Life In Post-stroke Patients Research Articles

Health-related quality of life in post-stroke patients attended at tertiary-level hospitals in Bangladesh

Health-related quality of life in post-stroke patients attended at tertiary-level hospitals in Bangladesh

Influence of Mobile Application Based Brain Training Program on Cognitive Function and Quality of Life in Patients Post Stroke

Background: Stroke often leads to cognitive impairment, which can significantly reduce one's independence as well as quality of life. Cognitive rehabilitation is a treatment strategy for restoring cognitive abilities following brain injuries. Cognitive functioning can be improved through the use of multimedia as well as informatics in computerized cognitive rehabilitation (CCR). Purpose: to investigate the influence of a mobile application-based brain training program on cognitive functions as well as quality of life in post stroke patients. Methodology: forty referred medically and radiologically diagnosed stroke patients from both genders experienced post stroke cognitive impairment (PSCI), aged from 45 to 60 years old, were randomized into two groups of the same number: a study group and a control group. The Study group received mobile application-based brain training program (Lumosity training application) as well as aerobic training on a bicycle ergometer, and the control group received only the aerobic training on a bicycle ergometer for 18 sessions every other day for 6 weeks, 3 sessions/week, each session for 60 minutes. All patients were evaluated with Computer-based cognitive device RehaCom, Addenbrooke’s Cognitive Examination Revised (ACE-R) test, Montreal Cognitive Assessment (MoCA) in addition to Stroke specific quality of life scale (SS-QoL) pre and post treatment. Results: a significant difference has been detected among the two groups as the (p-value = 0.001) indicating that the study group reported enhancement in the cognitive functions as well as the quality of life more than the control group and there was a correlation between RehaCom, MoCA, ACE-R and SS-QoL. Conclusion: This study showed that six weeks of mobile application-based brain training program (Lumosity training application) as well as aerobic training on a bicycle ergometer was a beneficial approach and is a successful treatment for patients suffering from (PSCI).

Predicting the relationship between anxiety and health-related quality of life in post-stroke patients: The role of sleep duration

ObjectivesSleep and psychological disorders are common complaints in stroke survivors. The effectiveness of sleep duration in post-stroke on mental well-being and health outcomes has been reported recently. This study aimed to investigate the mediating effect of sleep duration on the relationship between anxiety and health-related quality of life in Chinese post-stroke; Materials and MethodsWe conducted a quantitative, cross-sectional study with participants recruited through a multistage, stratified, probability proportional to size sampling method. Anxiety, health-related quality of life, and sleep duration were measured by Zung Self‐rating Anxiety Scale, World Health Organization Quality of Life Questionnaire, and a self-administered, structured questionnaire. A multiple linear regression analysis was conducted to identify the association between anxiety, sleep duration, and quality of life. The direct and indirect effects of sleep duration on health-related quality of life was assessed using the bootstrap method via Model 4 (parallel mediation) of SPSS PROCESS macro; ResultsA total of 856 post-stroke patients participated in the study, and incidence of anxiety symptom amongst post-stroke was 33.53%. Sleep duration mainly plays partial mediating roles in the relationship between mild-to-moderate anxiety and quality of life in physical, psychological, and environment domains, with sleep duration of 7-8h playing a major role; ConclusionsA significant relationship among anxiety, sleep duration, and quality of life in post-stroke was found in this study. The sleep duration partially mediated the association between anxiety and quality of life. Suitable prevention methods and early interventions for sleep duration may improve the quality of life for post-stroke anxiety.

Reliability and validity of Stroke specific quality of life Urdu version - A preliminary approach

Aim: To measure reliability, validity, and psychometric properties of Urdu version of Stroke-Specific Quality of Life scale. Methodology: A longitudinal cross-sectional observational survey was conducted from March 2019 to February 2020. The sample size was calculated by using Rao soft and non-probability convenient sampling technique was used to raise the sample. For translation purpose, the original English version of SSQOL was translated into Urdu by National Language Promotion Department, Govt. of Pakistan.96 stroke survivors filled the final SSQOL Urdu version twice within seven-day period. Data was analyzed by using Spearman and Pearson correlation, Cronbach’s alpha, Intra-class Correlation Coefficient (ICC) at their threshold values, independent t-test, and One-way ANOVA at p < 0.05. Results: The SSQOL-U exhibited acceptable to excellent internal consistency with Cronbach’s alpha= 0.943 with ICC= 0.84-0.93. In comparison ceilings effects were higher than floor effects. Results also established high test-retest reliability in all domains had Spearman’s rho scores >0.8 except for Energy, family, and Mood. An acceptable item to scale correlation convergent validity with rp values ranged between 0.81–0.97. Practical Implication: The SSQOL-U will be utilized by practitioners and researchers across the country to accurately measure patient reported quality of life in post stroke patients. Conclusion: SS-QOL-U showed adequate psychometric properties. SS-QOL-U was found reliable and valid tool to measure the quality of life in Urdu-speaking patients having subacute and chronic stroke. Key words: Stroke, validity, reliability, Stroke specific quality of life

