摘要
目的观察室内有氧运动结合心理疏导治疗对住院慢性精神分裂症患者心理状态和精神康复的影响。方法选取2017年1月~2018年10月在我院精神卫生中心住院的200例精神分裂症患者为研究对象,采用随机数字表法分为试验组与对照组各100例,住院期间均给予药物治疗,试验组患者在此基础上给予室内有氧运动结合心理疏导干预。干预前、干预后3个月采用阳性与阴性症状量表(PANSS)评估患者症状改善效果,焦虑自评量表(SAS)、抑郁自评量表(SDS)评估其心理状态,社会功能缺陷筛选量表(SDSS)评估其精神康复状态。结果PANSS评分中,试验组干预后阳性量表、阴性量表、一般精神病理量表、总分均显著低于对照组(P<0.05);干预后试验组SAS、SDS评分均明显低于对照组(P<0.05);与对照组相比,干预后试验组SDSS评分各因子降低更明显(P<0.05)。结论室内有氧运动结合心理疏导治疗住院慢性精神分裂症有利于稳定患者病情,改善其心理状态和促进精神康复。
Objective To investigate the effect of indoor aerobic exercise combined with psychological counseling on the psychological state and mental rehabilitation of hospitalization patients with chronic schizophrenia.Methods A total of 200 patients with schizophrenia who were admitted to our mental health center from January 2017 to October 2018 were enrolled.The patients were divided into the experimental group(n=100)and the control group(n=100)according to randomized digital table method.The patients were given medical treatment during hospitalization.The patients in the experimental group were given indoor aerobic exercise combined with psychological counseling intervention on the above basis.The positive and negative symptom scales(PANSS)were used to evaluate the improvement of symptoms before and 3 months after intervention.The Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)were used to evaluate the psychological status.The screening of social function defects scale(SDSS)was used to assess the state of mental rehabilitation.Results In the PANSS score,the positive scale,negative scale,general psychopathological scale and total score of the experimental group were significantly lower than those of the control group(P<0.05).The SAS and SDS scores of the experimental group were significantly lower than those of the control group(P<0.05).Compared with those of the control group,the SDSS scores of the experimental group were significantly lower after the intervention(P<0.05).Conclusion Indoor aerobic exercise combined with psychological counseling for hospitalization patients with chronic schizophrenia is beneficial to stabilize the patient's condition,improve their mental state and promote mental rehabilitation.
作者
简凤清
宋明芬
JIAN Fengqing;SONG Mingfen(Mental Health Center,Hangzhou Seventh People's Hospital,Zhejiang University School of Medicine,Hangzhou310013,China)
出处
《中国现代医生》
2019年第34期100-104,共5页
China Modern Doctor
基金
国家自然科学基金（81601183）
关键词
室内有氧运动
心理疏导
慢性精神分裂症
心理状态
精神康复
Indoor aerobic exercise
Psychological counseling
Chronic schizophrenia
Psychological state
Mental rehabilitation
