Factors Influencing Disabled Stroke Survivors’ Quality of Life in Rural China: Based on the Structural Characteristics and Psychometric Properties of the SF-36 Assessment

Author:

Xu Qi1ORCID,Zheng Dingzhao1,Chen Shanjia1,He Yiqi1,Lin Zhenguo2ORCID,Yao Dong1,Wang Jiamei1,Zhao Jiapei1,Wu Longqiang1,Liao Qiuju1,Zhang Yun1,Yan Tiebin34ORCID

Affiliation:

1. Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China

2. Department of Clinical Medicine, Xiamen Medical College, Xiamen 361101, China

3. Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China

4. The Engineering Technology Research Center of Rehabilitation and Elderly Care of Guangdong Province, Guangzhou 510120, China

Abstract

Many stroke survivors’ quality of life is impaired. Few studies of factors influencing their quality of life have been based on the factors tested by the short form 36 instrument. This study did so with 308 physically disabled stroke survivors in rural China. Principal components analysis was applied to refine the dimension structure of the short form 36 assessment, followed by backward multiple linear regression analysis to determine the independent factors influencing quality of life. The structure revealed differed from the generic structure in showing that the mental health and vitality dimensions are not unidimensional. Subjects who reported access to the outdoors as convenient demonstrated better quality of life in all dimensions. Those who exercised regularly achieved better social functioning and negative mental health scores. Other factors influencing a better quality of life in terms of physical functioning were younger age and not being married. Being older and better educated predicted better role-emotion scores. Being female correlated with better social functioning scores, while men scored better on bodily pain. Being less educated predicted higher negative mental health, while being less disabled predicted better physical and social functioning. The results suggest that the SF-36’s dimension structure should be re-evaluated before using it to assess stroke survivors.

Funder

Medical and health Research Foundation of Xiamen Municipal Bureau of Science and Technology

Xiamen city’s Precision Rehabilitation for People with a Disability program

Publisher

MDPI AG

Subject

General Medicine

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