Quality of life as an integral indicator for effectiveness of rehabilitation in patients with ischemic stroke

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Abstract

Introduction. Neurological deficits due to ischemic stroke may cause temporary or permanent disability affecting quality of life. Thus, quality of life assessment is important for evaluation of rehabilitation outcomes and general state of the health after a vascular accident.

Objective. To evaluate quality of life in patients in the recovery period of hemispheric ischemic stroke within subsequent year after a vascular accident.

Material and methods. One hundred twenty-three patients (age ranging 40–80 years) with stroke were examined in the acute and recovery (up to 1 year) periods. In the acute period of stroke and after a rehabilitation course, patients underwent assessment with Barthel Scale, modified Rankin

Scale, NIHSS scale, and health status questionnaire SF-36.

Results. We found that within the first 3 months following acute ischemic stroke there was an improvement due to rehabilitation course in all areas which determine patients’ quality of life (including Role Emotional and Mental Health SF-36 scores). Adherence to the personalized out-patient rehabilitation program determines improvement in neurological and SF-36 outcomes as well as establishes adaptive coping strategies.

Conclusion. Within the first year after a vascular accident, patients with mild to moderate post-stroke neurological deficits showed recovery in self-care activities, functional independence, SF-36 scores for physical and mental health components along with improvement of focal neurological deficits.

