Risk Factors of Stroke Survivors' Quality of Life

Oktania Candrawati, Ronny Tri Wirasto
2017 Jurnal kedokteran dan kesehatan Indonesia  
Original Article Latar Belakang: Stroke menyebabkan disabilitas jangka panjang yang mempengaruhi kualitas hidup pasien. Pentingnya menilai kualitas hidup pasien pasca stroke masih belum menjadi perhatian. Tujuan: Mengetahui kualitas hidup pasien pasca stroke dan faktor risiko yang berhubungan, meliputi faktor sosiodemografi, aktivitas hidup sehari-hari, kognitif, dan depresi. Metode: Studi ini merupakan studi cross-sectional yang dilaksanakan pada April-Oktober 2014 di Poliklinik Neurologi RSUP
more » ... Dr. Sardjito, Yogyakarta. Subyek adalah pasien yang mengalami stroke minimal 4 minggu Background: Stroke can lead into long-term disabilities and affect stroke survivors' quality of life (QOL). The importance of stroke survivors' QOL is still receiving little medical attention. Objective: To determine stroke survivors' QOL and associated risk factors, including sociodemography, activity daily living, cognitive, and depression levels. Methods: This cross-sectional study was conducted in April-October 2014 at Neurology Clinic Dr. Sardjito Hospital, Yogyakarta. Subjects' criteria were minimal four weeks after the first stroke incident and accompanied by the primary caregiver. Subjects were interviewed about sociodemographic condition and filled WHOQOL-BREF, Mini Mental State Examination (MMSE), and Beck Depression Inventory (BDI) questionnaires. Meanwhile, the primary caregiver filled the Barthel Index (BI) questionnaire. Bivariate Chi-square and logistic regression analyses were done. Results: There were 64 subjects analyzed. QOL domain affected the most is physical, while the least is environment domain. Bivariate analysis found that not working after stroke and higher BDI score associate with lower WHOQOL-BREF physical (r=9.286, p<0.01 and r=5.361, p<0.05) and psychological domain (r=3.935, p<0.05 and r=14.527, p<0.001). No risk factors associate with WHOQOL-BREF social relationship domain. Higher BDI score associates with lower WHOQOL-BREF environment domain (r=5.861, p<0.05). Regression analysis shows that older age (p<0.05) and not working after stroke are risk factors for lower WHOQOL-BREF physical domain (p<0.01), while higher BDI score is risk factor for lower WHOQOL-BREF psychological (p<0.01) and environment domain (p<0.05). Conclusion: Older age and not working after stroke incident are risk factors for physical domain of QOL. Depression is risk factor for psychological and environment domain of QOL.
doi:10.20885/jkki.vol8.iss3.art6 fatcat:vhhjg34axzesbeoz72dcyy2dzu