The Assessment of QOL like a Level of Tertian Prevention for Stroke Survivors in our Society

Elizabeta Popova Ramova^* & Leonid Ramov

Training Implementation Center, Bitola, R.Macedonia

Dr. Elizabeta Popova Ramova, Training Implementation Center, Bitola, R.Macedonia.

Keywords: Stroke Survivors; QOL; Tertian Prevention

Abstract

Rehabilitation for patients with stroke is generally divided in acute, sub-acute, and chronic stage. Tertian prevention is based on activities for stroke survivors like community-based rehabilitation to increase quality of life (QOL), usually until the end of life. The purpose of our research was to assess the QOL of stroke survivors and the level of tertian prevention in our society.
Material and Methods
We had 80 stroke survivors, with minimum 2 years passed after stroke, they were from the southwest region of our country, divided in two groups according to their place of living. Group A, living in town, and group B living in villages. The assessment of QOL was done with SS-QOL, and a questionnaire for socioeconomic and healthcare data.
Results
60% male and 40?male, with age over 65 and with left side disability 65%, were all analyzed. Acute rehabilitation was present in (65%), subacute in(100%), and tertian prevention in 40%, orthotic and healthcare supplies were used in 47%, medication in 100%, social help was given to 50%, 95% live with their family, and 55% were receiving their own funds. The QOL assess with SS-QOL scale was 49% from Group A, and from Group B 45%
Discussion
The WHO defines quality of life as an “individual’s perception of their position in life in the context of the culture and value systems in which they live in relation to their goals and expectations. Health-related quality of life instruments commonly comprise physical, social, and mental domains, aligning with the notion that health is a state of complete well-being and not just an absence of disease.
Conclusion
most of stroke survivors have complete health care in acute and subacute stages, but QOL is 49-41 or they need help from other person. They live with their families, and home rehabilitation program can increase QOL.

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