Display options
Cite
Choi-Kwon S, Choi JM, Kwon SU, et al. Factors that Affect the Quality of Life at 3 Years Post-Stroke. J Clin Neurol. 2006;2(1):34-41doi: 10.3988/jcn.2006.2.1.34.
Choi-Kwon, S., Choi, J. M., Kwon, S. U., Kang, D. W., & Kim, J. S. (2006). Factors that Affect the Quality of Life at 3 Years Post-Stroke. Journal of clinical neurology (Seoul, Korea), 2(1), 34-41. https://doi.org/10.3988/jcn.2006.2.1.34
Choi-Kwon, Smi, et al. "Factors that Affect the Quality of Life at 3 Years Post-Stroke." Journal of clinical neurology (Seoul, Korea) vol. 2,1 (2006): 34-41. doi: https://doi.org/10.3988/jcn.2006.2.1.34
Choi-Kwon S, Choi JM, Kwon SU, Kang DW, Kim JS. Factors that Affect the Quality of Life at 3 Years Post-Stroke. J Clin Neurol. 2006 Mar;2(1):34-41. doi: 10.3988/jcn.2006.2.1.34. Epub 2006 Mar 20. PMID: 20396483; PMCID: PMC2854941.
Copy Download .nbib Format: NLM
Share it on

J Clin Neurol. 2006 Mar;2(1):34-41. doi: 10.3988/jcn.2006.2.1.34. Epub 2006 Mar 20.

Factors that Affect the Quality of Life at 3 Years Post-Stroke.

Journal of clinical neurology (Seoul, Korea)

Smi Choi-Kwon, Ji M Choi, Sun U Kwon, Dong-Wha Kang, Jong S Kim

Affiliations

  1. College of Nursing, Seoul National University, Seoul, Korea.

PMID: 20396483 PMCID: PMC2854941 DOI: 10.3988/jcn.2006.2.1.34

Abstract

BACKGROUND AND PURPOSE: Elucidating the factors that predict the quality of life (QOL) in stroke patients is important. However, the residual sensory symptoms that are common in stroke patients have not usually been included as factors that influence the QOL. The purpose of the present study was to elucidate the factors that predict the QOL of chronic-stage patients with special attention to residual sensory symptoms.

METHODS: We examined 214 patients who had experienced a first-time stroke during the subacute (i.e., approximately 3 months poststroke) stage; 151 patients from this group were followed up by telephone interview during the chronic (i.e., approximately 3 years poststroke) stage. Physical disabilities, including motor dysfunction, sensory symptoms that included central poststroke pain (CPSP, described using a standardized questionnaire with a visual analogue scale), activities of daily living (ADL, measured by the Barthel index score), as well as the presence of depression (using the DSM IV criteria), were assessed during both the subacute and chronic stages. Economic and job statuses during the chronic stage were also assessed. QOL ratings were determined by the World Health Organization QOL scale.

RESULTS: The following factors at 3 months poststroke were related to low QOL at 3 years poststroke: dependency in ADL, motor dysfunction, depression, and CPSP. At 3 years poststroke, dependency in ADL, depression, CPSP, poor economic status, and unemployment were all factors that were related to low QOL. Multiple regression analysis showed that dependency in ADL (19%), presence of CPSP (12%), and poor economic status (10%) were important explanatory factors for overall QOL. In the analysis of QOL subdomains, the most important explanatory factors were CPSP for both physical and psychological domains, dependency in ADL for both independence and social-relationships domains, economic status for the environmental domain, and female sex for the spiritual domain.

CONCLUSIONS: We conclude that dependency in ADL, depression, low socioeconomic status, and the presence of CPSP either at 3 months or 3 years poststroke are factors that are related to a low QOL at 3 years poststroke. The recognition of these factors may allow strategies to be developed to improve the QOL for stroke patients.

Keywords: Central poststroke pain; Cerebrovascular disease; Depression; Quality of life

References

  1. Stroke. 1995 Mar;26(3):402-8 - PubMed
  2. Stroke. 1996 Sep;27(9):1467-72 - PubMed
  3. Lancet. 1993 Jan 16;341(8838):156 - PubMed
  4. J Neurol Neurosurg Psychiatry. 1996 Jul;61(1):62-9 - PubMed
  5. Neurology. 1997 May;48(5):1196-9 - PubMed
  6. Stroke. 1997 Nov;28(11):2155-61 - PubMed
  7. Stroke. 2000 Dec;31(12):2995-3000 - PubMed
  8. Stroke. 1993 Jul;24(7):976-82 - PubMed
  9. Stroke. 1984 Sep-Oct;15(5):886-90 - PubMed
  10. Pain. 1995 May;61(2):187-193 - PubMed
  11. Stroke. 1999 Dec;30(12):2697-703 - PubMed
  12. Med Care. 1994 Jan;32(1):40-66 - PubMed
  13. BMJ. 1992 Jul 18;305(6846):160-4 - PubMed
  14. J Neurol Neurosurg Psychiatry. 1996 Dec;61(6):560-4 - PubMed
  15. Stroke. 1992 Apr;23(4):527-31 - PubMed
  16. Age Ageing. 1995 Mar;24(2):120-5 - PubMed
  17. Epilepsia. 1999 Feb;40(2):216-24 - PubMed
  18. Stroke. 1987 May-Jun;18(3):579-84 - PubMed
  19. Pain. 1987 Aug;30(2):191-197 - PubMed
  20. Neurology. 2000 May 9;54(9):1805-10 - PubMed
  21. J Clin Neurol. 2005 Apr;1(1):59-68 - PubMed
  22. Soc Sci Med. 1998 Jun;46(12):1569-85 - PubMed
  23. Acta Neurol Scand. 1998 Sep;98(3):169-75 - PubMed
  24. Pain. 1989 Jan;36(1):13-25 - PubMed
  25. Neurology. 1997 Jul;49(1):120-5 - PubMed
  26. Pain. 1998 Jun;76(3):395-406 - PubMed
  27. Acta Psychiatr Scand. 1995 Sep;92(3):193-8 - PubMed
  28. Stroke. 1988 Sep;19(9):1101-7 - PubMed
  29. J Neurol. 1996 Aug;243(8):599-604 - PubMed

Publication Types