Deans' stroke musings: Analysis of Factors Affecting Quality of Life (QoL) in Middle-Aged Stroke Patients (Under 65 Years Old) in the Rehabilitation Phase: Multivariate Regression Analysis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, June 15, 2025

Analysis of Factors Affecting Quality of Life (QoL) in Middle-Aged Stroke Patients (Under 65 Years Old) in the Rehabilitation Phase: Multivariate Regression Analysis

One question to determine quality of life! Are you fully recovered? Y/N?

100% recovery is the quality of life survivors want! THAT'S NON-NEGOTIABLE! That is the only goal in stroke; 100% RECOVERY! GET THERE!

Analysis of Factors Affecting Quality of Life (QoL) in Middle-Aged Stroke Patients (Under 65 Years Old) in the Rehabilitation Phase: Multivariate Regression Analysis

Authors Lumbantobing VBM , Priastomo M, Kosasih CE, Rhamelani P , Anggadiredja K, Adnyana IK

Received 8 November 2024

Accepted for publication 26 March 2025

Published 15 June 2025 Volume 2025:18 Pages 3477—3491

DOI https://doi.org/10.2147/JMDH.S504851

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Charles Victor Pollack

Download Article [PDF]

Valentina Belinda M Lumbantobing,^1,^2,^* Mukti Priastomo,¹ Cecep Eli Kosasih,³ Putri Rhamelani,⁴ Kusnandar Anggadiredja,¹ I Ketut Adnyana^1,^*

¹Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, Institut Teknologi Bandung, Bandung, West Java, Indonesia; ²Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; ³Department of Critical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; ⁴Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia

*These authors contributed equally to this work

Correspondence: Valentina Belinda M Lumbantobing, Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, Institut Teknologi Bandung, Bandung, West Java, Indonesia, Email valentina@unpad.ac.id I Ketut Adnyana, Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, Institut Teknologi Bandung, Bandung, West Java, Indonesia, Email ketut@itb.ac.id

Purpose: This study analyzed factors influencing the quality of life (QoL) in stroke patients during the rehabilitation phase so that rehabilitation professionals, caregivers, and stroke patients can pay attention to all aspects that contribute significantly to a better QoL and can design appropriate interventions to improve patient welfare and support a more significant recovery process.
Patients and Methods: A non-experimental quantitative approach with a cross-sectional design was conducted with 76 adult stroke patients in the rehabilitation phase. Data were collected using an interval-scale paper-based questionnaire and analyzed using univariate analysis techniques and multivariate regression analysis.
Results: The results showed that social support, sleep quality, self-esteem, hardiness, spirituality, and psychological well-being affected patients’ QoL in all domains (P = 0.000). More specifically, the physical domain was significantly affected by sleep quality (P = 0.000), spirituality (P = 0.004), and psychological well-being (P = 0.000). The psychological domain was significantly affected by social support (P = 0.000), sleep quality (P = 0.017), hardiness (P = 0.000), and spirituality (P = 0.007). The social domain was significantly influenced by social support (P = 0.002), sleep quality (P = 0.044), and self-esteem (P = 0.000). Finally, the environmental domain was significantly influenced by social support (P = 0.002) and self-esteem (P = 0.000).
Conclusion: The success of stroke patient recovery in the rehabilitation phase is marked by the goodness of all domains of QoL. This study obtained the analysis result of specific factors affecting each domain in QoL. Therefore, patients, families, nurses, and other health care providers have a crucial role in efforts to create a better QoL in stroke patients in the rehabilitation phase by considering the factors that have the most significant influence.

Plain Language Summary: This study was conducted to determine the factors that influence the QoL of stroke patients in the rehabilitation phase. As stroke recovery can be a long and challenging process, understanding these factors is essential for improving patient care and recovery outcomes. The study involved 76 adult stroke patients and used multivariate regression analysis to explore how social support, sleep quality, self-esteem, spirituality, and psychological well-being impact QoL. The findings matter because they show how different factors influence various aspects of QoL. For instance, sleep quality, spirituality, and psychological well-being impact the physical aspect of QoL, while social support, sleep quality, and spirituality affect the psychological aspect. Social support, sleep quality, and self-esteem are key to improving the social aspect, while social support and self-esteem also influence the environmental aspect. These results can be applied in clinical settings by guiding healthcare providers to focus on these specific factors during the rehabilitation phase. By addressing social support, improving sleep, and enhancing psychological well-being, healthcare providers, patients, and families can work together to optimize recovery, improve QoL, and ultimately lead to better long-term outcomes for stroke patients.

Keywords: physical support, psychosocial support, quality of life, sleep quality, spiritual support, stroke rehabilitation