Disability and Quality of Life in Stroke Patients in a Rural Area


Stroke often causes disability in the patients who survive. This condition may affect the quality of life. The purpose of this study was to examine the relationship between disability and the quality of life in stroke patients at Poly Neurology Kraton Hospital of Pekalongan. This study used the Modified Rankin Scale to measure body function (disability) and the short version of the Stroke-Specific Quality of Life Scale (SS-QOL-12) to measure the quality of life. This cross-sectional study used convenience sampling to recruit 78 respondents. Simple linear regression was used to analyse the data. The R2 produced was 0.126 and the beta score was -0.122, meaning that every increase of one unit in the Modified Rankin Scale decreased the quality of life by 0.122 units. This study therefore revealed that physical function was significantly correlated with quality of life among stroke patients.

Keywords: Modified Rankin Scale, Stroke-Specific Quality of Life Scale, stroke

[1] Mukherjee D, Patil CG. Epidemiology and the global burden of stroke. World Neurosurgery. 2011;76:S85–S90.

[2] Benjamin EJ, Blaha MJ, Chiuve SE, et al. Heart disease and stroke statistics-2017 update: A report from the American Heart Association. Circulation. 2017;135:146– e603.

[3] Prasetyo, P. Pain nursing concepts and processes. Yogakartka: Graha Ilmu; 2010.

[4] Owolabi MO. Impact of stroke on health-related quality of life in diverse cultures: The Berlin-Ibadan multicenter international study. Health Qual Life Outcomes. 2011;9:81.

[5] Indrawati L, Hapsari D, Nainggolan O. Pengaruh akses ke fasilitas kesehatan terhadap kelengkapan imunisasi baduta (analisis riskesdas 2013). Media Penelit dan Pengemb Kesehat. 2016;26:20755.

[6] Khalid W, Rozi S, Ali TS, et al. Quality of life after stroke in Pakistan. BMC Neurology. 2016;16:1-12.

[7] Akosile CO, Okoye EC, Adegoke BOA, et al. Burden, health and quality of life of Nigerian stroke caregivers. Health Care Current Reviews Open Access. 2013;1:105.

[8] Rangel ESS, Belasco AGS, Diccini S. Quality of life of patients with stroke rehabilitation. Acta Paul Enfermia. 2013;26:205–212.

[9] Kariasa I. Patient’s perception of post-stroke attack on quality of life in nursing care perspective. Universitas Indonesia; 2009.

[10] Bassile CC, Hayes SM. Gait awareness. Stroke Rehabil A Funct Approach. 2015;194.

[11] O’Hanlon S, Smith MA. A comprehensive guide to rehabilitation of the older patient. 4th ed. US: Elsevier; 2020.

[12] SM L. Lewis’s medical-surgical nursing: Assessment and management of clinical problems. Australia: Elsevier; 2007.

[13] Williams LS, Weinberger M, Harris LE, et al. Development of a stroke-specific quality of life scale. Stroke. 1999;30:1362–1369.

[14] Bruno A, Akinwuntan AE, Lin C, et al. Simplified modified rankin scale questionnaire: Reproducibility over the telephone and validation with quality of life. Stroke. 2011;42:2276–2279.

[15] da Silva JLL, Soares RS, Costa FS, et al. Psychosocial factors and prevalence of burnout syndrome among nursing workers in intensive care units. Revista Brasileira de terapia intensiva. 2015;27:125–133.

[16] Hong K-S, Saver JL. Quantifying the value of stroke disability outcomes: WHO global burden of disease project disability weights for each level of the modified Rankin Scale. Stroke. 2009;40:3828–3833.

[17] Heikinheimo T, Chimbayo D. Quality of life after first-ever stroke: An interview-based study from Blantyre, Malawi. Malawi Medical Journal. 2015;27:50–54.

[18] Howitt SC, Jones MP, Jusabani A, et al. A cross-sectional study of quality of life in incident stroke survivors in rural northern Tanzania. Journal of neurology. 2011;258:1422–1430.

[19] Muli G, Rhoda A. Quality of life amongst young adults with stroke living in Kenya. African health sciences. 2013;13:632–638.

[20] Indrawati L, Sari W, Catur Setia Dewi AMF. Care yourself stroke. Penebar PLUS+; 2016.

[21] Grotta JC, Albers GW, Broderick JP, et al. Stroke e-book: Pathophysiology, diagnosis, and management. Elsevier Health Sciences; 2021.

[22] Scott K, Webb M, Sorrentino S. Long-Term caring: Residential, home and community aged care.