Association between quality of life and sleep time among community‐dwelling stroke survivors: Findings from a nationally representative survey

Zhang³

et al. 2021

Sci Rep

The aims were to identify the possible influencing factors of health-related quality of life (HRQoL) and its domain-specific scores in patients with coronary heart disease (CHD). A total of 1247 patients with CHD from the Henan Rural Cohort Study (n = 39,259) were included in this study. The Chinese version of the European Quality of Life Five Dimension Five level scale (EQ-5D-5L) and Visual Analogue Scale (VAS) were used to evaluate HRQoL in patients with CHD. Tobit regression, generalized linear models and binary logistic regression were applied to determine the potential factors influencing the EQ-5D utility, as well as each domain, and the VAS. CHD patients had lower per capita monthly actual income, and higher rates of diabetes mellitus, stroke, anxiety and poor sleep quality, which significantly decreased EQ-5D index and VAS scores. In addition, sex, older age, education, not having a spouse, ever drinking alcohol, a high-fat diet, physical activity, hypertension and depression affected the various domain-specific EQ-5D scores in CHD patients. CHD patients in rural areas have a lower HRQoL. Factors associated with the EQ-5D index, including each domain, and the VAS need attention. CHD patients in rural areas need to be managed systematically.

Section: Discussionmentioning

confidence: 99%

Health-related quality of life and its related factors in coronary heart disease patients: results from the Henan Rural Cohort study

Zhang³

et al. 2021

Sci Rep

“…Poor sleep quality in patients with stroke should be considered when developing a rehabilitation plan. Moreover, sleep time is one of the key factors affecting quality of life improvement in patients with stroke; 6–8 h of sleep each day is recommended ( 64 ). However, evidence-based sleep recommendations, such as how to achieve 6–8 h of sleep per day, are needed from our health organizations.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life and Its Related Factors in Survivors of Stroke in Rural China: A Large-Scale Cross-Sectional Study

Zhang

et al. 2022

Front. Public Health

BackgroundStroke is a major health threat and the leading cause of mortality and disability in China. The aims of this study were to identify the possible influencing factors of health-related quality of life (HRQoL) and its domain-specific contents in stroke patients in rural areas in China.MethodsA total of 1,709 stroke patients aged 36–79 years from the baseline data of Henan Rural Cohort study (n = 39,259) were included in the cross-sectional study. The Chinese version of the European Quality of Life Five Dimension (including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) Five Level Scale (EQ-5D-5L) and visual analog scale (VAS) were used to evaluate HRQoL in stroke patients. Tobit regression models, generalized linear models and binary logistic regression models were constructed to determine potential influencing factors of the EQ-5D utility index, as well as influencing factors of each domain and VAS score.ResultsThe mean utility index and VAS scores of stroke patients were 0.885 (SD, 0.204), and 68.39 (SD, 17.31), respectively. Pain/discomfort (PD, 35.2%) and mobility (MO, 30.4%) were the most frequently reported issues. Regression models revealed that illiterate; a low monthly income; low physical activity intensity; and diabetes, anxiety, depression, or poor sleep quality were significantly associated with lower utility index and VAS scores among stroke patients. In addition, patients with stroke who were older, female, drinking, smoking, and consuming a high-fat diet, had a higher BMI, and lived with a stroke for a longer time, were also significantly associated with different dimensions of the EQ-5D.ConclusionPatients with stroke in rural areas in China had a low HRQoL. Factors associated with the EQ-5D utility index as well as each domain and VAS score, need to be considered by health providers in rural areas. Patients with stroke in rural areas need to be included in national basic public medical services and managed systematically by medical institutions.

“…Poor sleep quality in stroke patients should be taken into consideration when developing a rehabilitation plan. Moreover, sleep time is one of the key factors affecting quality of life improvement in stroke patients; 6-8 hours of sleep each day is recommended [49]. However, evidence-based sleep recommendations, such as how to achieve 6-8 hours of sleep per day, are needed by our health organizations.…”

Section: Discussionmentioning

confidence: 99%

EQ-5D results in stroke survivors: What are they suffering from? Results from the Henan Rural Cohort Study

Zhang

et al. 2020

Preprint

Background Stroke is a major health threat and the leading cause of mortality and disability in China. The aims of this study were to identify the possible influencing factors of health-related quality of life (HRQoL) and its domain-specific contents in stroke patients in rural areas in China. Methods A total of 1709 stroke patients aged from 36 to 79 years from the Henan Rural Cohort Study (n=39259) were included in this study. The Chinese version of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) and visual analogue scale (VAS) were used to evaluate HRQoL in stroke patients. Tobit regression models, generalized linear models and binary logistic regressions models were constructed to determine the potential influencing factors of the EQ-5D utility index, as well as influencing factors of each domains and VAS score.Results The mean utility index and VAS scores of stroke patients were 0.885 (SD, 0.204), and 68.39 (SD, 17.31), respectively. Pain/discomfort (PD, 35.2%) and mobility (MO, 30.4%) were the most frequently reported issues. Regression models revealed that stroke patients who were illiterate; had a low monthly income; reported low physical activity intensity; and had diabetes, anxiety, depression or poor sleep quality had lower utility index and VAS scores. For the different dimensions of the EQ-5D, the influencing factors varied. Conclusion Stroke patients in rural areas had a lower HRQoL than those in urban areas. Factors associated with the EQ-5D utility index as well as each domain and VAS score, need attention. Stroke patients in rural areas need to be managed systematically. Clinical trial registration: The Henan Rural Cohort Study has been registered in the Chinese Clinical Trial Register (Registration Number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.http://www.chictr.org.cn/showproj.aspx?proj=11375.