Abilova Guljakhan, Kamkhen Vitaly, Kalmatayeva Zhanna
Department of Epidemiology, Biostatistics, and Evidence-based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan.
Med J Islam Repub Iran. 2023 Jul 31;37:85. doi: 10.47176/mjiri.37.85. eCollection 2023.
Acute cerebrovascular accident is known to be one of the main causes of morbidity, mortality, long-term disability, and disability in society. To investigate the quality of life of patients who have suffered from acute cerebrovascular accident (hereinafter ACVA) in stratified groups by age, gender, diagnosis, type (primary or secondary), and severity of a stroke, as well as undergoing rehabilitation.
This research is a cross-sectional descriptive-analytical study. The main research method is a survey. Data collection was carried out in 2020 in Almaty of the Republic of Kazakhstan by inpatient doctors (City Clinical Hospital No. 5 of the Public Health Department of Almaty), engaged in the rehabilitation treatment of patients with acute cerebrovascular accident. The standardized questionnaire EQ-5D-5L was used to assess the quality of life due to health conditions. Data on the state of "mobility", "self-care", "daily activities", "pain", "anxiety", as well as data on self-assessment of health status (according to the EQ VAS scale) were analyzed using the Level Sum Scores (hereinafter LSS).
The study involved 258 respondents who had a stroke. The survey was conducted 2 months after the respondents were discharged from the hospital. The average LSS index of patients who underwent ACVA was 10.2 (9.7±10.7). Significant differences in LSS levels ( ≤ 0.001) were revealed by the severity of stroke and by the fact of rehabilitation. Differences in LSS levels by age, gender, diagnosis, and type of ACVA are insignificant ( > 0.05). The difference in health indicators of patients with primary and repeated strokes indicates the fact of deterioration in the quality of life with each subsequent stroke. The quality of life of patients with ACVA is associated with the fact of rehabilitation: low values of EQ VAS in the group of patients who did not undergo rehabilitation and high values of EQ VAS in those who underwent rehabilitation.
After a stroke, the majority of patients tend to have a negative quality of life, mostly due to violations of the component "daily activities". The identified significant disparities in LSS and EQ VAS indicators further show that the quality of life varies among stratified groups. The kind (primary or secondary) and severity of the stroke, as well as the existence of rehabilitation, are indicators that impact the quality of life of patients who have had ACVA.
急性脑血管意外是发病率、死亡率、长期残疾及社会残疾的主要原因之一。按年龄、性别、诊断、类型（原发性或继发性）、中风严重程度以及是否接受康复治疗对急性脑血管意外（以下简称ACVA）患者进行分层，调查其生活质量。
本研究为横断面描述性分析研究。主要研究方法为调查。2020年在哈萨克斯坦共和国阿拉木图，由从事急性脑血管意外患者康复治疗的住院医生（阿拉木图公共卫生部第5城市临床医院）进行数据收集。使用标准化问卷EQ - 5D - 5L评估健康状况导致的生活质量。采用总分评分法（以下简称LSS）分析“行动能力”“自我护理”“日常活动”“疼痛”“焦虑”状态数据以及健康状况自我评估数据（根据EQ VAS量表）。
该研究纳入了258名中风患者。调查在受访者出院2个月后进行。发生ACVA患者的平均LSS指数为10.2（9.7±10.7）。中风严重程度及是否接受康复治疗显示LSS水平存在显著差异（≤0.001）。按年龄、性别、诊断及ACVA类型划分的LSS水平差异不显著（>0.05）。原发性和复发性中风患者健康指标的差异表明，每一次后续中风都会导致生活质量下降。ACVA患者的生活质量与是否接受康复治疗有关：未接受康复治疗组的EQ VAS值较低，接受康复治疗组的EQ VAS值较高。
中风后，大多数患者生活质量趋于负面，主要是由于“日常活动”部分出现问题。LSS和EQ VAS指标中确定的显著差异进一步表明，不同分层组的生活质量存在差异。中风的类型（原发性或继发性）、严重程度以及是否存在康复治疗，是影响ACVA患者生活质量的指标。