Doodle Art Therapy to Improve the Quality of Life Vascular Dimensia Prevention

Vascular dementia is a cause of urgent public health problems. Cerebrovascular diseases such as stroke are often the main factor in the incidence of dimensionality. Doodle art as part of the art can be a therapy that provides sensory and cognitive stimulation for sufferers who experience neurological disorders such as brain injuries, strokes, and brain tumors. In this context, therapy is expected to decrease the risk of patients developing vascular dementia, and promote quality of life. This study aimed to evaluate the effectiveness of doodle art therapy on the quality of life in post-stroke patients. This study used quasi-experimental pre and post-test design without control group. The sample of this study was 25 post-stroke community dwelling adult, aged > 25 years, and able to communicate. Respondents participated in doodle art therapy in four session. After the intervention, the quality of life was measured. Univariate statistics were tested to see the respondents’ characteristics and quality of life before and after treatment. The data were normally distributed using the Kolmogorov-Smirnov test. Thus differences in quality of life before and after treatment were analyzed using paired T-Test. After providing the intervention, cognitive function, level of independence and quality of life are tested again and see the difference. We use several tools including a MMSE and WH-QOL brief. Studies show that 87% of respondents are at risk of developing mild dementia, with a moderate quality of life of 60%. 73.5% of respondents were at mild to moderate levels of memory impairment based on MMSE. The quality of life scores was significant difference before and after therapy p value <0.05). Doodle art therapy in nursing interventions is significantly effective for improving the quality of life in the elderly. Doodle art therapy activates the part of the brain that is impaired. The application of doodle art therapy interventions in groups involves group processes in environmental orientation abilities. Doodle art therapy can be a recommendation in efforts to prevent dementia.

Stroke, Post Stroke, Drinking Pills Āngōng Niúhuangwan?

Introduction: Global Burden of Disease shows that globally, the risk of stroke has increased to 1 in 4 people. This underlies the World Stroke Organization to hold a stroke awareness campaign. Stroke is the second leading cause of death and the third leading cause of disability worldwide. According to the World Health Organization, stroke is a condition in which clinical signs develop rapidly in the form of focal and global neurologic deficits, which can be severe and last for 24 hours or more and cause death without any other apparent causes other than vascular. In addition, stroke is also a contributing factor to dementia and depression. Purpose: This study aims to reveal the importance of taking āngōng niúhuángwán pills during and after a stroke. Method: Conducted a literature review by searching through electronic databases Garuda, Pubmed, and Google Scholar and obtained three relevant research articles from 2011-2021 based on inclusion and exclusion criteria. Result: After being given āngōng niúhuángwán pills, it was found that there was an improvement in the quality of life in post-stroke patients. Conclusion: Taking āngōng niúhuángwán pills is effective in improving the quality of life in post-stroke patients.

The impact Of high-intensity interval training On functioning And health-related quality Of life In post-stroke patients: A systematic review With meta-analysis

Objective To examine the effects of high-intensity interval training on the functioning and health-related quality of life of post-stroke patients. Methods We searched the following electronic databases: MEDLINE/Pubmed, Cochrane Central Register of Controlled Trials, PEDro database, and Scielo up to January 2022 for randomized controlled trials that investigated the effects of high-intensity interval training in post-stroke patients. Two reviewers selected the studies independently. Study quality was evaluated using the PEDro scale. The mean difference (MD), standard mean difference (SMD), and 95% confidence intervals (CIs) were calculated. Results Nine studies met the study criteria (375 patients). The age of the participants ranged from 55.8 to 72.1 years. The studies included patients within 2 weeks of stroke onset to patients longer than 1 month of stroke. High-intensity interval training resulted in improvement in cardiorespiratory fitness (peak oxygen uptake) MD (3.8 mL/kg/min, 95% CI: 2.62, 5.01, n = 91), balance MD 5.7 (95% CI: 3.50, 7.91; N = 64), and gait speed SMD (0.2 m/s; 95% CI: 0.05, 0.27; N = 100) compared with continuous aerobic training. The health-related quality of life did not differ between the groups. Compared to usual care, high-intensity interval training improved the cardiorespiratory fitness SMD (0.5 95% CI: 0.14, 0.81, n = 239). No serious adverse events were observed. Conclusions The findings of this systematic review show that high-intensity interval training was more efficient than continuous aerobic training to gain cardiorespiratory fitness, balance and gait speed in post-stroke patients. In addition, compared to usual care, high-intensity interval training improved cardiorespiratory fitness.

