scholarly journals Quality of Life during the First Two Years Post Stroke: The Restore4Stroke Cohort Study

2015 ◽  
Vol 41 (1-2) ◽  
pp. 19-26 ◽  
Author(s):  
Maria L. van Mierlo ◽  
Caroline M. van Heugten ◽  
Marcel W.M. Post ◽  
Tibor R.S. Hajós ◽  
L. Jaap Kappelle ◽  
...  

Background: Little information is available about the course of quality of life (QoL) post stroke and how dependency on activities of daily living (ADL) influences this course. The aim of this study was therefore to describe the course of QoL from 2 months up to 2 years post stroke and to study the influence of ADL dependency in the first week post stroke. Methods: This is a multicenter prospective longitudinal cohort study in which 368 stroke patients were included and data were collected at 1 week, 2 months, 6 months, 12 months and 24 months post stroke. QoL assessment included measures of health-related quality of life (HRQoL) (short stroke-specific Quality of Life Scale), emotional functioning (Hospital Anxiety and Depression Scale), participation (Utrecht Scale for Evaluation of Rehabilitation-Participation), and life satisfaction (2LS). Dependency on ADL was defined as having a Barthel Index score ≤17 four days post stroke. Generalized Estimating Equations analyses were performed to examine the course of the 4 domains of QoL. Furthermore, the possible confounding effect of age, gender, marital status, level of education and discharge destination was examined. Results: Results showed that HRQoL, participation and life satisfaction improved during the first year post stroke, with most changes occurring in the first 6 months. Furthermore, patients dependent in ADL scored consistently lower on all 4 QoL domains and test occasions compared to ADL-independent patients. In both patient groups separately, no changes over time were found in emotional functioning. ADL-independent patients improved in HRQoL (p = 0.002), participation (p < 0.001) and life satisfaction (p = 0.020) between 2 and 6 months and in life satisfaction (p = 0.003) between 6 and 12 months also. ADL-dependent patients improved in HRQoL (p = 0.009) between 2 and 6 months and in participation between 2 and 6 months (p = 0.001) and between 6 and 12 months (p = 0.031). Furthermore, they experienced no changes in life satisfaction. No confounding effect was found after adding age, gender, marital status, level of education and discharge destination. Conclusions: Most improvement in QoL occurred up to 6 months post stroke and showed different patterns for specific domains of QoL and for patients with and without dependency in ADL in the first week post stroke. It is therefore important to differentiate between these different domains of QoL when the long-term perspective is considered. Furthermore, patients dependent in ADL consistently scored lower on all QoL domains and did not reach the level of QoL of patients independent of QoL.

2020 ◽  
Vol 47 (2) ◽  
pp. 93
Author(s):  
Langgersari Elsari Novianti ◽  
Esti Wungu ◽  
Fredrick Dermawan Purba

This study aimed to find correlations between the quality of life, happiness, and life satisfaction of the general population of Bandung city. There were 370 participants with averageage of 20.7 years, mostly male (55.7%) and with a secondary level of education (SMP-SMA; 57.0%) who completed three questionnaires: (i) WHOQOL-BREF to measure quality of life, (ii) Happiness Thermometer to measure happiness, and (iii) Self-Anchoring Cantril Striving Scale to measure life satisfaction. Multiple linear regression tests were used with happiness and life satisfaction as dependent variables and quality of life as an independent variable. The results showed that the psychological and physical domains of quality of life were significant predictors of happiness and satisfaction of life, where the psychological domain proved significant in predicting all four-time points: happiness today (β=0.039; p<0.05), happiness throughout life (β=0.043; p<0.05), current life satisfaction (β=0.034; p<0.05) and life satisfaction five years from now (β=0.017; p<0.05). Physical domain was similar to psychological except for current life satisfaction (β=0.029; 0.023; 0.014; p<0.05). The environmental domain had been shown to predict happiness throughout life significantly (β=0.019; p<0.05) and life satisfaction five years from now (β=-0.015; p<0.05). The social domain was not found to be a significant predictor. It can be concluded that improving the psychological and physical function of Indonesian people and their environmental conditions will lead them to a happier and more satisfying life.


Author(s):  
Zora Raboteg Šarić ◽  
Vladimir Takšič ◽  
Viktor Božičević

Variables related to life satisfaction and (psychological distress in the elderly were studied.The sample consisted of 158 persons over 60 years of age, who were not institutionalized. Questionnaires that measured sociodamo- graphic characteristics, life satisfaction and psychic and somatic complaints were administered.The findings, based on correlational analysis showed that the variables significantly related to psychological distress were prior employment status, education and age. Self-assessed financial status and marital status were found to have significant relationship with life satisfaction. The implications of the findings for the quality of life among the elderly are discussed.


