scholarly journals Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java

2020 ◽  
Vol 5 (1) ◽  
pp. 1-14
Author(s):  
Maki Zamzam ◽  
◽  
Didik Gunawan Tamtomo ◽  
Vitri Widyaningsih ◽  
◽  
...  
Author(s):  
Maki Zamzam ◽  
◽  
Didik Gunawan Tamtomo ◽  
Vitri Widyaningsih ◽  
◽  
...  

ABSTRACT Background: The impact of stroke on health may be disastrous. Stroke can affect multiple domains of quality of life. The purpose of this study was to examine biopsychosocial determinants of quality of life in post stroke patients. Subjects and Method: A cross sectional study was conducted at Surakarta hospital, Central Java, from September to October 2019. A sample of 200 post stroke patients was selected for this study purposively. The dependent variable was quality of life. The independent variables were age, gender, empoyment, income, family income, marital status, history of stroke attack, co-morbidity, duration of illness, functional disorder, depression, and family support. The data were collected by medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: Quality of life of post stroke patients increased with married (b= 1.79; 95% CI= 0.24 to 3.35; p= 0.024), employed (b= 1.93; 95% CI= 0.13 to 3.72; p= 0.035), mild fuctional disorder (b=1.68; 95% CI= 0.11 to 3.25; p= 0.036), and strong family support (b= 2.17; 95% CI= 0.46 to 3.88; p= 0.013). Quality of life of post stroke patients decreased with age ≥60 years (b= -1.99; 95% CI= -3.80 to -0.17; p= 0.032), female (b= -1.74; 95% CI= -3.28 to -0.19; p= 0.027), stroke attack >1 time (b= -1.87; 95% CI= -3.59 to -0.15; p= 0.033), length of illness ≥6 months (b= -2.12; 95% CI= -3.87 to -0.36; p= 0.018), co-morbidity (b= -1.96; 95% CI= -3.67 to -0.24; p= 0.025), and depression (b= -1.40; 95% CI= -2.97 to 0.16; p= 0.078). Conclusion: Quality of life of post stroke patients increases with married, employed, mild fuctional disorder, and strong family support. Quality of life of post stroke patients decreases with age ≥60 years, female, stroke attack >1 time, length of illness ≥6 months, co-morbidity, and depression. Keywords: stroke, quality of life, depression, functional disorder Correspondence: Maki Zamzam. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6281251543935 DOI: https://doi.org/10.26911/the7thicph.01.35


2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life


2018 ◽  
Vol 3 (3) ◽  
pp. 237-245 ◽  
Author(s):  
Benjamin Hotter ◽  
Inken Padberg ◽  
Andrea Liebenau ◽  
Petra Knispel ◽  
Sabine Heel ◽  
...  

Introduction Detailed data on the long-term consequences and treatment of stroke are scarce. We aimed to assess the needs and disease burden of community-dwelling stroke patients and their carers and to compare their treatment to evidence-based guidelines by a stroke neurologist. Methods We invited long-term stroke patients from two previous acute clinical studies ( n = 516) in Berlin, Germany to participate in an observational, cross-sectional study. Participants underwent a comprehensive interview and examination using the Post-Stroke Checklist and validated standard measures of: self-reported needs, quality of life, overall outcome, spasticity, pain, aphasia, cognition, depression, secondary prevention, social needs and caregiver burden. Results Fifty-seven participants (median initial National Institutes of Health Stroke Scale score 10 interquartile range 4–12.75) consented to assessment (median 41 months (interquartile range 36–50) after stroke. Modified Rankin Scale was 2 (median; interquartile range 1–3), EuroQoL index value was 0.81 (median; interquartile range 0.70–1.00). The frequencies for disabilities in the major domains were: spasticity 35%; cognition 61%; depression 20%; medication non-compliance 14%. Spasticity ( p = 0.008) and social needs ( p < 0.001) had the strongest impact on quality of life. The corresponding items in the Post-Stroke Checklist were predictive for low mood ( p < 0.001), impaired cognition ( p = 0.015), social needs ( p = 0.005) and caregiver burden ( p = 0.031). In the comprehensive interview, we identified the following needs: medical review (30%), optimization of pharmacotherapy (18%), outpatient therapy (47%) and social work input (33%). Conclusion These results suggest significant unmet needs and gaps in health and social care in long-term stroke patients. Further research to develop a comprehensive model for managing stroke aftercare is warranted. Clinical Trial Registration: clinicaltrials.gov NCT02320994.


2009 ◽  
Vol 285 ◽  
pp. S117
Author(s):  
M. Sieminski ◽  
K. Chwojnicki ◽  
A. Ossowska ◽  
L. Wierucki ◽  
T. Zdrojewski ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
pp. 53
Author(s):  
Ilsa Hunaifi ◽  
Pujiarohman Pujiarohman

troke is a leading cause of mortality and morbidity in Indonesia.  Post stroke patients has a higher disability hence results in poor quality of life compared with normal population. In Indonesia, studies related to the quality of life of post-stroke patients are scarce, so studies are required to explore the quality of life of post-stroke patients, particularly in West Nusa Tenggara. Aim of this study is to determine the epidemiology of quality of life for post-stroke patients in West Nusa Tenggara. Methods of this study is An Observational with cross-sectional design was performed in population of post-stroke patients admitted to West Nusa Tenggara General Hospital. The quality of life of post stroke patient was evaluated with SSQOL (Stroke Specific Quality of Life) questionnaire. The collected data was analyzed by the appropriate test. Result of this study is the average age of subject is 60.33±10.68 years. Hypertension is a major risk factor of stroke. The average SSQOL score is 177.02±45.75. SSQOL assesses 4 dimension are physical, functional, psychological and social health. Based on the physical dimension, the average score is 17.00, the functional dimension, the average score is 14.91, the psychological dimension, the average score is 13.17 and the social health dimension  the average score is 13.44.  The quality of life for post-stroke patients in West Nusa Tenggara General Hospital is good.


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