Health-related quality of life profiles and their dimension-specific associated factors among Malaysian stroke survivors: a cross sectional study

Abstract

Background Apart from maximizing functional abilities and independence after stroke, improving overall health-related quality of life (HRQoL) should also become part of the stroke treatment and rehabilitation process goals. This study aimed to assess the HRQoL profiles and explore the dimension-specific associated factors of HRQoL among stroke survivors. Methods This was a cross-sectional study of stroke survivors attending post-stroke care clinics in three public hospitals in the states of Pahang and Terengganu, Malaysia. The HRQoL was assessed by EuroQol-5 dimension-5 levels. Data on socio-demographic, clinical profiles, malnutrition risk, and physical activity level were collected through an interviewer-administered survey. Descriptive analyses for HRQoL profiles and multiple logistic regression analyses for its associated factors were performed. Crude and adjusted odds ratios were reported. Results A total of 366 stroke survivors were recruited with a mean age of 59 ± 11 years. The most -commonly reported health problems were mobility (85%), followed by usual activities (82%), pain/discomfort (63%), anxiety/depression (51%) and self-care (41%). The mean of the EQ visual analogue scale and the median of the EQ5D summary index was reported at 60.3 ± 14.2 and 0.67 ± 0.37, respectively. Malnutrition risk (mobility, usual activities, and self-care), wheelchair users (self-care and usual activities), speech impairment (usual activities and pain/discomfort), number of stroke episodes (self-care and pain/discomfort), body mass index, physical activity level and types of strokes (usual activities), age and use of a proxy (anxiety/depression), working and smoking status (mobility), were factors associated with either single or multiple dimensions of HRQoL. Conclusion Routine malnutrition screening, tailored program for speech therapy, prevention of recurrent stroke, and physical activity promotion should be addressed and further reinforced in current rehabilitation interventions to improve the HRQoL among stroke survivors in Malaysia.

Impact of post stroke depression and anxiety on health-related quality of life in young Filipino adults

“…Mobility and physical functioning have been identified as independent predictors of HRQoL in stroke patients (Naess et al, 2006;Valeros, 2017;Thayabaranathan et al, 2018;Wong et al, 2021). Our study confirmed these findings showing mRS and Barthel index to have strong or moderate correlations with the various EQ-5D-5L dimensions.…”

“…Among the participants in our study, majority did not attain college level education, were unemployed and had income less than the monthly minimum wage stipulated in the country. Although these socio-economic factors were not found to be predictors of poor HRQoL in the present study, previous studies have reported female gender, low educational attainment and poor socio-economic status as part of a complex network of risk factors associated with HRQoL in stroke survivors (Naess et al, 2005;Phan et al, 2019;Wong et al, 2021). Studies with larger sample sizes are required to further evaluate these important factors and their influence on the HRQoL of young adult stroke patients.…”

Cardiovascular risk factors and quality of life among stroke survivors in Korea from 2013 to 2018: a cross-sectional cohort study

“…A previous UK study looking for factors influencing the quality of life of stroke survivors reveals that diabetes and ischemic heart disease were significant factors [ 27 ]. Another study of Malaysians shows that obesity, smoking status, malnutrition risk, and physical activity level had an effect on the physical dimensions of the quality of life [ 28 ]. This study showed the relationship between overall cardiovascular health and quality of life in stroke survivors from the nationally representative cross-sectional survey.…”

Perfil lipídico asociado al riesgo cardiovascular en adultos.

“…En cuanto al impacto de tipo mental, la ansiedad/depresión con un 66,70 % fue la reportada en mayor proporción. En el estudio de Wong y col. (Wong HJ, Lua PL, Harith S, Ibrahim KA, 2021) se reportó un 51 % de ansiedad/depresión; en el de Comín et al (Comín-Coleta J, Anguita M, Formiga F, Almena L, Crespo-Leirog MG, Manzano L, 2016) ansiedad/depresión fue de 48,90 % mientras que en el de Lens y col. (Lens C, Demeestere J, Vanhaecht K, Lemmens R, 2021) el 52,46 % de los pacientes padecieron de ansiedad. De todos los factores psicológicos, la depresión es el que ha sido objeto de mayor atención para la investigación durante la última década.…”