This study aimed to assess the HRQoL profiles and explore the associated factors of HRQoL among stroke survivors in Gauteng.
This study was a cross-sectional study of stroke survivors attending rehabilitation at selected public clinics in the Gauteng province of South Africa. HRQoL was evaluated using EuroQol 5 dimension-3 levels. Socio-demographic, clinical profiles, and physical activity participation data were collected through an interviewer-administered form. Descriptive analyses for HRQoL profiles and univariate and multiple logistic regression analyses for its associated factors were performed.
A total of 218 stroke survivors completed the study with a median age of 55 (46-63) years. Majority of the stroke survivors commonly reported having health problems (some problems to extreme problems) in mobility (n=153; 70.2%), followed by usual activity (n=149; 68.4%) and pain/discomfort (n=139; 63.8%). The least reported was anxiety and depression (n=98; 45%). The median EQ-VAS was reported at 70 (50-80 IQR). In multivariable analysis, increasing age, lower educational level, receiving family and social support, having more than one co-morbidity, and female gender were significantly associated with higher odds of difficulties in the different dimensions of HRQoL. Conversely, regular participation in physical activity, increasing time since stroke, and right-sided hemiplegia were significantly associated with lower odds of problems in dimensions of HRQoL. Contributing to family income was related to both higher and lower odds of problems in different dimensions of the HRQol. A significant association was noted between the global self-rated health status (EQ-VAS) of stroke survivors and participation in physical activities and financial role in the family.
The study highlights the need for targeted interventions to improve HRQoL among stroke survivors, particularly focusing on physical rehabilitation and socio-economic support. These findings can inform healthcare policies and rehabilitation programs in Gauteng to better address the needs of stroke survivors.
The findings of this study have several important clinical implications for the management and rehabilitation of stroke survivors in Gauteng, South Africa:
Targeted Rehabilitation Programs: The identification of physical functioning and social roles as the most affected domains of HRQoL suggests the need for comprehensive rehabilitation programs that specifically address these areas. Tailored physical therapy and social integration activities could significantly enhance the overall quality of life for stroke survivors.
Socio-Economic Support: The association between socio-economic status and HRQoL highlights the importance of providing socio-economic support to stroke survivors. This could include financial assistance, vocational training, and community support programs to help improve their living conditions and reduce the burden of disability.
Education and Training: Healthcare professionals should be educated and trained on the importance of assessing HRQoL in stroke survivors. Regular assessment using tools like the SS-QOL scale can help in monitoring progress and adjusting treatment plans accordingly.
Quality of Life
Cross-sectional studies
