Abstract

MESA BARRERA, Yoany; FERNANDEZ CONCEPCIóN, Otman; HERNANDEZ RODRIGUEZ, Tania  and  PARADA BARROSO, Yanneris. Quality of life in post-stroke patients at one year follow-up. Medisur [online]. 2016, vol.14, n.5, pp. 516-526. ISSN 1727-897X.

Foundation: Cerebrovascular diseases impact on quality of life. Factors associated to a greater impairment vary from one study to another. Objective: To describe the factors that affect Quality of life in stroke survivors at one year.Methods: It is a longitudinal descriptive study of a cohort of 110 stroke survivors with outpatient follow-up for one year after the initial evaluation. Quality of life was assessed using the Quality of Life Scale for Stroke.Results: Women predominated with 52.3%. The degree of neurological involvement was moderate to severe in more than two thirds of patients and at a year follow up, it improved (slight to moderate), with average score of 3.5 ± 3.8. More than one third presented high burden of depressive symptoms for an average score of 7.8 ± 3.6, which increased to 56% per year. Factors associated with the impairment of quality of life were: worse neurological status (OR: 2.63, CI: 1.48, 2.82), major depressive symptoms (OR: 1.94, CI: 1 17; 1.89) and older (OR: 1.14, CI: 1.04, 1.25). Conclusion: Quality of life was determined by the degree of neurological impairment, cognitive status, older age and the presence of depressive symptoms. The only factors associated with quality of life which were modified at a year of follow-up were the neurological involvement and the presence of depressive symptoms.

Keywords : quality of life; survivors; stroke.

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