Factors Affecting Quality of Life of the Korean Aged Stroke Patients

1997 ◽  
Vol 44 (3) ◽  
pp. 167-181 ◽  
Author(s):  
Hyunsook Yoon

Among the most prevalent disabling diseases of old age, stroke is the leading chronic condition in Korea. The physical and psychosocial complications of a stroke can result in serious limitations on all aspects of one's life that affect overall quality of life. This study examines the relative importance of and interactions among factors which affect the quality of life of 119 stroke patients aged sixty-five and older in Korea. The model uses family support, personality (specifically hardiness), economic status, and physical functioning as independent variables, and quality of life as a dependent variable. The results of this study suggest that physical functioning and physical care by the family are important factors influencing quality of life of the aged stroke patients. Hardy personality is negatively associated with financial support and physical care by the family. These findings have several implications for policy development, clinical practice, and future research in this area.

2006 ◽  
Vol 64 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Mara Renata Fernandes ◽  
Luciane B.C. Carvalho ◽  
Gilmar F. Prado

CONTEXT: Hemiparesia changes quality of life of patients with stroke making difficult a normal life. OBJECTIVE: To evaluate the effect of Functional Eletric Orthesis (FEO) applied over the paretic leg in the quality of life of stroke patients. METHOD: The quality of life of 50 stroke patients of Associacao de Assistencia a Crianca Deficiente (AACD) was evaluated with SF-36 questionnaire before and after the treatment with a FEO for rehabilitation of walking. We analyzed data according to gender and affected hemisphere. RESULTS: The average values from all domains of SF-36 improved significantly (p<0.001). Female patients improved more than male in Emotional Domain (p=0.04) and presented a trend to be better regarding Bodily Pain and Social Functioning. Patients with right hemiparesia improved more than those with left hemiparesia (p=0.02). CONCLUSION: FEO over a paretic leg is efficient to improve quality of life of stroke patients, mainly Physical Functioning.


2006 ◽  
Vol 21 (3) ◽  
pp. 383-418 ◽  
Author(s):  
BEATRICE MORING

The aim of this article is to explore the economic status and the quality of life of widows in the Nordic past, based on the evidence contained in retirement contracts. Analysis of these contracts also shows the ways in which, and when, land and the authority invested in the headship of the household were transferred between generations in the Nordic countryside. After the early eighteenth century, retirement contracts became more detailed but these should be viewed not as a sign of tension between the retirees and their successors but as a family insurance strategy designed to protect the interests of younger siblings of the heir and his or her old parents, particularly if there was a danger of the property being acquired by a non-relative. Both the retirement contracts made by couples and those made by a widow alone generally guaranteed them an adequate standard of living in retirement. Widows were assured of an adequately heated room of their own, more generous provision of food than was available to many families, clothing and the right to continue to work, for example at spinning and milking, but to be excused heavy labour. However, when the land was to be retained by the family, in many cases there was no intention of establishing a separate household.


2016 ◽  
Vol 28 (12) ◽  
pp. 3376-3379
Author(s):  
Seiichi Takemasa ◽  
Ryoma Nakagoshi ◽  
Masayuki Uesugi ◽  
Yuri Inoue ◽  
Makoto Gotou ◽  
...  

2020 ◽  
Author(s):  
Kil-Yong Jeong ◽  
Hyun Jung Lee

Abstract Background: The purpose of this study was to analyze the risk factors affecting the prevalence of osteoarthritis and the health-related quality of life (HRQoL) of stroke patients from various angles, including demographic factors, socioeconomic factors, comorbidities, and lifestyle factors.Methods: A total of 13,959 patients ≥40 years of age (stroke group n = 416, non-stroke group n = 13,535) were identified from the 2016–2018 Korean National Health and Nutrition Examination Survey for analysis. The European quality of life-5 dimensions questionnaire was used to compare the differences in stroke patient’s HRQoL according to the presence or absence of osteoarthritis. Multiple regression analysis was performed to determine the factors affecting the HRQoL of the stroke group.Results: The prevalence of osteoarthritis was 21.72% in the stroke group and 12.49% in the non-stroke group. The prevalence of osteoarthritis in female patients who had strokes was 35.95% and was significantly higher than that of male patients who had strokes (10.23%). The European quality of life-5 dimensions index indicating HRQoL was significantly lower in stroke group with osteoarthritis. Factors that significantly influenced the HRQoL in the stroke group were the presence of osteoarthritis, aerobic exercise, drinking status, types of health insurance, and educational levels.Conclusions: This study confirmed that the HRQoL was significantly lower in stroke group with osteoarthritis. Findings were taken to suggest that the active management of osteoarthritis in stroke patients are important.


