有氧健康操對慢性精神分裂癥患者康復效果的對照研究

黃丹++詹美容++范曉曉++夏海容

DOI：10.16662/j.cnki.1674-0742.2017.07.159

[摘要] 目的 探討有氧健康操對慢性精神分裂癥患者康復效果的影響。方法 方便選取2014年11月—2015年7月間慢性精神分裂癥患者100例，隨機分為研究組、對照組，每組皆50例。兩組皆使用抗精神病藥物治療，研究組同時輔以療程為12周的有氧健康操。于治療前后，分別使用陰性癥狀表（SANA）、護士用住院病人觀察量表（NOSIE）對兩組患者進行評定。結果 研究組治療后SANS各因子分及總分皆下降；對照組各項評分均無顯著變化。研究組治療SANS后各項指標測評結果（5.12±1.32）、（6.58±1.45）、（6.58±1.45）、（4.51±1.24）、（5.12±1.14）、（22.1±4.54）皆低于對照組，差異有統計學意義（P<0.05）。治療后第6周NOSIE評分比較提示，研究組評分較對照組積極因素分（52.79±7.08）分及總分（149.60±7.79）分上升而消極因素分（31.07±4.84）分下降，差異有統計學意義（P<0.05）。治療后第12周NOSIE評分比較提示，研究組評分較對照組積極因素分（80.17±5.24）分及總分（13.41±3.75）分上升而消極因素分（189.89±33.2）分下降，差異有統計學意義（P<0.05）。結論 有氧健康操利于改善精神分裂癥患者活質量，使患者重返社會，療效顯著。

[關鍵詞] 精神分裂癥；有氧健康操；康復；生活質量

[中圖分類號] R749 [文獻標識碼] A [文章編號] 1674-0742（2017）03（a）-0159-04

Research on Rehabilitation Effect of Aerobics on Patients with Chronic Schizophrenia

HUANG Dan， ZHAN Mei-rong， FAN Xiao-xiao， XIA Hai-rong

Fourth Ward， Minqing Psychiatric Preventive and Control Hospital， Fuzhou， Fujian Province， 350800 China

[Abstract] Objective To discuss the rehabilitation effect of aerobics on patients with chronic schizophrenia. Methods 100 cases of patients with chronic schizophrenia from November 2014 to July 2015 were selected and randomly divided into two groups with 50 cases in each， both groups adopted the antipsychotic drug treatment， while the research group adopted the 12-week aerobics on this basis， and both groups were evaluated by the SANA and NOSIE before treatment. Results After treatment， the scores of SANS and the total scores of SANS decreased. The scores of the control group did not change significantly.（5.12±1.32），（6.58±1.45），（6.58±1.45），（4.51±1.24），（5.12±1.14），（22.1±4.54） were lower in the study group than those in the control group， the difference was statistically significant（P<0.05 ）. The scores of the NOSIE score in the study group were significantly higher than those in the control group（52.79±7.08）points and the total score（149.60±7.79） points， and the negative factor score（31.07±4.84）points decreased， the difference was statistically significant（P<0.05）. The scores of the NOSIE scores at the 12th week after treatment showed that the scores of the study group were higher than those of the control group （80.17±5.24）points and the total score （13.41±3.75）points， while the negative factors （189.89±33.2）points decreased， the differences were statistically significant（P<0.05）. Conclusion The aerobics is conducive to improving the quality of life of patients with schizophrenia thus making patients return to society， and the curative effect is obvious.