title: Quality of Life in Physical and Psychological Health and Social Environment at Posthospitalization Period in Patients with Stroke.
abstract: BACKGROUND
  Interaction of quality of life (QOL) in physical and psychological health and social environment has not been tested in stroke during a posthospitalization period, and a better understanding of the components of QOL would lead to a more integrated and person-centered approach to health management and outcome optimization. We investigated how QOL emerges from the sequelae of stroke and interacts with each other during the posthospitalization period.
  
  
  METHODS
  We performed a cross-sectional study in 53 outpatients of stroke survivors (39 men and 14 women with a mean age of 66 years, 46 infarctions, and 7 hemorrhages).
  
  
  RESULTS
  Eight QOL domains of psychological health were scored by interview, and 2 of them ("desire to distend what they can do" or "desire to do rehabilitation") were associated with the improvement of physical health during the posthospitalization period (P < .05 and P = .08, respectively). These patients were characterized by the items like "I need to succeed for health improvement, to go home, to go back to work, and to see grandchildren" as goals to achieve their desire (P < .05). In interaction of QOL in psychological health and social environment, another psychological domain "to gain satisfaction from the experience" was closely related to the presence of hobby or work before stroke attack (P < .05).
  
  
  CONCLUSIONS
  During the posthospitalization period, QOL of psychological health may support that of physical health, being associated with the presence of hobby or work before stroke attack.
authors.affiliation: Department of Nursing Science, Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan.
authors.forename: Narumi
authors.initials: N
authors.lastname: Karube
authors.affiliation: Department of Nursing Science, Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan.
authors.forename: Aya
authors.initials: A
authors.lastname: Sasaki
authors.affiliation: Department of Nursing Science, Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan.
authors.forename: Fumika
authors.initials: F
authors.lastname: Hondoh
authors.affiliation: Hirosaki Stroke and Rehabilitation Center, Hirosaki, Japan.
authors.forename: Chiyo
authors.initials: C
authors.lastname: Odagiri
authors.affiliation: Hirosaki Stroke and Rehabilitation Center, Hirosaki, Japan.
authors.forename: Joji
authors.initials: J
authors.lastname: Hagii
authors.affiliation: Hirosaki Stroke and Rehabilitation Center, Hirosaki, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Seino
authors.affiliation: Hirosaki Stroke and Rehabilitation Center, Hirosaki, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Yasujima
authors.affiliation: Department of Nursing Science, Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan. Electronic address: osanait@hirosaki-u.ac.jp.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Osanai
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D004651:Employment; D006040:Goals; D006304:Health Status; D006686:Hobbies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010351:Patient Discharge; D011788:Quality of Life; D012931:Social Environment; D020521:Stroke / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy
keywords: QOL; physiological health; posthospitalization; psychological health; stroke