The association between neuropsychiatric symptoms and quality of life in geriatric patients with amputation or stroke after rehabilitation

2.50
Hdl Handle:
http://hdl.handle.net/10755/308539
Category:
Abstract
Type:
Presentation
Title:
The association between neuropsychiatric symptoms and quality of life in geriatric patients with amputation or stroke after rehabilitation
Author(s):
Buijck, Bianca Ivonne
Lead Author STTI Affiliation:
Rho Chi
Author Details:
Bianca Ivonne Buijck, Rn, PhD, b.buijck@elg.umcn.nl
Abstract:

Session presented on: Monday, November 18, 2013

 

 

Background

The objective of this study was to identify the determinants of quality of life of home dwelling patients with amputation or stroke three months after rehabilitation in a skilled nursing facility.

Method

This study is part of the Geriatric Rehabilitation in AMPutation and Stroke study (1), which is a prospective, multi- centre, cohort study aimed at identifying determinants of rehabilitation outcomes. Quality of life was the primary outcome (RAND-36). Neuropsychiatric symptoms, depressive complaints, (instrumental) activities of daily living and balance were the possible determinants of quality of life. Additional, for amputation we assessed walking ability and for stroke we assessed arm function. Linear regression analysis was used to identify the possible determinants.

Results

Twenty-seven out of 48 patients with amputation and 123 out of 186 patients with stroke were discharged to their homes or to an assisted living situation. On the eight quality of life domains (range 0-100) the main scores varied between 22 and 87 for patients with amputation and between 48 and 85 for stroke patients, with the lowest scores in both groups for the domain Physical Functioning. For both groups, low quality of life on the domains Role Limitations Emotional, Social Functioning, Mental Health and Vitality were primarily explained by neuropsychiatric symptoms and depressive complaints. Stroke patients also experienced lower quality of life on the domain Role Limitations Physical.

 

Conclusion

The presence of neuropsychiatric symptoms (2) and depressive complaints negatively affect quality of life of patients with amputation or stroke. The two groups of patients had severe disabilities. These patients may experience a good quality of life. This phenomenon is known as the disability paradox (3), suggesting that quality of life is about finding a proper balance between several factors, even when important life domains are severely affected.

Keywords:
rehabilitation; geriatric; quality of life
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe association between neuropsychiatric symptoms and quality of life in geriatric patients with amputation or stroke after rehabilitationen_GB
dc.contributor.authorBuijck, Bianca Ivonneen_GB
dc.contributor.departmentRho Chien_GB
dc.author.detailsBianca Ivonne Buijck, Rn, PhD, b.buijck@elg.umcn.nlen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308539-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p><b> </b><p align="center"><b></b><p align="center"><b> </b><p><b>Background</b><p>The objective of this study was to identify the determinants of quality of life of home dwelling patients with amputation or stroke three months after rehabilitation in a skilled nursing facility. <p><b>Method</b><p>This study is part of the Geriatric Rehabilitation in AMPutation and Stroke study (1), which is a prospective, multi- centre, cohort study aimed at identifying determinants of rehabilitation outcomes. Quality of life was the primary outcome (RAND-36). Neuropsychiatric symptoms, depressive complaints, (instrumental) activities of daily living and balance were the possible determinants of quality of life. Additional, for amputation we assessed walking ability and for stroke we assessed arm function. Linear regression analysis was used to identify the possible determinants. <p><b>Results</b><p>Twenty-seven out of 48 patients with amputation and 123 out of 186 patients with stroke were discharged to their homes or to an assisted living situation. On the eight quality of life domains (range 0-100) the main scores varied between 22 and 87 for patients with amputation and between 48 and 85 for stroke patients, with the lowest scores in both groups for the domain Physical Functioning. For both groups, low quality of life on the domains Role Limitations Emotional, Social Functioning, Mental Health and Vitality were primarily explained by neuropsychiatric symptoms and depressive complaints. Stroke patients also experienced lower quality of life on the domain Role Limitations Physical. <p><b> </b><p><b>Conclusion</b><p>The presence of neuropsychiatric symptoms (2) and depressive complaints negatively affect quality of life of patients with amputation or stroke. The two groups of patients had severe disabilities. These patients may experience a good quality of life. This phenomenon is known as the disability paradox (3), suggesting that quality of life is about finding a proper balance between several factors, even when important life domains are severely affected.en_GB
dc.subjectrehabilitationen_GB
dc.subjectgeriatricen_GB
dc.subjectquality of lifeen_GB
dc.date.available2013-12-19T17:32:39Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:39Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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