A prediction model of health‐related quality of life in young adult patients with stroke

Abstract

Aims and objectives: This study aimed to establish and test a predictive model for explaining the health-related quality of life of young adult patients with stroke. Background: Individual characteristics, biological and physiological variables, social support, emotional and cognitive symptoms, physical function disability and general health perception may be interrelated and may directly or indirectly affect the healthrelated quality of life of young adult patients with stroke. Design: A cross-sectional study. Methods: 237 young outpatients with stroke were recruited and surveyed. Data collection used a structured questionnaire from July-November 2018. The collected data were analysed using SPSS version 25.0 ® and AMOS 23.0. This study is based on STROBE guidelines. Results: The hypothetical model's fit indices were adequate. Stroke severity, social support, fear of stroke recurrence, physical function disability and general health perceptions directly affected the health-related quality of life. Additionally, stroke severity, depression and fear of stroke recurrence also indirectly affected it. These variables explained 60.3% of the variance in this quality.Conclusions: Variables such as severity of stroke, depression, fear of stroke recurrence, social support, physical function disability and general health perception were found to be related to the HRQoL of young adult patients with stroke.Relevance to clinical practice: A variety of physical, psychological, functional and social factors related to health-related quality of life should be systematically monitored. Furthermore, nurses need to develop and apply detailed nursing interventions that take into account all these variables.

Relationship between multidimensional stressors and quality of life in people with stroke

“…Previous results support the results of the present study: in a study targeting ischemic stroke, the score for the fear of recurrence was 23.16 ± 3.75, which is high (Choi & Lee, 2017); another study found that this fear is also related to the QoL in young people with stroke (Yoon et al, 2021). However, the average age of the subjects in Yoon et al (2021) was 46.7 years, which is considerably lower than that of the subjects in the current study, namely 69.2 years. A gradational approach and psychotherapy to address relapse concerns in cancer patients is under development (Pradhan et al, 2021).…”

“…another study found that this fear is also related to the QoL in young people with stroke (Yoon et al, 2021). However, the average age of the subjects in Yoon et al (2021) was 46.7 years, which is considerably lower than that of the subjects in the current study, namely 69.2 years. A gradational approach and psychotherapy to address relapse concerns in cancer patients is under development (Pradhan et al, 2021).…”

“…Studies that identify the relationship between fear of recurrence and QoL are mainly limited to people with cancer (Crist & Grunfeld, 2013) and coronary artery disease (Jo et al, 2019). There is a paucity of studies that discuss the relationship between fear of recurrence and QoL in people with stroke (Yoon et al, 2021).…”

Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic

“…No significant improvement was observed in the self-reported dimensions of mobility, self-care and usual activities during the outbreak. Evidence has shown that depressive syndrome is associated with lower general health perception and that physical functional disability affects the quality of life [ 48 ]. The lower general health perception may impede improvements in medical condition and the recovery of motor function.…”

Health-related quality of life after thrombectomy in young-onset versus older stroke patients: a multicenter analysis

“…The mRS was one of the main factors influencing HRQoL in young patients with stroke. However, recent studies on HRQol in young adults after stroke have reported that not only o physical function disability but also depression, unemployment, and fatigue are related to and may also hamper HRQoL in these patients 12 13…”