Quality of life of post-stroke patients

Bártlová, Sylva; Šedová, Lenka; Havierniková, Lucie; Hudáčková, Andrea; Dolák, František; Sadílek, Petr

doi:10.2478/sjph-2022-0014

Cited by 14 publications

(9 citation statements)

References 23 publications

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“…These findings align with previous research indicating that less than 50% of patients achieve independence in their daily lives after a stroke ( 40 ). Furthermore, even among patients who regain functional independence, significant deficits, limitations, and alterations in cognitive functions and behavior persist ( 41 ). The current findings also indicate that a lower QOL is significantly associated with poor stroke prognosis at hospital discharge, and with greater physical dependence.…”

Section: Discussionmentioning

confidence: 99%

Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale

Sakr,

Dabbous,

Akel

et al. 2023

Front. Neurol.

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BackgroundGiven the excessive length and inconsistent validity of the existing long stroke-specific quality of life (SS-QOL) scales, there is a need to validate a shorter measuring tool. The aim of this study was to validate the Arabic version of the short 12-item SS-QOL (SS-QOL-12-AR) and examine its validity measures and psychometric properties. Additionally, the study aimed to assess the QOL after stroke and identify the sociodemographic and clinical factors that influence it in Lebanon.MethodsA cross-sectional study was conducted. The SS-QOL-12-AR structure was validated, and its reliability and internal consistency were assessed. The scale’s specificity and sensitivity were evaluated and then compared with those of other SS-QOL scales. The correlation between each item and the overall scale were examined, and its convergent validity was evaluated.ResultsA total of 172 stroke survivors were included. The SS-QOL-12-AR structure was validated with a solution of two factors, with a Kaiser-Meyer-Olkin measure of sampling adequacy of 0.850 and a significant Bartlett’s test of sphericity (p < 0.001). The Cronbach’s alpha of the scale was 0.917. According to ROC curve analysis, the optimal cut-off point for distinguishing between lower and better QOL was 32.50. At this cut-off, the sensitivity and specificity were 70.0% and 71.2%, respectively. The area under the curve was 0.779 (95% CI 0.704–0.855, p < 0.001). The SS-QOL-12-AR demonstrated a strong and highly significant correlation with existing versions of the SS-QOL, confirming its convergent validity. 61.6% of stroke survivors had a lower QOL, which was significantly associated with poor stroke prognosis, increased physical dependence, current smoking, and alcohol abstinence.ConclusionThe SS-QOL-12-AR exhibits strong validity and reliability, demonstrating excellent psychometric properties. The scale holds potential for application in clinical practice and research settings, enabling the measurement of stroke-related consequences and evaluation of management outcomes.

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Section: Discussionmentioning

confidence: 99%

Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale

Sakr,

Dabbous,

Akel

et al. 2023

Front. Neurol.

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“…By contrast, these observed associations might be overestimated, given the fact that several variables which are related to QoL in stroke survivors were not available in this report, such as detailed job tasks, work ability, cognitive impairment, incontinence, depression/anxiety, coping strategies, social connectedness and caring responsibilities, etc. [ 62 ]. Thus, the interpretation of our results should be done with reservation.…”

Section: Discussionmentioning

confidence: 99%

Associations of effort-reward imbalance at work and quality of life among workers after stroke: a one-year longitudinal study in Thailand

Naknoi,

Li,

ramasoota

et al. 2023

BMC Public Health

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Stroke incidence is increasing among working-age population, but the role of psychosocial stress in the workplace in predicting quality of life (QoL) after stroke onset is understudied. This longitudinal study aimed to investigate the relationship between work stress, measured by the effort-reward imbalance (ERI) model, and QoL over one-year period among 103 Thai workers who had experienced a stroke. The study evaluated the effort (E)-reward (R) ratio and over-commitment, the extrinsic and intrinsic components of the ERI model, before discharge; QoL was repeatedly measured at baseline, six months, and 12 months after discharge, respectively, using the Short Form Version 2 (SF-12v2) indicators of physical and mental health composite scores. Generalized estimating equations were used to examine longitudinal relationships between work stress at baseline and QoL over one year by testing the hypotheses that E-R ratio and over-commitment would have direct effects on QoL, and potential moderating effects of over-commitment on E-R ratio and QoL. The results supported the ERI model partially, as over-commitment was significantly associated with poor mental health (coefficient − 8.50; 95% CI: -13.79, -3.20) after adjusting baseline sociodemographic, behavioral, and clinical characteristics, while the E-R ratio was not significantly associated with physical or mental health; the interaction between the E-R ratio and over-commitment was also not significant. These findings suggest that more attention should be paid to workers’ personal coping skills and ability to handle work-related problems and prioritize interventions that address over-commitment to promote long-term mental health among workers with stroke.

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“…This self-reported, stroke-specific instrument evaluates the domains of physical and emotional states, activities, and participation in everyday life. 10 , 11 To date, several studies have revealed negative impacts on an individual’s hand function, strength, 2 , 12 , 13 activities of daily living (ADLs), and social participation 2 , 14 after stroke. However, there is a paucity of studies on the perceived impact of stroke at different time points following a stroke.…”

Section: Introductionmentioning

confidence: 99%

Variations in Health-Related Quality of Life After Stroke: Insights From a Clinical Trial on Arm Rehabilitation With a Long-Term Follow-Up

Milani,

Mantovani,

Baroni

et al. 2023

Advances in Rehabilitation Science and Practice

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Despite rehabilitation, stroke patients continue to have impaired function and reduced health-related quality of life (HRQoL) even in a chronic stage. However, no clear information is available on long-term variations in HRQoL. In this study, we aimed to report the short- and long-term changes in HRQoL in a subacute stroke sample that was enrolled in a clinical trial on arm rehabilitation. Thirty-nine stroke survivors (62% male, mean age 68 years) were assessed using the Stroke Impact Scale Version 2.0 (SIS 2.0) pre and post rehabilitation and at 6 months and 6 years follow-up. Long-term changes in physical function were explored through clinically meaningful changes in the Stroke Impact Scale-16 (SIS-16). After rehabilitation ( P < .001), an overall improvement was found in all SIS domains except the memory and thinking, emotions, and communication domains. The baseline SIS-16 score ( P < .001), the presence of a sensory deficit, and rehabilitation setting ( P < .05) were factors related to the SIS-16 domain scores at the end of rehabilitation and at 6 months follow-up. Patients showed the most deterioration in the mobility ( P < .001), strength ( P < .003), and hand function ( P < .05) domains 6 years after stroke. Stroke severity, male gender, and age ⩾65 years are related with a long-term HRQoL reduction after stroke.

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Quality of life of post-stroke patients

Cited by 14 publications

References 23 publications

Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale

Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale

Associations of effort-reward imbalance at work and quality of life among workers after stroke: a one-year longitudinal study in Thailand

Variations in Health-Related Quality of Life After Stroke: Insights From a Clinical Trial on Arm Rehabilitation With a Long-Term Follow-Up

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