J Korean Phys Ther.  2023 Dec;35(6):195-199. 10.18857/jkpt.2023.35.6.195.

The Association of Activity Limitation on Health-Related Quality of Life and Depression in Elderly Korean Stroke Patients

• Lee DY

• KMID: 2552686
• DOI: http://doi.org/10.18857/jkpt.2023.35.6.195

Abstract

Purpose
The purpose of this study was to help the numerous health care workers who participate in the rehabilitation of stroke patients by understanding how limitations on the activities of stroke patients affect the health-related quality of life and depression.
Methods
We investigated 527 stroke patients from the Korean’s National Health and Nutrition Examination Survey (KNHANES, 2013-2018). The subjects were divided into two categories: with and without activity limitation. A medical doctor’s diagnosis of depression and the EQ-5D, which measures life satisfaction connected to health, were the study’s factors. Based on their level of activity limitation, the individuals’ depression and health-related quality of life were compared. The odds ratios relating to activity limitation’s relationships with depression and stroke patients’ quality of life were computed using logistic regression analysis.
Results
The diagnosis of depression in subjects with activity limitation was 16.0%, while in those with no limitation on activity it was 5.6%, and the EQ-5D index was 0.67±0.02, 0.85±0.01. For every item on the EQ-5D, there existed a significant difference in the odds ratio. Furthermore, when comparing depression with activity limitation to non-activity limitation, the odds ratio was 4.09 (2.12-7.788).
Conclusion
Limitation of activities of stroke patients significantly reduces the health-related quality of life and increase the probability of depression. Therefore, treatment of stroke patients should be approached taking into consideration their psychological condition. It is also deemed necessary to have a systematic and continuous rehabilitation program.

Keyword

Activity limitation; Health-related quality of life; Depression; Stroke