Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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The Effect of Functional Dependency and Stress on Health-related Quality of Life in Patients under Rehabilitation after Stroke

뇌졸중 재활 환자의 기능적 의존도와 스트레스가 건강 관련 삶의 질에 미치는 영향

  • Received : 2013.06.16
  • Accepted : 2013.07.31
  • Published : 2013.08.31
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Abstract

Purpose: The purpose of this study was to identify factors contributing to health-related quality of life in patients under rehabilitation after stroke. Methods: A descriptive correlational study design was used. Ninety-two stroke patients under rehabilitation from a university hospital were included. Data were collected on March and April, 2013 using structured questionnaires. Hierarchial multiple regression analysis was used to identify factors influencing health-related quality of life. Results: There were significant differences in health-related quality of life according to type of impairment. The health-related quality of life had significant correlations with age, functional dependency, and stress. Factors influencing health-related quality of life for stroke patients under rehabilitation were stress, functional dependency, type of impairment, and age, which explained about 34.5% of total variance. Conclusion: To promote health-related quality of life for stroke patients under rehabilitation, stress and functional dependency should be managed in this population, especially for older adults. Also these results can be utilized in the development of program for helping rehabilitation of stroke patients. The effect of depression and anxiety on health-related quality of life should also be addressed in future research.

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References

  1. Alguren, B., Fridlund, B., Cieza, A., Sunnerhagen, K. S., & Christensson, L. (2012). Factors associated with health-related quality of life after stroke: A 1-year prospective cohort study. Neurorehabilitation and Neural Repair, 26 (3), 266-274. http://dx.doi.org/10.1177/1545968311414204
  2. Aprile, I., Piazzini, D. B., Bertolini, C., Caliandro, P., Pazzaglia, C., Tonali, P., et al. (2006). Predictive variables on disability and quality of life in stroke outpatients undergoing rehabilitation. Neurological Sciences, 27 (1), 40-46. http://dx.doi.org/10.1007/s10072-006-0563-5
  3. Baune, B. T., & Aljeesh, Y. (2006). The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza Strip. Annals of General Psychiatry, 5 (6). http://dx.doi.org/10.1186/1744-859x-5-6
  4. Berges, I. M., Ottenbacher, K. J., Kuo, Y. F., Smith, P. M., Smith, D., & Ostir, G. V. (2007). Satisfaction with quality of life poststroke: Effect of sex differences in pain response. Archives of Physical Medicine and Rehabilitation, 88 (4), 413-417. http://dx.doi.org/10.1016/j.apmr.2006.12.022
  5. Bruggimann, L., Annoni, J. M., Staub, F., von Steinbuchel, N., Van der Linden, M., & Bogousslavsky, J. (2006). Chronic posttraumatic stress symptoms after nonsevere stroke. Neurology, 66 (4), 513-516. http://dx.doi.org/10.1212/01.wnl.0000194210.98757.49
  6. Buyn, P. S., & Chon, M. Y. (2012). The effects of rehabilitation training using video game on improvement range of motion for upper-extremity, shoulder pain and stress in stroke patients with hemiplegia. Journal of Muscle and Joint Health, 19 (1), 46-56. http://dx.doi.org/10.5953/JMJH.2012.19.1.046
  7. Carod-Artal, F. J., & Egido, J. A. (2009). Quality of life after stroke: The importance of a good recovery. Cerebrovascular Diseases, 27 (Suppl 1), 204-214. http://dx.doi.org/10.1159/000200461
  8. Cho, B. H., Ko, M. H., & Kim, S. Y. (2003). A study on stroke patients' ADL, depression, self-efficacy and quality of life. The Korean Journal of Rehabilitation Nursing, 6 (1), 51-60.
  9. Ergeletzis, D., Kevorkian, C. G., & Rintala, D. (2002). Rehabilitation of the older stroke patient: Functional outcome and comparison with younger patients. American Journal of Physical Medicine & Rehabilitation, 81 (12), 881-889. https://doi.org/10.1097/00002060-200212000-00001
  10. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39 (2), 175-191. http://dx.doi.org/10.3758/BF03193146
  11. Gosman-Hedstrom, G., Claesson, L., & Blomstrand, C. (2008). Consequences of severity at stroke onset for health-related quality of life (HRQL) and informal care: A 1-year follow-up in elderly stroke survivors. Archives of Gerontology and Geriatrics, 47 (1), 79-91. http://dx.doi.org/10.1016/j.archger.2007.07.006
