Functional Independence, Mental Health and Quality of Life among Middle Cerebral Artery Stroke patients
2019
BACKGROUND:
Assessment regarding functional independence, mental health and quality of life among Indian Middle Cerebral Artery stroke patients are scarce. Incidence of stroke was keep on increasing day by day, so this study would help the people to understand the recovery of stroke symptoms from admission till third month.
OBJECTIVE:
The purpose of this study is to examine quality of life, anxiety, depression and Functional Independence of Middle Cerebral Artery stroke survivors and relationship of these variables with stroke characteristics.
METHODS:
This was a prospective correlational study, patients were assessed at the time of admission, discharge and at third month after stroke. Short Form-36 Questionnaire was used to assess the quality of life, Anxiety and Depression measures was assessed using Hospital Anxiety and Depression scale, and Functional Independence was assessed using Functional Independence Measure, Fugl-Meyer Assessment, Functional Ambulation Category scale and stroke severity was assessed using National Institute of Health Stroke Scale and cognition level was assessed using Mini Mental Status Examination Scale. Comparative analysis were completed using Microsoft Excel and correlation was done using Karl Pearson’s correlation.
RESULTS:
83 patients were screened, among them 26 patients who met the inclusion criteria were included, consent was obtained from the patient, and mean age was found to be 51+ 6 years, 10 female and 16 male patients, among which 4 patients failed to come for follow up and 22 patients were taken for analysis. The correlation between short form 36 questionnaire and Fugl-Meyer assessment is 0.71, Fugl-Meyer assessment and Functional Independence Measure is 0.88, Hospital anxiety and depression scale and ShortForm-36 is– 0.66, Functional independence measure and ShortForm-36 is 0.76, Short Form-36 and Hospital Anxiety and Depression scale is – 0.37, Functional independence measure and National Institute of health stroke scale is – 0.55, age and depression is 0.64, Short Form-36 and Functional Independence measure is 0.59, age and Functional independence measure was – 0.44 and Short Form-36 and Functional Ambulation Category scale is 0.73.
CONCLUSION:
There was a strong positive correlation with Functional Independence and Quality of Life and negative correlation with Mental Health and Quality of Life, compared at the time of admission, till the time of third month, the level of anxiety and depression was reduced, and the Functional Independence and Quality of Life was improved comparatively from admission till third month from the onset of stroke.
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