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Anosognosia, neglect and quality of life of right hemisphere stroke survivors
Author(s) -
Dai C.Y.,
Liu W.M.,
Chen S.W.,
Yang C.A.,
Tung Y.C.,
Chou L.W.,
Lin L.C.
Publication year - 2014
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/ene.12413
Subject(s) - anosognosia , neglect , medicine , quality of life (healthcare) , stroke (engine) , balance (ability) , mood , psychiatry , rivermead post concussion symptoms questionnaire , clinical psychology , cognition , physical therapy , mechanical engineering , nursing , engineering
Background and purpose Anosognosia and neglect may coexist in stroke patients. Neglect patients often report poor quality of life ( QOL ), whereas patients suffering from other cognition disorders with poor insight report better QOL . This study investigates the relationship between anosognosia, neglect and QOL amongst stroke survivors. Methods Stroke survivors who met the criteria were used as a sampling pool. Sixty stroke patients were observed in this study, amongst whom 20 patients with anosognosia and neglect (A+N+), 20 patients with neglect but not anosognosia (A−N+) and 20 patients with neither anosognosia nor neglect (A−N−) were selected from the sampling pool based on demographic characteristics matched with the A+N+ group. A questionnaire ( SS ‐ QOL ) was used to collect the QOL perceived by the stroke survivors. Results The perceived QOL of the A+N+ group was significantly better than those of the other groups, including the subscales of self‐care, mobility, work/productivity, upper extremity, mood, family role and social role. However, the A+N+ group had poor balance level and more fall incidents were reported. Conclusion The A+N+ group perceived better QOL but had more falls and poorer balance than the other groups. Health providers should work with caregivers aggressively in preventing accidents.