Kvalita života pacientov po cievnej mozgovej príhode

SĂşhrn Úvod: Cievna mozgovĂĄ prĂ­hoda je treĹĽou najčastejĹĄou príčinou hospitalizĂĄcie pacientov na Slovensku. Predstavuje vĂĄĹžny sociĂĄlny a ekonomickĂ˝ problĂŠm, pretoĹže u takmer polovice pacientov ostĂĄva po prekonanĂ­ tohto stavu trvalĂ˝ neurologickĂ˝ deficit. Dizajn: KvantitatĂ­vna prierezovĂĄ ĹĄtĂşdia. CieÄž: CieÄžom vĂ˝skumu bolo posĂşdiĹĽ kvalitu Ĺživota u pacientov v akĂştnom ĹĄtĂĄdiu po cievnej mozgovej prĂ­hode. Metodika: DotaznĂ­k Stroke Impact Scale (SIS 3.0, Ĺ kĂĄla vplyvu mŕtvice) vyplnilo 80 pacientov s priemernĂ˝m vekom 69,9 (± 9,49) rokov v obdobĂ­ do 28 dnĂ­ po CMP. VĂ˝sledky boli analyzovanĂŠ Mann-Whitneyho U testom a Spearmanovou korelĂĄciou. VĂ˝sledky: PriemernĂŠ skĂłre sa v jednotlivĂ˝ch domĂŠnach SIS 3.0 pohybovalo od 48,28 (sociĂĄlna participĂĄcia) po 75,18 (komunikĂĄcia) bodov. CelkovĂĄ miera zotavenia bola hodnotenĂĄ priemerne 54,10 (± 29,19) bodmi. PodÄža pohlavia neboli zistenĂŠ signifikantnĂŠ rozdiely v domĂŠnach SIS, iba v domĂŠne pamäte a myslenie dosiahli horĹĄie skĂłre Ĺženy (p ≤ 0,05). VyĹĄĹĄĂ­ vek signifikantne negatĂ­vne koreloval s väčšinou domĂŠn (p ≤ 0,05). Potvrdila sa asociĂĄcia medzi celkovou mierou zotavenia a vĹĄetkĂ˝mi domĂŠnami SIS (p ≤ 0,05), okrem domĂŠny emĂłciĂ­. ZĂĄver: Hodnotenie nĂĄsledkov cievnej mozgovej prĂ­hody je dĂ´leĹžitĂŠ pre efektĂ­vny manaĹžment zdravotnej, psychologickej a sociĂĄlnej starostlivosti reĹĄpektujĂşc individuĂĄlne potreby pacienta.

The Influence of Gayatri Mantra and Emotional Freedom Technique on Quality of Life of Post-Stroke Patients.

PurposeThe quality of life in stroke patients is vital for survival. Nowadays, studies that show a decrease in quality of life in post-stroke patients are increasing. Various non-pharmacological modalities were explored in the past to improve rehabilitation. However, the study about the effects of religious mantra and its combination with the modern technique was lacking. Therefore, this study aimed to analyse the effects of Gayatri Mantra and Emotional Freedom Technique (EFT) on quality of life (QOL) of post-stroke patients.MethodsA quasi-experimental with pretest and posttest with the control group design was conducted. Forty-six post-stroke subjects with reduced quality of life based on Stroke Specific Quality of Life were consecutively recruited and divided into controls and intervention groups. The intervention group received additional treatment with Gayatri Mantra and EFT. In contrast, the control group attends and adheres only to the standard hospital rehabilitation program.ResultsAll indicators and the overall score of QOL in the intervention group showed significant improvement after treatment (p<0.05) compared with no improvement in the control group. Overall, a higher QOL score was observed in the intervention group at the end of the study. Mann–Whitney test shows significant differences between the final QOL score in intervention and control groups (p<0.001).ConclusionGayatri Mantra and EFT are significantly increasing the quality of life of post-stroke patients.

