Quality of life for patients poststroke and the factors affecting it (original) (raw)
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Measuring quality of life in a way that is meaningful to stroke patients
Neurology, 1999
Objective: To identify predictors of poststroke quality of life. Background: Health-related quality of life (HRQOL) measures assess the impact of disease on the physical, emotional, and social aspects of patients' lives. Although HRQOL measures are used increasingly, factors associated with HRQOL poststroke and the ability of stroke-specific versus generic HRQOL measures to predict patient-reported HRQOL are not well known.
Quality of Life in Patients After Stroke
2023
The goal of all medical treatments is a better quality of life for patients. Post-stroke rehabilitation is a long process with uncertain result. The aim of this study was to explore the factors which affect the quality of life of patients recovering from a cerebrovascular disease. This is a prospective study evaluating the quality of life of one hundred patients one month and six months after a stroke, and patients also answered questions retrospectively, of how they felt before the stroke. As assessment tools we used a questionnaire on general and clinical data and Medical Outcomes Study Short Form (SF-36) questionnaire. Physical functioning and Physical role domains of SF-36 show significant differences in both measured periods (p<0.001). Emotional role, Social functioning, Mental health, Vitality and General health domains show a statistically significant change during first six months, while Bodily pain domain did not change (p>0.05). Physical summary score has changed significantly during 6 months (p <0.001). Mental summary score showed no significant difference in both periods (p <0.687; p <0.958). The brain localization is important factor (p<0.0002). Gender, age, education, employment status and previous strokes did not have a statistically significant influence (p> 0.05). Post-stroke physical impairment is not always accompanied by emotional impairment. Emotional functioning impairments generally return to the premorbid level during the period of six months, while physical impairments continue to occur. Further research is needed for better understanding of these relationships.
Quality of life of post-stroke patients
Slovenian Journal of Public Health
Introduction Stroke is a disease whose consequences have a considerable impact on the quality of the patient’s life. It is a widespread disease that has a disabling impact on life and, in addition to physical changes, brings about a number of psychological and cognitive processes. Goal The goal of the study was to identify and describe the quality of life of post-stroke patients. Methodology The study design was quantitative. A questionnaire of the authors’ own design and the SF-36 questionnaire were used to obtain the data. Results Significant differences in patient quality of life were identified in relation to patient gender. Moreover, the quality of life in all individual SF-36 dimensions, except for mental health, deteriorated with age. With regard to occupational placement, employed respondents gave the highest evaluation of quality of life according to SF-36 and old-age pensioners the lowest. The analysis shows that quality of life in individual dimensions is positively influ...
Clinical Epidemiology and Global Health, 2021
This study piloted the World Health Organization Quality of Life short version form (WHOQOL-BREF) to compare the quality of life (QoL) in post-stroke patients who followed the medical stroke rehabilitation program and those whom did not. This study determined which quality of life domains were mostly affected by stroke, and whether there are influencing factors other than rehabilitation. Methods: A cross-sectional study was conducted at Public Hospital in Surabaya. Patients with stroke less than two years since the first attack were included in this study (n = 52). Cronbach's alpha test was performed to assess the internal consistency of WHOQOL-BREF questionnaire. The independent t-test and ANOVA were used to compare the differences between patient's characteristics and the six domains of QoL (i.e., perception of QoL, perception of health, physical of health, psychological health, social relationship, and environmental health). Multiple linear regression was performed to assess the influential factors of QoL. Results: post-stroke patients aged more than 50 years old (76.9%), male (55.8%). But, only 48.1% of those patients participating in medical rehabilitation programs. Age group was significantly associated with QoL in the psychological health domain (p = 0.021); participating in medical stroke rehabilitation programs was significantly associated with social relationship domain (p = 0.026) and the education level was significantly associated to physical health (p = 0.005), psychological heath (p = 0.035) and perception of health (p = 0.003). Conclusion: Lower education level was significantly associated with a low perception of health, one of QoL domains; and it was the most influential factor of QoL among post-stroke patients.
Factors Associated With Health-Related Quality of Life After Stroke
Neurorehabilitation and Neural Repair, 2011
Background. In line with patient-centered health care, it is necessary to understand patients' perceptions of health. How stroke survivors perceive their health at different time points after stroke and which factors are associated with these feelings provide important information about relevant rehabilitation targets. Objective. This study aimed to identify the independent factors of health-related quality of life (HRQoL) from a biopsychosocial perspective using the methods of multivariate regression at 3 different time points poststroke. Methods. Included in the study were 99 patients from stroke units with diagnosed first-ever stroke. At admission and at 6 weeks, 3 months, and 1 year poststroke, HRQoL was assessed using the EuroQoL-5D Visual Analogue Scale (EQ-5D VAS). Consequences in Body Functions and Activities and Participation, and Environmental Factors were documented using 155 categories of the International Classification of Functioning, Disability and Health (ICF) Core Set for Stroke. Results. For a period of 1 year, problems with recreation and leisure, personality functions, energy and drive functions, and gait pattern functions were repeatedly associated with worse HRQoL. Whereas Body Functions and Activities and Participation explained more than three-fourths of the variances of HRQoL at 6 weeks and 3 months (R 2 = 0.80-0.93), the variation at 1 year was best explained by either Body Functions or Environmental Factors (R 2 = 0.51). Conclusions. The results indicate the importance of Body Functions and Activities and Participation (mainly personality functions and recreation and leisure) on HRQoL within 3 months poststroke, but increased impact of Environmental Factors on HRQoL at 1 year.
