Effects of Overactive Bladder Symptoms in Stroke Patients' Health Related Quality of Life and Their Performance Scale.
10.5535/arm.2017.41.6.935
- Author:
Hannah PYO
1
;
Bo Ra KIM
;
Mina PARK
;
Jeong Hee HONG
;
Eun Joo KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, National Rehabilitation Center, Seoul, Korea. silverzookim@gmail.com
- Publication Type:Original Article
- Keywords:
Stroke;
Rehabilitation;
Overactive bladder;
Quality of life
- MeSH:
Health Surveys;
Humans;
Mental Health;
Quality of Life*;
Rehabilitation;
Stroke*;
Urinary Bladder, Overactive*;
Walking;
Weights and Measures
- From:Annals of Rehabilitation Medicine
2017;41(6):935-943
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To identify the effects of overactive bladder (OAB) symptoms on the health-related quality of life (HRQOL) in stroke patients since OAB symptoms are common in such patients, but their effects on stroke rehabilitation over time are unclear. METHODS: This study included 30 post-acute stroke patients who had been admitted for rehabilitation treatments. All participants completed a questionnaire evaluating urinary symptoms, including the Overactive Bladder Symptom Score (OABSS) and general HRQOL with a Short-Form 36 (SF-36) health survey. We assessed their performance in terms of the Function Ambulation Category, Modified Rankin Scale (MRS), Modified Barthel Index, and Mini-Mental State Examination (MMSE). All assessments were carried out twice at baseline and at 3 months. We divided patients into an OAB and non-OAB group with OABSS. A correlation analysis and multivariate regression were then performed. RESULTS: All performance scales showed an improvement over 3 months in the non-OAB group (n=18; p < 0.02), but, MRS and MMSE scores did not improve significantly in the OAB group (n=12) (p=0.15 and p=0.20, respectively). In the OAB group, the vitality and mental health scores significantly decreased over 3 months (p=0.011 and p=0,041, respectively), and the mental component summary (MCS) score showed a marginal decrease over 3 months (p=0.05). A multivariate regression analysis revealed that OAB symptoms were negatively correlated with the 3 months MCS score (B=−8.15, p=0.034). CONCLUSION: These results indicated that OAB symptoms could have negative effects on HRQOL and performance in patients suffering from a stroke.
