Background:
Stoke is a long-term condition. It is known as the most common cause of
disability
among adults. The measurement of Health-Related Quality
of Life (HRQOL) is important to
understand the actual status of the patients. Our aim
was to assess HRQOL among stroke patients.
Materials
and Methods: A cross-sectional study was applied to 65 strokes
outpatients. Assessment
of QOL was done by the use of Barthel index, SF36, and
Stroke Specific Quality of Life (SSQOL)
questionairs by personal interview.
Results:
Our patients had low mean scores in all SF36 domains, the lowest was for
RE with 3.46 ±
9.1 and GH was the best mean (51.7 ± 12.99). As regards
SSQOL, patients had low mean scores on
the lowest subscale in productivity (6.72 ± 3.21),
whereas the language was the least affected (15.86
± 6.26). There was a significant difference between the
means of PCS and SSQOL in post-stroke
duration which was significantly higher in >24
months (37.21± 8.59 and p = 0.007and 141.57 ± 36.12
and p = 0.052 respectively) than in the shorter
durations. The independent patients had significantly
higher PCS and SSQOL mean scores than who need assistance
and immobile ones (26.79 ± 5.09
and p< 0.0001 and 101.93 ± 22.16 and p< 0.0001
respectively). Age and mobility were significantly
negative correlated with PCS, SSQOL, and Barthel scores
while there was a significant positive
correlation between ULVC and LLVC testing grades and
PCS, MCS, SSQOL and Barthel index
scores. In the linear regression model, duration,
mobility and voluntary control of lower limbs were
predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036
respectively). There were no significant
predictors on MCS. On the other hand Mobility and
voluntary control of lower limbs were significant
predictors for SSQOL (p = 0.001 and 0.051
respectively).
Conclusion:
Stroke patient had poor QOL. A need for post-stroke care programs for
improving the
physical, mental and social quality of life for those
patients is mandatory.
Author(s) Details
Dr. Samar H. Goma
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut
University Hospital, Egypt.
Dr. Safaa A. Mahran
Department of Rheumatology, Rehabilitation, and Physical
Medicine, Assiut University Hospital, Egypt.
Prof. Dalia G. Mahran
Department of Public Health and Community Medicine, Assiut University
Hospital, Assiut, Egypt.
Dr. Eman H. El-Hakeim
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut
University Hospital, Egypt
Dr. Abeer M. Ghandour
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut
University Hospital, Egypt.
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