Evaluation of Life Quality in Post Stroke Patients
Condition: Stroke; Quality of Life
MeSH terms: Stroke
Study type: Interventional

Summary: 
      Despite numerous advances in diagnosing procedures, treatment and prevention, stroke is
      considered a significant cause of long-term disability in the adult population Quality of
      life, which is deteriorated in patients after stroke (CVA), especially in the first years
      after stroke, is not only affected by the disease but is closely related to dignity and the
      satisfaction of human needs, including educational needs.

      The term "Health-Related Quality of Life" (HRQoL) is used in the scientific literature as a
      criterion of change for medical purposes. It is an indicator of health service needs and a
      way to evaluate health status in a very efficient way. Psychoeducation can be applied in
      medical and nursing practice, as an intervention that can improve and/or maintain the quality
      of life, especially if it is provided to patients without a significant cognitive deficit.
      Psychoeducational programmes can be defined as didactic-therapeutic interventions that serve
      to provide information about the disease, emotional and social support and, last but not
      least, facilitate adaptation to new life situations.
    

Detailed description: 
      Detailed description:

      The influence of selected aspects on HRQoL will be statistically assessed in the initial
      phase of the research. At a later stage, the monitored file will be randomized, in a
      predefined 1:1 ratio.

      The control group will be provided only with conventional treatment focused on
      neurorehabilitation care according to the workplace's habits, and structured psychoeducation
      will be added to this usual care. The group psychoeducational interview, which reflects the
      issue of CVA, will be conducted face-to-face by a clinical psychologist, a health and social
      worker and a nurse. It will be limited by a 6-week therapy session 1 time per week, lasting
      approximately 45 minutes.

      Patients will be tested with 6 standardized questionnaires in the Czech language version
      initially before the start of treatment and subsequently one month post the completion date
      of their treatment. The EuroQol-5 (EQ-5D-5L) instrument will be used to assess HRQoL. The
      Patient Dignity Inventory (PDI) questionnaire has been chosen to identify problems related to
      problems associated with patient dignity. The Mini-Mental State Examination (MMSE) cognitive
      test will be used to indicatively detect dementia and the Beck Depression Inventory Second
      Edition (BDI-II) will be used to diagnose the severity of depressive symptoms. The Visual
      Analogue Scale (VAS) will be used to objectify the perception of pain and the Barthel Index
      (BI) for scoring ADL. At the same time, selected relevant clinical and anamnestic data will
      be extracted from the medical records.
    

Intervention name(s): psychotherapy
Intervention type(s): Behavioral
Intervention description(s): Psychotherapy and psychoeducation in patients after stroke.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: stroke; life quality; evaluation