Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study

BMC Neurology

Research Article

Byoung-Gwon Kim¹  Gil-Won Kang²  Hyeung-Keun Park³  Hye Seon Jeong⁴  Jongsoo Kang⁵  Won Kyung Lee⁶  Jung-Kook Song⁷  Hey Jean Lee⁸  Jiyoung Moon⁸  Jun-Ho Shin⁹  Keonyeop Kim^1,10  Young-Hoon Lee^1,11  Seongheon Kim^1,12  Young-Kwon Park^1,13  Lee Heeyoung^1,14 

[1] Busan Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan, Republic of Korea;Department of Health Informatics and Management, College of Medicine, Chungbuk National University, Cheong-ju, Republic of Korea;Department of Health Policy and Management, School of Medicine, Jeju National University, Jeju, Republic of Korea;Department of Neurology, Daejeon-Chungnam Regional Cardiocerebrovascular Center, Chungnam National University Hospital, Daejeon, Republic of Korea;Department of Neurology, Gyeongnam Regional Cerebrovascular Center, Gyeongsang National University Hospital, Jinju, Republic of Korea;Department of Prevention and Management, Inha University Hospital, School of Medicine, Inha University, Incheon, Republic of Korea;Department of Preventive Medicine, College of Medicine, Jeju National University, Jeju Regional Cardiocerebrovascular Center, Jeju National University Hospital, Aran 13gil 15, Jeju-si, 63241, Jeju, Republic of Korea;Department of Preventive Medicine, Gangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital, Chuncheon, Republic of Korea;Department of Preventive Medicine, School of Medicine, Chonnam National University, Gwangju, Republic of Korea;Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea;Department of Preventive Medicine, Wonkwang Medical Science, Wonkwang University School of Medicine, Jeonbuk Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Jeonbuk, Republic of Korea;Kangwon National University School of Medicine, Chuncheon, Republic of Korea;Prevention and Management Center, Ulsan Regional Cardiocerebrovascular Center, Ulsan University Hospital, Ulsan, Republic of Korea;Seoul National University Bundang Hospital, Seongnam, Gyeonggi, Republic of Korea;

关键词: Stroke;    Disability;    Quality of life;    Medical adherence;    Complications;    Motivation;    WHODAS 2.0;   

DOI  :  10.1186/s12883-022-03032-2

 received in 2021-08-08, accepted in 2022-12-16,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundLittle is known about the self-perceived level of disability of stroke survivors in the community. We aimed to characterise Health-related quality of life (HRQoL) 1 year after stroke and investigate how sociodemographic and stroke-related factors and medical adherence explain the self-perceived level of disability in a Korean stroke population.MethodsThis was a multicentre cross-sectional study. A total of 382 ischaemic stroke survivors at 1 year after onset from 11 university hospitals underwent a one-session assessment, including socioeconomic variables, the modified Rankin Scale (mRS), various neurological sequelae, the Morisky, Green and Levin-Medication Adherence Questionnaire (MGL), and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 36-items. The relationship between disability and different variables was analysed using ordinal logistic regression.ResultsThe prevalence of disability based on global WHODAS 2.0 was 62.6% (mild, 41.6%; moderate, 16.0%; severe, 5.0%). The prevalence of severe disability was higher in participation in society (16.8%) and getting around (11.8%) than in other domains. Low MGL- motivation was the only factor determining a significant association between all six domains of disability after adjustment. Different predictors for specific domains were age, mRS, dysarthria, trouble seeing, cognition problems, and MGL-motivation for understanding and communicating; age, recurrent stroke, mRS, hemiplegia, facial palsy, general weakness, and MGL-motivation for getting around; age, education, mRS, hemiplegia, and MGL-motivation for self-care; education, recurrent stroke, hemiplegia, dysarthria, and MGL-motivation for getting along with people; age, education, income, mRS, hemiplegia, dysarthria, MGL-knowledge, and MGL-motivation for life activities; living without a spouse, mRS, hemiplegia, dysarthria, trouble seeing, cognition problems, general weakness, and MGL-motivation for participation in society.ConclusionsSelf-perceived disability according to the WHODAS 2.0 at 1 year after stroke was highly prevalent. Each disability domain showed a different prevalence and associated factors. Interventions promoting medical adherence to motivation seemed to help achieve high HRQoL in all domains.

【 授权许可】

CC BY   
© The Author(s) 2022

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