Determining Quality of Life and Associated Factors in Patients with Stroke
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 2015
Objective: This study aims to examine the overall and domain-specific quality of life in patients with stroke and to identify variables predicting quality of life after stroke. Material and Methods: A total of 104 patients with sufficient cognitive functions having hemiplegia because of cerebrovascular accident and 108 controls were included in this study. Demographic and clinical features were recorded. The Barthel Index (BI) and Functional Ambulation Category scale were employed to assess the functional state of patients. Quality of life was evaluated by the Short Form 36 (SF-36) health survey, whereas the emotional state of the patients was evaluated by the Hospital Anxiety and Depression Scale (HADS). Functional status, motor impairment, and emotional state were determined as independent variables, and multiple regression analysis was used to predict quality of life. Results: Patients had significantly lower scores in the quality of life subscores and total scores in comparison with the controls (p<0.001). The mean anxiety and depression rates in the patients were significantly higher than those in controls (p<0.001). The sum of subscores and physical composite score of SF-36 were significantly lower in female and illiterate patients than in male and educated patients. Multiple regression analyses indicated that HADS depression was associated with mental health (p<0.001), whereas BI was independently associated with the physical health total score (p<0.05). The power of the statistical analysis for study population was 100% according to the given effect size (α=0.01). Conclusion: Present results demonstrated that patients with stroke have a significantly poor quality of life than the general population. The reduced quality of life after stroke appears to be related the emotional state, physical disability, and demographic properties such as gender and education. Therefore, prevention of disability and early diagnosis and treatment of depression are vital in improving the quality of life of patients with stroke.
Quality of life in post-stroke patients
Kontakt, 2021
Introduction: Strokes are the third most common cause of hospitalization in Slovakia. This is a serious social and economic problem, because after a stroke almost half of the patients have a persistent neurological deficit. The goal of this research was to assess the quality of life of patients who have had an acute stroke. Design: Quantitative cross-sectional study. Methods: The Stroke Impact Scale (SIS 3.0) was completed by 80 patients, an average age of 69.9 (± 9.49) years within 28 days after a stroke. The results were analyzed by the Mann-Whitney U test and Spearman correlation. Results: The average score for each SIS 3.0 domain ranged from 48.28 (social participation) to 75.18 (communication). The overall recovery rate was estimated at an average of 54.10 (± 29.19) points. There were no significant differences in the SIS domains by gender, and a worse score in the memory and thinking domain was only identified in women (p ≤ 0.05). Older age significantly correlated with most domains (p ≤ 0.05). The association between overall recovery rate and all SIS domains (p ≤ 0.05), except the emotion domain, was confirmed. Conclusions: Assessing the consequences of strokes is important for the effective management of healthcare, psychological and social care, respecting the individual needs of the patient.
Quality of life after stroke: impact of clinical and sociodemographic factors
Clinics (Sao Paulo, Brazil), 2018
The aim of the study was to analyze the impact of ischemic stroke on health-related quality of life (QoL) and associate this event with individuals' clinical and sociodemographic characteristics. We investigated the clinical and demographic aspects of stroke patients. The Modified Rankin Scale, National Institutes of Health Stroke Scale (NIHSS) and the Stroke Specific Quality of Life Scale (SS-QoL) were used for correlation analysis. Among 131 patients with ischemic stroke, 53.4% of patients presented with moderate to severe disability on the Rankin Scale. According to the SS-QoL, several QoL domains were compromised. QoL was significantly negatively correlated with the values of the Rankin and NIHSS scales, indicating lower QoL among people with worse functional status and greater clinical severity of stroke (p<0.001). The use of orthosis and total anterior circulation infarct subtype of stroke led to a more marked reduction in QoL. The present study described an inversely p...
A study on the quality of life among stroke survivors: A cross sectional study
Journal of Medical Research and Innovation, 2021
Background: The World Health Organization defines – Health as a “state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” Materials and Methods: A crosssectional study on 96 patients with stroke aged more than 30 years was carried out NIMS Hospital, Jaipur for a period of 4 months from January 1, 2018, to April 30, 2018. Results: Out of 96 patients, mean quality of score of patients with stroke was 65.04 ± 9.982 there was significant difference seen in quality of life (QOL) score according to sex, side of lesion, duration of stroke, socio-economic status, occupation, and hypertension. Conclusion: It can be said that QOL is a multidimensional concept. As stroke cases is among the most devastating of health aspect, having multiple and profound effects on all aspects of life; hence, evaluation of QOL is very important. Each and every effort should be made to improve these aspects and, in turn, to activity daily living and to improve the overall quality of stroke patients.
Quality of Life and Disability in Stroke Survivors
2019
Methods: Descriptive, cross-sectional design was used to assess the QOL and disability in stroke patients attending Neuromedicine and Neurosurgery out-patient departments of Kathmandu Medical College. Data was collected purposively using an interview from 155 respondents. QoL was assessed using Health-Related Quality of Life in Stroke Patients (HRQOLISP-40) and disability was measured by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The analysis was done using Pearson’s correlation and the Mann Whitney U test.