Anosognosia, neglect and quality of life of right hemisphere stroke survivors
Article first published online: 15 MAR 2014
© 2014 The Author(s) European Journal of Neurology © 2014 EFNS
European Journal of Neurology
Volume 21, Issue 5, pages 797–801, May 2014
How to Cite
Dai, C.-Y., Liu, W.-M., Chen, S.-W., Yang, C.-A., Tung, Y.-C., Chou, L.-W. and Lin, L.-C. (2014), Anosognosia, neglect and quality of life of right hemisphere stroke survivors. European Journal of Neurology, 21: 797–801. doi: 10.1111/ene.12413
- Issue published online: 9 APR 2014
- Article first published online: 15 MAR 2014
- Manuscript Accepted: 10 FEB 2014
- Manuscript Received: 10 SEP 2013
- quality of life;
Background and purpose
Anosognosia and neglect may coexist in stroke patients. Neglect patients often report poor quality of life (QOL), whereas patients suffering from other cognition disorders with poor insight report better QOL. This study investigates the relationship between anosognosia, neglect and QOL amongst stroke survivors.
Stroke survivors who met the criteria were used as a sampling pool. Sixty stroke patients were observed in this study, amongst whom 20 patients with anosognosia and neglect (A+N+), 20 patients with neglect but not anosognosia (A−N+) and 20 patients with neither anosognosia nor neglect (A−N−) were selected from the sampling pool based on demographic characteristics matched with the A+N+ group. A questionnaire (SS-QOL) was used to collect the QOL perceived by the stroke survivors.
The perceived QOL of the A+N+ group was significantly better than those of the other groups, including the subscales of self-care, mobility, work/productivity, upper extremity, mood, family role and social role. However, the A+N+ group had poor balance level and more fall incidents were reported.
The A+N+ group perceived better QOL but had more falls and poorer balance than the other groups. Health providers should work with caregivers aggressively in preventing accidents.