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Article: A comparison of the long-term health-related quality of life of handicap of stroke patients in Mainland China and Hong Kong
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TitleA comparison of the long-term health-related quality of life of handicap of stroke patients in Mainland China and Hong Kong
 
AuthorsKwok, T
Jin, X
Yeung, F
Cheng, J
Lo, R
Lam, CLK
Yuan, HJ
Woo, J
 
KeywordsStroke outcome
Stroke rehabilitation
Quality of life
 
Issue Date2010
 
PublisherLibertas Academica Ltd. The Journal's web site is located at http://www.la-press.com/health-services-insights-journal-j117
 
CitationHealth Services Insights, 2010, v. 3, p. 13-20 [How to Cite?]
DOI: http://dx.doi.org/10.4137/HSI.S0
 
AbstractPurpose: To compare health related quality of life (HRQOL) and handicap of stroke survivors in Hong Kong (HK) and Chengdu (CD) in Mainland China. Method: Fifty-four pairs of first ever stroke patients in CD and in HK matched by age, sex and Modified Barthel Index (MBI) were interviewed using a structured questionnaire at 16–36 months after stroke. HRQOL and handicap outcomes were evaluated by the Chinese version of the Short-Form Health Survey (SF-36) and London Handicap Scale (LHS) respectively. Results: Compared to stroke patients in CD, HK subjects reported significantly greater handicap, especially in the occupation domain. HK subjects also had significantly lower HRQOL Z scores in domains of role limitations due to emotional or physical problems, and bodily pain. CD subjects had more social support, but had more difficulties in meeting medical costs, and were less likely to have regular medical follow-up and dysphagia symptom. After adjusting for social and health related factors, the site differences in handicap and the role limitation (physical) domain of SF36 became insignificant. Conclusions: CD stroke survivors had better scores in HRQOL and fewer handicaps than their counterparts in HK, because of social and health related factors.
 
DescriptionOpen Access Journal
 
ISSN1178-6329
 
DOIhttp://dx.doi.org/10.4137/HSI.S0
 
DC FieldValue
dc.contributor.authorKwok, T
 
dc.contributor.authorJin, X
 
dc.contributor.authorYeung, F
 
dc.contributor.authorCheng, J
 
dc.contributor.authorLo, R
 
dc.contributor.authorLam, CLK
 
dc.contributor.authorYuan, HJ
 
dc.contributor.authorWoo, J
 
dc.date.accessioned2010-10-31T10:22:38Z
 
dc.date.available2010-10-31T10:22:38Z
 
dc.date.issued2010
 
dc.description.abstractPurpose: To compare health related quality of life (HRQOL) and handicap of stroke survivors in Hong Kong (HK) and Chengdu (CD) in Mainland China. Method: Fifty-four pairs of first ever stroke patients in CD and in HK matched by age, sex and Modified Barthel Index (MBI) were interviewed using a structured questionnaire at 16–36 months after stroke. HRQOL and handicap outcomes were evaluated by the Chinese version of the Short-Form Health Survey (SF-36) and London Handicap Scale (LHS) respectively. Results: Compared to stroke patients in CD, HK subjects reported significantly greater handicap, especially in the occupation domain. HK subjects also had significantly lower HRQOL Z scores in domains of role limitations due to emotional or physical problems, and bodily pain. CD subjects had more social support, but had more difficulties in meeting medical costs, and were less likely to have regular medical follow-up and dysphagia symptom. After adjusting for social and health related factors, the site differences in handicap and the role limitation (physical) domain of SF36 became insignificant. Conclusions: CD stroke survivors had better scores in HRQOL and fewer handicaps than their counterparts in HK, because of social and health related factors.
 
dc.description.naturepublished_or_final_version
 
dc.descriptionOpen Access Journal
 
dc.identifier.citationHealth Services Insights, 2010, v. 3, p. 13-20 [How to Cite?]
DOI: http://dx.doi.org/10.4137/HSI.S0
 
dc.identifier.doihttp://dx.doi.org/10.4137/HSI.S0
 
dc.identifier.epage20
 
dc.identifier.hkuros174795
 
dc.identifier.issn1178-6329
 
dc.identifier.openurl
 
dc.identifier.spage13
 
dc.identifier.urihttp://hdl.handle.net/10722/124238
 
dc.identifier.volume3
 
dc.languageeng
 
dc.publisherLibertas Academica Ltd. The Journal's web site is located at http://www.la-press.com/health-services-insights-journal-j117
 
dc.relation.ispartofHealth Services Insights
 
dc.rightsHealth Services Insights. Copyright © Libertas Academica Ltd.
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subjectStroke outcome
 
dc.subjectStroke rehabilitation
 
dc.subjectQuality of life
 
dc.titleA comparison of the long-term health-related quality of life of handicap of stroke patients in Mainland China and Hong Kong
 
dc.typeArticle
 
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<contributor.author>Jin, X</contributor.author>
<contributor.author>Yeung, F</contributor.author>
<contributor.author>Cheng, J</contributor.author>
<contributor.author>Lo, R</contributor.author>
<contributor.author>Lam, CLK</contributor.author>
<contributor.author>Yuan, HJ</contributor.author>
<contributor.author>Woo, J</contributor.author>
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<description.abstract>Purpose: To compare health related quality of life (HRQOL) and handicap of stroke survivors in Hong Kong (HK) and Chengdu (CD) in Mainland China.
Method: Fifty-four pairs of first ever stroke patients in CD and in HK matched by age, sex and Modified Barthel Index (MBI) were interviewed using a structured questionnaire at 16&#8211;36 months after stroke. HRQOL and handicap outcomes were evaluated by the Chinese version of the Short-Form Health Survey (SF-36) and London Handicap Scale (LHS) respectively.
Results: Compared to stroke patients in CD, HK subjects reported significantly greater handicap, especially in the occupation domain. HK subjects also had significantly lower HRQOL Z scores in domains of role limitations due to emotional or physical problems, and bodily pain. CD subjects had more social support, but had more difficulties in meeting medical costs, and were less likely to have regular
medical follow-up and dysphagia symptom. After adjusting for social and health related factors, the site differences in handicap and the role limitation (physical) domain of SF36 became insignificant.
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