Suchergebnisse

Functionality in activities of daily living and social support are often used as indicators of quality of life, especially in research involving gerontological and geriatric populations that assesses the functional independence of the patient and their need to rely on help from others.The effects of a stroke can significantly reduce the quality of life of the elderly. Therefore, the aim of this paper was to examine the relationship between functionality and social support and the quality of life of elderly stroke patients. This study included 50 stroke patients over the age of 65 years. All the participants lived at home in Zagreb. The participants' quality of life was measured using The World Health Organization Quality of Life Brief Version (WHOQOL-BREF questionnaire), which determines quality of life based on four domains (Physical, Psychological, Social relationships, and Environment). Functionality was measured using the Functional Independence Measure, while social support was measured using the Social Support Scale. The correlation between functionality and quality of life was statistically significant with respect to physical health (r = 0.77, p < 0.00), as well as psychological health (r = 0.53, p < 0.00). The correlation between social support and quality of life was also significant with respect to social support from friends in the Social relationships domain (r = 0.40, p < 0.00) and in the Environment domain (r = 0.45, p < 0.00), as well as in the overall social support in Social relationships (r = 0.29, p < 0.04) and Environment domains (r = 0.35, p < 0.01). A higher level of functionality indicates a higher quality of life in the Physical and Psychological domains, as well as in the overall quality of life of elderly stroke patients. Strong social support from friends can encourage and help elderly stroke patients to integrate into their social environment more successfully, thus potentially increasing their quality of life. The results of this study imply that functionality and social support can be important factors in the quality of life in elderly stroke patients.

Moždani udar glavni je uzrok trajne tjelesne onesposobljenosti u svijetu i u Hrvatskoj. Iako najčešće pogađa stariju populaciju, pogađa i velik broj radno sposobnih osoba te se moždani udar smatra ne samo zdravstvenim već i velikim socioekonomskim problemom. Najčešće su posljedice moždanog udara gubitak motoričkih sposobnosti, poteškoće s hodanjem i finom motorikom, a mogu biti prisutni i simptomi umora, problemi s vidom te promjene osobnosti koje utječu na kvalitetu života oboljelih. Oporavak do tri mjeseca nakon moždanog udara smatra se akutnom/subakutnom fazom oporavka, dok se oporavak nakon šest mjeseci smatra kroničnom fazom oporavka nakon moždanog udara. Cilj ovog istraživanja bio je ispitati kvalitetu života osoba nakon moždanog udara u subakutnoj i kroničnoj fazi oporavka nakon moždanog udara. Za ispitivanje kvalitete života osoba nakon moždanog udara korišten je upitnik Stroke Specific Quality Of Life Scale (SSQOL). U istraživanju je sudjelovalo 60 ispitanika podijeljenih u dvije skupine: 30 ispitanika u subakutnoj fazi oporavka (SF) i 30 ispitanika u kroničnoj fazi oporavka nakon moždanog udara (KF). Rezultati istraživanja pokazali su da su najizraženiji negativni aspekti kvalitete života u području brige o sebi, funkcionalne produktivnosti, društvenog života i osobnosti kod svih ispitanika. Statistički je dokazano da ispitanici u kroničnoj fazi oporavka od moždanog udara pokazuju bolju kvalitetu života od ispitanika u subakutnoj fazi oporavka. Statistički se značajnom pokazala povezanost dobi ispitanika i kvalitete života, no ne i kategorija spola kao ni povezanost broja moždanih udara i kvalitete života. Zaključak je istraživanja da je kvaliteta života osoba koje su preživjele moždani udar narušena najviše smanjenjem brige o sebi, funkcionalnom ovisnosti, društvenom neaktivnosti te problemima osobnosti. Rana rehabilitacija koju provodi multidisciplinaran tim primjenjujući individualan, holistički i funkcionalan pristup mogla bi omogućiti bolju skrb i kvalitetu života nakon moždanog udara.