Article

OBJECTIVE: To determine factors associated with or predictive of poor
health-related quality of life (HRQL) in people with aphasia poststroke. Better
understanding of these factors can allow better targeting of rehabilitation
programs. DATA SOURCES: Electronic databases, covering medical (eg, Medline,
Excerpta Medica Database, Evidence-Based Medicine Reviews, Cumulative Index to
Nursing and Allied Health Literature, Ovid, Allied and Complementary Medicine
Database) and social sciences (eg, PsycINFO) were searched and key experts were
approached. STUDY SELECTION: Studies including specific information on the HRQL
of people with aphasia poststroke using validated HRQL measures or established
ways of analyzing qualitative data were included. Two reviewers independently
screened studies against the eligibility criteria. DATA EXTRACTION: This was
undertaken independently by 2 reviewers. Discrepancies were resolved by
consensus. Quantitative studies were assessed for quality with Counsell and
Dennis' critical appraisal tool for systematic review of prognostic models in
acute stroke; qualitative studies with the Critical Appraisal Skills Program tool
for qualitative research. DATA SYNTHESIS: Fourteen research reports met the
eligibility criteria. Because of their high heterogeneity, the data synthesis was
narrative. The evidence is not strong enough to determine the main predictors of
HRQL in people with aphasia. Still, emotional distress/depression, severity of
aphasia and communication disability, other medical problems, activity
limitations, and aspects of social network and support were important factors.
CONCLUSIONS: Emotional distress, aphasia severity, communication and activity
limitations, other medical problems, and social factors affect HRQL. Stroke HRQL
studies need to include people with aphasia and report separately on them, in
order to determine the main predictors of their HRQL and to identify what
interventions can best address them.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS