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户外有氧运动结合精神康复治疗对住院慢性 精神分裂症患者精神康复的影响
刘玥
0
()
摘要:
目的 探究户外有氧运动结合精神康复治疗对住院慢性精神分裂症患者精神康复的影 响。方法 以 2015 年 6 月至 2018 年 3 月期间在上海市精神卫生中心住院的 200 例精神分裂症患者为研 究对象,用随机数字表法分为运动组与对照组各 100 例,住院期间均给予药物治疗,并配合精神康复治 疗,运动组患者在此基础上给予户外有氧运动干预。干预前、干预后 3 个月采用阳性与阴性症状量表 (PANSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、护士用住院病人观察量表(NOSIE-30)评估其精神症 状康复情况。结果 PANSS 评分中,运动组干预后阳性量表、阴性量表、一般精神病理量表与对照组比 较差异无统计学意义(t=1.858、1.909、1.867,P> 0.05),但总分均显著低于对照组(t=3.196,P< 0.05);干 预后运动组 SAS、SDS 评分均明显较对照组低(t=3.251、3.925,P< 0.05);在 NOSIE-30 评分中,干预后运 动组与对照组比较,社会能力、社会兴趣、个人整洁评分升高更明显,激惹、迟缓、抑郁、精神病性评分 降低更明显(t=5.606、7.527、5.706、3.630、8.183、10.389、6.029,P< 0.05)。结论 户外有氧运动结合精 神康复治疗住院慢性精神分裂症有利于稳定患者病情,改善其心理症状和促进精神康复。
关键词:  精神分裂症  户外有氧运动  精神康复治疗  精神康复
DOI:10.3969/j.issn.1009-6574.2019.10.007
基金项目:
Effects of outdoor aerobic exercise combined with psychiatric rehabilitation therapy on mental recovery of inpatients with chronic schizophrenia
Liu Yue
()
Abstract:
Objective To explore the effects of outdoor aerobic exercise combined with psychiatric rehabilitation therapy on mental recovery of inpatients with chronic schizophrenia. Methods From June 2015 to March 2018, 200 schizophrenics hospitalized in the mental health center of our hospital were divided into exercise group and control group with random number table method, with 100 cases in each. During the hospitalization, they were treated with drugs combined with psychiatric rehabilitation therapy. On this basis, patients in the exercise group were given outdoor aerobic exercise intervention. The condition of mental recovery was evaluated with the Positive and Negative Symptom Scale (PANSS), Self-rating Anxiety Scale (SAS), Selfrating Depression Scale (SDS) and Nurses' Observation Scale for Inpatient Evaluation (NOSIE-30) before the intervention and at 3 months after the intervention. Results After intervention, there was no significant differences in the scores of positive scale, negative scale or general psychopathology scale between the two groups in PANSS (t=1.858,1.909,1.867,P> 0.05). However, the total score of PANSS of the exercise group was significantly lower than that of the control group (t=3.196,P < 0.05). The SAS and SDS scores of the exercise group after intervention were significantly lower than those of the control group (t=3.251,3.925,P< 0.05). Compared with the control group, the increase of social ability, social interest and personal tidyness scores, decrease of irritability, tardiness, depression and psychoticism scores in NOSIE-30 were more obvious in the exercise group after the intervention (t=5.606,7.527,5.706,3.630,8.183,10.389,6.029,P< 0.05). Conclusions Outdoor aerobic exercise combined with psychiatric rehabilitation therapy is beneficial to stabilize the condition of inpatients with chronic schizophrenia, improve their psychological symptoms and promote mental recovery.
Key words:  Schizophrenia  Outdoor aerobic exercise  Psychiatric rehabilitation therapy  Mental recovery

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