| The number of people who survive stroke and live with its consequences is increasing greatly recent years .The high deformity rate of stroke influences patients health and quality of life (QOL). For the rehabilitation of stroke patients, we should not only pay attention to improve their physical function but also focus on evaluating and intervention of their psychological and social function. Traditionally, epidemiological stroke studies focused on morbidity, mortality and risk factors of stroke, but very few studies in China use the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and Self-Rating Depression Scale (SDS) together for stroke patients' QOL. Objective: To assess the QOL in stroke patientsx identify variables that could predict quality of life after stroke and also to provide reasonable methods for improving their QOL .Method: We investigated 199 patients consecutively admitted to the Neurology x Neurosurgery, Geriatrics Department and Observation Room of Emergency Department of 11 hospitals in Xi'an Xingping and Huxian, Shaanxi Province, China. The period of time was from March to April, June to October in 2003 (The study was interrupted in May because of Severe Acute Respiratory Syndrome) .The across- sectional, case-control study and multicentric design was used. Patients completeda questionnaire that included socioeconomic variables SF -36 SDS for Depression. The descriptive non- parametric statistics u test t test x2 test and stepwise multiple regression analysis were adopted. Results: QOL in stroke patients was much worse than normal persons, especially in subscales Physical Function and Mental Heath. Mean scores in the 8 SF-36 subscales, Bodily Pain was the highest and Role Physical was the lowest. Scores in women were significantly lower than in man(P<0.05). QOL was related to undertaken life incidence before stroke onset , hypertension . heart disease, hemorrhagic stroke hemiplegia depression positive attitudes to future negatively. QOL was not related to religion belief family stroke history or medical fee significantly. The most important risk factors of each subscales and total score were as follows: Physical Functioning was correlated with hemorrhagic stroke and hypertention negatively;Role Physical was with undertaken life incidence before stroke onset presence of depression negatively;Bodily Pain was with heart disease and depression negatively;General Health was correlated with heart desease and hemiplegia negatively, but with family concern positively;Vitality was with depression hemorrhagic stroke and hemiplegia negatively;Social Functioning was with hypertention family income hemiplegia negatively;Role Emotional was with depression negatively;Mental Health was with depression undertaken life incidence before stroke onset negatively.Total score of QOL was correlated with with depression hemiplegia aged and female. The odds ratios of getting lower score were as follows: for patients undertaken life incidence before stroke onset was 3.333 times as high as those without life incidence, with hypertension was 4.419 times as high as without hypertension, with hemiplegia was 5.188 times as high as without hemiplegia, with depression was 12.107 times as high as without depression, with negative attitudes to future was 2.105 times as high as positive ones.Conclusion: The QOL of stroke patients was not only related to sex or age, but also to their family members, risk factors of stroke hemiplegia and mental status. So we should give intervention earlier to risk factors of QOL, especially pay more attention to mental health, encourage patients' relatives providing more family support. Cohort study is needed.
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