In Japan, although mortality of the stroke, one of the major cerebrovascular disorders, is rapidly decreasing in recent years, elderly patients suffering from aftereffects of the stroke are still increasing. There, however, are few studies focused on the daily life of the patients in relation to their quality of life (QOL), while the most studies were focused on the physical dysfunction accompanied by the stroke, the mortality rate, and prognostication in activities of daily living (ADL). In this study, follow-up survey was conducted to examine the factors affecting QOL of the elderly-stroke patients (≩60 years old) after discharge from the hospital Using questionnaire, we assessed their QOL from two aspects: 1) social or person's subjective well-being and 2) the aftereffect specific or non-specific physical health. The findings were following: 1) physical disability was not a simple indicator to assess the level of QOL in the stroke patients. 2) For elderly patients, hearing and visual impairment affected their QOL, and incontinence and dependency in ADL, negatively, which put burden on caregivers, especially affected their QOL. 3) Several factors on caregivers, e. g. their health condition, jobs and fatigues, particularly affected QOL in the stroke patients. 4) Demands of caregiving and the severity of the paralysis affected their QOL negatively on physical health but positively on social or subjective well-being. It was suggested that, further structural analysis disease specific QOL-scale need to be developed in order to assist the elderly-stroke patients to attain their higher level of QOL.
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