The effect of functional dependence of stroke patients on depression and quality of life

This study was planned having descriptive quality to evaluate the effect of the functional dependence situation of the patients who had a stroke on depression and quality of life. It was implemented at Tekirdağ Namık Kemal University, Health Practice and Search Centre, Physiotherapy and Rehabilitation Service, Outpatient Clinic between April 2018 and May 2019. The sample of the study consisted of 125 patients aged 18 years and over with a diagnosis of stroke and voluntarily accepted to participate in the study. The data was obtained by the researcher through face to face interview method by using 'Patient Data Collection Form', 'Beck Depression Inventory', 'Functional Independence Scale', 'Barthel Index' and 'Stroke Effect Scale 3.0' forms. On the evaluation of the data, average standard deviation, frequency, percentage, Pearson correlation test, independent groups t test, track one-way analiysis of variance (ANOVA) were used. Results were evaluated in 95% confidence interval and p<0,05 significance level. Age average of the patients is 57.14±14.05 and 61.6% of the mismale and 56% is primary school graduate. 51.2% of the patients has been suffering from the stroke for 2-5 years, most of them (74.4%) have ischemic stroke. Total average point of "Functional Independence Scale" of the patients is 77.04±19.44 , 80.8% is semi dependent, Barthel Index total average point is 46.36±23.4, 59.2% is dependent on highest degree. Total average point of Beck Depression Inventory is 21.2±10, 55.2% of them have depressive symptoms, total average point of Stroke Effect Scale 3.0 is 169.21±27.28 and it was detected that their quality of life was affected negatively. As a result of the research; it was determined that as the functional independence level of the patients increases, their quality of life increases as well (p<0,001). It was indicated that the increase in the state of functional dependence causes the increase on the levels of depressive symptoms (p<0,001). It has been determined that there is statistically a negative correlation on the highest degree between the state of depressive symptoms of the patients and quality of their life (p <0.001). It has been designated that the state of functional dependence of stroke patients affects quality of life and depressive symptoms.