Relationships of Activities of Daily Living, Risk Behaviors, Dependency, Social Support, and Quality of Life in Stroke patients at a Private Hospital in Bangkok


  • Jantra Keawpugdee Division of Community Health Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
  • Supranee Chimmamee Nakornthon Hospital, Thailand
  • Niluwan Chamnankit Nakornthon Hospital, Thailand
  • Natthaphach Prachutasen Nakornthon Hospital, Thailand



stroke, quality of life, daily living, risk behaviors, dependency, social support


Introduction Stroke is a significant concern for global public health systems, including Thailand. It affects the quality of life for patients. 

Objective To examine the relationship between activities of daily living, risk behaviors, dependency, social support, and the quality of life among stroke patients. 

Design Descriptive correlational research 

Methodology The study included a sample of stroke patients who received outpatient care at a private hospital in Bangkok. Purposive sampling was employed according to the inclusion criteria, and the sample size of 123 was determined following principles of power analysis. Data collection tools included demographic questionnaires and five assessment forms: an assessment of activities of daily living, assessment of risky self-care behaviors, assessment of dependency, assessment of social support, and assessment of quality of life. The assessments revealed content validity indices of 1.0, 1.0, .88, .75, and .92, respectively. Test-retest reliability yielded Cronbach's alpha coefficients of .97, .80, .84, .84, and .87, respectively. Data were collected through self-administration and structured interviews. Statistical analyses involved descriptive statistics and Pearson's correlation coefficient. 

Results More than half of the sample were male (55.3%). The overall quality of life was high (M= 4.36, SD = 0.75). Pearson correlation analysis revealed that activities of daily living (r = .800, p < .001), dependency (r = .803, p < .001), and social support (r = .232, p < .001) were positively correlated with the quality of life. On the other hand, risk behaviors (r= -.029, p < .001) revealed a statistically significant negative correlation with the quality of life among the participants. 

Recommendations Healthcare team and caregivers should provide support to perform activities of daily living, minimize dependency and risk behaviors, as well as provide social support. These efforts collectively aim to enhance the overall quality of life for patients.


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How to Cite

Keawpugdee J, Chimmamee S, Chamnankit N, Prachutasen N. Relationships of Activities of Daily Living, Risk Behaviors, Dependency, Social Support, and Quality of Life in Stroke patients at a Private Hospital in Bangkok. J Thai Nurse midwife Counc [Internet]. 2023 Sep. 15 [cited 2024 Apr. 20];38(03):229-42. Available from:



Research Articles