Factors Affecting Quality of Life among Post-Stroke Patients in the Sub-Himalayan Region

Abstract

Background Stroke is one of the most debilitating conditions contributing to significant disability and death globally. Identifying risk factors for quality of life (QoL) will enable to improve home-based rehabilitation in post-stroke phase. Objective This study was aimed to identify the risk factors of QoL in stroke patients in the sub-Himalayan region. Materials and Methods A cross-sectional hospital-based study assessed the QoL among stroke patients within a week after the onset of acute stroke and then re-evaluated at 3 months. World Health Organization QoL-BREF, Beck Depression Inventory, the Barthel Index, and Montreal Cognitive Assessment (MOCA) were used to seek data on QoL, depression, cognitive, and functional dependence status, respectively. Appropriate statistics were used to compute the results. Results In total, 129 stroke patients recruited, out of which 102 returned to a 3-month follow-up. QoL, MOCA, disability index, and depression score were compared using Wilcoxon Singed-rank test. In multivariate analysis, depression and disability together predicted 60% of the variance for physical QoL (p < 0.0001). Similarly, poststroke depression and disability together predicted 61% of the variance for psychological QoL (p < 0.0001) in stroke patients. Conclusion Findings indicated that depression and disability are leading risk factors of QoL in stroke patients. Early identification of poststroke depression and functional dependence status is, therefore, essential to devise screening procedure and to develop targeted intervention to improve rehabilitation outcomes.

The Associated Factors of Quality of Life among Stroke Survivors: A Study in Indonesia

“…The present study also confirmed the hypothesis that functional outcome is associated with QoL. Previous studies also found that functional activity is associated with QoL (Ahmed et al, 2020;Owolabi, 2013;Vincent-Onabajo et al, 2015) and disability predicts QoL deterioration one year after the stroke (Boudokhane et al, 2021). Meanwhile, motoric impairment at admission predicted the Health-Related Quality of Life (HRQoL) at 3 and 12 months after onset in mobility, self-care, and routine activities dimensions, but not significant in the HRQoL index (Yeoh et al, 2018).…”

Determinants of quality of life in elderly rehabilitation users at a day care service center

“…Similar to previous studies, we suggest that QOL and social roles are significantly related in this study. Many papers have reported a correlation between cognitive functions assessed by MMSE and QOL in the Physical, Psychological, and Environmental domains of QOL for diseases related to cognitive dysfunction, such as stroke 17 , 18 ) . However, some reports show no association in diseases not related to cognitive function, such as rheumatism 19 ) .…”

The quality of life of stroke survivors in the Indian setting: A systematic review and meta-analysis

“…Therefore, 16 eligible articles were identified and included in the systematic review [ Table 1 ]. [ 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ]…”

“…It was observed that many of the studies included subjects with a duration of 3–6 months following the stroke episode. [ 13 14 16 18 21 23 24 26 ] The assessment of QOL was most commonly done by using the World Health Organization Quality of Life instrument (WHOQOL-BREF),[ 13 14 15 16 17 18 19 ] and Stroke Specific Quality of Life scale (SS-QOL). [ 20 21 22 23 24 ] WHOQOL-BREF is a self-administered instrument developed by the WHO to document QOL in four domains such as physical, psychological, social, and environmental.…”