The Effect of Acceptance and Commitment Therapy on the Quality of Life of Post Stroke Patients in Aloei Saboe Hospital

Quality of life is a global concept that emphasizes dimensions of health status including finance, housing, and work. The quality of life of post-stroke sufferers can experience disturbances or obstacles due to physical disabilities, cognition, psychological and social disorders. The purpose of this study was to determine the effect of ACT interventions on changes in the quality of life of post-stroke patients at Aloe Saboe Hospital. The method used in this research is quasi-experimental research method pre-posttest with the control group. The sampling technique used was the purposive sampling technique. The number of samples studied was 60 respondents divided into the experimental group (ACT Therapy and health education) and the control group (health education). The variables used are independent variables namely ACT therapy and the dependent variable is the quality of life of patients after stroke. Based on the results of the analysis, there is an effect of ACT intervention on improving quality of life in post-stroke patients as evidenced by the results of t count = -9.015, then the Significant value is 0,000. This shows that the value of p <0.05 then Ho is rejected, so the research hypothesis is proven that there is an effect of ACT therapy on the quality of life of post-stroke patients at Aloei Saboe Hospital, Gorontalo City.

The effects of sunlight exposure therapy on the improvement of depression and quality of life in post-stroke patients: A RCT study

Previous studies have suggested that nearly 30% of the stroke victims present with signs of depression within the first 5 years of illness. Since post-stroke depression significantly affects the patient both physically and psychologically, the emotional disturbances impede the progress and effectiveness of rehabilitation. To utilize sunlight therapy in post-stroke patients in order to improve the depression and daily activity function. This study was a single-blind design randomized controlled intervention with sunlight exposure design. The population were stroke patients with tendency to depression. Exposed to sunlight for at least 30 min per day, at least 14 days of exposure duration of 4 weeks. A total of 46 patients were 23 patients in the experimental group and the control group. The research tools include: depression status (Taiwanese depression scale, TDS), physical activity function (Barthel Index), and cognitive status (MMSE). The CONSORT guideline was used in this study. After the data was analyzed with the generalized estimating equation (GEE), significant improvement was noted among the experimental ground in 2nd post-test depression score, daily function in the first and second post-test Barthel Index score. There was no significant improvement in cognitive function. This study confirms that sunlight therapy improves the mental health of post-stroke patients with depressed mood. It also enhances daily activity and facilitates the recovery to a health state.

Can inspiratory muscle training benefit patients after stroke? A systematic review and meta-analysis of randomized controlled trials

Objectives: The aim of this study was to investigate the effects of inspiratory muscle training in post-stroke patients and to explore the effective training protocol. Data sources: PubMed/Medline, Web of Science, Scopus, Embase, Cochrane database, China National Knowledge Infrastructure, and China Science Periodical Database were searched through April 2020. Review methods: Trials examining effects of inspiratory muscle training on pulmonary function, cardiopulmonary endurance, pulmonary infection incidence, and quality of life in post-stroke patients were included. Subgroup analysis was performed to compare different training programs. Mean differences and risk ratios with 95% confidence intervals were presented. Risk of bias was assessed with the Cochrane tool. Results: Thirteen randomized controlled trials involving a total of 373 participants were identified. Meta-analysis conducted in 8 out of 13 trials revealed evidence for beneficial effects of inspiratory muscle training on forced vital capacity (MD: 0.47, 95% CI: 0.28–0.66), forced expired volume in 1 second (MD: 0.26, 95% CI: 0.18–0.35), 6-minute walk test (MD: 52.61, 95% CI: 25.22–80.01), maximum inspiratory pressure (MD: 18.18, 95% CI: 5.58–30.78), inspiratory muscle endurance (MD: 19.99, 95% CI: 13.58–26.40), and pulmonary infection incidence (RR: 0.11, 95% CI: 0.03–0.40). Omitting individual trials from the meta-analysis did not significantly change the results. The effective inspiratory muscle training protocol was suggested by subgroup analysis with three repetitions per week and more than 20 minutes per day for three weeks. Conclusion: Inspiratory muscle training can be considered as an effective intervention for improving pulmonary function and cardiopulmonary endurance, and reducing pulmonary infection incidence in patients after stroke.

