Objective

The influence of disability-perception on health-related quality of life (HRQoL) remains unclear. This study investigated impact of disability and disability-perception on HRQoL of stroke survivors and explores the moderating effect of disability-severity.

Methods

Post-stroke disability, disability-perception/acceptance and HRQoL were assessed in 102 stroke survivors using the World Health Organisation Disability Assessment Schedule, Attitudes towards Disabled Persons Form-A and Short Form-36, respectively.

Results

There was significant disability score of at least 42 in the participants with severe disability accounting for 76.5% while 52% of them having positive disability-perception. Although no sex difference exists in their HRQoL, their score was just fair (46.1 ± 1.9) with their physical health being most affected. Severe disability impacted negatively on their HRQoL but disability-perception had no significant effect except in ‘role limitation due to the emotional problem’ domain. Only severe disability moderated the effects of disability on the overall HRQoL (R ² change = 3.2%; p = 0.018). Disability-severity (mild/moderate and severe disability) moderated the effects of disability level on their physical health (R ² change = 3.1% and 6%; p = 0.012 and 0.0001, respectively).

Conclusion

Significant disability exists among stroke survivors and impaired their HRQoL while disability-severity moderating the effect. More stroke survivors have positive attitude towards their disability and impact positively on their physical health.

中文翻译：

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中风后残疾和残疾知觉对中风幸存者健康相关生活质量的影响：残疾严重程度的调节作用。

目的

残疾知觉对健康相关生活质量（HRQoL）的影响尚不清楚。本研究调查了残疾和残疾知觉对中风幸存者HRQoL的影响，并探讨了残疾严重程度的调节作用。

方法

使用世界卫生组织的残疾评估表，对残疾人的态度表A和表36分别对102名中风幸存者进行了卒中后残疾，残疾知觉/接受和HRQoL评估。

结果

严重残疾参与者中至少有42的显着残疾评分，占76.5％，而对残疾有积极认识的参与者中有52％。尽管他们的HRQoL中没有性别差异，但他们的得分是合理的（46.1±1.9），其身体健康受到的影响最大。严重的残疾对其HRQoL产生负面影响，但对残疾的感知没有显着影响，除了在“由于情感问题导致的角色限制”方面。只有严重的残疾才能缓解残疾对总体HRQoL的影响（R ²改变= 3.2％；p = 0.018）。残疾严重程度（轻度/中度和严重残疾）减轻了残疾水平对其身体健康的影响（R ²变化= 3.1％和6％；p分别为0.012和0.0001）。

结论

中风幸存者中存在严重的残疾，并损害了他们的HRQoL，而残疾严重程度则降低了这种影响。更多的中风幸存者对他们的残疾持积极态度，并对他们的身体健康产生积极影响。