Disablement and quality of life after stroke.

Abstract

SUMMARY This study concerns the quality of life of patients after stroke and how this is influenced by disablement and emotional factors. Ninety-six consecutive patients of mean age 71 years were followed for two years. At the end of that time 23% had experienced a recurrence of stroke and 27% were deceased. Of the survivors 76% were independent as regards activities of daily life (ADL) and lived in their own homes. Age as well as initial function were prognostically important factors. Patients who could participate in interviews marked on a visual analogue scale their evaluation of quality of life before and after stroke. Most of them had experienced a decrease and no improvement was observed during the two years. The deterioration was more pronounced in ADL dependent patients than among the independent. However, depression and anxiety were found to be of similar importance for quality of life as was physical disablement. These findings call for a greater emphasis on psychological support in the care of post stroke patients. The visual analogue scale can be a useful tool for detecting special needs.

Self‐perceived quality of life of Chinese elderly people in Hong Kong

“…Most studies have focused on selected components of QOL only, such as mental health or life satisfaction (Viitanen et al, 1988;Chi, 1995). Many studies have conceptualized QOL on the basis of theoretical assumptions or the researchers' own definitions and standards of what constitutes this construct (Ahlsio et al, 1984;Osberg et al, 1987;Pearlmann and Uhlmann, 1988b;Clark et al, 1997). By contrast, it has been suggested that an approach based on the exploration and validation of QOL from the perspective of the population being studied may provide more accurate information (Cohen, 1982;Maynard and Muth, 1987;McKenna, 1993).…”

Stroke Impact Scale Version 3.0: Study of Reliability and Validity in Stroke Patients in the Turkish Population

“…Bu benzerlik üst ve alt ekstremite Brunnstrom evreleri arasın-da da görülmüştür. İnme sonrası dönemde yaşam kalitesini etkileyen faktörleri araştıran çalışmaların sonuçları ile uyumlu olarak İEÖ 3,0 için hastaların yaşam kalitelerinin motor gelişim ve fonksiyonellik düzeyi arttıkça olumlu yönde etkilendiği gözlenmiştir (33)(34)(35).…”

A computer simulation model for cost-effectiveness analysis of cardiovascular disease prevention

“…Kawachi & Malcolm (1989) assumed the quality of life to be 0.8 after stroke. Ahlsio et al (1984) assessed the quality of life after stroke for a two-year-period using a visual analog scale of I 00 mm and found that the quality of life decreased by approximately 20 mm. Wade & Hewer (1987) assessed the functional independence after stroke on a scale between 0-20 and the score was 16.9 6 months after the event, e.g.…”