PT, M.Sc., Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
OT, M.Sc., Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
J Stroke Cerebrovasc Dis. 2023 May;32(5):107082. doi: 10.1016/j.jstrokecerebrovasdis.2023.107082. Epub 2023 Mar 13.
To compare quality of life (QOL) of individuals with stroke three months after hospital discharge, using generic and specific QOL measures, before and during the COVID-19 pandemic.
Individuals, who were admitted to a public hospital, were recruited and evaluated before (G1) and during (G2) the COVID-19 pandemic. The groups were matched for age, sex, socio-economic status, and levels of stroke severity (National Institutes of Health Stroke Scale) and functional dependence (Modified Barthel Index). After three months of hospital discharge, they were evaluated and compared using generic (Short-form Health Survey 36: SF-36) and specific (Stroke Specific Quality of Life: SSQOL) QOL measures.
Seventy individuals were included (35 in each group). Statistically significant between-group differences were found for both total SF-36 (p=0.008) and SSQOL (p=0.001) scores, indicating that individuals reported worse QOL during the COVID-19 pandemic. Furthermore, G2 also reported worse generic QOL related to the SF-36 domains of physical functioning, bodily pain, general health perception, and emotional role limitations (p < 0.01) and worse specific QOL related to following SSQOL domains: Family roles, mobility, mood, personality, and social roles (p < 0.05). Finally, G2 reported better QOL related to energy and thinking (p < 0.05) SSQOL domains.
In general, individuals with stroke, who were evaluated during the COVID-19 pandemic three months after hospital discharge, reported worse perceptions of QOL in several domains of both generic and specific QOL measures.
比较个体在出院后三个月时的生活质量（QOL），使用通用和特定的 QOL 测量方法，在 COVID-19 大流行之前和期间。
从公立医院招募入院的个体，并在 COVID-19 大流行期间（G2）进行评估。这些组在年龄、性别、社会经济地位以及中风严重程度（国立卫生研究院中风量表）和功能依赖（改良巴氏指数）方面进行了匹配。出院三个月后，使用通用（简短健康调查 36 项：SF-36）和特定（中风特定生活质量：SSQOL）QOL 测量方法对他们进行评估和比较。
共纳入 70 名个体（每组 35 名）。两组之间的总 SF-36（p=0.008）和 SSQOL（p=0.001）评分存在统计学显著差异，表明个体在 COVID-19 大流行期间报告的 QOL 更差。此外，G2 还报告了通用 QOL 的以下方面更差，与 SF-36 领域相关：身体功能、身体疼痛、总体健康感知和情感角色限制（p<0.01）以及特定 QOL 与以下 SSQOL 领域更差：家庭角色、移动性、情绪、个性和社会角色（p<0.05）。最后，G2 报告了与能量和思维相关的更好的 QOL（p<0.05）SSQOL 领域。
总体而言，在 COVID-19 大流行期间出院三个月后评估的中风个体报告了通用和特定 QOL 测量的多个领域的 QOL 感知更差。
