INTRODUCTION: Stroke is a disease whose consequences have a considerable impact on the quality of the patient's life. It is a widespread disease that has a disabling impact on life and, in addition to physical changes, brings about a number of psychological and cognitive processes. GOAL: The goal of the study was to identify and describe the quality of life of post-stroke patients. METHODOLOGY: The study design was quantitative. A questionnaire of the authors' own design and the SF-36 questionnaire were used to obtain the data. RESULTS: Significant differences in patient quality of life were identified in relation to patient gender. Moreover, the quality of life in all individual SF-36 dimensions, except for mental health, deteriorated with age. With regard to occupational placement, employed respondents gave the highest evaluation of quality of life according to SF-36 and old-age pensioners the lowest. The analysis shows that quality of life in individual dimensions is positively influenced by respondents' higher education. The evaluation in individual dimensions improves with the time that has passed since the stroke. CONCLUSION: The quality of life of post-stroke patients deteriorates with age. The deteriorating level of patient quality of life in older age requires programmes that include assessments and interventions that lead to the treatment of these patients.

UVOD: Možganska kap je bolezen, katere posledice pomembno vplivajo na kakovost življenja bolnikov. Gre za eno najbolj razširjenih bolezni, ki lahko vodi v stanje invalidnosti. Pri tem ne gre le za telesne, ampak tudi za številne spremembe v psiholoških in kognitivnih procesih. CILJ: Namen raziskave je bil ugotoviti in opisati kakovost življenja bolnikov po možganski kapi. METODOLOGIJA: Za pridobivanje podatkov sta bila uporabljena vprašalnik, ki smo ga sestavili sami, in vprašalnik SF-36. REZULTATI: Višja ko je starost bolnika po možganski kapi, slabša je raven kakovosti življenja v vseh dimenzijah lestvice SF-36 z izjemo duševnega zdravja. Glede na poklicni status zaposleni najbolje ocenjujejo kakovost življenja v dimenzijah SF-36, najslabše pa upokojenci. Analiza je pokazala, da je kakovost življenja v vsaki dimenziji tem boljša, čim višja je izobrazba bolnikov z možgansko kapjo. Daljši ko je čas, ki je pretekel od kapi, boljši so rezultati v vsaki dimenziji. ZAKLJUČEK: Poslabšanje kakovosti življenja starejših bolnikov po možganski kapi potrjuje potrebo po programih, ki vključujejo oceno in intervencije za njihovo zdravljenje.

Medical Information Center Sokolská 31 120 21 Praha Czech Republic

University of South Bohemia in České Budějovice Faculty of Health and Social Sciences Institute of Nursing Midwifery and Emergency Care U Výstaviště 26 370 05 České Budějovice Czech Republic

See more in PubMed

Karimi M, Brazier J. Health, health-related quality of life, and quality of life: what is the difference? Pharmaco Economics. 2016;34(7):645–9. doi: 10.1007/s40273-016-0389-9. PubMed DOI

Gibbon B, Gibson J, Lightbody CE, Radford K, Watkins C. Promoting rehabilitation for stroke survivors. Nurs Times. 2012;108(47):12–5. PubMed

Leys D, Hénon H, Mackowiak-Cordoliani MA, Pasquie F. Poststroke dementia. Lancet Neurol. 2005;4(11):752–9. doi: 10.1016/S1474-4422(05)70221-0. PubMed DOI

King RB. Quality of life after stroke. Stroke. 1996;27:1467–72. doi: 10.1161/01.STR.27.9.1467. PubMed DOI

Gill TM, Feinstein AR. A critical appraisal of the quality of quality-of-life measurements. JAMA. 1994;272(8):619–26. PubMed

Testa MA, Nackley JF. Methods for quality-of-life studies. Annu Rev Public Health. PubMed

1994;15:535-59. DOI

Aström MM, Asplund K, Aström MT. Psychosocial function and life satisfaction after stroke. Stroke. 1992;23(4):527–31. doi: 10.1161/01.str.23.4.527. PubMed DOI

