Neuropsychiatric Symptom Clusters and Quality of Life Among Patients With Stroke

Vachira Posai; Ploenta Pipatsombat; Pramote Thangkratok

doi:10.33165/rmj.2019.42.2.168578

Authors

Vachira Posai Nursing Department, Sanpasithiprasong Hospital, Ubon Ratchathani, Thailand
Ploenta Pipatsombat Faculty of Nursing, Suan Dusit University, Bangkok, Thailand
Pramote Thangkratok Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

DOI:

https://doi.org/10.33165/rmj.2019.42.2.168578

Keywords:

Stroke, Neuropsychiatric symptom, Quality of life, Symptom clusters

Abstract

Background: There are relatively few reports of neuropsychiatric symptom clusters which affect the quality of life in patients with stroke.
Objective: To study neuropsychiatric symptom clusters and the relationship between neuropsychiatric symptom clusters and quality of life among patients with stroke.
Methods: This descriptive study conducted in 140 patients with stroke at Sanpasithiprasong Hospital, Ubon Ratchathani, Thailand; they were selected purposively. Data were collected through patient general and clinical information, the neuropsychiatric symptoms assessment, and the 12-item stroke-specific quality of life scale conducted from September 2018 to January 2019.
Results: The results illustrated that 12 neuropsychiatric symptoms of patients with stroke embraced 3 symptom clusters were psychosis clusters, behavioral problems clusters, and mood disturbance clusters. (average frequency = 1.58, 2.37, 2.49; and average severity = 2.08, 2.73, 2.82, respectively). Among 3 symptom clusters, psychosis (r = 0.289; P < .01), behavioral problems (r = 0.719; P < .01), and mood disturbance (r = 0.716; P < .01) clusters were statistically significantly associated with all aspects of quality of life.
Conclusions: This study showed that neuropsychiatric symptom, especially behavioral problems and mood disturbance clusters were correlated with quality of life among patients with stroke.

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