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|Title||Quality of Life among Rehabilitated Stroke Survivors in Gaza Strip|
The background and the purpose: The purposes of this study was to examine the quality of life and to identify most common factors influencing the quality of life in long-term rehabilitated stroke survivors in Gaza Strip. The methods: The study depend on cross-sectional design. It included 90 rehabilitated stroke survivors, 32 of them are males, and 58 of them are females who were admitted to El-Wafa rehabilitation hospital in the period between 1-1-2000 to 31-12-2006. The researcher used non-probability convenience sampling. The data was collected at the patient's homes inGaza strip. The Quality of life was measured by Short Form-36 (SF-36) instrument that assesses satisfaction and the importance for eight domains (general health, physical functioning, mental health, role limitation due to physical health, role limitation due to emotional problems, body pain, vitality, and social functioning). The tool included also the functional independent measure (FIM) to measure patient's functional status. The researcher used SPSS for statistical analysis, frequency tables for all study variables, correlation between variables, T-test to identify different mean relationship, one way ANOVA, and cross tabulation using Chi-Square. The results: The study shows that the stroke survivors had good QOL with 55.6%. The mental health was the best QOL domain ( 81.28%), followed by general health (77.77%), body pain (76.24%), vitality (71.6%) almost similar with social functioning (71.39%). The poorer QOL domain was role limitation due to physical health (28.05%), followed by physical function (40.89%), and role limitation due to emotional problems (42.97%) The results shows that the males had poorer QOL than of them the female 32% compared with 62%. QOL were better at the age between 50-60 years (48%) compared with the age between 61-65 (32%), and the younger (43-50 years) participants (20%). Stroke survivors who lives in Gazacity had better QOL (60%) than stroke survivors who lives outside Gazacity (40%). And only level of education was statistically significant in different with QOL (p=0.038), The results shows that 16 of secondary school educated stroke survivors had best QOL (32.0%), followed by 12 of university educated stroke survivors (24.0%) , 9 of preparatory school (18.0%), 7 of non educated stroke survivors (14.0%), and at last 6 of primary school educated stroke survivors (12.0%). One way ANOVA test between means revealed that there were significant means differences between primary school and secondary school education (P=0.044). Concerning the health factors that may influence QOL, results shows that all comorbid factors affect QOL with no statistically significant differences between them and QOL among rehabilitated stroke survivors Related to effect of functional status on QOL, the results shows the mean of FIM scores on admission to the rehabilitation hospital =59.88, on discharge from the hospital at the end of inpatient rehabilitation program =85.6, and at the follow-up which was performed by the researcher to collect data =95.23. And the correlation between QOL and functional status positive statistical significant value on admission to the rehabilitation hospital (0.023), on discharge from the hospital at the end of inpatient rehabilitation program (0.001), and at the follow-up which was performed by the researcher to collect data (0.000). That's indicating effectiveness of the rehabilitation program conducted in El-Wafa rehabilitation hospital to improve the functional status and the outcome among this category of disability, and with related other psychosocial factors. This results certain by the higher percent of the stroke survivors who were independent at follow-up with better QOL (80.0%) than of then moderately dependent (20.0%). Age and level of education significantly affect physical function, and role limitation due physical health. Only severity of motor deficit significantly affect role limitation due physical health, and social functioning, also level of education and place of residency significantly affect vitality, mental health, and general health.
|Publisher||the islamic university|
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