Factors Associated With Quality Of Life Among Post Stroke Patients At The Korle-Bu Teaching Hospital Stroke Unit.
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Date
2021-09
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University of Ghana
Abstract
Background: Quality of life (QoL) may be affected in individuals with chronic diseases such as stroke. Attention must be paid to the QoL of post stroke patients so as to improve disease outcomes. QoL has not been adequately studied in diverse patient populations in Ghana. This dissertation sought to determine the characteristic features of post stroke patients, determine their QoL and assess the relationship between them.
Methods: A cross-sectional study using simple random sampling was conducted at the Korle-Bu Teaching Hospital, stroke unit in 2021. Post stroke patients reporting for review were included in the study (n= 128). Barthel index was used to assess the severity of stroke and SS-QoL used to assess QoL. Using Stata v.16, the Kruskall Wallis test, Wilcoxon Mann Whitney and quantile regression analysis were used to determine the factors associated with QoL.
Results: The mean age was 58.9 years (SD= 13.1) with 53.1% (68) being female. About 85% had hypertension and 18.8% had diabetes. Using the Barthel index, 58.6% had slight dependency whiles 5.5 % total dependency. Quality of life was poor in 6.25% of patients, moderate in 37.50% and normal in 56.25%. Quality of Life domains mostly affected were Energy, family roles, social roles and work/productivity.
Conclusion: QoL is affected in post stroke patients. Age, educational status, employment status before and after the stroke incident, presence of a caregiver, severity of stroke and smoking were significantly related to QoL. Multidisciplinary post stroke management must focus on domains of QoL mostly affected and the features associated with it to improve treatment outcomes.
Background: Quality of life (QoL) may be affected in individuals with chronic diseases such as stroke. Attention must be paid to the QoL of post stroke patients so as to improve disease outcomes. QoL has not been adequately studied in diverse patient populations in Ghana. This dissertation sought to determine the characteristic features of post stroke patients, determine their QoL and assess the relationship between them.
Methods: A cross-sectional study using simple random sampling was conducted at the Korle-Bu Teaching Hospital, stroke unit in 2021. Post stroke patients reporting for review were included in the study (n= 128). Barthel index was used to assess the severity of stroke and SS-QoL used to assess QoL. Using Stata v.16, the Kruskall Wallis test, Wilcoxon Mann Whitney and quantile regression analysis were used to determine the factors associated with QoL.
Results: The mean age was 58.9 years (SD= 13.1) with 53.1% (68) being female. About 85% had hypertension and 18.8% had diabetes. Using the Barthel index, 58.6% had slight dependency whiles 5.5 % total dependency. Quality of life was poor in 6.25% of patients, moderate in 37.50% and normal in 56.25%. Quality of Life domains mostly affected were Energy, family roles, social roles and work/productivity.
Conclusion: QoL is affected in post stroke patients. Age, educational status, employment status before and after the stroke incident, presence of a caregiver, severity of stroke and smoking were significantly related to QoL. Multidisciplinary post stroke management must focus on domains of QoL mostly affected and the features associated with it to improve treatment outcomes.
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Keywords
Factors, Hospital, Quality, Patients, Life