Health Related Quality of Life and Dependency Among Stroke Survivors in a Tertiary Care Centre in Rajasthan

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Background: Quality of life is an important health care issue in stroke survivors as disabilities associated with stroke causes permanent functional impairments leading to dependency in daily activities, issues with cognition and communication depressed mood, social isolation.Objectives: To determine health related-quality of life and dependency among stroke survivors and its associated factors at a tertiary care hospital of Western Rajasthan. Methodology:This cross-sectional, hospital-based study was conducted among 100 stroke survivors from May 2022 to December 2022.Patients aged more than 40 years, of either gender, with at least one year old history of stroke were included in the study.WHOQOL-BREF questionnaire and Barthel Index questionnaire were used to measure quality of life related to health and dependency of stroke survivors respectively.Results: Domain scores was highest in environment (35.23±10.52)domains followed by physical health (30.67±9.79),social relationship (27.60±14.00)and psychological domain (22.77±10.08).Physical domain score was found to be less among female stroke patients (25.08±15.67)as compared to male stroke patients (31.51±8.40).Both physical (27.92±10.24)and psychological (20.75±9.63),quality of life was poor in upper lower SES patients.Psychological domain score was lowest among survivors with multiple comorbidities (22.14±9.58)as compared with survivors with single or no co-morbidity. Conclusion:Factors like age, gender, socio-economic status, presence of multi-morbidities should be considered in framing health care set up and prioritization of rehabilitation in order to maximize recovery and improve health-related quality of life as well as reduce dependency.

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