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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Functional mobility and depression negatively impact quality of life in older adults with stroke
Mirjana Telebuh1, Mladen Havelka2, Želimir Bertić3
1Department of Physiotherapy, University of Applied Health Sciences, Zagreb, Croatia.
Abstract:
BackgroundThe quality of life (QoL) in elderly post-stroke patients may deteriorate due to an interplay of physical and psychological impairments, compounded by social challenges stemming from these issues.ObjectiveThis study aimed to identify predictors of QoL in elderly post-stroke patients by evaluating their functional capabilities, depressive symptoms, and levels of social support.MethodsA cohort of 122 individuals aged 65 and older, who had experienced a stroke, was assessed. Functional independence was gauged using the Functional Independence Measure (FIM), depressive states were evaluated with the Geriatric Depression Scale (GDS), and social support was quantified through the Social Support Scale (SSS). The WHOQOL-BREF questionnaire was employed to measure QoL.ResultsThe FIM and GDS scores were significant predictors for WHOQOL-BREF domains 1 and 2 (adjusted R² = 0.522, p < 0.01; and adjusted R² = 0.586, p < 0.01, respectively). GDS alone was a significant predictor for domain 3 (adjusted R² = 0.236, p < 0.01), while all variables were significant predictors for domain 4 (adjusted R² = 0.315, p < 0.01).ConclusionsDepression, motor function, and social support were identified as the primary predictors of QoL in elderly individuals after suffering a stroke.