Associate Professor, Department of Physical Medicine and Rehabilitation, University of Monastir Tunisia.
Assistant Professor, Department of Physical Medicine and Rehabilitation, University of Monastir Tunisia.
J Stroke Cerebrovasc Dis. 2021 Apr;30(4):105600. doi: 10.1016/j.jstrokecerebrovasdis.2021.105600. Epub 2021 Jan 15.
Stroke survivors often have impaired quality of live (QOL). There is very little information about the determining factors of QOL of stroke survivors in developing countries managed in public health structures with limited access to state of the art treatments.
To identify the main determinants of QOL in Tunisian stroke survivors.
QOL was assessed at 3, 6 and 12 months after the stroke using the Tunisian version of the SF-36 questionnaire. Patients were evaluated using the National Institue of Health Stroke Scale, the motor index of Demeurisse, the Functional Independence Measure instrument, the Reintegration to Normal Living Index, the Mini-Mental State Examination and the Hospital Anxiety and Depression Scale.
65 stroke survivors were included (60% males; mean age 62.2±10.3 years). Eighty-sex percent of the patients had an ischemic infarction. Most of the stroke patients had minor or moderate stroke. All the QOL dimensions were altered at 3 months post stroke. Between the 3 and 6-months follow-ups, there were significant changes in the SF-36 scores and individual domains but QOL remained altered. Between 6 and 12 months, there were no significant changes in the majority of the SF-36 domains. Advanced age, neurologic impairment, depression and disability measured 1 month after stroke, the stroke side (left hemisphere), the life style, and higher education, were associated with worse QOL.
Stroke severity, advanced age, post-stroke depression and disability seem to represent consistent determinants of QOL in Tunisian stroke patients.
脑卒中幸存者的生活质量（QOL）常常受损。在发展中国家，公共卫生结构管理的脑卒中幸存者的 QOL 决定因素的信息很少，这些公共卫生结构获得最先进治疗的机会有限。
确定在突尼斯脑卒中幸存者中 QOL 的主要决定因素。
使用 SF-36 问卷的突尼斯版本，在脑卒中后 3、6 和 12 个月评估 QOL。使用国立卫生研究院脑卒中量表、Demeurisse 运动指数、功能独立性测量仪、重返正常生活指数、简易精神状态检查和医院焦虑和抑郁量表评估患者。
共纳入 65 例脑卒中幸存者（60%为男性；平均年龄 62.2±10.3 岁）。80%的患者发生缺血性梗死。大多数脑卒中患者为轻度或中度脑卒中。所有 QOL 维度在脑卒中后 3 个月均发生改变。在 3 至 6 个月的随访中，SF-36 评分和各领域均发生显著变化，但 QOL 仍保持改变。在 6 至 12 个月期间，SF-36 的大多数领域没有显著变化。在脑卒中后 1 个月评估的年龄较大、神经功能缺损、抑郁和残疾、脑卒中侧（左半球）、生活方式和较高的教育程度与较差的 QOL 相关。
脑卒中严重程度、高龄、脑卒中后抑郁和残疾似乎是突尼斯脑卒中患者 QOL 的一致决定因素。
