摘要
目的:探讨低强度户外活动训练对慢性精神分裂症患者的康复疗效。方法:选取2014年4月至2016年4月进入我院住院的120例慢性慢性精神分裂症患者,按1:1比例随机分为两组。对照组60人,服用氯丙嗪等药物进行治疗并给予常规护理;训练组60人在对照组的基础上给予进行适当的低强度的户外运动训练如户外快走或慢跑,每次45 min,每周4～5次,为期24个月。采用简明精神病评定量表(Brief Psychiatric Rating Scale,BPRS)、阴性症状量表(Schizophrenia Negative Symptom,SANS)等工具表进行慢性精神分裂症患者的康复疗效评定。结果:训练前,对照组的BPRS总分为(26.94±6.11),SANS总分为(32.79±18.97);训练组的BPRS总分为(26.87±5.92),SANS总分为(31.87±19.13)。24个月后,对照组BPRS总分为(26.37±4.59),SANS总分为(32.00±15.42),较训练前时康复效果不明显(P>0.05);训练组BPRS总分为(18.92±2.78),SANS总分为(19.15±10.54),较训练前时具有显著的康复效果(P<0.05),且结果与对照组相比较均具有显著性差异(P<0.05)。结论:低强度户外活动训练对慢性慢性精神分裂症患者的身心健康有显著的改善作用,康复作用较为明显,值得加以大力推广。
Objective: This experiment mainly explores the rehabilitation effect of low-intensity outdoor activity training on patients with chronic schizophrenia. Methods: 120 patients with chronic schizophrenia who met the inclusion criteria were randomly divided into two groups according to the ratio 1:1 . 60 patients in the control group were treated with antipsychotic drugs and given routine care;60 patients in the training group were given appropriate low-intensity outdoor sports training such as outdoor walking or jogging on the basis of the control group, 4 or 5 times a week ,which lasts 24 months. Assessments were performed using the Brief Psychiatric Rating Scale (BPRS) and the Schizophrenia Negative Symptom (SANS). Results: In 0 month, the total BPRS score of the control group was 26.94±6.11, and the total score of SANS was 32.79±18.97. The total score of BPRS in the training group was 26.87±5.92, and the total score of SANS was 31.87±19.13. After 24 months, the total score of BPRS was 26.37±4.59, and the total score of SANS was 32.00±15.42. The recovery effect was not obvious in 0 month ( P >0.05). The total score of BPRS in training group was 18.92±2.78, and the total score of SANS was 19.15±10.54. Compared with the control group, it had significant recovery effect ( P <0.05), and it was statistically significant compared with the control group ( P <0.05). Conclusion: Low-intensity outdoor activities training is beneficial to the physical and mental health of patients with chronic schizophrenia. It plays a significant role in the rehabilitation of patients with chronic schizophrenia and should be promoted.
作者
梁雪玲
李振超
李艳容
LIANG Xueling;LI Zhenchao;LI Yanrong(Department of rehabilitation,the third people's Hospital of Jiangmen,Jiangmen 529000 China)
出处
《包头医学院学报》
CAS
2019年第2期33-34,51,共3页
Journal of Baotou Medical College
关键词
低强度户外活动
精神分裂症
护理
阴性症状
康复
Low intensity outdoor activities
Schizophrenia
Nursing
Negative symptoms
Rehabilitation
