| Home | E-Submission | Sitemap | Contact Us |  
J Korean Gerontol Nurs Search


J Korean Gerontol Nurs > Volume 16(2):2014 > Article

Original Article

J Korean Gerontol Nurs. 2014 Aug;16(2):107-117. Korean.
Published online Aug 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.2.107
© 2014 Korean Gerontological Nursing Society
Factors Predicting Quality of Life among Older Adults in Rehabilitation Hospitals after Stroke
Eun-Mi Oh,*and Gwi-Ryung Son Hong
College of Nursing, Hanyang University, Seoul, Korea.

*Corresponding author: Oh, Eun-Mi. College of Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 133-791, Korea. Tel: +82-2-2220-4711, Fax: +82-2-2295-2074, Email: heartnsg@naver.com
Received December 26, 2013; Revised April 10, 2014; Accepted May 06, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



The purpose of the study was to explore the predictive factors of quality of life among older adults who had a stroke.


A descriptive study was conducted from January to March 2010. Face-to-face interviews were done with 92 older adults with a stroke and hospitalized in one of 4 rehabilitation hospitals in Seoul and Gyeonggi Province, Korea. Measures included perceived health, activities of daily living (ADL), depression, and quality of life. Data were analyzed using t-test, ANOVA, Pearson's correlation and multiple regression.


Mean score for quality of life for these elders was 41.29. Quality of life was significantly different according to difficulty in daily life due to pain or language disorder. Quality of life was positively associated with perceived health state and ADL, and negatively associated with depression. With multiple regression, the main variables explained 60.5% of the variance in quality of life. Depression was the strongest predictor for quality of life among older adults with a stroke. Perceived health and difficulty in daily life due to pain were also significant predictors for quality of life.


Nursing interventions for this population must strive to increase perceived health status and decrease depression and difficulty in daily life due to pain.

Keywords: Aged, Stroke, Depression, Quality of life.


Table 1
Demographic and Disease-related Characteristics of Subjects (N=92)

Table 2
Mean and Standard Deviations for Main Variables (N=92)

Table 3
Quality of Life by Demographic and Disease related Characteristics (N=92)

Table 4
Correlations among Main Variables (N=92)

Table 5
Predictive Factors for Quality of Life (N=92)


This article is a part of the first author's master thesis from Hanyang University.

