Functionality, stress and quality of life of stroke survivors

This is a cross-sectional analytical study, conducted with 160 stroke survivors registered in Family Health Units. Data were collected using a semi-structured instrument to obtain sociodemographic and health data, the Barthel Index, the Perceived Stress Scale and the Stroke Specific Quality of Life Scale. Correlations between instrument scores were verified by Spearman’s correlation test.

Results

Participants showed moderate functional dependence and perceived stress. Low health-related quality of life was evidenced, with greater impairment in the social roles and family roles domains. There was a statistically significant correlation between health-related quality of life and functional capacity (r=705; p<0.001) and perceived stress (r=-436; p<0.001).

Conclusion

Functional capacity and perceived stress were significantly related to the health-related quality of life of people affected by stroke, demonstrating that health-related quality of life increases as functionality increases and stress decreases.

Physical functional performance; Stroke; Activities of daily living; Psychological distress; Quality of ife

Classification of functional capacity and perceived stress	n(%)	Mean	SD	Cronbach’s alpha
Functional capacity		73.26	25.61	0.91
Total dependence	10(6.3)
Severe dependence	31(19.4)
Moderate dependence	76(47.5)
Mild dependence	17(10.6)
Independence	26(16.3)
Perceived stress		22.05	10.92	0.80
Low	39(26.5)
Moderate	71(48.3)
High	37(25.2)

SSQOL domains	Average score by domain items
SSQOL domains	Mean (SD)
Vision	4.11 (1.01)
Memory	3.39 (0.94)
Self-care	3.37 (1.26)
Language	3.36 (0.78)
Upper extremity function	3.02 (1.14)
Mood	2.91 (1.05)
Mobility	2.79 (1.11)
Personality	2.59 (1.26)
Energy	2.59 (1.25)
Work/productivity	2.53 (1.15)
Family roles	2.26 (1.09)
Social roles	2.10 (2.26)

Domains SSQOL	Functional capacity		Perceived stress
Domains SSQOL	r	p-value*	r	p-value*
Mood	0.465	<0.001	-0.462	<0.001
Personality	0.291	<0.001	-0.708	<0.001
Self-care	0.769	<0.001	-0.297	<0.001
Social roles	0.443	<0.001	-0.403	<0.001
Memory	0.368	<0.001	-0.238	0.002
Upper extremity function	0.627	<0.001	-0.256	<0.001
Vision	0.218	0.006	-0.091	0.254
Work/productivity	0.620	<0.001	-0.213	0.007
Energy	0.409	<0.001	-0.556	<0.001
Language	0.433	<0.001	-0.217	0.006
Family roles	0.489	<0.001	-0.280	<0.001
Mobility	0.752	<0.001	-0.304	<0.001
SSQOL	0.705	<0.001	-0.436	<0.001

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author. Cleane Rosa Ribeiro da Silva. Email: cleane_rosas@hotmail.com