Health-Related Quality of Life Among Patients With Stroke: A Cross-Sectional Study.

IF 2.1 4区心理学 Q2 PSYCHOLOGY Archives of Clinical Neuropsychology Pub Date : 2024-08-24 DOI:10.1093/arclin/acae007

Shahnaz M Ayasrah, Muayyad M Ahmad, Fuad H Abuadas, Hana M Abu-Snieneh, Iman A Basheti

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Abstract

Purpose: To assess levels and predictive factors of health-related quality of life (HRQOL) among stroke patients.

Methods: The study employed a cross-sectional predictive correlational design. Levels of HRQOL were assessed using the Stroke-Specific Quality of Life (SS-QOL) scale, and the Hospital Anxiety and Depression Scale was employed to assess psychological aspects among 209 Saudi stroke patients. The analysis included demographic and medical variables to comprehensively explore influencing factors.

Results: A two-step hierarchical multiple regression analysis was performed. The overall SS-QOL summary score (49 items) showed a mean score of 94.4 (SD = 8.1), indicating poor functioning. Nine predictor variables were found to significantly predict HRQOL levels, including age (β = -0.212, p ≤ .001), female (β = -5.33, p ≤ .001), unmarried (β = 2.48, p ≤ .001), low gross monthly income (GMI) (β = -9.02, p ≤ .001), medium GMI (β = -8.36, p ≤ .001), having a medical history of hypertension (β = 2.7, p ≤ .01), time since stroke (β = 3.26 p ≤ .001), and being a probable case of anxiety (β = -4.29, p ≤ .001) and/or depression (β = -2.75, p ≤ .001). These variables collectively explained ~76% of the variance in HRQOL scores (adjusted R2 = .762, F (16,192) = 42.6, p ≤ .001).

Conclusions: Stroke patients exhibited poor HRQOL levels influenced by various factors. Clinicians should consider these predictors and intervene early to enhance HRQOL among patients at risk, emphasizing the importance of optimizing patient outcomes.

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中风患者与健康相关的生活质量：一项横断面研究

目的：评估中风患者健康相关生活质量（HRQOL）的水平和预测因素：研究采用横断面预测相关性设计。采用卒中生活质量量表（SS-QOL）评估健康相关生活质量（HRQOL）水平，并采用医院焦虑和抑郁量表评估 209 名沙特卒中患者的心理状况。分析包括人口统计学和医学变量，以全面探讨影响因素：结果：进行了两步分层多元回归分析。总体 SS-QOL 总分（49 个项目）的平均值为 94.4（SD = 8.1），表明患者的功能较差。研究发现，9 个预测变量可显著预测 HRQOL 水平，包括年龄（β = -0.212，p ≤ .001）、女性（β = -5.33，p ≤ .001）、未婚（β = 2.48，p ≤ .001）、低月总收入（GMI）（β = -9.02，p ≤ .001）、中等 GMI（β = -8.36，p ≤ .001）、有高血压病史（β = 2.7，p ≤ .01）、中风后时间（β = 3.26，p ≤ .001）、可能患有焦虑症（β = -4.29，p ≤ .001）和/或抑郁症（β = -2.75，p ≤ .001）。这些变量共同解释了约 76% 的 HRQOL 评分差异（调整后 R2 = .762，F (16,192) = 42.6，p ≤ .001）：结论：脑卒中患者的 HRQOL 水平较低受到多种因素的影响。临床医生应考虑这些预测因素，及早干预以提高高危患者的 HRQOL，同时强调优化患者预后的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Clinical Neuropsychology 医学-心理学

CiteScore

4.60

自引率

7.70%

发文量

358

审稿时长

6-12 weeks

期刊介绍： The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.