Determinants of Quality of Life in the Acute Stage Following Stroke
Psychiatry Investigation
;
: 127-133, 2012.
Article
in English
| WPRIM
| ID: wpr-120921
ABSTRACT
OBJECTIVE:
This study aimed to investigate the factors influence the quality of life (QOL) of survivors of an acute stroke.METHODS:
For 422 stroke patients, assessments were made within two weeks of the index event. QOL was measured using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF), which has four domains related to physical factors, psychological factors, social relationships, and environmental context. Associations of each four WHOQOL-BREF domain score with socio-demographic characteristics (age, sex, education, marital status, religion, and occupation), stroke severity (National Institutes of Health Stroke Scale), physical disability (Barthel Index), cognitive function (Mini-Mental Status Examination MMSE), grip strength, and psychological distress (Hospital Anxiety and Depression Scale depression and anxiety subscale HADS-D and HADS-A) were investigated using the linear regression models.RESULTS:
Higher physical domain scores were independently associated with higher MMSE scores, stronger hand-grip strength, and lower HADS-D and HADS-A scores; higher psychological domain scores were independently associated with higher educational level, higher MMSE scores, and lower HADS-D and HADS-A scores; higher social relationships domain scores were independently associated with lower HADS-D and HADS-A scores; and higher environmental domain scores were independently associated with higher educational level, higher MMSE scores, and lower HADS-D scores.CONCLUSION:
Psychological distress and impaired cognitive function were independently associated with lower QOL in patients with acute stroke. However, stroke severity, physical disability and other socio-demographic factors were less significantly associated with QOL. These findings underscore the importance of psychological interventions for improving QOL during the acute phase following stroke.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anxiety
/
Quality of Life
/
World Health Organization
/
Linear Models
/
Marital Status
/
Survivors
/
Hand Strength
/
Stroke
/
Depression
/
Academies and Institutes
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Psychiatry Investigation
Year:
2012
Type:
Article
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