2011 ◽  
Vol 12 (4) ◽  
pp. 149-162 ◽  
Author(s):  
Fakhri Khader

This study was planned and conducted to assess the quality of life (QOL) as perceived by 140 selected elderly people living in 3 public nursing homes in Amman, Jordan. Factors that may influence quality of life among the residents were analyzed, and the relationship between quality of life and certain demographics in the nursing homes was determined. The data were collected through administration of a questionnaire during face-to-face interviews in the residents’ settings. Consent from each resident was sought and obtained. The findings indicated that the quality of life is determined by age, gender, marital status, level of education, and length of stay in the nursing home. Also, by the quality of the four domains: physical, psychological, social relationships, and environment.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Liming Dong ◽  
Devin Brown ◽  
Erin Case ◽  
Lewis Morgenstern ◽  
Lynda Lisabeth

Introduction: Although the impacts of marital status on health have long been recognized, little is known about its role in stroke outcomes. The study examined the association of marital status with neuropsychiatric, cognitive, functional, and quality of life outcomes at 90 days post-stroke in a population-based sample. Methods: Data were obtained from the Brain Attack Surveillance in Corpus Christi (BASIC) project (2009-2016). Post-stroke outcomes included neurological status assessed by the National Institutes of Health Stroke Scale, cognitive function assessed by the Modified Mini-Mental State Examination, functioning assessed by an activities of daily living (ADL)/instrumental activities of daily living (IADL) score, depression assessed by the 8-item Patient Health Questionnaire, and quality of life assessed by the short-form Stroke Specific Quality of Life scale. Linear or Tobit regression models were used to examine the association between marital status and stroke outcomes, accounting for attrition. Results: Among 1,226 ischemic or hemorrhagic cases, mean age was 67.6 (SD=12.3), half were women, and three-fifths were Mexican American; 23.0% were widowed, 20.1% were divorced/separated, and 8.4% were never married. Widowed participants were more likely to be female, aged above 75, and less educated than other groups. After adjustment for age, sex, ethnicity, education and stroke severity, compared with those married, those widowed had significantly worse cognitive function and quality of life, those never married had worse neurological and cognitive outcomes, and those divorced/separated had more depressive symptoms and poorer quality of life (Table). Conclusions: Being unmarried at stroke onset is associated with worse outcomes after stroke, and the outcome profiles vary by marital status. Further research should investigate potential mechanisms and develop interventions to improve outcomes of unmarried stroke survivors.


2018 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Yudha Mathan Sakti ◽  
Astri Ferdiana ◽  
Dananjaya Putramega ◽  
Zikrina A. Lanodiyu ◽  
Galih Prasetya Sakadewa ◽  
...  

<p>The level of functional independence was directly proportional to life satisfaction and quality of life in patients with spinal cord injury. By knowing the determinants that predict changes in functional independence, medical treatment and rehabilitation can be better planned to improve the patient’s quality of life. We conducted a prospective cohort study on 49 patients with spinal cord injury at Dr. Sardjito general hospital Yogyakarta from April to June 2016. The data were taken before patient underwent surgery, before discharged from the hospital, and 3 months after underwent surgery. We found that most common spinal cord injury was at the level of lumbar vertebra with 28 patients (58%). There was a positive trajectory of the patients with spinal cord injury with ASIA grade B-E classification. However, patients with spinal cord injury with ASIA classification grade A have a neutral trajectory.We conclude there was a positive trajectory between functional independence and traumatic or non-traumatic spinal cord injury except in patients with ASIA grade A classification spinal cord injury. The determinants that affected the trajectory of patients with spinal cord injury were the level of the injured vertebra and severity of the neurological deficit. </p>


1984 ◽  
Vol 54 (3) ◽  
pp. 977-978 ◽  
Author(s):  
John M. Dillard ◽  
N. Jo Campbell ◽  
Grace B. Chisolm

This investigation examined the relationship of life satisfaction with such characteristics as sex, age, health status, level of education, marital status, and income status. The participants were 281 aged men ( n = 82) and women ( n = 199) who lived in a large southwestern metropolitan area. Analysis showed that life satisfaction was significantly related to the aged participants' education level, income, and health status.


Author(s):  
Dace Stiegele ◽  
Mirdza Paipare

In recent decades, quality of life issues and research have been increasingly focused on seeing a direct link between indicators of subjective well-being and economic growth. In Latvia, the issue of subjective well-being has also been raised in recent years in population surveys, but there are no trends in emphasizing the importance of these indicators in the context of quality of life.In Latvia, education is included in the statistical data collection among the most important quality of life indicators. In Latvia, the level of life satisfaction decreases most rapidly at the age of 45-54.Purpose of the article: to research the components of quality of life in Europe and Latvia, identify significant indicators for the mantaining of adult quality of life and view on education and subjective well-being in the context of assessment of quality of adults life.Method: the study carried out an content analysis of the data of Eurostat population quality of life surveys, the EU and the Republic of Latvia's official guidelines on quality of life and lifelong learning, as well as pedagogical and psychological literature and scientific articles on quality of life, subjective well-being and adult education issues. Results: according to survey data, adults with higher level of education experience higher level of participation in lifelong learning activities; the level of education affects the assessment of life satisfaction.  


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