Preditores de qualidade de vida relacionada à saúde em indivíduos pós acidente vascular cerebral em diferentes fases de recuperação: estudo longitudinal prospectivo

• Ano de defesa: 2023
• Autor(a) principal: Aryane Caroline Silva
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; Brasil; EEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONAL; Programa de Pós-Graduação em Ciências da Reabilitação; UFMG
• Palavras-chave em Português: Acidente vascular cerebral; Qualidade de vida relacionada à saúde; Acidentes vasculares cerebrais; Avaliação em saúde; Qualidade de vida; Fisioterapia
• Link de acesso: http://hdl.handle.net/1843/63012

Currently, stroke is considered one of the main causes of disability, compromising the health, functioning and quality of life (QoL) of many individuals around the world. The impact of stroke on health-related quality of life (HRQoL) has been widely studied, including at different stages of the disease. The most important barriers when dealing with a stroke, in addition to the characteristics and direct consequences of the injury, are related to the individual's perception and understanding of the disease process and revolve around one of the most affected constructs, which is HRQOL. For these reasons, HRQOL has been widely studied and recommended as an important outcome to be considered when approaching these individuals. Considering that treating post-stroke individuals requires adequate management, identifying HRQoL predictors can be a solution to direct clinical decision-making and even facilitate resource management. This dissertation is composed of two studies. Study-1 aimed to determine whether handgrip strength of the most affected side, upper limb (UL) motor function, UL performance in self-care activities (eating, personal hygiene, and dressing), and functional independence assessed during the hospital stay immediately after stroke, hospitalization predict health-related quality of life (HRQoL) in individuals post-stroke after three and six months of hospital discharge. Eight nine individuals were included. Functional independence in personal hygiene and handgrip strength on the most affected side, assessed during hospital admission, were the only significant predictors of generic (SF-36: R2=25.2%; F=7.4;p<0.008) and specific HRQOL (SSQoL: R2=37%; F=6.2; p<0.0015) at three and six months after hospital discharge. Study-2 aimed to determine whether the presence of signs suggestive of depression, perception of manual skills, perception of locomotion skills and functional independence, assessed at six months in post-stroke individuals, predict generic and specific HRQoL at 24 months after hospital discharge. 68 individuals were included, evaluated at both moments (at six and 24 months after hospital discharge. Manual skills and the presence of signs suggestive of depression, evaluated at six months after the stroke, were the only significant predictors of generic HRQoL (SF-36: R2=26.1%; F=24.9; p=0.001) and specific (SSQoL: R2=26.4%; F=25.3; p=0.002) at 24 months after hospital discharge. Therefore, functional independence in personal hygiene and handgrip strength on the most affected side, assessed during hospital stay, predict the generic and specific HRQoL of post-stroke individuals three months after hospital discharge. Furthermore, the perception of manual skills and the presence of signs suggestive of depression, assessed six months post-stroke, predict the generic and specific HRQoL of post-stroke individuals at 24 months after hospital discharge. These results, in addition to contributing to greater knowledge of factors that need to be constantly evaluated and monitored, both in the acute and chronic phases of stroke, contribute to the decision-making and resource management process focusing on HRQoL, an important construct for the care centered on individuals.