1. Aprile I, Piazzini DB, Bertolini C, Caliandro P, Pazzaglia C, Tonali P, et al. Predictive variables on disability and quality of life in stroke outpatients undergoing rehabilitation. Neurol Sci 2006;27(1):40–46.
2. Brajkovic L, Godan A, Godan L. Quality of life after stroke in old age: Comparison of persons living in nursing home and those living in their own home. Croat Med J 2009;50(2):182–188.
3. Brandtater ME. Physical medicine and rehabilitation: Principles and practice. 4th ed. DeLisa JA, et al.Philadelphia: Lippincott Williams & Wilkins; 2005. pp. 1164-1165.
4. Carod-Artal FJ. Determining quality of life in stroke survivors. Expert Rev Pharmacoecon Outcomes Res 2012;12(2):199–211.
5. Carod-Artal FJ, Egido JA. Quality of life after stroke: The importance of a good recovery. Cerebrovasc Dis 2009;27 Suppl. 1:204–214.
6. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of Geriatric Depression Scale, Korean version (GDS) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1999;38(1):48–63.
7. Cully JA, Gfeller JD, Heise RA, Ross MJ, Teal CR, Kunik ME. Geriatric depression, medical diagnosis, and functional recovery during acute rehabilitation. Arch Phys Med Rehabil 2005;86(12):2256–2260.
8. Darlington AS, Dippel DW, Ribbers GM, van Balen R, Passchier J, Busschbach JJ. Coping strategies as determinants of quality of life in stroke patients: A longitudinal study. Cerebrovasc Dis 2007;23(5-6):401–407.
9. Dayapoglu N, Tan M. Quality of life in stroke patients. Neurol India 2010;58(5):697–701.
10. Franzén-Dahlin Å, Laska AC. Gender differences in quality of life after stroke and TIA: A cross-sectional survey of out-patients. J Clin Nurs 2012;21(15-16):2386–2391.
11. Gbiri CA, Akinpelu AO. Quality of life of Nigerian stroke survivors during first 12 months post-stroke. Hong Kong Physiother J 2012;30(1):18–24.
12. Gunaydin R, Karatepe AG, Kaya T, Ulutas O. Determinants of quality of life (QoL) in elderly stroke patients: A short-term follow-up study. Arch Gerontol Geriatr 2011;53(1):19–23.
13. Hackett ML, Duncan JR, Anderson CS, Broad JB, Bonita R. Health-related quality of life among longterm survivors of stroke: Results from the Auckland stroke study, 1991-1992. Stroke 2000;31(2):440–447.
14. Hadidi N, Treat-Jacobson DJ, Lindquist R. Poststroke depression and functional outcome: A critical review of literature. Heart Lung 2009;38(2):151–162.
15. Hornsten C, Molander L, Gustafson Y. The prevalence of stroke and the association between stroke and depression among a very old population. Arch Gerontol Geriatr 2012;55(3):555–559.
16. Idler EL, Russell LB, Davis D. Survival, functional limitations, and self-rated health in the NHANES I epidemiologic follow-up study, 1992. Am J Epidemiol 2000;152(9):874–883.
17. Jung HY, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, et al. Development of the Korean version of modified Barthel Index (K-MBI): Multi-center study for subjects with stroke. J Korean Acad Rehabil Med 2007;31(3):283–297.
18. Kwok T, Lo RS, Wong E, Wai-Kwong T, Mok V, Kai-Sing W. Quality of life of stroke survivors: A 1-year follow-up study. Arch Phys Med Rehabil 2006;87(9):1177–1182.
19. Lee HS, Kim DK, Ko HJ, Ku HM, Kwon EJ, Kim JH. The standardization of Geriatric Quality of Life Scale. Korean J Clin Psychol 2003;22(4):859–881.
20. National Stroke Association. Pain. National Stroke Association; 2012 Aug;Retrieved May 16, 2014
from http://www.stroke.org/site/PageServer?pagename=pain
21. Rachpukdee S, Howteerakul N, Suwannapong N, Tang-Aroonsin S. Quality of life of stroke survivors: A 3-month follow-up study [Electronic version]. J Stroke Cerebrovasc Dis 2013;22(7):e70–e78.
Retrieved from http://www.sciencedirect .com/science/article/pii/S1052305712001358#
22. Rangel ESS, Belasco AGS, Diccini S. Quality of life of patients with stroke rehabilitation. Acta Paulista de Enfermagem 2013;26(2):205–212.
23. Salbach NM, Mayo NE, Robichaud-Ekstrand S, Hanley JA, Richards CL, Wood-Dauphinee S. Balance self-efficacy and its relevance to physical function and perceived health status after stroke. Arch Phys Med Rehabil 2006;87(3):364–370.
24. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol 1989;42(8):703–709.
25. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clin Gerontol 1986;5(1-2):165–173.
26. Statistics Korea. 2013 Statistics for the aged. 2013 Sep 30;Retrieved August 04, 2014
from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=308688
27. Teoh V, Sims J, Milgrom J. Psychosocial predictors of quality of life in a sample of community-dwelling stroke survivors: A longitudinal study. Top Stroke Rehabil 2009;16(2):157–166.
28. The Korea Institute for Health and Social Affairs. 2008 living profiles and welfare service needs of older persons in Korea' survey (Publication No. 11-1351000-000316-12). Seoul: Author; 2009.
29. The Korea Institute for Health and Social Affairs. 2011 Detailed matters and inspection guide about application standard and method of medical care [Electronic version]. Seoul: The Korea Institute for Health and Social Affairs; 2011.
30. Xu Y, Jiang H, Huang Y, Ding D. Quality of life and mental health of elder stroke patients in a Shanghai urban community. HealthMED 2012;6(11):3731–3735.
Editorial Office
College of Nursing, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760 Republic of Korea
Tel : +82-2-3277-6693   Fax : +82-2-3277-6693   E-mail: editor@jkgn.org
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © by The Korean Gerontological Nursing Society.     Developed in M2PI