Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: a nationwide population-based survey in Taiwan
Journal
Aging and Mental Health
Journal Volume
23
Journal Issue
3
Pages
305-310
Date Issued
2019
Author(s)
Abstract
Objectives: This study investigated the associations of cognitive status with specific/overall health-related quality of life (HRQoL) in older stroke survivors in Taiwan. Method: A subsample of 592 older stroke survivors in a nationwide population-based survey of cognitive-dysfunction prevalencewas analyzed. HRQoL was assessed using the EuroQol five-dimension questionnaire (EQ-5D). Results: Stroke survivors with dementia were 5.60?times more likely to have mobility problems, 12.20?times to have self-care problems, 16.61?times to have problems in usual activities, 4.31?times to have pain/discomfort, and 3.28?times to have anxiety/depression than stroke survivors with normal cognitive function. Stroke survivors with mild cognitive dysfunction (MCD) were 2.57?times more likely to have mobility problems, 3.17?times to have self-care problems, 3.31?times to have problems in usual activities, 2.11?times to have pain/discomfort, and 2.35?times to have anxiety/depression than those with normal cognitive function. Both dementia (b = ?15.13, p <.001) and MCD (b = ?6.24, p <.001) significantly contributed to lower EQ-5D VAS; both dementia (b = ?.15, p <.001) and MCD (b = ?.10, p <.001) significantly contributed to lower EQ-5D index. Conclusion: Dementia and MCD strongly predicted worse overall and specific HRQoL dimensions, especially self-care and usual activities for older stroke survivors. ? 2017, ? 2017 Informa UK Limited, trading as Taylor & Francis Group.
SDGs
Other Subjects
aged; cerebrovascular accident; cognitive defect; comorbidity; complication; daily life activity; female; human; hypertension; male; psychology; quality of life; questionnaire; survivor; Taiwan; very elderly; Activities of Daily Living; Aged; Aged, 80 and over; Cognitive Dysfunction; Comorbidity; Female; Humans; Hypertension; Male; Quality of Life; Stroke; Surveys and Questionnaires; Survivors; Taiwan
Type
journal article