Predictors of Quality of Life in Stroke Survivors: A 1-year Follow-Up Study of a Tunisian Sample

Autor: Houda Migaou, Anis Jellad, Arwa Bouden, Asma Sriha Belguith, Soumaya Boudokhane, Zohra Ben Salah Frih, Amine Kalai, Ons Borgi
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
Time Factors
Tunisia
1 year follow up
Hospital Anxiety and Depression Scale
Risk Assessment
Severity of Illness Index
03 medical and health sciences
Disability Evaluation
0302 clinical medicine
Quality of life
Predictive Value of Tests
Risk Factors
Surveys and Questionnaires
medicine
Humans
cardiovascular diseases
Prospective Studies
Survivors
Stroke survivor
Stroke
Depression (differential diagnoses)
Aged
business.industry
Depression
Public health
Rehabilitation
Age Factors
Middle Aged
medicine.disease
Mental Status and Dementia Tests
Prognosis
Functional Independence Measure
humanities
Functional Status
Mental Health
Physical therapy
Quality of Life
Surgery
Female
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 30(4)
ISSN: 1532-8511
Popis: Background Stroke survivors often have impaired quality of live (QOL). There is very little information about the determining factors of QOL of stroke survivors in developing countries managed in public health structures with limited access to state of the art treatments. Objective To identify the main determinants of QOL in Tunisian stroke survivors. Methods QOL was assessed at 3, 6 and 12 months after the stroke using the Tunisian version of the SF-36 questionnaire. Patients were evaluated using the National Institue of Health Stroke Scale, the motor index of Demeurisse, the Functional Independence Measure instrument, the Reintegration to Normal Living Index, the Mini-Mental State Examination and the Hospital Anxiety and Depression Scale. Results 65 stroke survivors were included (60% males; mean age 62.2±10.3 years). Eighty-sex percent of the patients had an ischemic infarction. Most of the stroke patients had minor or moderate stroke. All the QOL dimensions were altered at 3 months post stroke. Between the 3 and 6-months follow-ups, there were significant changes in the SF-36 scores and individual domains but QOL remained altered. Between 6 and 12 months, there were no significant changes in the majority of the SF-36 domains. Advanced age, neurologic impairment, depression and disability measured 1 month after stroke, the stroke side (left hemisphere), the life style, and higher education, were associated with worse QOL. Conclusions Stroke severity, advanced age, post-stroke depression and disability seem to represent consistent determinants of QOL in Tunisian stroke patients.
Databáze: OpenAIRE
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