Quality of Life in Self-sufficient Patients after Stroke

Česká verzia

Authors: T. Fadrná ^1,2; D. Školoudík ¹
Authors place of work: Ústav ošetřovatelství, FZV UP v Olomouci ¹; Neurochirurgická klinika, LF OU a FN Ostrava ²
Published in the journal: Cesk Slov Neurol N 2017; 80/113(3): 323-327
Category: Original Paper
doi: https://doi.org/doi: 10.14735/amcsnn2017csnn.eu1

Summary

Aim:
The study aimed to assess the quality of life of self-sufficient post-stroke patients compared to control group.

Material and methods:
Self-sufficient patients examined in a neurosonology laboratory for carotid stenosis, aged 50– 80 years, without stroke or severe disease during the last 12 months, without dementia or psychiatric disease including depression were included in the study after signing an Informed Consent. Patients with a history of stroke were allocated to the Group A, stroke-free patients were allocated to the control Group B. Following their enrollment into the study, all patients completed two standardized quality of life questionnaires (WHOQOLBREF, EQ-5D-3L).

Results:
Total of 504 of 584 consecutive patients complied with the inclusion and exclusion criteria. Of these, 344 patients completed all items of both quality of life questionnaires – 145 post-stroke patients (78 males, aged 70.4 ± 7.0 years), 199 control group patients (86 males, aged 68.9 ± 8.3 years). Post-stroke patients did not differ from patients in the control group in any domain of WHOQOL-BREF questionnaire – physical health (p = 0.09), psychological status (p = 0.45), social relationships (p = 0.34), environment (p = 0.45); evaluation of their quality of life (p = 0.16), present health status (p = 0.57), health status satisfaction (p = 0.44), mobility (p = 0.22), self-service (p = 0.07), activities of daily living (p = 0.23), pain (p = 0.53) and anxiety (p = 0.63).

Conclusions:
Self-sufficient post-stroke patients did not suffer from reduced quality of life.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Key words:
stroke – quality of life – questionnaire – health

Chinese summary - 摘要

中风后自给自足患者的生活质量

目标：

该研究旨在评估与对照组相比，自给自足的卒中后患者的生活质量。

材料和方法：

在签署知情同意书后，研究人员在自愿充值的患者中检查了颈动脉狭窄，50-80岁，无中风或重度疾病，12个月内没有痴呆或精神病，包括抑郁症的颈动脉狭窄。患有卒中史的患者被分配到A组，无卒中患者分配给对照组B.入组后，所有患者完成了两项标准化生活质量问卷调查（WHOQOLBREF，EQ-5D-3L ）。

结果：

584例患者中有504例符合纳入和排除标准。其中344名患者完成了所有生活质量问卷调查问卷 - 145例中风后患者（78例男性，70.4±7.0岁），199例对照组（86例男性，年龄68.9±8.3岁）。中风后患者与WHOQOL-BREF调查问卷的任何领域的对照组患者没有差异 - 身体健康（p = 0.09），心理状态（p = 0.45），社会关系（p = 0.34），环境（p = 0.45）;生活质量（p = 0.16），健康状况（p = 0.57），健康状况满意度（p = 0.44），流动性（p = 0.22），自助服务（p = 0.07）（p = 0.23），疼痛（p = 0.53）和焦虑（p = 0.63）。

结论：

自给自足的脑卒中后患者生活质量不降低。

关键词：

中风 - 生活质量 - 问卷调查 - 健康

Zdroje

1. Rasmussen PA. Stroke management and the impact of mobile stroke treatment units. Cleve Clin J Med 2015;82(12 Suppl 2):S17– 21. doi: 10.3949/ccjm.82.s2.04.

2. Bonita R, Beaglehole R. Stroke prevention in poor countries: time for action. Stroke 2007;38(11):2871– 2. doi: 10.1161/STROKEAHA.107.504589.

3. Škoda O, Herzig R, Mikulík R, et al. Klinický standard pro diagnostiku a léčbu pacientů s ischemickou cévní mozkovou příhodou a s tranzitorní ischemickou atakou – verze 2016. Cesk Slov Neurol N 2016;79/112(3):351– 63. doi: 10.14735/amcsnn2016351.

4. Pollock A, Baer G, Campbell P, et al. Physical rehabilitation approaches for the recovery of function and mobility following stroke. Cochrane Database Syst Rev 2014;4:CD001920. doi: 10.1002/ 14651858.CD001920.pub3.

5. Chen CJ, Ding D, Starke RM, et al. Endovascular vs medical management of acute ischemic stroke. Neurology 2015;85(22):1980– 90. doi: 10.1212/ WNL.0000000000002176.

6. Balami JS, Sutherland BA, Edmunds LD, et al. A systematic review and meta-analysis of randomized controlled trials of endovascular thrombectomy compared with best medical treatment for acute ischemic stroke. Int J Stroke 2015;10(8):1168– 78. doi: 10.1111/ ijs.12618.

7. Volný O, Krajina A, Bar M, et al. Konsenzus a návrh algoritmu léčby – mechanická trombektomie u akutního mozkového infarktu. Výsledky intervenčních studií MR CLEAN, ESCAPE, SWIFT PRIME, EXTEND-IA, REVASCAT. Cesk Slov Neurol N 2016;79/ 112(1):100– 10. doi: 10.14735/amcsnn2016100.

