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Int J Psychiatry Clin Pract ; 22(4): 296-303, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29457918

RESUMEN

Objective: This study aimed to investigate the factors influencing the quality of life of in-hospital subacute stroke patients. Methods: The patients of subacute stroke (within four weeks) in our institution between 2015 and 2016 were recruited. Patients' characteristics and QOL were obtained from medical charts and stroke-specific quality of life scale (SS-QOL). Associations of each domain in SS-QOL with socio-demographic, clinical factors and patient satisfaction were investigated using the linear regression models. Results: Among the 203 subjects, 60 were diagnosed as large artery atherosclerosis (LAA), 80 were small-artery occlusion (SAO), 28 were cardioembolism (CE) and 35 were intracranial haemorrhage (ICH). The ICH group had the worst self-care ability and upper extremity function. Worse severity of stroke was associated with lower levels of language ability, mobility, mood status and upper-extremity function. Participants who had better satisfaction had high levels of capability of conducting family roles, positive emotions, personality consistency, self-care ability and capacity of conducting social roles. Conclusions: The level of patient satisfaction, duration of hospitalisation and the severity of stroke were found to be the three important factors associated with SS-QOL at hospital discharge, indicating doctors might assist patients adjust to the consequences of stroke and improve the QOL of subacute stroke.


Asunto(s)
Hospitalización , Satisfacción del Paciente , Calidad de Vida/psicología , Accidente Cerebrovascular/psicología , Adulto , Anciano , Anciano de 80 o más Años , Hemorragia Cerebral/complicaciones , Enfermedades de los Pequeños Vasos Cerebrales/complicaciones , China , Estudios Transversales , Femenino , Humanos , Arteriosclerosis Intracraneal/complicaciones , Embolia Intracraneal/complicaciones , Masculino , Persona de Mediana Edad , Autocuidado , Índice de Severidad de la Enfermedad , Accidente Cerebrovascular/etiología , Accidente Cerebrovascular/fisiopatología , Accidente Cerebrovascular/terapia
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