Assessment of quality of life of stroke survivors in a rural area of North Kerala, India

Chandran, Priya; Shenoy, D. Shweta; Thavody, Jayakrishnan; Lilabi, M P

doi:10.18203/2394-6040.ijcmph20170769

Cited by 11 publications

(11 citation statements)

References 12 publications

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“…This study showed that being a male was not found to be a significant factor of improved ADL. The result was consistent with a study in India which reported men were unable to regain independence in ADL after a stroke as much as women 44 due to the high prevalence of poststroke depression (PSD). They were expected to have reduced contact with others and lack motivation to improve after stroke.…”

Section: Discussionsupporting

confidence: 91%

Domiciliary Care Service: Factors Influencing Improvement in Activities of Daily Living Among Stroke Survivors

Ismail

Hamid

2019

Home Health Care Management & Practice

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Stroke is a debilitating disease, adding to morbidity and mortality. Home-based rehabilitation has an influence on functional recovery among stroke survivors. This study aimed to determine factors influencing the improvement in activities of daily living (ADL) among stroke survivors after domiciliary care service. A state-wide record-review study using Domiciliary Care Record from health clinics with comprehensive domiciliary care was conducted. A logistic regression (LR) model was performed to assess factors influencing ADL improvement. Improved ADL was defined as obtaining at least 30% improvement on the Modified Barthel Index at the end of the program. From the records review, 72.2% of the participants had improved ADL following domiciliary care service. The mean age of the sample was 68.21 years ( SD = 11.99). The majority were ischemic stroke survivors (81.2%). In the single LR model, the influencing factors of ADL improvement were younger age (odds ratio [OR] = 2.76; p = .004), married (OR = 2.04; p = .018), ischemic stroke type (OR = 6.35; p < .001), less severe stroke (OR = 4.18; p < .001), no previous stroke (OR = 4.24; p < .001), and 9 to 12 home visits (OR = 2.79; p < .006). The multiple LR model showed ischemic stroke type (adjusted odds ratio [Adj. OR] = 5.30; p < .001), less severe stroke (Modified Rankin Scale score = 4; Adj. OR = 3.70; p < .001), and no previous stroke (Adj. OR = 3.51; p = .001) as significant factors when adjusted for other variables. Recognition of these factors associated with the improvement in stroke recovery is beneficial to intensify an optimal stroke care and home-based rehabilitation services.

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Section: Discussionsupporting

confidence: 91%

Domiciliary Care Service: Factors Influencing Improvement in Activities of Daily Living Among Stroke Survivors

Ismail

Hamid

2019

Home Health Care Management & Practice

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“…This finding was one of the major determinants of QoL, which was found to be poor. 25 In a study done by Jonsson found that the patients' most important determinants of QOL after 16 months were functional status, age and gender. 8 The strength of our study is the low dropout rate in the form of loss to follow up.…”

Section: Discussionmentioning

confidence: 99%

Assessment of quality of life among stroke survivors: a longitudinal study

Rajan

Pruthvish

Lalitha

et al. 2019

Int J Community Med Public Health

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Background: Quality of life (QoL) among stroke survivors is a concern which has not received sufficient attention in India. The objective of the study was to assess the quality of life of stroke survivors in rural population of Chikkaballapur district, Karnataka.Methods: A community based longitudinal study was done amongst the 150 incident stroke cases registered during the period from March 2013 to November 2014 and who survived beyond 28 days. The cases were enrolled and interviewed using a semi-structured questionnaire and were followed up for 6th month period. QoL was assessed at baseline (at 28 days), at 3rd month and 6th Month using Stroke Specific QoL scale (SSQoL) and Barthel index (BI).Results: The mean age of the persons with stroke was 61.3±15 years with a majority being males (69.3%). Baseline median score (IQR) of SSQoL at 28th day was poor i.e. 131 (77-183). Among the 150 cases, 136 (91%) survived until the end of 6th month. The overall QOL gradually improved to 182 (133-213) and 185 (147-213) at 3rd and 6th month respectively and similar improvement was seen individually in physical, psychological and social domains as well and on multivariate logistic regression age <60 years and few disturbed consciousness among the stroke survivors during the 6th month follow up were found to be predictors for improved quality of life.Conclusions: QoL showed significant improvements in all physical, psychological and social domains by the end of the 6th month of follow up.

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“…Poor SF-36 score in all domains with specifically lowest scores in the domains of "role limitations due to physical problems and "physical function" was also reported for stroke patients living in Kerala state of Southern India [16].…”

Section: Quality Of Lifementioning

confidence: 73%

Quality of Life in Recent Stroke Patients and Burden on Caregivers in Gujarat state of Western India

Kumar

Nagar

Parmar

2021

JPRI

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Background: Stroke is a global health problem. Patients with stroke may be damaged in many aspects of life, which affects the physical, psychological and social dimensions of quality of life. These factors lead to burden on the caregivers. This burden on the caregivers negatively affects the rehabilitation of the stroke patients. Objective: To study the quality of life of stroke patients and burden on caregivers. Methods: Stroke patients fulfilling the inclusion criteria were assessed for the quality of life by the Stroke Specific Quality Of Life Scale and the burden on caregivers was measured using the Zarit Burden Interview on one to one interview basis. The data were analysed using the SPSS software. Results: The quality of life and burden scores were weakly correlated (r= -0.558 and p= 0.001). The quality of life and burden scores were also weakly correlated to the MMSE scores. Conclusion: There is a negative correlation of the burden on caregivers with the quality of life of the stroke patients. There is also a positive correlation of MMSE score with the quality of life. Whereas, there is no correlation of the quality of life and burden scores with the patient’s age and sex, type of stroke, duration post stroke and whether any treatment has been taken.

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Assessment of quality of life of stroke survivors in a rural area of North Kerala, India

Cited by 11 publications

References 12 publications

Domiciliary Care Service: Factors Influencing Improvement in Activities of Daily Living Among Stroke Survivors

Domiciliary Care Service: Factors Influencing Improvement in Activities of Daily Living Among Stroke Survivors

Assessment of quality of life among stroke survivors: a longitudinal study

Quality of Life in Recent Stroke Patients and Burden on Caregivers in Gujarat state of Western India

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