Profile and health-related quality of life of Ghanaian stroke survivors

Eric S Donkor,1,2 Mayowa O Owolabi,3 Patrick O Bampoh,4 Philip K Amoo,5 Thor Aspelund,2,6 Vilmundur Gudnason2,61College of Health Sciences, University of Ghana, Accra, Ghana; 2Centre for Public Health Sciences, University of Iceland, Reykjavík, Iceland; 3Department of Medicine, University...

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Autores principales:	Donkor ES, Owolabi MO, Bampoh PO, Amoo PK, Aspelund T, Gudnason V
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Profile and health related quality of life of Ghanaian stroke survivors Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/577ae2314a864181af66e8901928a9b6
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spelling	oai:doaj.org-article:577ae2314a864181af66e8901928a9b62021-12-02T07:10:40ZProfile and health-related quality of life of Ghanaian stroke survivors1178-1998https://doaj.org/article/577ae2314a864181af66e8901928a9b62014-10-01T00:00:00Zhttps://www.dovepress.com/profile-and-health-related-quality-of-life-of-ghanaian-stroke-survivor-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Eric S Donkor,1,2 Mayowa O Owolabi,3 Patrick O Bampoh,4 Philip K Amoo,5 Thor Aspelund,2,6 Vilmundur Gudnason2,61College of Health Sciences, University of Ghana, Accra, Ghana; 2Centre for Public Health Sciences, University of Iceland, Reykjavík, Iceland; 3Department of Medicine, University of Ibadan and University College Hospital, Ibadan, Nigeria; 4Tamale Central Hospital, Tamale, Ghana; 5Public Health Unit, Korle-Bu Teaching Hospital, Accra, Ghana; 6Icelandic Heart Association Research Institute, Kopavogur, IcelandBackground: Stroke is a leading cause of mortality with a major effect on health-related quality of life (HRQoL). There are no previous studies exploring HRQoL among stroke survivors in Ghana, despite the increasing public health significance of the disease in this country. Here we describe the profile of and factors associated with HRQoL among stroke survivors in Ghana.Methods: This was a cross-sectional study involving 156 stroke survivors and 156 age- and sex-matched, apparently healthy controls. A robust HRQoL questionnaire involving seven domains was used to collect data from the study participants. Clinical epidemiology data were also collected from stroke survivors on parameters such as stroke severity and risk factors. Statistical analyses were performed on the interrelationships among the study variables. Results: The mean ages of the stroke survivors and healthy controls were 58.0 (standard deviation, 11.4) and 57.6 (standard deviation, 12.0) years, respectively. Fifty-three percent (86) of the stroke survivors had mild stroke and 35.3% (55) had moderate stroke, whereas 12.2% (19) had severe stroke. Ischemic infarction was the prevalent stroke subtype (78.1%). Hypertension was the most common risk factor (89%) among the stroke survivors, followed by diabetes (29%). HRQoL scores ranged from 57.7% (cognitive domain) to 80.0% (spirit domain) for stroke survivors, whereas HRQoL scores of the control group ranged from 65.6% (cognitive domain) to 85.2% (soul domain). For each HRQoL domain, significantly higher scores were observed for the control group compared with the stroke survivors, at P<0.05. Determinants of HRQoL of stroke survivors in multivariate analysis included age, stroke severity, poststroke duration, stroke recurrence, frequency of laughter, and negative emotions.Conclusion: The most affected HRQoL domains are of the physical, psychoemotional, and cognitive domains. Rehabilitation of stroke patients in this region should include interventions targeted at these domains and modifying the statistical determinants of HRQoL where possible.Keywords: quality of life, stroke, domain, GhanaDonkor ESOwolabi MOBampoh POAmoo PKAspelund TGudnason VDove Medical PressarticleProfile and health related quality of life of Ghanaian stroke survivorsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1701-1708 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Profile and health related quality of life of Ghanaian stroke survivors Geriatrics RC952-954.6
spellingShingle	Profile and health related quality of life of Ghanaian stroke survivors Geriatrics RC952-954.6 Donkor ES Owolabi MO Bampoh PO Amoo PK Aspelund T Gudnason V Profile and health-related quality of life of Ghanaian stroke survivors
description	Eric S Donkor,1,2 Mayowa O Owolabi,3 Patrick O Bampoh,4 Philip K Amoo,5 Thor Aspelund,2,6 Vilmundur Gudnason2,61College of Health Sciences, University of Ghana, Accra, Ghana; 2Centre for Public Health Sciences, University of Iceland, Reykjavík, Iceland; 3Department of Medicine, University of Ibadan and University College Hospital, Ibadan, Nigeria; 4Tamale Central Hospital, Tamale, Ghana; 5Public Health Unit, Korle-Bu Teaching Hospital, Accra, Ghana; 6Icelandic Heart Association Research Institute, Kopavogur, IcelandBackground: Stroke is a leading cause of mortality with a major effect on health-related quality of life (HRQoL). There are no previous studies exploring HRQoL among stroke survivors in Ghana, despite the increasing public health significance of the disease in this country. Here we describe the profile of and factors associated with HRQoL among stroke survivors in Ghana.Methods: This was a cross-sectional study involving 156 stroke survivors and 156 age- and sex-matched, apparently healthy controls. A robust HRQoL questionnaire involving seven domains was used to collect data from the study participants. Clinical epidemiology data were also collected from stroke survivors on parameters such as stroke severity and risk factors. Statistical analyses were performed on the interrelationships among the study variables. Results: The mean ages of the stroke survivors and healthy controls were 58.0 (standard deviation, 11.4) and 57.6 (standard deviation, 12.0) years, respectively. Fifty-three percent (86) of the stroke survivors had mild stroke and 35.3% (55) had moderate stroke, whereas 12.2% (19) had severe stroke. Ischemic infarction was the prevalent stroke subtype (78.1%). Hypertension was the most common risk factor (89%) among the stroke survivors, followed by diabetes (29%). HRQoL scores ranged from 57.7% (cognitive domain) to 80.0% (spirit domain) for stroke survivors, whereas HRQoL scores of the control group ranged from 65.6% (cognitive domain) to 85.2% (soul domain). For each HRQoL domain, significantly higher scores were observed for the control group compared with the stroke survivors, at P<0.05. Determinants of HRQoL of stroke survivors in multivariate analysis included age, stroke severity, poststroke duration, stroke recurrence, frequency of laughter, and negative emotions.Conclusion: The most affected HRQoL domains are of the physical, psychoemotional, and cognitive domains. Rehabilitation of stroke patients in this region should include interventions targeted at these domains and modifying the statistical determinants of HRQoL where possible.Keywords: quality of life, stroke, domain, Ghana
format	article
author	Donkor ES Owolabi MO Bampoh PO Amoo PK Aspelund T Gudnason V
author_facet	Donkor ES Owolabi MO Bampoh PO Amoo PK Aspelund T Gudnason V
author_sort	Donkor ES
title	Profile and health-related quality of life of Ghanaian stroke survivors
title_short	Profile and health-related quality of life of Ghanaian stroke survivors
title_full	Profile and health-related quality of life of Ghanaian stroke survivors
title_fullStr	Profile and health-related quality of life of Ghanaian stroke survivors
title_full_unstemmed	Profile and health-related quality of life of Ghanaian stroke survivors
title_sort	profile and health-related quality of life of ghanaian stroke survivors
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/577ae2314a864181af66e8901928a9b6
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Profile and health-related quality of life of Ghanaian stroke survivors

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