The relationship between stroke patients’ socio-economic conditions and their
quality of life: the 2010 Korean community health survey

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Abstract

[Purpose] The relationship between stroke patients’ socio-economic conditions and quality of life (QOL) using the 2010 Korean Community Health Survey (KCHS) statistics was examined. [Subjects and Methods] A total of 4,604 stroke patients were analyzed. Socio-economic conditions were sex, age, educational level, monthly household income, occupation, residential area, and living with family. [Results] The results show a statistically significant lower QOL for men than for women, for those aged 75 years or over compared to individuals between 19 years and 64 years, and for elementary (or lower) or middle school graduates compared to higher education graduates. QOL was also significant lower among patients whose household income was KRW4 million (US$3,746.72) or less a month. Finally, QOL was significantly lower for patients without an occupation compared to those with an occupation, for patients in rural areas compared to urban areas, and for patients who did not live with family compared to those who lived with family. [Conclusion] We showed the importance of the relationships between socio-economic conditions and QOL of stroke patient.

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Gender differences in stroke incidence and poststroke disability in the Framingham heart study.

Rodica Petrea, Alexa S Beiser, Sudha Seshadri … (2009)

Stroke is emerging as a major public health problem for women, as it is for men. Controversy persists regarding gender differences in stroke incidence, severity, and poststroke disability. Participants in the Framingham Original (n=5119; 2829 women) and Offspring (n=4957, 2565 women) cohorts who were 45 years and stroke-free were followed to first incident stroke. Gender-specific outcome measures were adjusted for the Framingham Stroke Risk Profile components. We observed 1136 incident strokes (638 in women) over 56 years of follow-up. Women were significantly (P<0.001) older (75.1 versus 71.1 years for men) at their first-ever stroke, had a higher stroke incidence above 85 years of age, lower at all other ages, and a higher lifetime risk of stroke at all ages. There was no significant difference in stroke subtype, stroke severity, and case fatality rates between genders. Women were significantly (P<0.01) more disabled before stroke and in the acute phase of stroke in dressing (59% versus 37%), grooming (57% versus 34%), and transfer from bed to chair (59% versus 35%). At 3 to 6 months poststroke women were more disabled, more likely to be single, and 3.5 times more likely to be institutionalized (P<0.01). These results from the Framingham Heart Study (FHS) support the existence of gender-differences in stroke incidence, lifetime risk (LTR) of stroke, age at first stroke, poststroke disability, and institutionalization rates. Prestroke disability and sociodemographic factors may contribute to the high rate of institutionalization and poorer outcome observed in women.

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Correlation between the Activities of Daily Living of Stroke Patients in a Community Setting and Their Quality of Life

Kyung Hwan Kim, Young Kim, Eun-Kyung Kim (2014)

[Purpose] The present study aimed to determine the correlation between the activities of daily living and the quality of life (QOL) of patients with chronic stroke. [Subjects and Methods] The study subjects were 68 patients with stroke. Three questionnaires were distributed by visiting the subjects. [Results] All the items and total scores of the functional independence measure (FIM) showed a high correlation with the QOL total score. The relationship between the activities of daily living and the total QOL score showed a significant positive correlation. Among the FIM items, mobility and social cognition showed the most significant effects. The modified r2 value was 0.67, mobility and social cognition explained approximately 67% of the change in the QOL. [Conclusion] The activities of daily living of the patients with chronic stroke and their QOL showed a high correlation. Among the FIM items, mobility (transfers) and social cognition had the largest effects on the total QOL score.

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Evaluation of measures used to assess quality of life after stroke.

Gary Ford, Kelly Buck, Charles Jacoby … (2000)

Assessment of quality of life (QOL) after stroke is becoming common with the recognition that evaluation of treatment should include quality as well as quantity of survival. This article will outline the main conceptual and methodological issues in QOL assessment, highlight advantages and disadvantages of measures used in stroke QOL research, and discuss some unresolved issues. We undertook a MEDLINE search using the keywords "stroke" and "quality of life" and reviewed 3 key texts on QOL measurement in stroke. Fifteen generic and 10 condition-specific measures used to assess QOL in stroke were identified and evaluated with the following criteria: reliability, validity, responsiveness, precision, acceptability, suitability for proxy respondents, mode of administration, and use of patient-centered approaches in development. Domains covered and level of comprehensiveness varied widely between generic and stroke-specific measures. No stroke-specific instruments used patient-centered approaches in their development. Four stroke-specific measures (Frenchay Activities Index, Niemi QOL scale, Ferrans and Powers QOL Index-Stroke Version, and Stroke-Adapted Sickness Impact Profile [SA-SIP30]) provided evidence of reliability and validity. The need remains for a patient-centered, psychometrically robust, stroke-specific QOL measure. Patients should be involved in each stage of instrument development. Caution is needed in the selection of an instrument to measure QOL after stroke. Although the Ferrans and Powers QOL Index-Stroke Version, Niemi QOL scale, SA-SIP30, and Sickness Impact Profile come closest to satisfying many of the criteria outlined in this article, the selection of any individual instrument depends on the specific goals and constraints of a particular study.

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Author and article information

Journal

Journal ID (nlm-ta): J Phys Ther Sci

Journal ID (iso-abbrev): J Phys Ther Sci

Journal ID (publisher-id): JPTS

Title: Journal of Physical Therapy Science

Publisher: The Society of Physical Therapy Science

ISSN (Print): 0915-5287

ISSN (Electronic): 2187-5626

Publication date (Electronic): 31 March 2015

Publication date (Print): March 2015

Volume: 27

Issue: 3

Pages: 781-784

Affiliations

[1) ] Department of Physical Therapy, Kunjang University College, Republic of Korea

[2) ] Department of Physical Therapy, Cheongam College, Republic of Korea

[3) ] Department of Nutritional Service Team, Chosun University Hospital, Republic of Korea

[4) ] Department of Physical Therapy, Howon University, Republic of Korea

Author notes

[* ]Corresponding author. Ki-Jong Kim, Department of Physical Therapy, Cheongam College: 1641 Noksaek-ro, Suncheon-si, Jeollanam-do, Republic of Korea. (E-mail: kjparadise@ 123456hanmail.net )

Article

Publisher ID: jpts-2014-551

DOI: 10.1589/jpts.27.781

PMC ID: 4395714

PubMed ID: 25931730

SO-VID: 0d8161c0-014f-41ef-a106-4fbbd3489971

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This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.

The relationship between stroke patients’ socio-economic conditions and their quality of life: the 2010 Korean community health survey

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Stroke MRI

Most cited references 5

Gender differences in stroke incidence and poststroke disability in the Framingham heart study.

Correlation between the Activities of Daily Living of Stroke Patients in a Community Setting and Their Quality of Life

Evaluation of measures used to assess quality of life after stroke.

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