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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(2):233-239.
Quality of Life after Stroke.
Pyun, Seong Bom , Kim, Sang Han , Hahn, Myung Su , Kwon, Hee Kyu , Lee, Hang Jae
Department of Rehabilitation Medicine, Korea University College of Medicine.
뇌졸중 후 편마비 환자의 삶의 질 Quality of Life after Stroke
편성범, 김상한, 한명수, 권희규, 이항재
고려대학교 의과대학 재활의학교실

The purposes of this study were to examine overall quality of life (QOL) in long term stroke survivals and to identify variables that predict QOL after stroke.

Subjects were 51 stroke patients (male; 28, female; 23) with stroke onset at least 6 months previously. Interview, measurement of depression and QOL were performed at outpatient clinic after discharge. Review of medical records included characteristics of stroke and communication disorders. Interview questionnare included caregiver, religion, education level, occupation and income. Depression and functional status was measured by the Beck depression inventory (BDI) and modified Barthel index (MBI), respectively. QOL was measured with the use of 5-item (activity, daily living, health, support, outlook) version of the Quality of Life Index (QLI) and its range of scores is 0∼10. We compared QLI scores according to various factors obtained from medical records and questionnaire.

Mean duration after onset of stroke was 33.6 months (range, 6∼216 months). The mean score of QLI were 7.0⁑2.1. Low MBI score, communication disorder and depression had a negative effect on QOL (p<0.05). Sex, age, occupation, caregivers, religion, education level, income, duration after stroke onset and side of hemiplegia had no effect on QOL (p>0.05).

Low MBI score, depression and communication disorders would be negative predictors of QOL and identification of these factor may assist stroke patients in coping their personal and social life.

Key Words: Stroke, Quality of life, Depression, Activity of daily living


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