Abstract

Bangaru Jaya Madhuri*, Vakacharla S. V. Rama Chandra Gupta, Alluri Divya, Boyinapalli Sandhya, Viparthi Shiny, Masilipi Surya Siddardha, Domathoti Annie Devena

ABSTRACT

Background: Cerebrovascular accident (CVA), commonly known as stroke, is one of the leading causes of long-term disability worldwide. Hemiparesis, a common neurological complication following stroke, significantly affects the physical, psychological, social, and functional well-being of patients. Assessing the Quality of Life (QOL) among patients with CVA-associated hemiparesis is essential for understanding the burden of disease and improving patient-centered care. Objective: To evaluate the Quality of Life (QOL) of patients suffering from cerebrovascular accident (CVA) with hemiparesis and to identify the factors influencing their overall well-being. Methods: A prospective observational study was conducted among patients diagnosed with CVA with hemiparesis attending the neurology department of a tertiary care hospital. Eligible patients were enrolled based on predefined inclusion and exclusion criteria. Data regarding demographic characteristics, clinical history, type of stroke, duration of illness, comorbidities, and treatment details were collected using a structured data collection form. Quality of Life was assessed using a validated questionnaire such as the Stroke Specific Quality of Life (SS-QOL) scale or WHOQOL-BREF. Statistical analysis was performed to evaluate the association between clinical variables and QOL domains. Results: The study observed that patients with CVA and hemiparesis experienced considerable impairment in multiple domains of Quality of Life, particularly in mobility, self-care, social participation, emotional stability, and physical functioning. Elderly patients, those with severe hemiparesis, prolonged duration of illness, and presence of comorbid conditions showed comparatively lower QOL scores. Rehabilitation therapy, family support, and adherence to treatment were found to positively influence patient outcomes and overall QOL. Conclusion: CVA with hemiparesis has a substantial negative impact on the Quality of Life of affected patients. Early rehabilitation, multidisciplinary healthcare interventions, patient counseling, and continuous follow-up can improve functional recovery and enhance overall Quality of Life. Regular assessment of QOL should be incorporated into routine stroke management to optimize patient care and rehabilitation outcomes.