The fourier M2 robotic machine combined with occupational therapy on post-stroke upper limb function and independence-related quality of life: A randomized clinical trial

ABSTRACT Most post-stroke patients experience upper limb functionality challenges. Emergent therapies using upper limb-based robot machines present opportunities to resolve the limitations inherent in Occupational therapy such as increased therapist-patient exhaustion, monotonous methods, and so forth. The aim of this parallel trial was to compare the effects of the upper limb robotic training with matched Occupational therapy training on upper limb function and independence-related quality of life in post-stroke patients within the Brunnstrom arm motor recovery stages 1 to 4. During one-year (2018–2019), 50 post-stroke patients were enrolled and randomly assigned to 2 groups; robot and Occupational therapy (n = 25) and Occupational therapy (n = 25). Both groups were trained for 50–70 minutes per day, 5 days a week for 6 weeks. The Chinese-adapted Fugl-Meyer Assessment-Upper Extremity (FMA-UE) was the primary outcome measure. The secondary outcome measures were the Brunnstrom Recovery Stages Scale (BRS) and the Chinese-adapted Barthel Index (BI). The treatment effect sizes of both groups were large in the following variables; transfers (1), BI total score (2.2), FMA-UE upper limb (1.1), wrist (1.8), elbow (1), fingers (0.9), and FMA-UE total scores (1.4). The treatment group in comparison to the control group had larger BRS changes, significant improvements in upper limb function, and partial independence in activities of daily living during the baseline to post-treatment period. Robotic-assisted training with occupational therapy may improve the upper limb movement foundation blocks; however, it does not translate into complete functional independence and improved quality of life. This study has been registered at the ISRCTN registry, https://doi.org/10.1186/ISRCTN84804731

The Effect of Acceptance and Commitment Therapy on The Quality of Life of Post Stroke Patients in Aloei Saboe Hospital

Quality of life is a global concept that emphasizes dimensions of health status including finance, housing, and work. The quality of life of post-stroke sufferers can experience disturbances or obstacles due to physical disabilities, cognition, psychological and social disorders. The purpose of this study was to determine the effect of ACT interventions on changes in the quality of life of post-stroke patients at Aloe Saboe Hospital. The method used in this research is quasi-experimental research method pre-posttest with the control group. The sampling technique used was the purposive sampling technique. The number of samples studied was 60 respondents divided into the experimental group (ACT Therapy and health education) and the control group (health education). The variables used are independent variables namely ACT therapy and the dependent variable is the quality of life of patients after stroke. Based on the results of the analysis, there is an effect of ACT intervention on improving quality of life in post-stroke patients as evidenced by the results of t count = -9.015, then the Significant value is 0,000. This shows that the value of p &lt;0.05 then Ho is rejected, so the research hypothesis is proven that there is an effect of ACT therapy on the quality of life of post-stroke patients at Aloei Saboe Hospital, Gorontalo City.

Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java

Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java

Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java

Background : Basic health research shows that the prevalence of non-communicable diseases has in­creased, including cancer, stroke, chronic kidney disease, diabetes mellitus, and hypertension. The impact of these changes can cause one of them to decrease the quality of life of patients. Stroke in individuals can cause several changes including physical, social and psychological changes that will affect the quality of life. This study aimed to analyze the determinants of the quality of life of pa­tients post stroke. Subjects an d Met h od: This study was a cross sectional study conducted at Surakarta City Hos­pital, from September to October 2019. The sample used was 200 patients post stroke. The sam­pling technique used purposive sampling. The dependent variable was the quality of life of patients post stroke. The independent variables were age, gender, employment status, patient income, fa­mi­ly income, attack status, post-stroke comorbidity, duration of illness, marital status, family sup­port, level of functional disorders, and depression status. The data were collected by questionnaire. The data were analyzed by path analysis with the Stata 13 program. Result : The quality of life of post-stroke patients increased directly in patients with married status (b=1.79; 95% CI=0.24 to 3.35; p=0.024), have a job (b=1.93; 95% CI=0.13 to 3.72; p=0.035), good fa­mily support (b=2.17; 95% CI=0.46 to 3.88; p=0.013), and mild functional disorders (b=1.68; 95% CI=0.11 to 3.25; p=0.036). Quality of life decreased directly in patients aged ≥60 years old (b=-1.99; 95% CI=-3.80 to -0.17; p=0.032), female gender (b=-1.74; 95% CI=-3.28 to -0.19; p= 0.027), stro­­kes more than 1 time (b=-1.87; 95% CI=-3.59 to -0.15; p=0.033), sick ≥6 months (b=-2.12 ; 95% CI=-3.87 to -0.36; p=0.018), have comorbidities (b=-1.96; 95% CI=-3.67 to -0.24; p= 0.025), and de­pression (b=-1.40; 95% CI=-2.97 to 0.16; p=0.078). Quality of life was indirectly affected by age, ill­ness, marital status, family support, family income, and employment status. Conclusions: The quality of life of post-stroke patients increased directly affected by marital sta­tus, employment status, family support, and functional disorders. Quality of life was directly affec­ted by age, gender, attack status, duration of illness, comorbidity and depression. Keywords : stroke, quality of life, path analysis. Cor r espondence: Maki Zamzam. Master Program of Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: makizz477@gmail.com. Mobile: +6281251543935. Journal of Epidemiology and Public Health (2020), 5(1): 1-14 https://doi.org/10.26911/jepublichealth.2020.05.01.01.

