School of Nutrition and Dietetics, Faculty of Health Sciences, Gong Badak Campus, Universiti Sultan Zainal Abidin, Terengganu, Malaysia.
Faculty Pharmacy, Tembila Campus, Universiti Sultan Zainal Abidin, 22200, Besut, Terengganu, Malaysia.
Health Qual Life Outcomes. 2021 Aug 30;19(1):210. doi: 10.1186/s12955-021-01847-0.
Apart from maximizing functional abilities and independence after stroke, improving overall health-related quality of life (HRQoL) should also become part of the stroke treatment and rehabilitation process goals. This study aimed to assess the HRQoL profiles and explore the dimension-specific associated factors of HRQoL among stroke survivors.
This was a cross-sectional study of stroke survivors attending post-stroke care clinics in three public hospitals in the states of Pahang and Terengganu, Malaysia. The HRQoL was assessed by EuroQol-5 dimension-5 levels. Data on socio-demographic, clinical profiles, malnutrition risk, and physical activity level were collected through an interviewer-administered survey. Descriptive analyses for HRQoL profiles and multiple logistic regression analyses for its associated factors were performed. Crude and adjusted odds ratios were reported.
A total of 366 stroke survivors were recruited with a mean age of 59 ± 11 years. The most -commonly reported health problems were mobility (85%), followed by usual activities (82%), pain/discomfort (63%), anxiety/depression (51%) and self-care (41%). The mean of the EQ visual analogue scale and the median of the EQ5D summary index was reported at 60.3 ± 14.2 and 0.67 ± 0.37, respectively. Malnutrition risk (mobility, usual activities, and self-care), wheelchair users (self-care and usual activities), speech impairment (usual activities and pain/discomfort), number of stroke episodes (self-care and pain/discomfort), body mass index, physical activity level and types of strokes (usual activities), age and use of a proxy (anxiety/depression), working and smoking status (mobility), were factors associated with either single or multiple dimensions of HRQoL.
Routine malnutrition screening, tailored program for speech therapy, prevention of recurrent stroke, and physical activity promotion should be addressed and further reinforced in current rehabilitation interventions to improve the HRQoL among stroke survivors in Malaysia.
除了最大限度地提高中风后的功能能力和独立性外，改善整体健康相关生活质量（HRQoL）也应成为中风治疗和康复过程目标的一部分。本研究旨在评估中风幸存者的 HRQoL 特征，并探讨与 HRQoL 相关的特定维度的因素。
这是一项在马来西亚彭亨州和登嘉楼州的三家公立医院的中风后护理诊所参加的中风幸存者的横断面研究。使用欧洲五维健康量表（EQ-5D-5L）评估 HRQoL。通过访谈式问卷调查收集社会人口统计学、临床特征、营养不良风险和身体活动水平等数据。对 HRQoL 特征进行描述性分析，并进行多因素逻辑回归分析。报告了未调整和调整后的优势比。
共招募了 366 名中风幸存者，平均年龄为 59±11 岁。报告的最常见健康问题是行动能力（85%），其次是日常活动（82%）、疼痛/不适（63%）、焦虑/抑郁（51%）和自我护理（41%）。EQ 视觉模拟量表的平均值和 EQ5D 综合指数的中位数分别为 60.3±14.2 和 0.67±0.37。营养不良风险（行动能力、日常活动和自我护理）、轮椅使用者（自我护理和日常活动）、言语障碍（日常活动和疼痛/不适）、中风发作次数（自我护理和疼痛/不适）、体质指数、身体活动水平和中风类型（日常活动）、年龄和使用代理人（焦虑/抑郁）、工作和吸烟状况（行动能力）与 HRQoL 的单个或多个维度相关。
在马来西亚，常规营养不良筛查、针对言语治疗的定制计划、预防复发性中风以及促进身体活动，应在当前康复干预中得到解决和进一步加强，以提高中风幸存者的 HRQoL。
