Quality of life among older stroke patients in Taiwan during the first year after discharge

Shyu, Yea‐Ing Lotus; Maa, Suh-Hwa; Chen, Sien-Tsong; Chen, Min-Chi

doi:10.1111/j.1365-2702.2008.02458.x

Cited by 32 publications

(31 citation statements)

References 20 publications

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“…We argue that the quality of life of stroke survivors is influenced by these three latent variables. The results reveal that the level of stroke severity is significantly and negatively related to quality of life, which is consistent with the literature (Green & King, 2010;Howitt et al, 2011;Owolabi, 2013;Raju et al, 2010;Secrest & Zeller, 2007;Shyu, Maa, Chen, & Chen, 2009). Some female stroke survivors may encounter a functional disability that limits their daily life activities, and, in turn, influences family role and other functions, such as the ability to work, participate in community events, and perform household chores.…”

Section: Discussionsupporting

confidence: 91%

Determinants of Health-Related Quality of Life in Taiwanese Middle-Aged Women Stroke Survivors

Pai

Chang

2017

Rehabilitation Nursing

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Section: Discussionsupporting

confidence: 91%

Determinants of Health-Related Quality of Life in Taiwanese Middle-Aged Women Stroke Survivors

Pai

Chang

2017

Rehabilitation Nursing

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“…Shyu et al 48 emphasised the importance of intervening with stroke survivors even after their physical rehabilitation and our findings might contribute to refining interventions aimed at improving a comprehensive recovery after patients are discharged home.…”

Section: Resultsmentioning

confidence: 62%

The experience of stroke survivors three months after being discharged home: A phenomenological investigation

Simeone

Savini

Cohen

et al. 2014

European Journal of Cardiovascular Nursing

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Background: Stroke is the leading cause of disability in adults, and has a significant impact on individuals, families, and society. Returning home after a stroke represents a challenging experience for patients who struggle to adapt to their new life conditions. Although many studies have been conducted on stroke survivors, few studies have focused on the lived experience of patients at three months after they came home after rehabilitation. Aims: The aim of this study was to describe the experience of stroke survivors three months after being discharged home from rehabilitation hospitals. Method: A phenomenological methodology was used to conduct the study. Participants were enrolled from rehabilitation hospitals in the cities of Rome and Naples. Interviews were conducted at the patients' house and data were analysed with a phenomenological approach Findings: Fifteen stroke survivors were interviewed (mean age 70 years; 12 males). Five themes emerged from the phenomenological analysis of the interviews and the field notes: deeply changed life, vivid memory of the acute phase of the stroke, slowed lives, relief after recovering from stroke, being a burden for family members. Conclusions:The results of this study give an overview of the experience of stroke survivors three months after being discharged home. From a clinical perspective, health care providers need to provide more interventions to help survivors to cope better with life changes and encourage them to adapt to daily life limitations caused by stroke. Also, health care providers should improve support provided to family members of stroke patients.

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“…32 By contrast, significantly poorer HRQoL in women was found in 5 studies. 31,33,35,37,38 The remaining 5 studies reported no association between sex and HRQoL after accounting for covariates. 18,29,34,36,39 These studies tended to adjust for PSD and functional outcomes.…”

Section: Health-related Quality Of Lifementioning

confidence: 99%

Focused Update of Sex Differences in Patient Reported Outcome Measures After Stroke

Gall

Phan

Madsen

et al. 2018

Stroke

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W omen experience worse outcomes after stroke than men 1 despite their lower age-adjusted incidence of stroke.2 Previous reviews of sex differences in select stroke outcomes, including activity limitations, 3-5 participation restriction, 4 poststroke depression (PSD), 3 and health-related quality of life (HRQoL), 3,4 demonstrated that women had worse outcomes than men across many of these measures. Women's greater age and stroke severity, as well as poorer prestroke function, seem to contribute to the sex difference in outcomes, but data on other contributing factors are limited.4 Existing reviews included studies published >5 years ago, and given the rapid increase in the number of studies addressing sex differences in stroke outcomes, an updated review is warranted. MethodsFull details of our methods are provided in the online-only Data Supplement. A previous review included studies up to 2007, 3 so we reviewed studies from 2007 onwards that examined sex differences in patient reported outcome measures (PROMs) at ≤12 months after stroke, including activity limitations, HRQoL, participation restriction, impaired cognition, and mood. 6 Full results tables are shown in the online-only Data Supplement. Results Activity LimitationsOf 1875 articles identified, 22 studies (3 population based) that were designed to examine sex differences (Results and Table I in the online-only Data Supplement) met criteria for inclusion. The most common instrument to assess activity limitations was the modified Rankin Scale, followed by the Barthel Index.In 8 studies including ischemic and hemorrhagic strokes, unadjusted estimates showed that women had more activity limitations than men through significantly lower odds of good outcome (odds ratio [OR] range: 0.44-0.61) 7-9 or greater odds of poor outcome (OR range: 1.29-1.62).10-14 In multivariable adjusted analyses, women had worse outcome than men with significantly lower odds of good outcome (OR range: 0.37-0.75) or greater odds of poor outcome (OR range: 1.17-1.74). 7,8,10,12,13 In 2 studies, there was no statistically significant difference between women and men.11,14 Adjustment for covariates, most commonly age, stroke severity, comorbidities, and prestroke function, reduced the associations between 9% and 20%, suggesting these factors partly explain the greater activity limitations for women after stroke.In 11 studies of ischemic stroke ( Table I in the online-only Data Supplement), women generally had worse outcome than men demonstrated by greater odds of poor outcome (mostly modified Rankin Scale ≥3 versus <3; range in ORs: 1.13-2.40) or lower odds of good outcome (eg, modified Rankin Scale ≤1 versus >1 or independent walking).15-25 Among 13 multivariable adjusted comparisons between men and women (some studies had >1 comparison), women's significantly worse outcome compared with men persisted in 7 comparisons with a greater odds of poor outcome (range, 1.30-3.40) or a higher activities of daily living score. [17][18][19][22][23][24] Common covariates included age, stro...

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Quality of life among older stroke patients in Taiwan during the first year after discharge

Abstract: Older Taiwanese/Chinese people who suffer a stroke will likely benefit from interventions during the first 12 months after discharge and the most effective interventions may be earlier, during the first three months after discharge.

Cited by 32 publications

References 20 publications

Determinants of Health-Related Quality of Life in Taiwanese Middle-Aged Women Stroke Survivors

Determinants of Health-Related Quality of Life in Taiwanese Middle-Aged Women Stroke Survivors

The experience of stroke survivors three months after being discharged home: A phenomenological investigation

Focused Update of Sex Differences in Patient Reported Outcome Measures After Stroke

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