Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: a nationwide population-based survey in Taiwan. (4th March 2019)

• Record Type: Journal Article
• Authors: Kuo, Li-Min; Tsai, Wen-Che; Chiu, Ming-Jang; Tang, Li-Yu; Lee, Huey-Jane; Shyu, Yea-Ing L.
• Is Part Of: Aging & mental health. Volume 23:Number 3(2019)
• Page Start: 305
• Page End: 310
• Publication Date: 2019-03-04
• Subjects: Stroke -- older persons -- mild cognitive dysfunction -- dementia -- HRQoL; Older people -- Mental health -- Periodicals; Geriatric psychiatry -- Periodicals; Older people -- Psychology -- Periodicals; Aging -- Psychological aspects -- Periodicals; Aged -- psychology -- periodicals; Mental Health -- periodicals; Mental Health Services -- periodicals; Aging -- psychology -- periodicals; Aged, 80 and over -- psychology -- periodicals; 618.97689
• DOI: 10.1080/13607863.2017.1414148
• Languages: English
• ISSNs: 1360-7863

Abstract

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.