Quality of life in post stroke patients with early rehabilitation intervention: A cross sectional study

Quality of life in post stroke patients with early rehabilitation intervention: A cross sectional study

The Sunlight Exposure Therapy on the Improvement of Depression and Quality of Life in Post-stroke Patients

The Sunlight Exposure Therapy on the Improvement of Depression and Quality of Life in Post-stroke Patients

The Needs and Barriers of Medication-Taking Self-Efficacy Among Poststroke Patients: Qualitative Study.

BackgroundStroke is one of the top 10 leading diseases worldwide, with high mortality and morbidity rates. There is an incomplete understanding of the various types of self-efficacy involved in the prevention of recurrent stroke, and one of them is medication-taking self-efficacy.ObjectiveThis study aimed to explore the fundamental needs and barriers of medication-taking self-efficacy in poststroke patients in Malaysia.MethodsWe performed in-depth individual interviews with poststroke patients (N=10) from the Outpatient Neurology Clinic, Hospital Kuala Lumpur. All interviews were transcribed verbatim, and an inductive thematic analysis was performed on the data collected from the interviews.ResultsTwo key themes were identified: (1) self-efficacy in taking the effort to understand stroke and its preventative treatment for recurrent stroke and (2) self-efficacy in taking prescribed medication to prevent stroke. Patients needed to be proactive in seeking reliable information about stroke and the perceived benefits of preventative treatment for stroke. The discussion was focused on eliciting the needs and barriers related to medication-taking self-efficacy. Patients needed to develop independence and self-reliance to overcome barriers such as dependency and low motivation. External factors such as limited information resources, low perceived severity, poor social environment, and poor communication add to the challenges of poststroke patients to improve their self-efficacy of managing their medications.ConclusionsThe study identified potential key findings related to the needs of patients in a localized setting, which are also related to several health behavioral concepts and constructs, indicating the importance of overcoming barriers to improve the quality of life in poststroke patients. We anticipate that the results will be taken into consideration for future personalized patient education interventions.

Anxiety, Self Concept and Meaning of Life Patients Post Stroke Earning Age

Patient post stroke should be able to immediately rise, preparing herself to return activity according to limit its ability, this matter so that stroke patient can immediately recover and avoid from condition causing disability. This study aims to analyze the level of anxiety, self-concept, and meaning of life in post-stroke patients in Lemper Village Working Area Puskesmas Pademawu Pamekasan District. Qualitative methods with case study approaches, which explore a problem with detailed constraints, have deep data retrieval, and include multiple sources of information. This study is limited by time and place as well as cases studied in the form of programs, events, activities or individuals. The results of this study identified four main themes: (1) Anxiety Level of Post-Stroke Patients Age of Productive (2) Self-concept of Post-Stroke Patients Productive Age (3) Meaning of Life Post-Stroke Patients Productive Age (4) Effort / Motivation Patients Post Stroke Productive Age in Improving Quality of Life. A false understanding will lead to adaptive malal coping mechanisms and correct understanding likely to lead to adaptive coping mechanisms. The meaning of life is produced by a combination of self-concept and experience. Experience will affect the self concept, the hypothesis that appears is the healing of stroke patients will increase the meaning of life of stroke patients.