Life after Stroke”: Identifying Factors That affect Quality of Life in First Time Stroke PatientsName : Dr. Angela Dela Cruz,
Affliation : Professor
University : Quirino Memorial Medical Center
Country : Philippines
Objectives: Post-stroke patients exhibit different physical and cognitive limitations that affect their satisfaction with life. This study aims to determine factors affecting the reported quality of life of Filipino patients who have been diagnosed with stroke for the first time.
Methods: The study used a cross-sectional, descriptive design. Subjects were 57 first-time stroke survivors interviewed at the Neurology Out-Patient Department within 1 year after their diagnosis. Quality of Life was measured using the Ferrans & Powers Quality of Life Index – Stroke Version which evaluated four domains (health and functioning, social and economic, psychological-spiritual and family) according to their importance and satisfaction. Independent variables were cognitive function, overall functional status, depression and perceived social support. These were evaluated with previously validated scales made available in English and Filipino. Correlation and analysis of variance were utilized to evaluate relationships between the variables.
Results: The mean overall quality of life score of 10.91 is comparable to the normative population. Quality of life satisfaction was highest for the family domain and lowest for the socio-economic domain. Cognitive function, overall functional status, depression and perceived social support were all significantly related to all 4 domains and the overall quality of life.
Conclusion: Patients who have poorer cognition and functional state, who receive less social support, and who exhibit more signs and symptoms of depression report a poorer quality of life. It is important to identify these patients early and assist them in developing and maintaining better coping mechanisms as well as healthy support systems.
Keywords: Stroke, cognitive function, functional status, depression, social support, quality of life
Angela C. Dela Cruz was born and raised in Quezon City, Philippines. She obtained a degree in B.S. Psychology from the University of the Philippines Diliman and graduated with honors. She later attended the College of Medicine of the University of the East Ramon Magsaysay Memorial Medical Center and finished her post-graduate medical internship in Quirino Memorial Medical Center. Dr. Dela Cruz’s research has centered on the quality of life of patients dealing with chronic illnesses and long-term disabilities. She is currently working as an academic lecturer while preparing for her Physical and Rehabilitation Medicine residency application in September 2018. She also hopes to pursue a fellowship training in Neurological Rehabilitation and conduct more qualitative research that links psychology with rehabilitation