  12. Haghgoo, H. A., Pazuki, E. S., Hosseini, A. S., & Rassafiani, M. (2013). Depression, activities of daily living and quality of life in patients with stroke. Journal of the Neurological Sciences, 328 (1-2), 87-91. http://dx.doi.org/10.1016/j.jns.2013.02.027
  13. Hansson, E. E., Beckman, A., Wihlborg, A., Persson, S., & Troein, M. (2013). Satisfaction with rehabilitation in relation to self-perceived quality of life and function among patients with stroke - a 12 month follow-up. Scandinavian Journal of Caring Sciences, 27 (2), 373-379. http://dx.doi.org/10.1111/j.1471-6712.2012.01041.x
  14. Im, J. H., Lee, K. S., Kim, K. Y., Hong, N. S., Lee, S. W., & Bae, H. J. (2011). Follow-up study on mortality in Korean stroke patients. Journal of the Korean Medical Association, 54 (11), 1199-1208. http://dx.doi.org/10.5124/jkma.2011.54.11.1199
  15. Jorgensen, H. S., Kammersgaard, L. P., Nakayama, H., Raaschou, H. O., Larsen, K., Hŭbbe, P., et al. (1999). Treatment and rehabilitation on a stroke unit improves 5-year survival: A community-based study. Stroke, 30 (5), 930-933. http://dx.doi.org/10.1161/01.str.30.5.930
  16. Jung, H. Y., Park, B. K., Shin, H. S., Kang, Y. K., Pyun, S. B., Paik, N. J., et al. (2007). Development of the Korean version of modified barthel index (K-MBI): Multi-center study for subjects with stroke. The Journal of Korean Academy of Rehabilitation Medicine, 31 (3), 283-297.
  17. Kim, J. S. (2005). Post-stroke depression, anxiety, emotional incontinence, anger-proneness and fatigue. Journal of the Korean Neurological Association, 23 (1), 1-8.
  18. Kim, K. N., Park, J. Y., Shin, T. S., Jun, K. J., Choi, E. Y., Kim, H. J., et al. (1998). Degree of stress and stress-related factors by the Korean version of the BEPSI. Journal of the Korean Academy of Family Medicine, 19 (7), 559-570.
  19. Korea Centers for Disease Control and Prevention [KCDC]. (2012). Korea health statistics 2011: Korea national health and nutrition examination survey (KNHANESV-2). (11-1351159-000027-10). Seoul: Ministry of Health & Welfare.
  20. Kwon, Y. D., Chang, H., Choi, Y. J., & Yoon, S. S. (2012). Nationwide trends in stroke hospitalization over the past decade. Journal of the Korean Medical Association, 55 (10), 1014-1025. http://dx.doi.org/10.5124/jkma.2012.55.10.1014
  21. Lee, Y. K., Nam, H. S., Chuang, L. H., Kim, K. Y., Yang, H. K., Kwon, I. S., et al. (2009). South Korean time trade-off values for EQ-5D health states: Modeling with observed values for 101 health states. Value in Health, 12 (8), 1187-1193. http://dx.doi.org/10.1111/j.1524-4733.2009.00579.x
  22. Lim, N. Y., Lee, I., Lee, E. N., Lee, K. S., Cho, K. S., Rhee, S., et al. (2010). A validation study of EQ-5D in the patients with osteoarthritis. Journal of Muscle and Joint Health, 17 (2), 203-211. https://doi.org/10.5953/JMJH.2010.17.2.203
  23. Manimmanakorn, N., Arrayawichanon, P., Wattanapun, P., Nuntharuksa, C., & Kuptniratsaikul, V. (2008). Age-related rehabilitation outcome in stroke patients. Journal of the Medical Association of Thailand, 91 (3), 388-393.
  24. Moon, J. Y., & Cho, B. H. (2011). Relationships among rehabilitation motivation, perceived stress and social support in stroke survivors. The Korean Journal of Rehabilitation Nursing, 14 (1), 24-31.
  25. Park, E. Y., Shin, I. S., & Kim, J. H. (2012). A meta-analysis of the variables related to depression in Korean patients with a stroke. Journal of Korean Academy of Nursing, 42 (4), 537-548. http://dx.doi.org/10.4040/jkan.2012.42.4.537
  26. Park, S. W., Jang, K. E., Lee, H. S., & Park, D. S. (1999). The relationship between activities of daily living and cognitive function, anxiety, stress, depression in stroke patients. The Journal of Korean Academy of Rehabilitation Medicine, 23 (1), 1-8.
  27. Patel, M. D., Tilling, K., Lawrence, E., Rudd, A. G., Wolfe, C. D., & McKevitt, C. (2006). Relationships between long-term stroke disability, handicap and health-related quality of life. Age Ageing, 35 (3), 273-279. http://dx.doi.org/10.1093/ageing/afj074
  28. Shah, M. V. (2006). Rehabilitation of the older adult with stroke. Clinics in Geriatric Medicine, 22 (2), 469-489. https://doi.org/10.1016/j.cger.2005.12.012
  29. Suh, M., & Choi-Kwon, S. (2010). Structural equation modeling on quality of life in stroke survivors. Journal of Korean Academy of Nursing, 40 (4), 533-541. http://dx.doi.org/10.4040/jkan.2010.40.4.533
  30. Yim, J. H., Bae, J. M., Choi, S. S., Kim, S. W., Hwang, H. S., & Huh, B. Y. (1996). The validity of modified Korean-translated BEPSI(Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic. Journal of the Korean Academy of Family Medicine, 17 (1), 42-53.

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