Factors affecting the quality of life after ischemic stroke in young adults: a scoping review

Health and Quality of Life Outcomes

Review

Daniel Šaňák¹  Lenka Štureková²  Elena Gurková²  Petra Mandysová² 

[1] Comprehensive Stroke Center, Department of Neurology, Palacký University Medical School and Hospital, Olomouc, Czech Republic;Department of Nursing, Faculty of Health Sciences, Palacký University Olomouc, Hněvotínská 976/3, 775 15, Olomouc, Czech Republic;

关键词: Young ischemic stroke;    Quality of life;    Health-related quality of life;    Functional outcome;    Post-stroke depression;    Fatigue;   

DOI  :  10.1186/s12955-023-02090-5

 received in 2022-05-31, accepted in 2023-01-11,  发布年份 2023

来源: Springer

【 摘 要 】

PurposeTo synthesize the body of knowledge on the factors influencing the quality of life (QoL) after ischemic stroke (IS) in young adults.MethodsGuidelines regarding the scoping review methodology developed by the Joanna Briggs Institute, and the PRISMA-ScR checklist for a scoping review was used in this paper. A total of 1197 studies were identified through a bibliographic search in Web of Science, MEDLINE, PsycInfo, ScienceDirect, Scopus, and ProQuest Science Database. Articles published between the years 2000–2021 were included.ResultsA total of nine papers were finally selected to respond to the research question. Three studies were prospective longitudinal studies compared QoL between young stroke and age-matched controls from the general population. Across all the analysed studies, 14 variables potentially associated with QoL were identified. QoL in young patients is mainly affected by clinical outcomes after IS (scored by the modified Rankin scale and the Barthel index—favourable initial functional status and higher independence in ADL leads to higher QoL) and psychological factors (post-stroke fatigue and depression—higher levels of fatigue and depression lead to lower QoL). The reviewed studies emphasized the importance of functional outcomes, post-stroke depression, fatigue and anxiety and early return to work.ConclusionFurther longitudinal studies are needed to identify the trajectory of post-stroke psychosocial symptoms over time and other potential predictors of unfavourable long-term QoL, thus specific young stroke rehabilitation and stroke self-management support programmes should be developed (address physical, psychological factors which influence the psychosocial adaptation post-stroke and the perception of the QoL).

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2

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