Abstract：Objective To study the feasibility and effects of the model for integrated medicine combined with long-term care in post-stroke patients. Methods We selected 195 post-stroke patients hospitalized in the Affiliated Hospital of Xiangnan University from June 2013 to December 2014. After discharge from hospital, 62 patients receiving integrated medicine combined with long-term care in the elderly care department of the hospital served as the research group, 68 patients receiving home-based care served as the control group I, and 65 patients living in the apartment for the aged served as the control group II. The Barthel indexes and loneliness on discharge and at 3 , 6 months after discharge, as well as the quality of life (GQOLI-74 scores) at 6 months after discharge were evaluated . Results Three and six months after discharge, the scores of Barthel index were significantly higher in the research group (31.96±8.18, 37.85±7.18) than those in the control group I (24.23±6.26, 28.41±8.47) and the control group II (26.19±7.42, 30.56±7.59), while the scores of UCLA loneliness were significantly lower in the research group (32.08±9.42, 33.93±9.12) than those in the control group I (39.52±11.68, 48.52 ±13.54) and the control group II (33.41±10.31, 38.52±10.19), all with statistically significant differences (P<0.01). Six months after discharge, except for the score of material life dimension, the scores of the other three dimensions of GQOLI-74 concerning physical, psychological and social functions as well as the total score in patients of the research group were all superior to those in the control group I and the control group II (all P<0.01). Conclusions Implementing the model for integrated medicine combined with long-term care can significantly improve the daily life ability and the quality of life and reduce the loneliness of post-stroke patients.
郭卫珍,邓暑芳,欧阳艳侠,刘晶,孙吉能. 脑卒中患者实施医养结合长期照护模式的实践与效果[J]. 实用预防医学, 2016, 23(8): 911-913.
GUO Wei-zhen, DENG Shu-fang, OUYANG Yan-xia, LIU Jing, SUN Ji-neng. Practice and effects of the model for integrated medicine combined with long-term care in post-stroke patients. , 2016, 23(8): 911-913.
2016, Vol. 23 
