Browsing by Author "Fiseha,Eden"

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    Health Related Quality Of Life And Associated Factors Among Stroke Patientsattertiary care hospitals of Addis Ababa, Ethiopia
    (Addis Ababa University, 2024-06) Fiseha,Eden; Taye,Girma(Phd,Associate professor); Genene,Lidya (MPH, PhD candidate)
    Background: Stroke is the 2nd leading cause of death and daily adjusted life years globally. Stroke has a significant impact on the psychological and physical well-being of the patient, which affects health-related quality of life for stroke survivors. However, to the best level of our knowledge, there are no local studies conducted using stroke-specific qualities of life (SSQOL- 49). Therefore, this study aims to assess the quality of life among stroke survivors in Ethiopia using a stroke-specific quality-of-life tool (SSQOL-49). Objective: The study aimed to assess the health-related quality of life and associated factors among stroke patients at Zewditu Memorial Hospital and Yekatit 12 Medical College Hospital, in Addis Ababa, Ethiopia. Method: A health facility-based, cross-sectional study was carried out among 372 systematically selected adult stroke survivors from March 3 to May 3, 2024, at Zewditu Memorial Hospital and Yekatit 12 Medical College Hospital. A pre-tested, structured, stroke-specific quality of life tool (SSQOL-49) and a modified Rankin scale were used to collect data from eligible participants. Multivariable logistic regression was used to assess association. A predictor with (AOR) with 95% CI was presented and P< 0.05 was used to declare statistical significance. The Hosmer and Lemeshow test was used to assess the goodness of fit of the model. Finally, the results were presented in statements, tables, and figures. Result: In our study 215 (58%) of study participants had poor HRQOL. Female gender (AOR = 0.101; 95%CI 0.022, 0.464), older age (AOR =0.005; 95%CI 0.001-0.400), ischemic stroke type (AOR =7.917; 95%CI 1.266-49.520), attack on the left hemisphere (AOR = 0.163; 95% CI 0.001, 0.485), and moderate to severe disability (AOR = 0.016; 95%CI 0.001, 0.248) were associated with lower HRQOL. And the presence of comorbidities like hypertension (AOR =0.122; 95%CI 0.025-0.611), cardiac disease (AOR = 0.167; 95%CI 0.038-0.740), and diabetes (AOR =0.045; 95%CI 0.046-0.967) were associated with lower HRQOL. Conclusion and recommendation: More than half of stroke survivors who had follow-ups at ZMH and Y12MCH had poor HRQOL. Incorporating the assessment of HRQOL in clinical evaluation and longitudinal HRQOL studies is advisable to confirm the cause-effect association.