Stroke, Vol 19, 1101-1107, Copyright © 1988 by American Heart Association
ML Niemi, R Laaksonen, M Kotila and O Waltimo
The quality of life for 46 stroke survivors under the age of 65 years in a
stroke register was studied 4 years after their first stroke. A
questionnaire covering four domains of life (working conditions, activities
at home, family relationships, and leisure time activities) was used for
investigation of the quality of life. The results showed that in spite of a
good recovery in terms of discharge from the hospital, activities of daily
living, and return to work, the quality of life of most patients (83%) had
not been restored to the prestroke level. Deterioration among the several
domains of life ranged from 39% to 80%, the lowest being in the domain of
activities at home and the highest in the domain of leisure time
activities. Hemispheral localization of the lesion, paresis, coordination
disturbances, and especially subjective tendency to depression were highly
correlated with a deterioration in the quality of life. Dependence in
activities of daily living and an inability to return to work were also
associated with the lack of restoration. Our results suggest that much more
attention should be paid to the quality of life of stroke patients.
ARTICLES
Quality of life 4 years after stroke
Department of Neurology, University of Helsinki, Finland.
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