Associations between social support and stroke survivors’ health-related quality of life—A systematic review

Kruithof, Willeke J.; Mierlo, Maria L. van; Visser-Meily, Johanna M A; Heugten, Caroline van; Post, Marcel W.M.

doi:10.1016/j.pec.2013.06.003

Cited by 96 publications

(79 citation statements)

References 35 publications

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“…Social support can be instrumental emotional, or informational [45]. Studies have shown that social support is a determinant of HRQOL [31,41,34,45].…”

Section: Social Supportmentioning

confidence: 99%

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2015

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Stroke care is aimed at improving physical, functional, psychological and social function and to eventually improve the overall health related quality of life (HRQOL). This paper critically reviewed published papers that reported on stroke survivors' HRQOL and the factors associated with it from the African region.A total of 19 articles met the inclusion criteria for the review and majority of them 12 (63%) are cross-sectional surveys. In Africa, HRQOL deteriorated significantly after stroke. The reported mean score of HRQOL ranges from below 50% to slightly below 70%. Severity of stroke related symptoms, impairment of physical function, and depression were the most important factors determining HRQOL. However, the influence of social function on HRQOL needs further study. The Studies have shown that stroke rehabilitation in Africa leads to significant improvement HRQOL.Finally, this review has highlighted some critical areas of HRQOL in which the intending African researcher needs examined adequately.

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“…Social support can be instrumental emotional, or informational [45]. Studies have shown that social support is a determinant of HRQOL [31,41,34,45].…”

Section: Social Supportmentioning

confidence: 99%

“…Studies have shown that social support is a determinant of HRQOL [31,41,34,45]. Furthermore, a review by Reblin and…”

Section: Social Supportmentioning

confidence: 99%

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2015

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“…LSAT is generally agreed to be a broad, multidimensional concept with both subjective and objective components [7]. For our study, LSAT refers to the universal measure of quality of life which denotes a general subjective assessment of an individual's life and does not inevitably represent satisfaction with all aspects of life [8,9].…”

Section: Introductionmentioning

confidence: 99%

Relationship between community integration and life satisfaction among stroke survivors dwelling in rural communities of southwest, Nigeria

Olaoye¹,

Adejumobi²,

Olasusi³

et al. 2017

J Environ Occup Sci

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Aim:The appraisal of disability and life post stroke is influenced by survivors' environment and culture; though little or no information exists for survivors that are rural community dwellers. Therefore, this study assessed the relationship between community reintegration and life satisfaction (LSAT) of stroke survivors dwelling in rural communities of the southwest, Nigeria. Materials and Methods: Using a convenience sampling technique, 60 stroke survivors responded to this cross-sectional survey yielding a response rate of 79%. A structured self-administered questionnaire on reintegration to normal living and LSAT after stroke was used to assess community reintegration and LSAT of respondent between the periods of January 2015 and October 2015. The procedure was explained to consented respondents and data were subsequently obtained. Data were analyzed using descriptive statistics and inferential statistics. P value was set at ˂0.05. Results: The respondents were 35 males and 25 females with an overall mean age of 57.1 ± 10.4 years and post stroke duration of 22.6 ± 12.9 months. The mean reintegration to normal living index (RNLI) score of the respondents was 66.9 ± 21.6 with over 55% of them having moderate to full community reintegration. The respondents had an overall LSAT score of 3.7 ± 1.2. Less than 32% of the respondents were dissatisfied with life and this was observed to be marked in vocation (3.2 ± 1.8) and sexual life (2.7 ± 1.8) domains. Neither of the respondents' sociodemographic and clinical characteristics were significantly association with each of RNLI (except side of affectation) and satisfaction with life. However, there was a significant positive relationship between reintegration to normal living and LSAT of respondents (r = 0.539, P = 0.001). Conclusion: Stroke survivors dwelling in rural communities of the southwest, Nigeria had low to moderate level of reintegration into everyday activities and were dissatisfied with life after stroke. Community integration after stroke was significantly associated with a side of stroke affectation and significantly related to LSAT after stroke.

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“…Social support has been recognized as an important determinant of health-related quality of life in stroke survivors [6]. The relationship between various types of social support such as emotional, instrumental, or informational support and quality of life is inconsistent [6].…”

Section: Introductionmentioning

confidence: 99%

The effect of an enriched environment on activity levels in people with stroke in an acute stroke unit: protocol for a before-after pilot study

Rosbergen

Grimley

Hayward

et al. 2016

Pilot Feasibility Stud

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BackgroundClinical practice guidelines advocate engaging stroke survivors in as much activity as possible early after stroke. One approach found to increase activity levels during inpatient rehabilitation incorporated an enriched environment (EE), whereby physical, cognitive, and social activity was enhanced. The effect of an EE in an acute stroke unit (ASU) has yet not been explored.Methods/designWe will perform a prospective non-randomized before-after intervention study. The primary aim is to determine if an EE can increase physical, social, and cognitive activity levels of people with stroke in an ASU compared to usual care. Secondary aims are to determine if fewer secondary complications and improved functional outcomes occur within an EE. We will recruit 30 people with stroke to the usual care block and subsequently 30 to the EE block. Participants will be recruited within 24–72 h after onset of stroke, and each block is estimated to last for 12 weeks. In the usual care block current management and rehabilitation within an ASU will occur. In the EE block, the ASU environment will be adapted to promote greater physical, social, and cognitive activity. Three months after the EE block, another 30 participants will be recruited to determine sustainability of this intervention. The primary outcome is change in activity levels measured using behavioral mapping over 12 h (7.30 am to 7.30 pm) across two weekdays and one weekend day within the first 10 days of admission. Secondary outcomes include functional outcome measures, adverse and serious adverse events, stroke survivor, and clinical staff experience.DiscussionThere is a need for effective interventions that starts directly in the ASU. The EE is an innovative intervention that could increase activity levels in stroke survivors across all domains and promote early recovery of stroke survivors in the acute setting.Trial registrationAustralian New Zealand Clinical Trial Registry, ANZCTN12614000679684

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Associations between social support and stroke survivors’ health-related quality of life—A systematic review

Abstract: Attention should be paid to promoting social support on the short and long term. Further research is needed to clarify the influence of social support type and source.

Cited by 96 publications

References 35 publications

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Relationship between community integration and life satisfaction among stroke survivors dwelling in rural communities of southwest, Nigeria

The effect of an enriched environment on activity levels in people with stroke in an acute stroke unit: protocol for a before-after pilot study

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