Background: Stoke is a long-term condition. It is known as the most common cause of disability among adults. The measurement of Health-Related Quality of Life (HRQOL) is important to understand the actual status of the patients. Our aim was to assess HRQOL among stroke patients.
Materials and Methods: A cross-sectional study was applied to 65 strokes outpatients. Assessment of QOL was done by the use of Barthel index, SF36, and Stroke Specific Quality of Life (SSQOL) questionairs by personal interview.
Results: Our patients had low mean scores in all SF36 domains, the lowest was for RE with 3.46 ± 9.1 and GH was the best mean (51.7 ± 12.99). As regards SSQOL, patients had low mean scores on the lowest subscale in productivity (6.72 ± 3.21), whereas the language was the least affected (15.86
± 6.26). There was a significant difference between the means of PCS and SSQOL in post-stroke duration which was significantly higher in >24 months (37.21± 8.59 and p = 0.007and 141.57 ± 36.12
and p = 0.052 respectively) than in the shorter durations. The independent patients had significantly higher PCS and SSQOL mean scores than who need assistance and immobile ones (26.79 ± 5.09
and p< 0.0001 and 101.93 ± 22.16 and p< 0.0001 respectively). Age and mobility were significantly negative correlated with PCS, SSQOL, and Barthel scores while there was a significant positive correlation between ULVC and LLVC testing grades and PCS, MCS, SSQOL and Barthel index scores. In the linear regression model, duration, mobility and voluntary control of lower limbs were
predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036 respectively). There were no significant predictors on MCS. On the other hand Mobility and voluntary control of lower limbs were significant predictors for SSQOL (p = 0.001 and 0.051 respectively).
Conclusion: Stroke patient had poor QOL. A need for post-stroke care programs for improving the physical, mental and social quality of life for those patients is mandatory.
Author(s) Details
Dr. Samar H. Goma
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt.
Dr. Safaa A. Mahran
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt.
Prof. Dalia G. Mahran
Department of Public Health and Community Medicine, Assiut University Hospital, Assiut, Egypt.
Dr. Eman H. El-Hakeim
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt
Dr. Abeer M. Ghandour
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt.
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