Quality of life of stroke survivors and apparently healthy individuals in southwestern Nigeria.

Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Physiotherapy Theory and Practice 01/2009; 25(1):14-20. DOI: 10.1080/09593980802622669
Source: PubMed

ABSTRACT Quality of life (QoL) data have been used to assess treatment outcomes and to guide programme and rehabilitation efforts. QoL data in stroke survivors (SSV) from Nigeria are rare. This study compared the QoL of 84 SSV and 87 matched apparently healthy individuals (AH) in southwestern Nigeria. The effect of poststroke duration (PSD) on QoL and the relationship between QoL and motor performance (MP) were also investigated. SSV were recruited from all (7) tertiary health institutions in southwestern Nigeria. The fifth edition of Comprehensive Quality of Life Adult questionnaire and the Modified Motor Assessment Scale were used to assessed QoL and MP, respectively. Data were analyzed by using Mann-Whitney U-test, Spearman's correlation test, independent t-test, and Kruskaal-Wallis test (alpha=0.05). The SSV and AH were aged 59.7+/-11.9 and 60.0+/-12.1, respectively. SSVs' mean PSD and MP score were 17.8+/-15.4 months and 55.3%+/-18.9%, respectively. Objective QoL of SSV (42+/-12.8) was significantly lower (p < 0.05) than that of the AH (56.3+/-6.7). Subjective QoL of SSV (67.8+/-10.6) was also significantly lower than that of the AH (74.2+/-6.4). AH had significantly higher QoL than SSV in all but material, intimacy, and safety (subjective and objective) domains. There was no significant relationship between MP and QoL, and PSD had no significant influence on QoL. Our findings suggest that stroke survivors in southwestern Nigeria have lower QoL than their apparently healthy counterparts and may benefit from comprehensive management programmes.

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    ABSTRACT: There have been few studies on quality of life (QoL) of Nigerian stroke survivors and none have reported QoL over a long period. This study describes QoL in Nigerian stroke survivors over the first 12 months post-stroke. Sixty-five (33 male and 32 female) stroke survivors were recruited within 72 hours of stroke onset. QoL and depression were assessed monthly for 12 months using the Stroke-Specific Quality of Life Scale and Center for Epidemiologic Studies Depression Scale. Data were analysed using the KruskaleWallis test, Friedman test and logistic regression. Fifty-five participants (aged 57.4 ± 14.8 years) completed this study. QoL improved significantly from onset to 6 months but nonsignificantly from 6 months to 12 months. Most (85.2%) stroke survivors had severe depression at 1 month. At 3 months, marital status and spousal support had a significant positive influence on QoL. At 6, 9 and 12 months, marital status, spousal support, educational qualification, and occupational status had a significant positive influence on QoL. Depression was a major determinant of QoL at 3, 6, 9 and 12 months. Our findings suggest that QoL of Nigerian stroke survivors is low at stroke onset, increases steadily during the first 6 months and little between 6 months and 12 months post-stroke; is influenced positively by marital status, spousal support, educational qualification and occupational status; and negatively influenced by age and depression.
    Hong Kong Physiotherapy Journal 06/2012; 30(1):18–24.
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    ABSTRACT: Abstract Objective. This study documented the incidence, pattern and impact of depression on QoL of stroke-survivors within 6-month post-stroke. Methods. This study involved 65 stroke survivors consecutively recruited at ictus from a tertiary health institution in Nigeria. The National Institute of Health Stroke-Scale, Stroke-Specific Quality-of-Life (SSQOL), international classification of diseases (tenth edition) and Center for Epidemiological Scale-Depression (CES-D) were administered at ictus to assess stroke-severity, QoL and depression respectively. The SSQOL, ICD-10 and CES-D were subsequently administered every other week for 6 months. Data were treated using Spearman's correlation coefficient, Mann–Whitney U-test and multivariable stepwise linear regression analysis (P=0.05). Results. Participants were age 58.1±15.7 years; 38 and 27 hemorrhagic and ischaemic stroke respectively. Twenty-six (40%) and 60.0% had moderate and severe stroke, respectively. The QoL at post-stroke periods were significantly influenced (P<0.05) by depression, age, marital status, spouse supports, stroke-severity, and educational-attainment. Depression determined (P<0.05) poor QoL in stroke-survivors. Co-morbidity with stroke severity was a determinant (P<0.05) of poor QoL and death. The haemorrhagic stroke survivors had significantly higher (P<0.05) QoL at post-stroke periods. Conclusion. Depression is associated with stroke. It is common within the first 6 months post-stroke and has negative impact on quality of life of stroke-survivors.
    09/2010; 14(3):198-203.
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    ABSTRACT: Quality of life (QoL) studies have become acceptable globally as indicators of how well a people are living. They are increasingly being used to identify and design areas of intervention to raise the wellbeing of a population. While studies on livelihoods in the informal waste recycling system of developing country cities have also been on the increase in recent years, assessments of the QoL expectations within the livelihoods framework in the informal waste recycling sector seem surprisingly few. Studies of this nature have also not been undertaken in the context of Nigerian socio-political, cultural and economic environment. Applying mixed methods approach to the livelihood activity of waste picking in the commercial city of Aba in southeastern Nigeria, this paper identifies predominant social indicators relevant to the Aba scavengers, waste pickers’ perceptions and QoL expectations, and potential outcomes of meeting the QoL expectations of waste pickers in the area. It also categorizes pickers’ vulnerabilities into four levels of increasing magnitude. Given that African social dynamics do not always or often find expression, fully or partially, in figures, the paper stresses the need to apply ethnographic and qualitative research methods in assessment of QoL and wellbeing in the informal waste recycling system. It further argues that integrating QoL assessments into public decision-making and social policy in Nigeria will contribute significantly towards meeting some of the Millennium Development Goals (MDGs) while also engendering sustainable urban livelihood outcomes
    Applied Research in Quality of Life 12/2012; 7(4):351-370. · 0.74 Impact Factor


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Jul 25, 2014