Skip to main content
Top
Published in: Quality of Life Research 10/2012

Open Access 01-12-2012

Satisfaction with care as a quality-of-life predictor for stroke patients and their caregivers

Authors: Jane M. Cramm, Mathilde M. H. Strating, Anna P. Nieboer

Published in: Quality of Life Research | Issue 10/2012

Login to get access

Abstract

Purpose

We sought to identify indicators associated with the quality of life (QoL) of stroke patients and caregivers.

Methods

The cross-sectional study was conducted at nine Dutch stroke service facilities involving 251 stroke patients and their caregivers. We used the EuroQol (EQ-5D) and Satisfaction with Stroke Care questionnaires, and included the variables (1) disability at hospital admission, (2) length of hospital stay, (3) demographic data, and (4) caregivers’ relationship with stroke patients. The Actor–Partner (patient–caregiver) Interdependence Model (APIM) was used to examine dependence between patients’ and caregivers’ QoL scores through dyad membership.

Results

Patients’ age was significantly related to their QoL, and caregivers’ age and educational level were significantly related to their QoL. Patients’ disability on hospital admission and length of stay were associated with patients’ QoL, and their disability on admission was related to caregivers’ QoL. No relationship was found between length of stay and caregivers’ QoL. Satisfaction with care was associated with both patients’ and caregivers’ QoL.

