Quality of Life and Disability in Stroke Survivors

Authors

  • Dayana Shakya Kathmandu Medical College, Bhaktapur, Nepal
  • Rosy Chaudhary Torrens University, Wakefield Street, Adelaide, Australia
  • Dipesh Shakya Kathmandu Medical College, Kathmandu, Nepal
  • Bikram Shakya Kathmandu Medical College, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jkahs.v2i3.26660

Keywords:

Cerebrovascular accident, Disability, Nepal, Quality of life, Stroke

Abstract

Background: With advancing treatment of stroke patients, their mortality has decreased but morbidity and disability has increased. Hence, it becomes increasingly important to find the measures to improve these areas. The study aims to assess the quality of life (QOL) and disability in stroke survivors at least six months post stroke.

Methods: Descriptive, cross sectional design was used to assess the QOL and disability in stroke patients attending Neuromedicine and Neurosurgery out-patient departments of Kathmandu Medical College. Data was collected purposively using interview from 155 respondents. QOL was assessed using Health Related Quality of Life in Stroke Patients (HRQOLISP-40) and disability was measured by using World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Analysis was done using Pearson’s correlation and Mann Whitney U test.

Results: The QOL was found to be best in the ‘ecosocial’ and worst in the ‘soul’ domain. In disability, patients scored the best in ‘Getting along with people’ and ‘self-care’ domains and worst in the ‘life activities: school/ work’ domain. Respondents with hemorrhagic stroke, only one admission and those who did not exercise had better QOL. Patients with less than 10 years of formal education, those not earning and those with comorbidities had more disability. Correlation analysis showed better QOL with lesser age, higher monthly family income and higher Barthel index whereas higher disability was found in respondents with higher age and lower Barthel index.

Conclusions: Disability in stroke patients needs to be addressed inorder to improve their QOL. The domains affected should be given attention during rehabilitation of stroke patients.

Downloads

Download data is not yet available.
Abstract
458
pdf
277

Author Biographies

Dayana Shakya, Kathmandu Medical College, Bhaktapur, Nepal

Lecturer, B. Sc. Nursing Program

Rosy Chaudhary, Torrens University, Wakefield Street, Adelaide, Australia

Master of Public Health (Advanced)

Dipesh Shakya, Kathmandu Medical College, Kathmandu, Nepal

Lecturer, Department of Neuromedicine

Bikram Shakya, Kathmandu Medical College, Kathmandu, Nepal

Lecturer, Department of Neurosurgery

Downloads

Published

2019-12-10

Issue

Section

Original Articles