The Effect of Lower Urinary Tract Dysfunction on Quality of Life and Caregiver Burden in Stroke Patients


AGİR H., OKUMUŞ M., KESKİN D.

Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.26, no.2, pp.191-199, 2023 (Peer-Reviewed Journal) identifier

Abstract

ABSTRACT Objective: Lower urinary tract dysfunction (LUTD) is an important burden factor for patients and their caregivers. In this study, we aimed to investigate the impact of LUTD on caregiver burden and quality of life of stroke patients. Material and Methods: The study included 75 stroke patients and their caregivers followed in the physical medicine and rehabilitation clinic. Zarit Caregiver Burden Scale (ZCBS) was used to evaluate the caregiver burden, and the Incontinence Quality of Life (I-QOL) Scale was used to evaluate the effect of urinary symptoms on patients' quality of life. Urinary symptoms of the patients were evaluated with Danish Prostatic Symptom Score (DAN-PSS-1), functional status and activities of daily living were evaluated with Functional Independence Measure (FIM) and Barthel Index (BI). The patient's mood status was questioned with Hospital Anxiety and Depression Scale (HADS). Results: A total of 75 stroke patients, 38 (50.7%) women, and 37 (49.3%) men, with a mean age of 61.76±10.6 (37-80) years, and 75 caregivers participated in the study. A statistically significant difference was observed regarding FIM, BI, I-QOL and subgroups, DAN-PSS-1 scores between low/moderate and severe/overburden caregivers (p<0.001). The ZCBS scores of the caregivers of the patients whose HADS were higher than normal were significantly higher (p<0.01 and p<0.001, respectively). A statistically significant correlation was observed between the patients' DAN-PSS-1 and I-QOL-total and subgroups, BI, FIM total, and sub-scores (p<0.01). Conclusion: We found that LUTD in stroke patients reduces the patient's quality of life and increases the caregiver burden.