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A Clinical Study of Combined Therapy on The Life Qualities of Stroke Patients and Psychological Status of Caregivers in Stroke Unit

LUO Li-jun;CHEN Guo-hua;GOU Yu-lan;MEI Jun-hua;CHEN Ling;PAN Xiao-feng;TANG Kun;Department of Neurology,the First Hospital of Wuhan;  
Objective:To study the therapy effect of combined therapy of Chinese and Western medicines on the life quality of stroke patients and psychological status of caregivers in stroke unit. Methods: In stroke unit, 197stroke patients were randomly divided into control group(n=58) and treatment group(n=139). At the same time the caregivers were divided into control group(n=58) and treatment group(n=139). The two patient groups were treated with ordinary regimen including routine anti-stroke medication, rehabilitation, psychological counseling and health-education. The caregivers in the control group didn't receive any intervention. The patients in the treatment group had received additional Chinese medicine. Meanwhile the family caregivers in the treatment group received health-education of stroke, comprehensive rehabilitation program, skills training and suitable antidepressant and antianxiety drugs. The rating scales of the life quality such as BI and QLI of Spitzer were used to evaluate all patients at pre-therapy, 4 weeks, 8 weeks and 24 weeks after therapy. The rating scales of the psychological status such as HAMD and HAMD were used to evaluate all caregivers at the same time points. Results: After4 weeks of treatment, the scores of BI and QLI of the two groups were significantly different from those at pre-therapy. The scores of BI and QLI improved significantly in the treatment group relative to those in the control group after intervention(P0.05). The HAMD and HAMA scores of the caregiver-treatment group were much lower than those of the caregiver-control group after intervention(P0.05). Conclusion: In stroke unit,combined therapy and intervention on the caregivers can improve the life quality of stroke patients and effectively improve the psychological status of both the stroke patients and caregivers.
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