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CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2020; 11(04): 616-622
DOI: 10.1055/s-0040-1716927
Original Article

Factors Affecting Quality of Life among Post-Stroke Patients in the Sub-Himalayan Region

Tarannum Ahmed
1   College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Tamanna,
Rajesh Kumar 
1   College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Yogesh Bahurupi
2   Department of Community & Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
› Author Affiliations Funding The project was funded as STS project by All India Institute of Medical Sciences (AIIMS) Rishikesh, Uttarakhand 249203.
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Abstract

Background Stroke is one of the most debilitating conditions contributing to significant disability and death globally. Identifying risk factors for quality of life (QoL) will enable to improve home-based rehabilitation in post-stroke phase.

Objective This study was aimed to identify the risk factors of QoL in stroke patients in the sub-Himalayan region.

Materials and Methods A cross-sectional hospital-based study assessed the QoL among stroke patients within a week after the onset of acute stroke and then re-evaluated at 3 months. World Health Organization QoL-BREF, Beck Depression Inventory, the Barthel Index, and Montreal Cognitive Assessment (MOCA) were used to seek data on QoL, depression, cognitive, and functional dependence status, respectively. Appropriate statistics were used to compute the results.

Results In total, 129 stroke patients recruited, out of which 102 returned to a 3-month follow-up. QoL, MOCA, disability index, and depression score were compared using Wilcoxon Singed-rank test. In multivariate analysis, depression and disability together predicted 60% of the variance for physical QoL (p < 0.0001). Similarly, poststroke depression and disability together predicted 61% of the variance for psychological QoL (p < 0.0001) in stroke patients.

Conclusion Findings indicated that depression and disability are leading risk factors of QoL in stroke patients. Early identification of poststroke depression and functional dependence status is, therefore, essential to devise screening procedure and to develop targeted intervention to improve rehabilitation outcomes.

Keywords

poststroke - depression - disability - cognitive changes - quality of life


Publication History

Publication Date:
01 October 2020 (online)

© 2020. Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. https://creativecommons.org/licenses/by-nc-nd/4.0/.

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