有氧健康操对慢性精神分裂症患者康复效果的对照研究

黄丹++詹美容++范晓晓++夏海容

DOI：10.16662/j.cnki.1674-0742.2017.07.159

[摘要] 目的 探讨有氧健康操对慢性精神分裂症患者康复效果的影响。方法 方便选取2014年11月—2015年7月间慢性精神分裂症患者100例，随机分为研究组、对照组，每组皆50例。两组皆使用抗精神病药物治疗，研究组同时辅以疗程为12周的有氧健康操。于治疗前后，分别使用阴性症状表（SANA）、护士用住院病人观察量表（NOSIE）对两组患者进行评定。结果 研究组治疗后SANS各因子分及总分皆下降；对照组各项评分均无显著变化。研究组治疗SANS后各项指标测评结果（5.12±1.32）、（6.58±1.45）、（6.58±1.45）、（4.51±1.24）、（5.12±1.14）、（22.1±4.54）皆低于對照组，差异有统计学意义（P<0.05）。治疗后第6周NOSIE评分比较提示，研究组评分较对照组积极因素分（52.79±7.08）分及总分（149.60±7.79）分上升而消极因素分（31.07±4.84）分下降，差异有统计学意义（P<0.05）。治疗后第12周NOSIE评分比较提示，研究组评分较对照组积极因素分（80.17±5.24）分及总分（13.41±3.75）分上升而消极因素分（189.89±33.2）分下降，差异有统计学意义（P<0.05）。结论 有氧健康操利于改善精神分裂症患者活质量，使患者重返社会，疗效显著。

[关键词] 精神分裂症；有氧健康操；康复；生活质量

[中图分类号] R749 [文献标识码] A [文章编号] 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.