Quality of life comparasion of elderly urban and rural stroke victims

Abstract

Objective: Compare the quality of life of older people with a history of Strokes residing in urban and rural areas. Method: A cross-sectional household survey was conducted with 56 elderly urban and 28 rural residents in Uberaba-MG. Data were collected through a structured instrument, World Health Organization Quality of Life-BREF (WHOQOL-BREF) and World Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). The projects were approved by the Ethics in Research of UFTM, protocol No. 897 and 1477. Proceeded by a descriptive analysis and t-Student test (p <0.05). Results: The elderly in urban areas had lower quality of life scores in the physical domain and the facets past, present and future activities and social participation compared to the rural area. Conclusion: There is the need of the healthcare team to develop strategies to improve the functionality of the elderly in urban areas, as well as future expectations and expanding opportunity for social activities. Descriptors: Quality of life, Elderly, Stroke, Rural population, Aging.Objetivo: Comparar a qualidade de vida dos idosos com histórico de Acidente Vascular Encefálico residentes nas zonas urbana e rural. Método: Inquérito domiciliar transversal realizado com 56 idosos residentes na área urbana e 28 na rural do município de Uberaba-MG. Coletaram-se os dados através de instrumento estruturado, World Health OrganizationQualityof Life-BREF (WHOQOL-BREF) e World OrganizationQualityof Life Assessment for OlderAdults (WHOQOL-OLD).Os projetos foram aprovados pelo Comitê de Ética em Pesquisa da UFTM, protocolos Nº897 e 1477. Procedeu-se análise descritiva e teste tStudent (p<0,05). Resultados: Os idosos da área urbana apresentaram menores escores de qualidade de vida no domínio físico e nas facetas atividades passadas, presentes e futuras e participação social comparados aos da área rural. Conclusão: Verifica-se a necessidade da equipe de saúde desenvolver estratégias para melhorar a funcionalidade dos idosos da área urbana, assim como expectativas futuras e ampliação de oportunidade de atividades sociais. Descritores: Qualidade de vida, Idoso, Acidente cerebrovascular, População rural, Envelhecimento.Objetivo: Comparación de la calidad de vida de las personas mayores con antecedentes de Accidente Cerebro Vascular que viven en las zonas urbanas y rurales. Método: Encuesta domiciliaria transversal realizado con 56 ancianos residentes en la zona urbana y 28 en la zona rural del municipio de Uberaba -MG. Fueron recolectados datos a través del instrumento estructurado, WorldHealthOrganizationQuality of Life-BREF (WHOQOL-BREF), WorldHealthOrganizationQuality of LifeAssessmentforOlderAdults (WHOQOL-OLD). Los proyectos fueron aprobados por el Comité de Ética en Investigación UFTM, protocolo Nº 897 y 1477. Se realizó análisis descriptiva y test t-Student (p<0,05). Los proyectos fueron aprobados por Comité de Ética en Investigación UFTM, protocolos No 897 y 1477. Resultados: los ancianos del área urbana tuvieron menor las puntuaciones de calidad de vida e...

Regional differences in the care and outcomes of acute stroke patients in Australia: an observational study using evidence from the Australian Stroke Clinical Registry (AuSCR)

“…5–7 Previous attempts to explore this issue have also been reliant on ‘hard’ outcome measures such as rates of mortality and readmission, 8–10 whereas regional differences in patients’ quality of life have been rarely investigated. 11 12 Given this knowledge gap, the aim of this study was to compare the processes of care and outcomes for patients who had a stroke treated in urban compared with rural hospitals.…”

Quality of life comparasion of elderly urban and rural stroke victims

“…The result refers to the fact that the elderly, both residents of rural areas as urban, of knowing deal with their concerns, worries and fears in relation to death, those aspects evaluated in this facet. 12 The lowest score in WHOQOL-OLD was in facet autonomy both in urban area (53.52) as in rural (59.82), Table 2. The autonomy facet values freedom of the elderly to make their own decisions, to feel control over their future, being able to do things that they would like to do and believe that people around them respect their liberty.…”

“…The quality of life was assessed by instruments World Health Organization Quality of Life-bref (WHOQOL-BREF) 11 and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD) 12 , both validated in Brazil. The WHOQOL-OLD is composed of six facets: functioning of the senses (evaluates the functioning sensory and the impact of the loss of skills in sensory quality of life); autonomy (refers to independence in old age, describes up to that point if it is able to live independently and make their own decisions); activities past, present and future (describes the satisfaction about achievements in life and things that longs); social participation (participation in daily activities, especially in the community), death and dying (worries, anxieties and fears about death and dying) and intimacy (evaluates the ability to have personal and intimate relationships).…”

“…The WHOQOL-OLD is composed of six facets: functioning of the senses (evaluates the functioning sensory and the impact of the loss of skills in sensory quality of life); autonomy (refers to independence in old age, describes up to that point if it is able to live independently and make their own decisions); activities past, present and future (describes the satisfaction about achievements in life and things that longs); social participation (participation in daily activities, especially in the community), death and dying (worries, anxieties and fears about death and dying) and intimacy (evaluates the ability to have personal and intimate relationships). 12 They were constructed of electronic databases, the program Excel®, the collected data were processed in a microcomputer, for two people, in double entry. It was the consistency of data between the banks, when inconsistent, returned to original interview for correction.…”

“…The autonomy facet values freedom of the elderly to make their own decisions, to feel control over their future, being able to do things that they would like to do and believe that people around them respect their liberty. 12 Considering the major impact on the physical aspect, among all elderly, it is needed to identify whether this is related to decreased autonomy. Therefore, it is also relevant that are identified the possible sequelae caused by the disease; they are motor, cognitive, emotional and social which may be hindering the daily activities and consequently their autonomy and independence 5. Autonomy is crucial for a good quality of life being basic assumption for decisionmaking.…”