Satisfaction with care as a quality-of-life predictor for stroke patients and their caregivers

Abstract

Purpose We sought to identify indicators associated with the quality of life (QoL) of stroke patients and caregivers. Methods The cross-sectional study was conducted at nine Dutch stroke service facilities involving 251 stroke patients and their caregivers. We used the EuroQol (EQ-5D) and Satisfaction with Stroke Care questionnaires, and included the variables (1) disability at hospital admission, (2) length of hospital stay, (3) demographic data, and (4) caregivers’ relationship with stroke patients. The Actor–Partner (patient–caregiver) Interdependence Model (APIM) was used to examine dependence between patients’ and care- givers’ QoL scores through dyad membership. Results Patients’ age was significantly related to their QoL, and caregivers’ age and educational level were significantly related to their QoL. Patients’ disability on hospital admission and length of stay were associated with patients’ QoL, and their disability on admission was related to caregivers’ QoL. No relationship was found between length of stay and caregivers’ QoL. Satisfaction with care was associated with both patients’ and caregivers’ QoL. Conclusions The APIM distinguished the different roles of patients and caregivers while acknowledging the inter- dependence of their QoL scores. Satisfaction with care was identified as important indicator of stroke patients’ and caregivers’ QoL.