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Journals / Türk Serebrovasküler Hastalıklar Dergisi / 2003 / Cilt: 9 - Sayı: 2

Assessment of the changes in the quality of life and functional status of stroke patients with time

Strok sonrası hastaların yaşam kalitesi ve fonksiyonel durumda zaman içinde meydana gelen değişikliklerin değerlendirilmesi

Onur ARMAĞAN
Funda TAŞÇIOĞLU
Cengiz ÖNER
Pages
71–75
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: These results suggested that, despite stable functional status, health-related life quality might be deteriorated over time.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND AND OBJECTIVE: As mortality from stroke decreases and mean survival time increases, it has become increasingly important to assess health-related quality of life in clinical trials.
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Key Findings & Data:METHODS: Thirty-nine patients with hemiparesis of vascular origin, 18 women and 21 men participated in this study and they were assigned to two groups according to time after stroke.
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Conclusion & Impact:CONCLUSION: These results suggested that, despite stable functional status, health-related life quality might be deteriorated over time.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Yaşam kalitesi · Serebrovasküler olay · Parezi

Abstract

BACKGROUND AND OBJECTIVE: As mortality from stroke decreases and mean survival time increases, it has become increasingly important to assess health-related quality of life in clinical trials. We aimed to investigate the influence of time on the health-related quality of life of hémiplégie patients. METHODS: Thirty-nine patients with hemiparesis of vascular origin, 18 women and 21 men participated in this study and they were assigned to two groups according to time after stroke. The duration after stroke was shorter than 6 months in the first group which was consisting of 21 patients and eighteen patients in the second group had a stroke duration more than 12 months. Health-related quality was assessed by the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). Disability was evaluated by using the Barthel index and Functional Indepence Measure (FIM). RESULTS: There were no significant differences in age, gender, lesion laterality distribution, and type of stroke between the two groups. There was no statistically significant difference in Barthel and FIM scores between the two groups. However, mental health, physical and social functioning subscales of the SF-36 were significantly lower in the second group (p<0.05). CONCLUSION: These results suggested that, despite stable functional status, health-related life quality might be deteriorated over time.

Özet

AMAÇ: Strok sonrası mortalité oranının azalması ve ortalama yaşam süresinin artması gibi nedenlerle, klinik çalışmalarda sağlıkla ilgili yaşam kalitesini değerlendirmek giderek önem kazanmaktadır. Bu çalışmamızın amacı strok sonrası geçen sürenin, hastaların yaşam kalitesi ve fonksiyonel durumları üzerindeki etkisini değerlendirmekti. GEREÇ-YÖNTEM: Vasküler orijinli hemiparezi gelişen 18 kadın, 21 erkek 39 hasta çalışmaya alındı. Strok sonrası seçen süre dikkate alınarak hastalar iki gruba ayrıldı. Hastalık süresi 6 aydan daha az olan 21 hasta 1. grubu, 12 ay ve üzerinde olan 18 hasta ise 2. grubu oluşturdu. Sağlıkla ilgili yaşam kalitesi Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) ile değerlendirildi. Fonksiyonel durumu değerlendirmek için ise Barthel indeksi ve Fonksiyonel Bağımsızlık Ölçeği (FBO) ölçekleri kullanıldı. BULGULAR: Strok tipi, tutulan taraf, yaş ve cinsiyet açısından iki grup arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Barthel ve FBO skorları dikkate alındığında gruplar arasında yine istatistiksel olarak anlamlı fark bulunmamakla birlikte (p>0.05), SF-36'mn bazı alt skalalarından (fiziksel fonksiyon, sosyal fonksiyon ve mental sağlık) elde edilen sonuçlar, hastalık süresi uzun olan 2. gruptaki hastalarda istatistiksel olarak anlamlı düzeyde düşük bulundu (p<0.05). SONUÇ: Bu sonuçlarımız, hastalık süresi arttıkça fonksiyonel durumun değişmemesine rağmen sağlıkla ilgili yaşam kalitesinin bazı alanlarında bozulma olduğunu göstermiştir.

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Cite This Article

ARMAĞAN, O., TAŞÇIOĞLU, F., ÖNER, C. (2003). Assessment of the changes in the quality of life and functional status of stroke patients with time. Türk Serebrovasküler Hastalıklar Dergisi, Cilt: 9 - Sayı: 2, 71–75. https://ajindex.com/articles/357829

References (17)

  1. Melo TP, Bogosslayky J. Hemiparesis and other type of motor weakness. In: BogosslayskyJ, Çaplan L (eds). Stroke Syndromes, London: Cambridge University Press, 1995, pp: 3-13
  2. Williams LS, Weinberg M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke 1999; 30:1362-1369. 3. de Haan RJ, Limburg M, Van der Meulen JHP, Jacobs HM, Aaronson NK. Quality of life after stroke: impact of stroke type and lesion location. Stroke 1995; 26: 402-408
  3. Hop JW, Rinkel JE, Algra A, van Gijn J. Quality of life in patients and partners after aneurismal subaracnoid hemorrhage. Stroke 1998; 29: 798-804
  4. Robinson RG. Neuropsychiatric consequences of stroke. Annu Rev Med 1997; 48: 217-229
  5. Kelly-Hayes M, Wolf PA, Kannel WB, Sytkowski P, D'Agostino RB, Gresham GE. Factors influencing survival and need for institutionalization following stroke: the Framingham study. Arch Phys Med Rehabil 1998; 69: 415-418
  6. World Health Organization. International Classification of Impairments, Disabilities, and Handicap. Geneve, World Health Organization, 1980
  7. Suiter G, Steen C, De Keyser J. Use of the Barthel Index and Modified Rankin Scale in acute stroke trials. Stroke 1999; 30: 1538-1541
  8. Roberts L, Counsel C. Assessment of clinical outcomes in acute stroke trials. Stroke 1998; 29: 986-991
  9. D'Olhaberriague L, Litvan I, Mitsias P, Mansbach HH. A reappraisal of reliability and validity studies in stroke. Stroke 1996; 27: 2331-2336
  10. Granger CV, Hamilton BB, Gresham GE. The stroke rehabilitation outcome study-part I: general description. Arch Phys Med Rehabil 1988; 69: 506-509
  11. Gill TM, Feinstein AR. A critical appraisal of quality-of-life measurements. JAMA 1994; 272: 619-626
  12. Testa MA, Simonson DC. Assessment of quality of life outcomes. N Eng J Med 1996; 334: 835-840
  13. WHOQOL Group. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Quality of Life Research 1993; 2:153-159
  14. Bethoux F, Calmels P, Gautheron V. Changes in the quality of life of hemiplegic stroke patients with time. Am J Phys Med Rehabil 1999; 78:19-23
  15. King RB. Quality of life after stroke. Stroke 1996; 27: 1467- 1472
  16. Anderson C, Laubscher S, Burns R. Validation of the Short Form 36 (SF-36) health survey questionnaire among stroke patients. Stroke 1996; 27: 1812-1816
  17. Küçükdeveci A, Me Kenna S, Kutlay S, Gürsel Y, Whalley D, Araşıl T. The development and psychometr