2018 ◽  
Vol 05 (01) ◽  
pp. 028-037
Author(s):  
Purva Karnavat ◽  
Anaita Hegde ◽  
Shilpa Kulkarni

Abstract Background Pediatric epilepsy is associated with various comorbidities. It is known that children with epilepsy have a compromised health-related quality of life (QOL) and may be affected across physical, psychological, social, and educational domains. Aims and Objectives (1) To study QOL in children with epilepsy from private and public outpatient departments, (2) study various risk factors affecting QOL, and (3) compare risk factors between groups. Methods Sample consisted of 400 and 201 children aged 5 to 18 years from private and public settings with epilepsy taking antiepileptic drugs (AEDs) for at least 6 months. Structured case record form was used to collect data on sociodemographic, clinical, and treatment parameters. QOL was measured by the Pediatric Quality of Life Inventory (PedsQL) questionnaire (in the local language). Adverse effects were monitored by Pediatric Epilepsy Side Effects Questionnaire (PESQ). Univariate regression analysis was performed on the data (p < 0.005). Results Overall PedsQL score was 67.21 ± 29.391 and 78.66 ± 9.161 in private and public settings, respectively (p = 0.000). QOL was affected significantly by age of the child, educational and economic background of the caregivers, age at the onset of epilepsy, seizure frequency, duration of treatment, number of drugs, presence of comorbidities, intelligence quotient (IQ) levels of children, and PESQ score in both the groups. Total PESQ score was 18.63 ± 17.02 and 7.69 ± 10.646 in private and public settings, respectively (p = 0.000). Conclusions Children with epilepsy have a compromised QOL. Risk factors relating to QOL are numerous. Educational and economic status of caregivers plays a significant role in awareness of the problem.


2016 ◽  
Vol 15 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Elaine Wittenberg ◽  
Kate Kravits ◽  
Joy Goldsmith ◽  
Betty Ferrell ◽  
Rebecca Fujinami

AbstractObjective:Caring for the family is included as one of the eight domains of quality palliative care, calling attention to the importance of the family system and family communications about cancer during care and treatment of the disease. Previously, a model of family caregiver communication defined four caregiver communication types—Manager, Carrier, Partner, Lone—each with a unique communication pattern. The purpose of the present study was to extend the model of family caregiver communication in cancer care to further understand the impact of family communication burden on caregiving outcomes.Method:This mixed-method study employed fieldnotes from a family caregiver intervention focused on quality of life and self-reported caregiver communication items to identify a specific family caregiver type. Caregiver types were then analyzed using outcome measures on psychological distress, skills preparedness, family inventory of needs, and quality-of-life domains.Results:Corroboration between fieldnotes and self-reported communication for caregivers (n = 21, 16 women, mean age of 53 years) revealed a definitive classification of the four caregiver types (Manager = 6, Carrier = 5, Partner = 6, Lone = 4). Mean scores on self-reported communication items documented different communication patterns congruent with the theoretical framework of the model. Variation in caregiver outcomes measures confirmed the model of family caregiver communication types. Partner and Lone caregivers reported the lowest psychological distress, with Carrier caregivers feeling least prepared and Manager caregivers reporting the lowest physical quality of life.Significance of results:This study illustrates the impact of family communication on caregiving and increases our knowledge and understanding about the role of communication in caregiver burden. The research provides the first evidence-based validation for a family caregiver communication typology and its relationship to caregiver outcomes. Future research is needed to develop and test interventions that target specific caregiver types.


2012 ◽  
Vol 27 (1) ◽  
pp. 61-66
Author(s):  
Seiichi TAKEMASA ◽  
Ryoma NAKAGOSHI ◽  
Masahito MURAKAMI ◽  
Masayuki UESUGI ◽  
Yuri INOUE ◽  
...  

2014 ◽  
Vol 26 (2) ◽  
pp. 301-303 ◽  
Author(s):  
Seiichi Takemasa ◽  
Ryoma Nakagoshi ◽  
Masahito Murakami ◽  
Masayuki Uesugi ◽  
Yuri Inoue ◽  
...  

2021 ◽  
Vol 7 (2) ◽  
pp. 105-109
Author(s):  
Noorain Mohamad Yunus ◽  
Ernee Suzila Kassim ◽  
Naffisah Mohd Hassan ◽  
Syukrina Alini Mat Ali ◽  
Siti Noorsuriani Maon ◽  
...  

Indigenous elderly is one of the most medically underserved groups and are often left out, which resulted in significant health disparities. Besides, research on the indigenous elderly health and wellbeing is somewhat limited despite the world slogan of health equity for social sustainability.  Hence, having to assess the health status of the group will make a balanced effort for improving their overall quality of life. This paper aims to evaluate and synthesise the indigenous elderly health and wellbeing by using the systematic review of Scopus-indexed publications, published from 2003 to November 2020. Ninety-three articles served as the initial data, but only 22 articles were eligible to be used for the analyses of 1) perception and beliefs on health behaviour, 2) physical and mental health practices, 3) impactful studies and 4) implications of the studies towards policy and healthcare delivery. The findings revealed developed countries like the USA, Canada, and New Zealand have placed greater efforts in voicing out the group needs. Suggestions for future research are to focus on intervention programs and improvement of the healthcare policy development for the indigenous elderly ease of access to healthcare, fundamental for reducing the social gaps.


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