The Effect of The Coping Attitudes of People with Stroke on Quality of Life

Abstract

Öz Amaç: İnme geçiren bireylerin hastalıkla başa çıkma tutumlarının yaşam kalitesi üzerine olan etkisini incelemektir. Materyal ve Metot: Tanımlayıcı türdeki bu çalışmanın örneklemini Ekim 2018-Haziran 2019 tarihlerinde inme sonrası kontrolleri için bir devlet ve bir eğitim araştırma hastanesinin nöroloji ve fizik tedavi polikliniğine gelen 360 birey oluşturdu. Verilerin toplanmasında sosyodemografik özellikler için oluşturulan anket formu, İnmeye Özgü Yaşam Kalitesi Ölçeği ve Başa Çıkma Tutumlarını Değerlendirme Ölçeği kullanıldı. İstatistiksel analizde SPSS 25.0 programı kullanıldı. Hastalıkla başa çıkma tutumlarının yaşam kalitesi üzerine olan etkisinin belirlenmesinde binary lojistik regresyon analizi kullanıldı. P<0,05 ve p<0,001 değerleri istatistiksel olarak anlamlı kabul edildi. Bulgular: Hastalıkla baş etme tutumlarından olan aktif başa çıkma (OR: 1,31 [95% CI 1,094-1,579]; p<0,05), geri durma (OR: 1,173 [1,022-1,347]; p<0,05), mizah (OR: 1,143 [1,023-1,276]; p<0,05) ve alkol/madde kullanımı (OR: 1,128 [1,008-1,262]; p<0,05)yaşam kalitesi üzerinde anlamlı prediktörler olduğu bulunmuştur. Sonuç: Aktif başa çıkma, geri durma, mizaç ve alkol/sigara kullanımı yaşam kalitesi üzerinde olumsuz etki eden faktörlör olup; bu faktörleri inmeli bireylerin yaşamında ne zaman ve ne sıklıkla kullandığı dikkatlice irdelenmeli ve hastanın başa çıkma tutumlarını ve yaşam kalitesini artıracak eğitim ve multidisipliner ekibin yer aldığı inme rehabilitasyon programlarının geliştirilmesi önerilmektedir. Anahtar Kelimeler: İnme, yaşam kalitesi, baş etme, COPE. AbstractObjectives: The aim of this study is to examine the effects of coping attitudes on quality of life in patient with stroke. Materials and Methods: This descriptive study was conducted between October 2018 and June 2019. The sample data were collected from 360 patients who had been admitted to neurology and physiotherapy clinics at a training and research university hospital and a government hospital in Karabuk. Data of the study were collected by the COPE inventory and the Stroke-Specific Quality of Life Scale. SPSS 25.0 program was used in the statistical analysis. Binary logistic regression analysis was used to determine the effect of coping attitudes on quality of life. P <0.05 and p <0.001 values were considered statistically significant. Results: Active coping (OR: 1.31 [95% CI 1.094-1.579]; p<0.05), restraint (OR: 1.173 [1.022-1.347]; p<0.05),humor(OR: 1.143 [1.023-1.276]; p<0.05) and alcohol/substance use(OR: 1.128 [1.008-1.262]; p<0.05), which are coping with the disease, were found to be significant predictors of on quality of life. Conclusion: Active coping, restraint, humor and alcohol / substance use are factors that negatively affect quality of life. When and how often these factors are used in stroke patients' lives should be examined carefully. it is recommended to develop stroke rehabilitation programs with training and multidisciplinary team to improve patient coping attitudes and quality of life.

Effect of a Nurse-Led Education Program for Stroke Patients on Sleep Quality and Quality of Life: A Randomized Controlled Study

“…As behavior modification is based on knowledge, this finding suggests that health education provided to stroke patients is effective in increasing their level of knowledge. The increase in both sleep quality and quality of life scores in stroke patients at the end of the nurse-led training program in this study is consistent with the literature (Akosile et al, 2013;Kes, 2020;Kim et al, 2010;Sonmez & Karasel, 2019).…”

“…Quality of life may be impaired by stroke-related sleep disorders and can be improved by treating these disorders. Previous studies have reported sleep disorders in stroke patients at rates varying between 10% and 50% (Kes, 2020;Kim et al, 2010;Sonmez & Karasel, 2019). Although nearly all of the stroke patients in the intervention group in our study stated that they did not have any sleep-related problems, 43.5% said they felt tired upon waking up in the morning.…”

“…There are few studies in the literature that investigate sleep quality and associated factors in stroke patients, and most of these studies evaluated quality of life (Kes, 2020;Kim et al, 2010;Sonmez & Karasel, 2019). Quality of life may be impaired by stroke-related sleep disorders and can be improved by treating these disorders.…”

“…A few previous studies have evaluated the effect of health education provided to stroke patients on their quality of life (Bakir, 2019;Ezema et al, 2019;Tok Yıldız & Kaşıkçı, 2020). In a study by Kes (2020) evaluating the effect of stroke patients' coping attitudes on their quality of life, it was determined that stroke patients had moderate quality of life (Kes, 2020). Odetunde et al (2018) found that stroke patients had high quality of life in their cross-cultural adaptation study of the SSQOL (Odetunde et al, 2018).…”