shapiro-Wilk test was used to determine if data followed a normal distribution.
Comparisons of variables before and after intervention within each group were made using paired t-tests. Comparisons of pre- and post-test differences in variables between the experimental group and the control group were performed using the independent t-test. The statistical software SPSS 20.
Comparisons of variables before and after intervention within each group were made using paired t-tests. Comparisons of pre- and post-test differences in variables between the experimental group and the control group were performed using the independent t-test.
이론/모형
, 2001). This study employed the Stress Response Inventory for Koreans developed by Koh et al. (2000).
, 1999). This study used the Korean-version of the HAD, for which the reliability and validity were confirmed by Oh et al. (1999). The Korean-version of the HADS reliability (Cronbach alpha) was .
성능/효과
The results of the present study indicate that sympathetic conversation had a positive effect on stress, anxiety and depression, and muscle tone in patients with chronic stroke. Therefore, sympathetic conversation could be used to improve not only psychological problems including stress and anxiety, but also physical conditions including muscle tone in chronic stroke patients.
후속연구
Second, this study could not identify the long term effects and clinical effects of sympathetic conversation. Given these limitations, additional research investigating the long term effects or a follow-up study of the effects of sympathetic conversation, identifying clinical effects, and widening the subject range is needed.
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