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


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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Available from: Caleb Ademola Omuwa Gbiri, Jul 25, 2014
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    • "Hamzat and Peters, 2009 LS Motor function increased (P<0.05) in the first to sixth month post-stroke. No significant correlation was observed between motor function and QoL Gbiri et al, 2010 LS The QoL post stroke was significantly influenced by depression, age, marital status, spouse supports, stroke-severity, and educational-attainment Akinpelu and Gbiri 2009 CSS Both Objective (42±12.8) and Subjective QoL of SSV (67.8±10.6) "
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    ABSTRACT: Stroke care is aimed at improving physical, functional, psychological and social function and to eventually improve the overall health related quality of life (HRQOL). This paper critically reviewed published papers that reported on stroke survivors' HRQOL and the factors associated with it from the African region. A total of 19 articles met the inclusion criteria for the review and majority of them 12 (63%) are cross-sectional surveys. In Africa, HRQOL deteriorated significantly after stroke. The reported mean score of HRQOL ranges from below 50% to slightly below 70%. Severity of stroke related symptoms, impairment of physical function, and depression were the most important factors determining HRQOL. However, the influence of social function on HRQOL needs further study. The Studies have shown that stroke rehabilitation in Africa leads to significant improvement HRQOL. Finally, this review has highlighted some critical areas of HRQOL in which the intending African researcher needs examined adequately.
    • "Outcome measures that incorporate patients' views about health-related quality of life (HRQL) are now commonly being used to evaluate healthcare interventions . Many studies have reported the impact of stroke on HRQL (Akinpelu and Gbiri, 2009; Ellis, 2011; Owolabi, 2011; Cerniauskaite, 2012). Measures of HRQL are particularly relevant in stroke rehabilitation when the key aims are to facilitate adaptation/adjustment to disability, to promote social and community integration and to maximize well-being and quality of life (Hopman and Verner, 2003). "
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    ABSTRACT: Stroke-Specific Quality of Life 2.0 (SS-QoL 2.0) scale is used widely and has been cross-culturally adapted to many languages. This study aimed at the cross-cultural adaptation of SS-QoL 2.0 to Yoruba, the indigenous language of south-western Nigeria, and to carry out an initial investigation on its validity. English SS-QoL 2.0 was first adapted to Yoruba language by including Yoruba culture-specific examples in items SC4, UE2 and UE6. The adapted English version (AEV) was independently translated into Yoruba by two language experts who later agreed on a consensus translation, which was then back translated, subjected to an expert committee review and pretested; a cognitive debriefing interview was also carried out to generate the Yoruba translated version (YTV). Thirty-five stroke survivors completed the AEV and Yoruba version (YV) in English and Yoruba. The order of administration was randomized. Data were analysed using Spearman's rank order correlation and Wilcoxon's signed-rank test at a P value less than 0.05. The mean age of the participants (23 men, 12 women) was 58.5±11.3 years. The domain scores of the participants on AEV and YV did not differ significantly, except in the work/productivity domain. In both versions, the mean domain score of the participants was the highest in the language domain [22.6±3.8 (AEV) and 22.7±3.4 (YV)] and the lowest in the work domain [9.0±3.7 (AEV) and 8.0±3.3 (YTV)]. Domain scores on both versions correlated significantly (P<0.05). Participants' ratings of their current state and prestroke state correlated significantly (P<0.01) in all the general areas, except energy and mood. The YTV of SS-QoL 2.0 fulfilled the initial criteria for validity.
    International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation 12/2012; 35(4):339-44. DOI:10.1097/MRR.0b013e328355dd54 · 1.28 Impact Factor
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    • "This may be attributed to the early onset and long-term depression in the participants. Emotional factors have been indicated as a major contributor to poor QoL among patient with stroke [23] [25]. Therefore, the low QoL ratings for the participants at onset could be attributed to the emotional response of participants (and relatives) to stroke because it is a sudden attack. "
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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. DOI:10.1016/j.hkpj.2012.01.004
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