中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
18期
2109-2112
,共4页
高冬芳%刘艳%张志玲%宋艳颖%闫少校
高鼕芳%劉豔%張誌玲%宋豔穎%閆少校
고동방%류염%장지령%송염영%염소교
精神分裂症%康复%男性患者%健身气功%八段锦
精神分裂癥%康複%男性患者%健身氣功%八段錦
정신분렬증%강복%남성환자%건신기공%팔단금
Schizophrenia%Rehabilitation%Male patients%Health qigong%BaDuanJin
目的 探讨八段锦锻炼对男性慢性精神分裂症住院患者康复的影响.方法 选取精神分裂症住院患者44例,随机分为研究组(n=25)和对照组(n=19),两组患者均采用抗精神病药物治疗,对照组给予常规护理,研究组增加八段锦锻炼.锻炼前和锻炼12周后分别用护士用住院患者观察量表(NOSIE)和阴性症状量表(SANS)评定两组治疗效果.结果 两组患者入组时NOSIE及SANS评分差异无统计学意义(P＞0.05).锻炼12周后,研究组患者NOSIE各因子中病情总分(220.24±9.31)、总积极(98.80±6.95)分、社会能力(36.08±2.12)分、社会兴趣(31.28±4.99)分、个人整洁(31.44±1.22)分,均高于对照组[(189.79±6.49),(78.21±6.82),(31.79±2.57),(19.05±5.30),(27.37±2.98)分]；激惹(2.56±2.27)分、迟缓(2.48±1.93)分、抑郁(1.12±1.30)分,总消极因素(6.56±3.76)分均低于对照组,差异有统计学意义(t分别为12.163,9.805,6.064,7.829,6.184,-2.999,-8.155,-2.897,-7.276;P＜0.01);SANS各因子分均低于对照组,差异有统计学意义(P＜0.05).结论 八段锦锻炼可改善男性慢性住院精神分裂症患者的社会功能,减轻阴性症状,对患者的康复有一定辅助作用.
目的 探討八段錦鍛煉對男性慢性精神分裂癥住院患者康複的影響.方法 選取精神分裂癥住院患者44例,隨機分為研究組(n=25)和對照組(n=19),兩組患者均採用抗精神病藥物治療,對照組給予常規護理,研究組增加八段錦鍛煉.鍛煉前和鍛煉12週後分彆用護士用住院患者觀察量錶(NOSIE)和陰性癥狀量錶(SANS)評定兩組治療效果.結果 兩組患者入組時NOSIE及SANS評分差異無統計學意義(P＞0.05).鍛煉12週後,研究組患者NOSIE各因子中病情總分(220.24±9.31)、總積極(98.80±6.95)分、社會能力(36.08±2.12)分、社會興趣(31.28±4.99)分、箇人整潔(31.44±1.22)分,均高于對照組[(189.79±6.49),(78.21±6.82),(31.79±2.57),(19.05±5.30),(27.37±2.98)分]；激惹(2.56±2.27)分、遲緩(2.48±1.93)分、抑鬱(1.12±1.30)分,總消極因素(6.56±3.76)分均低于對照組,差異有統計學意義(t分彆為12.163,9.805,6.064,7.829,6.184,-2.999,-8.155,-2.897,-7.276;P＜0.01);SANS各因子分均低于對照組,差異有統計學意義(P＜0.05).結論 八段錦鍛煉可改善男性慢性住院精神分裂癥患者的社會功能,減輕陰性癥狀,對患者的康複有一定輔助作用.
목적 탐토팔단금단련대남성만성정신분렬증주원환자강복적영향.방법 선취정신분렬증주원환자44례,수궤분위연구조(n=25)화대조조(n=19),량조환자균채용항정신병약물치료,대조조급여상규호리,연구조증가팔단금단련.단련전화단련12주후분별용호사용주원환자관찰량표(NOSIE)화음성증상량표(SANS)평정량조치료효과.결과 량조환자입조시NOSIE급SANS평분차이무통계학의의(P＞0.05).단련12주후,연구조환자NOSIE각인자중병정총분(220.24±9.31)、총적겁(98.80±6.95)분、사회능력(36.08±2.12)분、사회흥취(31.28±4.99)분、개인정길(31.44±1.22)분,균고우대조조[(189.79±6.49),(78.21±6.82),(31.79±2.57),(19.05±5.30),(27.37±2.98)분]；격야(2.56±2.27)분、지완(2.48±1.93)분、억욱(1.12±1.30)분,총소겁인소(6.56±3.76)분균저우대조조,차이유통계학의의(t분별위12.163,9.805,6.064,7.829,6.184,-2.999,-8.155,-2.897,-7.276;P＜0.01);SANS각인자분균저우대조조,차이유통계학의의(P＜0.05).결론 팔단금단련가개선남성만성주원정신분렬증환자적사회공능,감경음성증상,대환자적강복유일정보조작용.
Objective To explore the effect of BaDuanJin exercise on the mental rehabilitation of patients with chronic schizophrenia.Methods Totals of 44 patients with chronic schizophrenia were randomly divided into intervention group( n =25 ) and control group ( n =19),patients in two groups received the same antipsychotic medications,intervention group received BaDuanJin exercise and control group received routine care. Before and after 12 weeks BaDuanJin exercises,Nurses' Observation Scale for Inpatient Evaluation (NOSIE) and Scale for the Assessment of Negative Symptoms Negative Syndrome Scale (SANS) were used to investigate the rehabilitation effect.Results There was no significantly difference in the scores of NOSIE and SANS between two groups before the intervention( P ＞ 0.05 ).While 12 weeks after intervention,the difference between intervention group and control group in the total score [ (220.24 ±9.31) vs ( 189.79 ±6.49) ],the score of positive points [(98.80±6.95) vs (78.21±6.82)],social ability [(36.08 ±2.12) vs (31.79 ±2.57)],social interest[(36.08 ± 2.12) vs ( 19.05 ± 5.30) ],and personal cleanliness [ ( 31.44 ± 1.22) vs (27.37±2.98) ],the score of the irritation,slow,depression and negative factors were statistically significant (t =12.163,9.805,6.064,7.829,6.184,- 2.999,-8.155,-2.897,-7.276,respectively; P ＜ 0.01).Totals scores of SANS evaluated 12 weeks after exercise of intervention group were significantly lower than those of the control group (P＜0.05).Conclusions BaDuanJin exercises can improve the social function of male inpatients with chronic schizophrenia,reduce negative symptoms,and can promote the mental rehabilitation of patients.