About the authors

Larisa V. Luk'yanchikova

South-Ural State Medical University, Chelyabinsk

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

Galina N. Bel'skaya

South-Ural State Medical University, Chelyabinsk

Email: platonova@neurology.ru
Russian Federation

References

  1. Vetrov A.V., Bodrova I.V., Borisova A.V. et al. [Medical rehabilitation of patients with ischemic stroke, the recovery period in a rehabilitation unit]. In: [Medical prevention, rehabilitation medicine and spa at the turn of the III-rd millennium. Collected papers of the international scientific-practical conference]. 2016: 104-105. (in Russ.). 2. Kosivtsova O.V. [Keeping patients in the recovery phase of stroke]. Neurology, neuropsychiatry, psychosomatics. 2014; (4): 101-105. (in Russ.).
  2. Carod-Artal F.J., Egido J.A. Quality of life after stroke: the importance of a good recovery. Cerebrovasc Dis. 2009:27 Suppl 1:204-14. PMID: 19342853 doi: 10.1159/000200461.
  3. Kelly-Hayes M. Influence of age and health behaviors on stroke risk: lessons from longitudinal studies. J Am Geriatr Soc. 2010; 58 Suppl: 325-328. PMID: 21029062 doi: 10.1111/j.1532-5415.2010.02915.x
  4. Lavreneva K.N, Bavykin M.V. [Information collection performance of medical organizations and health of the population of the Chelyabinsk region for 2015.] Chelyabinsk; 2016: 47, 56. (in Russ.).
  5. Bekbosynov A.Zh. [Influence of conservative treatment on quality of life of persons with ischemic stroke]. Vestnik Kyrgyzsko-Rossiyskogo slavyanskogo universiteta. 2013; 13(1): 140-143. (in Russ.).
  6. McCluskey A., Ada L., Middleton S. et al. Improving quality of life by increasing outings after stroke: study protocol for the Out-and-About trial. International Journal of Stroke. 2013; 8(1): 54–58. PMID: 23280270 doi: 10.1186/s12913-015-0952-7.
  7. Dolgova N.Yu., Vorontsov S.A., Kirichenko O.V., Makarova I.Yu. [Rehabilitation treatment of neurological patients in the sanatorium.] Kremlevskaya meditsina. Klinicheskiy vestnik. 2013; (4):53-56. (in Russ.)
  8. Katona M. Predictors of health-related quality of life in stroke patients after neurological inpatient rehabilitation: a prospective study. Health Qual. Life Outcomes. 2015; (13): 58. PMID: 25971254 doi: 10.1186/s12955-015-0258-9.
  9. Tian Y., Hassmiller Lich K., Osgood N.D. et al. Linked Sensitivity Analysis, Calibration, and Uncertainty Analysis Using a System Dynamics Model for Stroke Comparative Effectiveness Research. Med Decis Making. 2016; 36(8): 1043-57. doi: 10.1177/0272989X16643940. PMID: 27091379.
  10. Trekin S.V. [Evaluation of neurological disease severity scales and their comparison with the degree of violations statodynamic function]. Mediko-sotsial'naya ekspertiza i reabilitatsiya. 2013; (1): 11-16. (in Russ.).
  11. Dhamoon M.S., Moon Y.P., Paik M.C. et al. Quality of life declines after first ischemic stroke. The Northern Manhattan Study. Neurology. 2010; 75(4):328-34. PMID: 20574034 doi: 10.1212/WNL.0b013e3181ea9f03. 13. Roche N. Auto-rehabilitation at home for stroke patients. Ann Phys Rehabil Med. 2016; (59):38. doi: 10.1016/j.rehab.2016.07.088.
  12. Ermakova N.G. [Features sick person with the effects of stroke in a patient rehabilitation]. Izvestiya Rossiyskogo gosudarstvennogo pedagogicheskogo universiteta im. A.I. Gertsena. Psikhologiya. 2008; (68): 32-42. (in Russ.).
  13. Parkhomenko A.A. [Health care organization in cerebral infarction: a modern condition, especially outpatient]. Saratovskiy nauchno-meditsinskiy zhurnal. 2015; 11 (2): 100-106. (in Russ.).
  14. Parshina V.V. [Social and labor rehabilitation of stroke]. Aktual'nye problemy gumanitarnykh i estestvennykh nauk. 2015; 11(7): 152-155. (in Russ.).
  15. Giaquinto S., Giachetti I., Spiridigliozzi C., Nolfe G. Quality of Life After Stroke in a Rehabilitation Setting. Clinical and Experimental Hypertension. 2010; 32(7): 426–430. PMID: 20874223 doi: 10.3109/10641961003667963.
  16. Solonets I.L., Efremov V.V. [Quality of life as a predictor of the effectiveness of rehabilitation of post-stroke patients]. Fundamental'nye issledovaniya [Fundamental research]. 2013; 12(1): 76-80. (in Russ.).
  17. Irimia A., Van Horn J.D. Systematic network lesioning reveals the core white matter scaffold of the human brain. Front Hum Neurosci. 2014; (8): 51. doi: 10.3389/fnhum.2014.00051. PMID: 24574993.
  18. Nichols-Larsen D.S., Clark P.C., Zeringue A. et al. Factors influencing stroke survivors' quality of life during subacute recovery. Stroke. 2005; 36(7):1480-4. doi: 10.1161/01.STR.0000170706.13595.4f. PMID: 15947263. 21. Portegies M.L., Koudstaal P.J., Ikram M.A. Cerebrovascular disease. Handb Clin Neurol. 2016; 138: 239-61. PMID: 27637962 doi: 10.1016/B978-0-12-802973-2.00014-8
  19. Ronning O.M., Stavem K. Determinants of change in quality of life from 1 to 6 months following acute stroke. Cerebrovascular Diseases. 2008; 25(1-2): 67-73. doi: 10.1159/000111524. PMID: 18033960.
  20. Novik A. A., Ionova T. I. Rukovodstvo po issledovaniyu kachestva zhizni v meditsine. 2-e izdanie [Guide to the study of quality of life in medicine. 2nd edition]. Shevchenko Yu. L. (eds.) Moscow. ZAO «OLMA Media Grupp», 2007: 320p. (in Russ.)
  21. Belova A.N. Shkaly, testy i oprosniki v meditsinskoy reabilitatsii [Scales, tests and questionnaires in medical rehabilitation]. Belova A.N., Shchepetova O.N. (eds.) Moscow. Antidor, 2002: 440p. (in Russ.)

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Copyright (c) 2017 Luk'yanchikova L.V., Bel'skaya G.N.

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