AbstractBackground: There is limited data on the quality of life in the early post-stroke phase and the changes in it over time. Social support and stroke-related depression significantly adversely affect the quality of life after stroke. Stroke-associated disability has been found to affect the health status of the individual with stroke over a period of time. The relationship between health status and other socio-demographic and clinical factors has been less well studied. In this study, the global and domain-specific quality of life was studied in patients with first ever episode of stroke, both ischemic and hemorrhagic, of 3 or more months’ duration. Objectives: To study overall and domain specific quality of life in stroke survivors within one year after stroke and to test the reliability and validity of the Modified stroke specific quality of life scale (SS – QOL) Design: An observational and cross-sectional pilot study was used. For the study. setting: Selected Multispecialty hospital at thanjavur district. Participants: 500 patients who suffered stroke up to 1 year prior to the present study were included. Methods: Patients were interviewed with use of Modified stroke specific quality of life scale (SS – QOL) and other indexes and scales were applied. The reliability was assessed by using Cronbach’s alpha (internal consistency) and test-retest by using Spearman’s rho scores; the acceptability was evaluated by the floor and ceiling effects. Results: Results show that psychosocial aspect of health is affected equally with that of physical health so researcher concluded that psychosocial aspect of health which directly influences the physical function of stroke survivors. so coping abilities to be improve for better adherence to the physical therapy. As coping strategies and mirror therapy can be offered as a useful adjunct in stroke rehabilitation, it would be beneficial if coping ability increase adherence to the physical therapy will also increase ultimately quality of life also good.
Keywords: Ischemic Stroke; Quality of Life; Psychosocial Health; Physical Health.