Conclusions

The APIM distinguished the different roles of patients and caregivers while acknowledging the interdependence of their QoL scores. Satisfaction with care was identified as important indicator of stroke patients’ and caregivers’ QoL.
Literature
1.
go back to reference Schweikert, B., Hahmann, H., & Leidl, R. (2006). Validation of the EuroQoL questionnaire in cardiac rehabilitation. Heart, 92, 62–67.PubMedCrossRef Schweikert, B., Hahmann, H., & Leidl, R. (2006). Validation of the EuroQoL questionnaire in cardiac rehabilitation. Heart, 92, 62–67.PubMedCrossRef
2.
go back to reference Ahlsio, B., Britton, M., Murray, V., & Theorell, T. (1984). Disablement and quality of life after stroke. Stroke, 15, 886–890.PubMedCrossRef Ahlsio, B., Britton, M., Murray, V., & Theorell, T. (1984). Disablement and quality of life after stroke. Stroke, 15, 886–890.PubMedCrossRef
4.
go back to reference Osberg, J. S., DeJong, G., Haley, S. M., Seward, M. L., McGinnis, G. E., & Germaine, J. (1988). Predicting long-term outcome among post-rehabilitation stroke patients. American Journal of Physical Medicine and Rehabilitation, 67, 94–103.PubMedCrossRef Osberg, J. S., DeJong, G., Haley, S. M., Seward, M. L., McGinnis, G. E., & Germaine, J. (1988). Predicting long-term outcome among post-rehabilitation stroke patients. American Journal of Physical Medicine and Rehabilitation, 67, 94–103.PubMedCrossRef
5.
go back to reference Viitanen, M., Fugl-Meyer, K. S., Bernspang, B., & Fugl-Meyer, A. R. (1988). Life satisfaction in long term survivors after stroke. Scandinavian Journal of Rehabilitation Medicine, 20, 17–24.PubMed Viitanen, M., Fugl-Meyer, K. S., Bernspang, B., & Fugl-Meyer, A. R. (1988). Life satisfaction in long term survivors after stroke. Scandinavian Journal of Rehabilitation Medicine, 20, 17–24.PubMed
6.
go back to reference Duncan, P. W., Jorgensen, H. S., & Wade, D. T. (2000). Outcome measures in acute stroke trials: a systematic review and some recommendations to improve practice. Stroke, 31(1429), 1438. Duncan, P. W., Jorgensen, H. S., & Wade, D. T. (2000). Outcome measures in acute stroke trials: a systematic review and some recommendations to improve practice. Stroke, 31(1429), 1438.
7.
go back to reference Anderson, R. (1988). The contribution of informal care to the management of stroke. International Journal of Disability Studies, 10, 107–112.CrossRef Anderson, R. (1988). The contribution of informal care to the management of stroke. International Journal of Disability Studies, 10, 107–112.CrossRef
8.
go back to reference Wade, D. T., & Langton-Hewer, R. (1985). Hospital admission for acute stroke care: who, for how long, and to what effect. Journal of Epidemiology and Community Health, 39, 347–352.PubMedCrossRef Wade, D. T., & Langton-Hewer, R. (1985). Hospital admission for acute stroke care: who, for how long, and to what effect. Journal of Epidemiology and Community Health, 39, 347–352.PubMedCrossRef
9.
go back to reference Wilkinson, P. R., Wolfe, C. D. A., Warburton, F. G., Rudd, A. G., Howard, R. S., Ross Russell, R. W., et al. (1997). A long-term follow-up of stroke patients. Stroke, 28, 507–512.PubMedCrossRef Wilkinson, P. R., Wolfe, C. D. A., Warburton, F. G., Rudd, A. G., Howard, R. S., Ross Russell, R. W., et al. (1997). A long-term follow-up of stroke patients. Stroke, 28, 507–512.PubMedCrossRef
10.
go back to reference Addington-Hall, J., Lay, M., Altmann, D., & McCarthy, M. (1998). Community care for stroke patients in the last year of their life: results of a national retrospective survey of surviving family, friends and officials. Health and Social Care in the Community, 6, 112–119.PubMedCrossRef Addington-Hall, J., Lay, M., Altmann, D., & McCarthy, M. (1998). Community care for stroke patients in the last year of their life: results of a national retrospective survey of surviving family, friends and officials. Health and Social Care in the Community, 6, 112–119.PubMedCrossRef
11.
go back to reference Scholte, O. P., Reimer, W. J. M., de Haan, R. J., Pijeneborg, J. M. A., Limburg, M., & van den Bos, G. A. M. (1998). The burden of caregiving in partners of long term stroke survivors. Stroke, 29, 1605–1611.CrossRef Scholte, O. P., Reimer, W. J. M., de Haan, R. J., Pijeneborg, J. M. A., Limburg, M., & van den Bos, G. A. M. (1998). The burden of caregiving in partners of long term stroke survivors. Stroke, 29, 1605–1611.CrossRef
12.
go back to reference Anderson, C., Linton, J., & Stewart-Wynne, E. (1995). A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke, 26, 843–849.PubMedCrossRef Anderson, C., Linton, J., & Stewart-Wynne, E. (1995). A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke, 26, 843–849.PubMedCrossRef
13.
go back to reference Dennis, M., O’Rourke, S., Lewis, S., Sharpe, M., & Warlow, C. (1998). A quantitative study of the emotional outcome of people caring for stroke survivors. Stroke, 8, 7–17. Dennis, M., O’Rourke, S., Lewis, S., Sharpe, M., & Warlow, C. (1998). A quantitative study of the emotional outcome of people caring for stroke survivors. Stroke, 8, 7–17.
14.
go back to reference Greveson, G. C., Gray, C. S., French, J. M., & James, O. F. (1991). Long term outcomes for patients and caregivers following hospital admission for stroke. Age and Ageing, 20, 337–344.PubMedCrossRef Greveson, G. C., Gray, C. S., French, J. M., & James, O. F. (1991). Long term outcomes for patients and caregivers following hospital admission for stroke. Age and Ageing, 20, 337–344.PubMedCrossRef
15.
go back to reference Brugge, C., Alexander, H., & Hagen, S. (1990). Stroke patients’ informal caregivers: patient, caregiver, service factors that affect caregiver strain. Stroke, 30, 1478–1485. Brugge, C., Alexander, H., & Hagen, S. (1990). Stroke patients’ informal caregivers: patient, caregiver, service factors that affect caregiver strain. Stroke, 30, 1478–1485.
16.
go back to reference Kotila, M., Numminen, H., Waltimo, O., & Kaste, M. (1998). Depression after stroke: result Of the FINNSTROKE study. Stroke, 29, 368–372.PubMedCrossRef Kotila, M., Numminen, H., Waltimo, O., & Kaste, M. (1998). Depression after stroke: result Of the FINNSTROKE study. Stroke, 29, 368–372.PubMedCrossRef
17.
