Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One. 2021 Mar 18;16(3):e0248481. doi: 10.1371/journal.pone.0248481. eCollection 2021.
Evidence on a patient-centered assessment of outcome among patients with stroke is limited in Ethiopia. Therefore, this study aimed to assess the level of health-related quality of life (HRQOL) and associated factors in Ethiopia's tertiary level hospitals.
A cross-sectional study was conducted at three tertiary level hospitals (Felege Hiwot comprehensive specialized hospital, University of Gondar comprehensive specialized hospital, and Dessie referral hospital) from April 1 to May 31, 2019. A total of 180 patients with stroke were included, and a consecutive sampling method was employed to recruit the participants. RAND 36-Item Health Survey was used to measure the HRQOL. A generalized linear model with a gamma distribution and log-link function was used to investigate potential predictors, and variables with a P value of <0.05 were considered statistically significant.
Out of the participants, 50.56% were female. The average age and average duration of illness were 59.04 (12.71) and 1.5 (1.46) years, correspondingly. The physical health domain score was higher than the mental health domain score. Education (P = 0.041), social support (P = 0.050), disability (P <0.001), co-morbidity (P = 0.011), depression (P = 0.015) and income (<1000 ETB P = 0.002; 1000-4000 ETB P = 0.009) were associated with physical health domain. Whereas, ischemic stroke (P = 0.014), education (P = 0.020), disability (P <0.001), and depression (P <0.001) were associated with the mental health domain.
The HRQOL of the patients was low. Social support and lower disability status were associated with higher HRQOL, whereas disability and depression were associated with higher HRQOL. Therefore, attention should be given to strengthening social support; health professionals should focus on reducing disability/physical dependency and depression, as these are vital factors for improving HRQOL.
在埃塞俄比亚，有关中风患者以患者为中心的评估结果的证据有限。因此，本研究旨在评估埃塞俄比亚三级医院的健康相关生活质量（HRQOL）水平及其相关因素。
本横断面研究于 2019 年 4 月 1 日至 5 月 31 日在三家三级医院（Felege Hiwot 综合专科医院、贡德尔大学综合专科医院和德西转诊医院）进行。共纳入 180 名中风患者，采用连续抽样方法招募参与者。采用 RAND 36 项健康调查量表测量 HRQOL。采用伽马分布和对数链接函数的广义线性模型来研究潜在的预测因素，具有 P 值<0.05 的变量被认为具有统计学意义。
参与者中，50.56%为女性。平均年龄和平均病程分别为 59.04（12.71）岁和 1.5（1.46）年。生理健康领域得分高于心理健康领域得分。教育（P=0.041）、社会支持（P=0.050）、残疾（P<0.001）、合并症（P=0.011）、抑郁（P=0.015）和收入（<1000 ETB P=0.002；1000-4000 ETB P=0.009）与生理健康领域相关。而缺血性中风（P=0.014）、教育（P=0.020）、残疾（P<0.001）和抑郁（P<0.001）与心理健康领域相关。
患者的 HRQOL 较低。社会支持和较低的残疾状况与较高的 HRQOL 相关，而残疾和抑郁与较高的 HRQOL 相关。因此，应注意加强社会支持；卫生专业人员应注重减少残疾/身体依赖和抑郁，因为这是提高 HRQOL 的重要因素。
