TITLE:
Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge
AUTHORS:
Saisamorn Chaleoykitti, Werayuth Srithumsuk, Saitip Jaipong, Pinthusorn Pattayakorn, Pinthusorn Pattayakorn, Kattiya Podimuang
KEYWORDS:
Functional Status, Older People, Quality of Life, Stroke, Stroke Disability
JOURNAL NAME:
Advances in Aging Research,
Vol.9 No.4,
July
17,
2020
ABSTRACT: Objective: The number of people with stroke increases
worldwide. The stroke survivors live with disabilities and those influence
their quality of life (QOL). This study was aimed to investigate the
association between clinical characteristics and QOL of the older people with stroke at discharge
from the hospital. Methods: This is a cross-sectional study. The participants
were 113 stroke survivors aged 60 years and older admitted to the stroke unit.
Quality of life was the study’s outcome which measured by using the abbreviated
version of the World Health
Organization Quality of Life (WHOQOL-BREF). Primary clinical characteristics
were measured by the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and Modified
Rankin Scale (mRS). Potential confounding
factors were age, sex, education levels, marital status, current occupation, and comorbidity (hypertension,
diabetes mellitus, dyslipidemia, and
heart disease). Multiple linear regression was used for data analysis. Results: The main effects of clinical outcomes were high BI Score that had a significant
difference association with QOL (β = 0.312,
95% CI = 0.042, 0.296, P = 0.009),
lower mRS score also had significant difference association with QOL (β= -0.371, 95%CI = LJ.394, ǃ.162, P = 0.003) after all adjusting. Additional risk factor in this study was
marital status (currently married) (β= 0.155,
95% CI = 0.226, 8.666, P = 0.039). Conclusion: Low function status and severe stroke disability as the clinical
characteristics were associated with QOL in older people with stroke at
hospital discharge. An additional factor was marital status (currently married).