go back to reference Wade, D. T., Legh-Smith, J., & Langton, H. R. (1986). Effects of living with and looking after survivors of a stroke. British Medical Journal, 293, 368–372.CrossRef Wade, D. T., Legh-Smith, J., & Langton, H. R. (1986). Effects of living with and looking after survivors of a stroke. British Medical Journal, 293, 368–372.CrossRef
18.
go back to reference Campbell, L., & Kashy, D. A. (2002). Estimating actor, partner, and interaction effects for dyadic data using PROC MIXED and HLM: a user-friendly guide. Personal Relationships, 9, 327–342.CrossRef Campbell, L., & Kashy, D. A. (2002). Estimating actor, partner, and interaction effects for dyadic data using PROC MIXED and HLM: a user-friendly guide. Personal Relationships, 9, 327–342.CrossRef
19.
go back to reference Kenny, D. A., & Cook, W. (1999). Partner effects in relationships research: conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6, 433–448.CrossRef Kenny, D. A., & Cook, W. (1999). Partner effects in relationships research: conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6, 433–448.CrossRef
20.
go back to reference Boter, H., de Haan, R. J., & Rinkel, G. L. E. (2003). Clinimetric evaluation of a satisfaction with Stroke-Care questionnaire. Journal of Neurology, 250, 534–541.PubMedCrossRef Boter, H., de Haan, R. J., & Rinkel, G. L. E. (2003). Clinimetric evaluation of a satisfaction with Stroke-Care questionnaire. Journal of Neurology, 250, 534–541.PubMedCrossRef
21.
go back to reference Pound, P., Gompertz, P., & Ebrahim, S. (1994). Patients’ satisfaction with stroke services. Clinical Rehabilitation, 8, 7–17.CrossRef Pound, P., Gompertz, P., & Ebrahim, S. (1994). Patients’ satisfaction with stroke services. Clinical Rehabilitation, 8, 7–17.CrossRef
22.
go back to reference Nieboer, A., Pepels, R., Have, L., van der Kool, T., & Huijsman, R. (2005). Stroke Services Gespiegeld, Hoofdrapport [Comparison of Stroke Services, main report]. Den Haag, NL: ZonMW. Nieboer, A., Pepels, R., Have, L., van der Kool, T., & Huijsman, R. (2005). Stroke Services Gespiegeld, Hoofdrapport [Comparison of Stroke Services, main report]. Den Haag, NL: ZonMW.
23.
go back to reference Cramm, J. M., & Nieboer, A. P. (2011). Professionals’ views on factors contributing to multidisciplinary stroke team success. International Journal of Integrated Care, 11, 1–8. Cramm, J. M., & Nieboer, A. P. (2011). Professionals’ views on factors contributing to multidisciplinary stroke team success. International Journal of Integrated Care, 11, 1–8.
24.
go back to reference EuroQol Group. (1990). EuroQol: a new facility for the measurement of health-related quality of life. Health Policy, 16, 199–208.CrossRef EuroQol Group. (1990). EuroQol: a new facility for the measurement of health-related quality of life. Health Policy, 16, 199–208.CrossRef
26.
go back to reference Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: the Barthel Index. Maryland State Medical Journal, 14, 61–65.PubMed Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: the Barthel Index. Maryland State Medical Journal, 14, 61–65.PubMed
27.
go back to reference de Haan, R., Limburg, M., Schuling, J., Broeshart, J., Jonkers, L., & van Zuylen, P. (1993). Klinimetrische evaluatie van de Barthel-index, een maat voor beperkingen in het dagelijks functioneren. Nederlands Tijdschrift voor Geneeskunde, 37, 917–921. de Haan, R., Limburg, M., Schuling, J., Broeshart, J., Jonkers, L., & van Zuylen, P. (1993). Klinimetrische evaluatie van de Barthel-index, een maat voor beperkingen in het dagelijks functioneren. Nederlands Tijdschrift voor Geneeskunde, 37, 917–921.
28.
go back to reference Cramm, J. M., Strating, M. M. H., & Nieboer, A. P. (2011). Validation of the caregivers’ Satisfaction with Stroke Care Questionnaire: C-SASC hospital scale. Journal of Neurology, 258(6), 1008–1012.PubMedCrossRef Cramm, J. M., Strating, M. M. H., & Nieboer, A. P. (2011). Validation of the caregivers’ Satisfaction with Stroke Care Questionnaire: C-SASC hospital scale. Journal of Neurology, 258(6), 1008–1012.PubMedCrossRef
29.
go back to reference Stolk, E. A., Krabbe, P., & Busschbach, J. (2007). Using the internet to collect EQ-5D norm scores: a valid alternative? In: Proceedings of the 24th Scientific Plenary Meeting of the EuroQol Group. Kijkdui—The Hague, The Netherlands, September 13–15. Stolk, E. A., Krabbe, P., & Busschbach, J. (2007). Using the internet to collect EQ-5D norm scores: a valid alternative? In: Proceedings of the 24th Scientific Plenary Meeting of the EuroQol Group. Kijkdui—The Hague, The Netherlands, September 13–15.
30.
go back to reference Snijders, T. A. B., & Kenny, D. A. (1999). The social relations model for family data: a multilevel approach. Personal Relationships, 6, 471–486.CrossRef Snijders, T. A. B., & Kenny, D. A. (1999). The social relations model for family data: a multilevel approach. Personal Relationships, 6, 471–486.CrossRef
31.
go back to reference Draper, B. M., Poulos, C. J., Cole, A., Poulos, R. G., & Ehrlich, F. (1992). A comparison of care-givers for elderly stroke and dementia victims. Journal of American Geriatrics Society, 40, 896–901. Draper, B. M., Poulos, C. J., Cole, A., Poulos, R. G., & Ehrlich, F. (1992). A comparison of care-givers for elderly stroke and dementia victims. Journal of American Geriatrics Society, 40, 896–901.
32.
go back to reference Ross, S., & Morris, R. G. (1988). Psychological adjustment of the spouses of aphasic stroke patients. International Journal of Rehabilitation Research, 11, 383–386.CrossRef Ross, S., & Morris, R. G. (1988). Psychological adjustment of the spouses of aphasic stroke patients. International Journal of Rehabilitation Research, 11, 383–386.CrossRef
33.
go back to reference Schulz, R., Tompkins, C. A., & Rau, M. T. (1988). A longitudinal study of psychosocial impact of stroke on primary support persons. Psychology and Aging, 3, 131–141.PubMedCrossRef Schulz, R., Tompkins, C. A., & Rau, M. T. (1988). A longitudinal study of psychosocial impact of stroke on primary support persons. Psychology and Aging, 3, 131–141.PubMedCrossRef
Metadata
Title
Satisfaction with care as a quality-of-life predictor for stroke patients and their caregivers
Authors
Jane M. Cramm
Mathilde M. H. Strating
Anna P. Nieboer
Publication date
01-12-2012
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 10/2012
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-0107-1

Other articles of this Issue 10/2012

Quality of Life Research 10/2012 Go to the issue