“Bio-psychosocial Aspects of Life After Stroke: Outcome Reported by Patients at a Specialized Hospital in Bangladesh.”

Abstract

Purpose: To explore the bio-psychosocial aspects of life after stroke as reported by patients at a specialized hospital in Bangladesh. Objectives: To explore the socio demographic (age, sex, occupation, marital status and educational qualifications,), types, affected side treatment session information. Aims to find out the outcomes reported by patients of their physiological, social, psychological life, association of physical strength, hand function, mobility, activities of daily living, memory and thinking, communication and emotion, social participation and recovery from stroke on these aspects. Methodology: Study design was cross sectional, 114 samples were selected from outpatient of neurology department of (CRP), Mirpur by structured questionnaire, face-to-face interviews by the data collector and was numerically coded and used SPSS 26.0 version software and analyzed in. Results: Total 114 stroke patients, (73; 64%) were male and (41; 36%) were female, with an average age of 62.86 years; (107; 93.9%), were married. (26; 22.8%) holding postgraduate degrees. Occupationally, (25; 21.9%) were employed, (29; 25.4%) were business owners, and (20; 17.5%) were retired, (40; 35.1%) had hemorrhagic strokes, while (74; 64.9%) had ischemic strokes, and (64; 56.1%) experienced left-sided disabilities. After treatment, 87.72% reported severe limitations in hand function, 19.44% severe memory impairments, 51.39% mild to no strength, and only 7.89% had severe communication impairments. Emotional resilience was 42.11% and 85.09% participated in moderate to high levels of social activity. No significant correlation between treatment sessions and age (p= 0.555), nor between treatment sessions and hand function. Age was not significantly correlated with recovery rate. A significant correlation was found between age and strength. Age and memory, age and emotion, showed no significant correlations. It indicated a significant difference between strength vs memory, emotion vs communication, ADLs vs Mobility, Hand function vs social participation. Conclusion: Stroke survivors face significant physical, cognitive, and emotional challenges, with hand function, mobility, and memory being particularly affected. The strong interconnections between various domains, emphasizing the importance of comprehensive recovery strategies. Key words: Bio-psychosocial aspects, Stroke survivors, Stroke Impact Scale