Resilience is an independent correlate of the course of quality of life in patients with first-ever ischemic stroke

Abstract

Objectives: To explore the changes in quality of life from the acute hospitalization period to 6 months after discharge in patients with first-ever ischemic stroke and to identify the association between resilience and the course of quality of life. Design: A prospective longitudinal cohort study. Setting: This study was conducted in Shanghai, China. Participants: Two hundred and seventeen stroke patients were recruited for an initial questionnaire survey from two tertiary hospitals from February 2017 to January 2018. Intervention: None. Measurements: Quality of life was measured using the Stroke Scale Quality of Life. Resilience was assessed using the Connor–Davidson Resilience Scale. Other validated measurement instruments included the modified Rankin Scale and Hospital Anxiety and Depression Scale. A multilevel model was used for the analysis of repeated measurements and to determine the association between resilience and quality of life. Results: Quality of life scores significantly improved over the 6 months after discharge (B = 7.31, p < .0001). The multilevel model indicated that resilience was positively correlated with the course of quality of life (B = .133, p < .0001), independent of stroke severity (B = −.051, p = .0006), neurological function (B = −.577, p < .0001), hospitalization days (B = .023, p = .0099), anxiety (B = −.100, p =< .0001), depression (B = −.149, p < .0001), time (B = .360, p < .0001), and the interactions of time with hospitalization days (B = −.008, p = .0002), neurological function (B = .021, p < .0024), depression (B = −.014, p = .0273), and time (B = −.031, p < .0001). Conclusions: Resilience played an important role in predicting the self-reported course of quality of life in stroke patients. Our findings emphasized the reasonableness and importance of developing suitable resilience-targeted clinical strategies for improving prognosis in stroke patients.

A Mix-Methods Longitudinal Study examining the association between Social Participation and Resilience for Stroke Survivors: A Study Protocol

“…The studies related to resilience is becoming a common trend in predicting health outcome in populations with various cultural backgrounds, such as students, elder adults, patients with cancer, and victims of natural disasters, but rarely studies in stroke survivors. Our previous studies have shown that resilience could predict poststroke depression and quality of life, and the stroke patients with high level of resilience tended to recover from depressive disorders Z. Liu, Zhou, Zhang, & Zhou, 2021).…”

Gambaran resiliensi pada pasien pasca stroke

“…Menurut Asosiasi Psikologi Amerika (2017) dari perpektif psikologis positif, resiliensi mengacu pada proses adaptasi yang baik untuk kesulitan, trauma, tragedi, ancaman atau sumber stress yang signifikan seperti masalah keluarga, masalah kesehatan, tekanan keuangan, masalah di tempat kerja yang serius, dll (Liu, Zhou, Zhang, & Zhou, 2021).…”

“…Dalam kondisi sakitnya, pasca stroke memiliki hambatan dalam dirinya yaitu kelemahan fisik yang menyebabkan kecemasan sehingga berpengaruh pada emosionalnya (Prihanto & Ariesti, 2022). Hasil penelitian Liu et al (2021) bahwa terdapat peningkatan pada domain emosi dan kepribadian pada pasien stroke setelah 6 bulan keluar dari rumah sakit yang terkait dengan peningkatan fungsi neurologis, aktivitas hidup sehari-hari, dan peningkatan perawatan diri setelah pulang dari rawat inap.…”

Resilience and Its Association With Activities of Daily Living 3 Months After Stroke

“…Following a stroke, less adaptive psychological factors has shown to be negatively associated with participation over time ( 14 ), while resilience has shown to act as an independent predictor of quality of life and physical independence ( 15 – 17 ). Therefore, resilience has been highlighted as a factor to consider in optimizing rehabilitation early after a stroke ( 7 , 18 – 20 ).…”