J Med Assoc Thai 2020; 103 (6):35-41

Views: 1,071 | Downloads: 43 | Responses: 0

PDF XML Respond to this article Print Alert & updates Request permissions Email to a friend


Can Stroke Fast Track Improve Quality of Life of Patients with Acute Ischemic Stroke?
Tiamkao S Mail, Pearkao C , Yubolchit N

Objective: To investigate the relationship between the attaining of the stroke fast track system and the quality of life (QOL) of the patients with acute ischemic stroke (AIS).

Materials and Methods: This descriptive-cross-sectional study was conducted with a group of 190 participants, who had been
diagnosed with AIS. The QOL was evaluated by Thai version of the stroke specific quality of life (SSQOL). The QOL was classified into three levels: “good”, “moderate”, and “low”.

Results: Most of AIS patients had a QOL at a “good” level. The demographic data indicated that most of the AIS were males with a mean age of 62 years old. The AIS, who reported to have had attended regular follow-up appointments between the range of 6 months to 2 years, were found to have a “good” QOL (68.95%), while the 30.53% was observed to be at the “moderate” level. It was shown that the factors affecting the QOL of the AIS patients had been the stroke fast track system and receiving thrombolytic treatment. These two factors were found to be associated with the QOL at a significance of p<0.001. Additional factors included the following: marital
status, levels of education, occupation, follow-up appointments, and the attainable times for home health care, and these were found to be significant at p<0.05.

Conclusion: The AIS patients were able to attain a “good” QOL under the circumstances when the stroke fast track system and
clinical practice guidelines (CPG) were deployed.

Keywords: Quality of life, Stroke fast track system, Acute ischemic stroke


Download: PDF