Date Presented 03/21/24
This study conducted a survival analysis to examine hazard ratios of various lifestyles based on different types of life satisfaction in patients with stroke.
Primary Author and Speaker: Sanghun Nam
Additional Authors and Speakers: Young-Myoung Lim, Ah-Ram Kim, Ji-Hyuk Park
PURPOSE: Previous studies have often examined life satisfaction in stroke patients as a single variable, neglecting its multidimensional nature encompassing health, income, spouse, and child satisfaction. To address this gap, our longitudinal study employs survival analysis to explore how diverse aspects of life satisfaction are influenced by various lifestyle factors.
METHOD: We utilized data from the Korean Longitudinal Study of Aging (2010-2020), focusing on stroke patients surviving from 2010 to 2020. Dependent variables included health, income, spouse, and child satisfaction. Lifestyle factors encompassed health behavior, health status, and social interactions, with control variables such as age, sex, education, and residential area in Cox regression analysis.
RESULTS: Exercise had the highest hazard ratio (HR) in child satisfaction (HR = 2.111, CI = 1.04-4.31), while health screening exhibited the highest HR in health satisfaction (HR = 1.489). Depression had the highest HR in child satisfaction (HR = 6.343, CI = 2.67-14.98). The lowest HR in child satisfaction was observed for BMI (HR = 0.500, CI = 0.27-0.94), while diabetes showed the highest HR (HR = 1.800, CI = 1.05-3.08). Employment status had the highest HR in health satisfaction (HR = 1.678, CI = 1.68-1.01), with no significant differences in other variables.
CONCLUSION: Our study unravels the intricate relationship between lifestyle and diverse dimensions of life satisfaction in stroke patients.
IMPACT STATEMENT: This research carries substantial clinical implications for stroke patient care and rehabilitation, providing a basis for patient-tailored strategies and rehabilitation programs that cater to individual needs.
References
Kowalczyk, B., & Zawadzka, B. (2020). Lifestyle and quality of life in working-age people after stroke. Acta Clinica Croatica, 59(1), 30–36. https://doi.org/10.20471/acc.2020.59.01.04
Haghgoo, H. A., Pazuki, E. S., Hosseini, A. S., & Rassafiani, M. (2013). Depression, activities of daily living and quality of life in patients with stroke. Journal of the Neurological Sciences, 328(1-2), 87–91. https://doi.org/10.1016/j.jns.2013.02.027
Benítez-Parejo, N., del Águila, M. R., & Pérez-Vicente, S. (2011). Survival analysis and Cox regression. Allergologia et Immunopathologia, 39(6), 362–373. https://doi.org/10.1016/j.aller.2011.07.007
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