CAJ | 학술논문

目的：研究运动疗法对住院抑郁症患者病情、社会功能及生活质量的影响。方法2013年8月至2014年4月便利选取重庆市精神卫生中心抑郁症患者70例,采用随机数字表法将其分为研究组及对照组各35例,对照组采用抗抑郁药物治疗合并常规护理,研究组在此基础上配合运动疗法,采用汉密尔顿抑郁量表(Hamilton rating scale for depression,HRSD)、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)、社会功能缺陷筛选量表(social function defect screening scale,SDSS)比较两组患者治疗前后抑郁症状、社会功能及生活质量的改善情况。结果治疗第4、8周末,两组患者 HRSD得分均低于治疗前；治疗第8周末,研究组 HRSD得分低于对照组同期,差异均有统计学意义(均P＜0．01)。治疗第4、8周末,两组患者的 SDSS评分及 GQOLI-74各维度评分均低于治疗前,研究组 SDSS评分及 GQOLI-74各维度评分低于对照组同期,差异均有统计学意义(P＜0．01或P＜0．05)。结论运动疗法能显著改善抑郁症患者的病情及社会功能,提高其生活质量。
목적：연구운동요법대주원억욱증환자병정、사회공능급생활질량적영향。방법2013년8월지2014년4월편리선취중경시정신위생중심억욱증환자70례,채용수궤수자표법장기분위연구조급대조조각35례,대조조채용항억욱약물치료합병상규호리,연구조재차기출상배합운동요법,채용한밀이돈억욱량표(Hamilton rating scale for depression,HRSD)、생활질량종합평정문권(generic quality of life inventory-74,GQOLI-74)、사회공능결함사선량표(social function defect screening scale,SDSS)비교량조환자치료전후억욱증상、사회공능급생활질량적개선정황。결과치료제4、8주말,량조환자 HRSD득분균저우치료전；치료제8주말,연구조 HRSD득분저우대조조동기,차이균유통계학의의(균P＜0．01)。치료제4、8주말,량조환자적 SDSS평분급 GQOLI-74각유도평분균저우치료전,연구조 SDSS평분급 GQOLI-74각유도평분저우대조조동기,차이균유통계학의의(P＜0．01혹P＜0．05)。결론운동요법능현저개선억욱증환자적병정급사회공능,제고기생활질량。
Objective To study the effect of exercise therapy on illness,social function and quality of life in hospitalized patients with depression.Methods Totally 7 0 patients with depression were randomly divided into the study group and the control group(n=3 5 per group).The control group received antidepressant medication combined with conventional care,while the exercise therapy was added only in the study group.The Hamilton rating scale for depression(HRSD),generic quality of life inventory-74(GQOLI-74),social function defect screening scale(SDSS)were used to evaluate depressive symptoms,social function and quality of life between two groups before treatment and after treatment.Results At the end of 4th and 8th week of the treatment,the HRSD scores of both groups were lower than before treatment.After 8 weeks of treatment,the HRSD score in study group was lower than which in control group (all P<0 .0 1 ).At the end 4 th and 8 th week of treatment,the SDSS scores and GQOLI-7 4 scores of both groups were lower than before treatment,and the SDSS score and GQOLI-7 4 score in study group were lower than which in control group (P<0 .0 1 or P<0 .0 5 ).Conclusion Exercise therapy can significantly improve the condition and social function of patients with depression,and improve their quality of life.