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Stroke, Vol 15, 886-890, Copyright © 1984 by American Heart Association
B Ahlsio, M Britton, V Murray and T Theorell
This study concerns the quality of life of patients after stroke and how
this is influenced by disablement and emotional factors. Ninety-six
consecutive patients of mean age 71 years were followed for two years. At
the end of that time 23% had experienced a recurrence of stroke and 27%
were deceased. Of the survivors 76% were independent as regards activities
of daily life (ADL) and lived in their own homes. Age as well as initial
function were prognostically important factors. Patients who could
participate in interviews marked on a visual analogue scale their
evaluation of quality of life before and after stroke. Most of them had
experienced a decrease and no improvement was observed during the two
years. The deterioration was more pronounced in ADL dependent patients than
among the independent. However, depression and anxiety were found to be of
similar importance for quality of life as was physical disablement. These
findings call for a greater emphasis on psychological support in the care
of post stroke patients. The visual analogue scale can be a useful tool for
detecting special needs.
ARTICLES
Disablement and quality of life after stroke
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