Viitanen M, Fugl-Meyer KS, Bernspang B, Fugl-Meyer AR. Life satisfaction in long-term survivors after stroke. Scand J Rehabil Med. 1988;20(1):17–24. PubMed

Hackett M, Yapa CH, Pareg V, Anderson CS. Frequency of depression after stroke: a systematic review of observational studies. Stroke. 2005;36(6):1330–40. doi: 10.1161/01.STR.0000165928.19135.35. PubMed DOI

Ch’ng AM, French D, McLean N. Coping with the challenges of recovery from stroke: long term perspectives of stroke support group members. J Health Psycho. 2008;13(8):1136–46. doi: 10.1177/1359105308095967. PubMed DOI

Xiao Yb, Cai Sh, Liu Ll, Yang X, Yun Jp. Decreased expression of peroxisome proliferator-activated receptor alpha indicates unfavorable outcomes in hepatocellular carcinoma. Cancer Manag Res. 2018;10:1781–9. doi: 10.2147/CMAR.S166971. PubMed DOI PMC

Booth J, Connelly L, Lawrence M, Chalmers C, Joice S, Becker C. Evidence of perceived psychosocial stress as a risk factor for stroke in adults: a meta-analysis. BMC Neuro. 2015;15:233. doi: 10.1186/s12883-015-0456-4. et al. PubMed DOI PMC

Kronenberg G, Schöner J, Nolte C, Hein A, Endres M, Getz K. Charting the perfect storm: emerging biological interfaces between stress and stroke. Eur Arch Psychiatry Clin Neurosci. 2017;267(6):487–94. doi: 10.1007/s00406-017-0794-x. PubMed DOI PMC

Miller EL, Murray L, Richards L, Zorowitz RD, Bakas T, Clark P. Comprehensive overview of nursing and interdisciplinary rehabilitation care of t he s troke patient. Stroke. 2010;41:2402–48. et al. 1 0.1161/ STR.0b013e3181e7512b. PubMed

Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36) I. Conceptual framework and item selection. Med Care. 1992;30(6):473–83. PubMed

Bártlová S, Tóthová V, Chloubová I, Šedová L, Olišarová V, Michálková H. The quality of health of the Czech population at the age of 40+ using the Short Form–36 (SF-36) questionnaire. Kontakt. 2020;22(1):16–26. doi: 10.32725/kont.2020.003. et al. DOI

Sigmundová D, Sigmund E. Statistická a věcná významnost a použití dat o pohybové aktivitě. Tělesná Kultura. 2012;35(1):55–72.

Cifu DX, Lorish TR. Stroke rehabilitation. 5: stroke outcome. Arch Phys Med Rehabil. 1994;75(5 Spec No):S56–60. PubMed

Gunaydin R, Karatepe AG, Kaya T, Ulutas O. Determinants of quality of life (QoL) in elderly stroke patients: a short-term follow-up study. Arch Gerontol Geriat. 2011;53(1):19–23. doi: 10.1016/j.archger.2010.06.004. PubMed DOI

Yoon H. Factors affecting quality of life of the Korean aged stroke patients. J. A ging Hum Dev. 1997;44:167–81. 10.2190%2F8D0G-4PAW-QH4R-WXU4. PubMed

Chen Q, Cao C, Gong L, Zhang Y. Health related quality of life in stroke patients and risk factors associated with patients for return to work. Medicine (Baltimore) 2019;98(16):e15130. doi: 10.1097/MD.0000000000015130. PubMed DOI PMC

Wang R, Langhammer B. Predictors of quality of life for chronic stroke survivors in relation to cultural differences: a literature review. Scand J Caring Sc. 2018;32(2):502–14. doi: 10.1111/scs.12533.Epub2017Sep26. PubMed DOI

Bays CL. Quality of life of stroke survivors: a research synthesis. J Neurosci Nurs. 2001;33(6):310–6. doi: 10.1097/01376517-20011200000005. PubMed DOI