8. Šaňák D, Neumann J, Tomek A, et al. Doporučení pro rekanalizační léčbu akutního mozkového infarktu – verze 2016. Cesk Slov Neurol N 2016;79/112(2):231–4. doi: 10.14735/amcsnn2016231.

9. Carota A, Dieguez S, Bogousslavsky J. Psychopathology of stroke. Psychol Neuropsychiatr Vieil 2005;3(4):235– 49.

10. Fisher AR. Development of clinical practice guidelines for urinary continence care of adult stroke survivors in acute and rehabilitation settings. Can J Neurosci Nurs 2014;36(3):16– 31.

11. Kasner SE. Clinical interpretation and use of stroke scales. Lancet Neurol 2006;5(7):603– 12.

12. Ghandehari K. Challenging comparison of stroke scales. J Res Med Sci 2013;18(10):906– 10.

13. Kranciukaite D, Rastenyte D. Measurement of quality of life in stroke patients. Medicina 2006;42(9):709– 16.

14. The WHOQOL Group. Development of the world health organization WHOQOL-BREF quality of life assessment. Psychol Med 1998;28(3):551– 8.

15. Golicki D, Niewada M, Buczek J, et al. Validity of EQ-5D-5L in stroke. Qual Life Res 2015;24(4):845–50. doi: 10.1016/J.JVAL.2014.08.1906.

16. Janssen MF, Birnie E, Haagsma JA, et al. comparing the standard EQ-5D three-level system with a five-level version. Value Health 2008;11(2):275– 84.

17. van Eeden M, van Heugten C, van Mastrigt GA, et al. The burden of stroke in the Netherlands: estimating quality of life and costs for 1-year poststroke. BMJ Open 2015;5(11):e008220. doi: 10.1136/bmjopen-2015-008220.

18. Glasziou P, Alexander J, Beller E, et al; ADVANCE Collaborative Group. Which health-related quality of life score? A comparison of alternative utility measures in patients with Type 2 diabetes in the ADVANCE trial. Health Qual Life Outcomes 2007;5:21.

19. Hayes A, Arima H, Woodward M, et al. Changes in Quality of Life Associated with Complications of Diabetes: results from the ADVANCE Study. Value Health 2016;19(1):36– 41. doi: 10.1016/j.jval.2015.10.010.

20. Lee HT, Shin J, Lim YH, et al. Health-related quality of life in coronary heart disease in Korea: the Korea National Health and Nutrition Examination Survey 2007 to 2011. Angiology 2015;66(4):326– 32. doi: 10.1177/0003319714533182.

21. Xie J, Wu EQ, Zheng ZJ, et al. Patient-reported health status in coronary heart disease in the United States: age, sex, racial, and ethnic differences. Circulation 2008;118(5):491– 7. doi: 10.1161/CIRCULATIONAHA.107.752006.

22. Luengo-Fernandez R, Gray AM, Bull L, et al.; Oxford Vascular Study. Quality of life after TIA and stroke: ten-year results of the Oxford Vascular Study. Neurology 2013;81(18):1588– 95. doi: 10.1212/WNL.0b013e3182a9f45f.

23. Chang WH, Sohn MK, Lee J, et al. Impact of central facial palsy and dysarthria on quality of life in patients with stroke: the KOSCO study. NeuroRehabilitation 2016;39(2):253– 9. doi: 10.3233/ NRE-161355.

24. Sand KM, Wilhelmsen G, Naess H, et al. Vision problems in ischaemic stroke patients: effects on life quality and disability. Eur J Neurol 2016;23(Suppl 1):1– 7. doi:10.1111/ene.12848.

25. Min KB, Min JY. Health-related quality of life is associated with stroke deficits in older adults. Age Ageing 2015;44(4):700– 4. doi: 10.1093/ ageing/afv060.

26. Green T, Demchuk A, Newcommon N. Aggressive surgical interventions for severe stroke: impact on quality of life, caregiver burden and family outcomes. Can J Neurosci Nurs 2015;37(2):15– 25.

27. Katona M, Schmidt R, Schupp W, et al. Predictors of health-related quality of life in stroke patients after neurological inpatient rehabilitation: a prospective study. Health Qual Life Outcomes 2015;13:58. doi: 10.1186/s12955-015-0258-9.

28. Sangha RS, Caprio FZ, Askew R, et al. Quality of life in patients with TIA and minor ischemic stroke. Neurology 2015;85(22):1957– 63. doi: 10.1212/ WNL.0000000000002164.

29. Theeke L, Horstman P, Mallow J, et al. Quality of life and loneliness in stroke survivors living in Appalachia.

J Neurosci Nurs 2014;46(6):E3– 15. doi: 10.1097/JNN.0000000000000097.

30. Choi-Kwon S, Choi JM, Kwon SU, et al. Factors that Affect the Quality of Life at 3 Years Post-Stroke. J Clin Neurol 2006;2(1):34– 41. doi: 10.3988/ jcn.2006.2.1.34.