Women have a poorer quality of life after a stroke or mini stroke than men

 

Stockholm, Sweden (July 25, 2012) – Having a stroke or mini stroke has a much more profound effect on women than men when it comes to their quality of life, according to research published in the August issue of the Journal of Clinical Nursing. Swedish researchers at Danderyd Hospital, Stockholm, asked all patients attending an out-patient clinic over a 16-month period to complete the Nottingham Health Profile, a generic quality of life survey used to measure subjective physical, emotional and social aspects of health.

 

A total of 496 patients agreed to take part – 379 were stroke patients and 117 had experienced a transient ischemic attack (TIA), often known as a mini stroke.

 

"Stroke is a disease that can affect many aspects of a patient’s life" explains co-author Dr Asa Franzen-Dahlin, a nurse researcher from the hospital’s Department of Internal Medicine. "Physical problems are easy to identify, but personality changes and cognitive decline – a reduction in the ability to think, concentrate, formulate ideas, reason and remember – are often only noticeable to those closest to the patient."

 

 

Key findings included:

 

  • Response rates were 50% in the stroke group and 40% in the TIA group. Older patients were more likely to complete the questionnaire and were an average of three years older than the stroke patients who did not take part and five years older than the TIA patients who did not take part.
  • The stroke patients (50% men) ranged from 34 to 93 years, with an average age of 73, and the TIA patients (52% men) ranged from 42 to 94 years, with an average age of 77. Average time between onset and completion of the questionnaire was eight weeks in the stroke patients and six weeks in the TIA patients.
  • Male stroke and TIA patients tended to be younger than female stroke and TIA patients (72 versus 75 years and 76 versus 78 years respectively).
  • Women stroke patients were significantly more affected in five of the six quality of life domains – emotion, sleep, energy, pain and mobility – than men. The only exception was social domain. When it came to specific problem areas, men reported more issues with sex than women (34% v 19%). Women reported more problems with housekeeping (56% v 36%) and social areas (33% v 22%) than men.
  • Female TIA patients were significantly more affected in all quality of life domains than male TIA patients. When it came to specific problem areas, women had more issues with housekeeping (48% v 20%), social (33% v 8%), family (13% v 0%) and leisure time areas (42% v 23%).
  • Male stroke patients were significantly more affected in certain domains than male TIA patients (total domain, plus emotional, energy and social domains), but there were no significant differences between female stroke and TIA patients.

 

"Our study shows that female stroke patients are more affected than male stroke patients when it comes to quality of life" concludes co-author Dr Ann Charlotte Laska from the Division of Internal Medicine.

 

"It also shows that female TIA patients are as badly affected when it comes to quality of life as female stroke patients and need the same level of support after they are discharged from hospital."

 

 

 

Notes to Editors

 

  • Gender differences in quality of life after stroke and TIA: a cross-sectional survey of out-patients. Franzen-Dahlin A and Laska A C. Journal of Clinical Nursing. 21, pp2386. (August 2012). doi: 10.1111/j.1365-2702.2011.04064.x

 

The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing and midwifery practice. The primary aim is to promote a high standard of clinically related scholarship which supports the practice and discipline of nursing. JCN publishes high quality papers on issues related to clinical nursing, regardless of where care is provided. This includes – but is not limited to – ambulatory care, community care, family care, home, hospital, practice, primary and secondary, and public health. http://wileyonlinelibrary.com/journal/JOCN

 

About Wiley. Founded in 1807, John Wiley & Sons, Inc. has been a valued source of information and understanding for more than 200 years, helping people around the world meet their needs and fulfill their aspirations. Wiley and its acquired companies have published the works of more than 450 Nobel laureates in all categories: literature, Economics, Physiology or Medicine, Physics, Chemistry, and Peace. Our core businesses publish scientific, technical, medical, and scholarly journals, encyclopedias, books, and online products and services; professional/trade books, subscription products, training materials, and online applications and Web sites; and educational materials for undergraduate and graduate students and lifelong learners. Wiley’s global headquarters are located in Hoboken, New Jersey, with operations in the U.S., Europe, Asia, Canada, and Australia. The Company’s Web site can be accessed at http://www.wiley.com. The Company is listed on the New York Stock Exchange under the symbols JWa and JWb.

 

 


Journal of Clinical Nursing (JCN), 25.07.2012 (tB).

MEDICAL NEWS

Inadequate sequencing of SARS-CoV-2 variants impedes global response to COVID-19
New meta-analysis finds cannabis may be linked to development of…
New guidance on how to diagnosis and manage osteoporosis in…
Starting the day off with chocolate could have unexpected benefits
Better mental health supports for nurses needed, study finds

SCHMERZ PAINCARE

Versorgung verbessern: Deutsche Gesellschaft für Schmerzmedizin fordert die Einführung des…
Pflegeexpertise im Fokus: Schmerzmanagement nach Operationen
Versorgung verbessern: Bundesweite Initiative der Deutschen Gesellschaft für Schmerzmedizin zu…
Jedes vierte Kind wünscht bessere Schmerzbehandlung
Lebensqualität von Patienten in der dauerhaften Schmerztherapie mit Opioiden verbessern

DIABETES

Bundestag berät über DMP Adipositas: DDG begrüßt dies als Teil…
Mit der Smartwatch Insulinbildung steuern
Verbände fordern bessere Ausbildung und Honorierung von Pflegekräften für Menschen…
Minimalinvasive Geräte warnen ungenügend vor Unterzuckerung
Typ-1-Diabetes und Hashimoto-Thyreoiditis treten häufig gemeinsam auf

ERNÄHRUNG

Wie eine Diät die Darmflora beeinflusst: Krankenhauskeim spielt wichtige Rolle…
DGEM plädiert für Screening und frühzeitige Aufbautherapie: Stationäre COVID-19-Patienten oft…
Führt eine vegane Ernährungsweise zu einer geringeren Knochengesundheit?
Regelmässiger Koffeinkonsum verändert Hirnstrukturen
Corona-Erkrankung: Fehl- und Mangelernährung sind unterschätze Risikofaktoren

ONKOLOGIE

Anti-Myelom-Therapie mit zusätzlich Daratumumab noch effektiver
Positive Ergebnisse beim fortgeschrittenen Prostatakarzinom: Phase-III-Studie zur Radioligandentherapie mit 177Lu-PSMA-617
Lymphom-News vom EHA2021 Virtual. Alle Berichte sind nun online verfügbar!
Deutsch-dänisches Interreg-Projekt: Grenzübergreifende Fortbildungskurse in der onkologischen Pflege
Sotorasib: Neues Medikament macht Lungenkrebs-Patienten Hoffnung

MULTIPLE SKLEROSE

NMOSD-Erkrankungen: Zulassung von Satralizumab zur Behandlung von Jugendlichen und Erwachsenen
Verzögerte Verfügbarkeit von Ofatumumab (Kesimpta®)
Neuer Biomarker bei Multipler Sklerose ermöglicht frühe Risikoeinschätzung und gezielte…
Multiple Sklerose beginnt oft lange vor der Diagnose
Goldstandard für Versorgung bei Multipler Sklerose

PARKINSON

Meilenstein in der Parkinson-Frühdiagnose
Parkinson-Erkrankte besonders stark von Covid-19 betroffen
Gangstörungen durch Kleinhirnschädigung beim atypischen Parkinson-Syndrom
Parkinson-Agenda 2030: Die kommenden 10 Jahre sind für die therapeutische…
Gemeinsam gegen Parkinson: bessere Therapie durch multidisziplinäre Versorgung