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Conference Paper: Oral health related quality of life after stroke

TitleOral health related quality of life after stroke
Authors
Issue Date2004
PublisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0962-9343
Citation
The 11th Annual Conference of the International Society for Quality of Life Research (ISOQOL), Hong Kong,16-19 October 2004. In Quality of Life Research, 2004, v. 13 n. 9, p. 1536 Abstract no.1117 How to Cite?
AbstractAims: Stroke can have a significant impact on physical, psychological and social functions. Oral impairment can also be disabling as chew- ing, swallowing and speech problems are common stroke-related se- quelae. The aim was to measure oral health-related quality of life (OHR-QoL) of stroke survivors on hospital discharge into the com- munity. Methods: 43 elderly stroke survivors of mild to moderate stroke in the non-dominant hemisphere and an age/gender matched comparison group of 43 community-dwelling elderly people were re- cruited. The SF-36 measure, the General Oral Health Assessment Index (GOHAI) and an oral health transition scale were administered as a structured interview prior to a dental examination. Data were analysed using Chi-squared and independent t-tests. Results: Median SF-36 subscale scores were significantly different between groups (p < 0.05). In physical function, role-physical, role-emotional and mental health domains, stroke survivors had significantly lower scores indicating poorer health. The median GOHAI score for the stroke group was 52 and 54 for the comparison group with no significant difference between groups although more stroke survivors had diffi- culty speaking compared with the comparison group. About 75% of stroke survivors considered their appearance to be worse, half of them felt that speech was worse and about a third had difficulty chewing hard food compared with the pre-stroke condition (p < 0.05). Partici- pants were partially dentate with no significant difference in dental or prosthetic status between groups (p > 0.05). Conclusions: Health-re- lated quality of life was significantly poorer after stroke even although patients were considered physically well enough to be discharged from hospital. There was some impairment of OHR-QoL. The nature of the stroke, the hospital environment including diet and coping strategies should be taken into account when interpreting measures of health status in stroke survivors. (CRCG-HKU).
Persistent Identifierhttp://hdl.handle.net/10722/94321
ISSN
2015 Impact Factor: 2.429
2015 SCImago Journal Rankings: 1.158

 

DC FieldValueLanguage
dc.contributor.authorMcMillan, ASen_HK
dc.contributor.authorLeung, KCMen_HK
dc.contributor.authorPow, EHNen_HK
dc.contributor.authorWong, MCMen_HK
dc.contributor.authorLi, LSW-
dc.date.accessioned2010-09-25T15:27:56Z-
dc.date.available2010-09-25T15:27:56Z-
dc.date.issued2004en_HK
dc.identifier.citationThe 11th Annual Conference of the International Society for Quality of Life Research (ISOQOL), Hong Kong,16-19 October 2004. In Quality of Life Research, 2004, v. 13 n. 9, p. 1536 Abstract no.1117en_HK
dc.identifier.issn0962-9343en_HK
dc.identifier.urihttp://hdl.handle.net/10722/94321-
dc.description.abstractAims: Stroke can have a significant impact on physical, psychological and social functions. Oral impairment can also be disabling as chew- ing, swallowing and speech problems are common stroke-related se- quelae. The aim was to measure oral health-related quality of life (OHR-QoL) of stroke survivors on hospital discharge into the com- munity. Methods: 43 elderly stroke survivors of mild to moderate stroke in the non-dominant hemisphere and an age/gender matched comparison group of 43 community-dwelling elderly people were re- cruited. The SF-36 measure, the General Oral Health Assessment Index (GOHAI) and an oral health transition scale were administered as a structured interview prior to a dental examination. Data were analysed using Chi-squared and independent t-tests. Results: Median SF-36 subscale scores were significantly different between groups (p < 0.05). In physical function, role-physical, role-emotional and mental health domains, stroke survivors had significantly lower scores indicating poorer health. The median GOHAI score for the stroke group was 52 and 54 for the comparison group with no significant difference between groups although more stroke survivors had diffi- culty speaking compared with the comparison group. About 75% of stroke survivors considered their appearance to be worse, half of them felt that speech was worse and about a third had difficulty chewing hard food compared with the pre-stroke condition (p < 0.05). Partici- pants were partially dentate with no significant difference in dental or prosthetic status between groups (p > 0.05). Conclusions: Health-re- lated quality of life was significantly poorer after stroke even although patients were considered physically well enough to be discharged from hospital. There was some impairment of OHR-QoL. The nature of the stroke, the hospital environment including diet and coping strategies should be taken into account when interpreting measures of health status in stroke survivors. (CRCG-HKU).-
dc.languageengen_HK
dc.publisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0962-9343en_HK
dc.relation.ispartofQuality of Life Researchen_HK
dc.titleOral health related quality of life after strokeen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0962-9343&volume=13&issue=9&spage=1536&epage=&date=2004&atitle=Oral+health+related+quality+of+life+after+stroke.en_HK
dc.identifier.emailMcMillan, AS: annemcmillan@hku.hken_HK
dc.identifier.emailLeung, KCM: kcmleung@hkucc.hku.hken_HK
dc.identifier.emailPow, EHN: ehnpow@HKUCC.hku.hken_HK
dc.identifier.emailWong, MCM: mcmwong@hkucc.hku.hken_HK
dc.identifier.authorityMcMillan, AS=rp00014en_HK
dc.identifier.authorityLeung, KCM=rp00032en_HK
dc.identifier.authorityPow, EHN=rp00030en_HK
dc.identifier.authorityWong, MCM=rp00024en_HK
dc.identifier.hkuros102049en_HK
dc.identifier.volume13en_HK
dc.identifier.issue9en_HK
dc.identifier.spage1536en_HK

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