体力活动咨询对康复期精神分裂症患者体力活动的影响

Effect of Physical Activity Counseling on Patients with Stable Schizophrenia

【目的】探讨体力活动咨询对康复期精神分裂症患者体力活动的影响。【方法】43例门诊康复期精神分裂症患者,随机分为研究组(n=22)和对照组(n=21),分别予以体力活动咨询和单纯的"增加体力活动"的建议。疗程4周。采用国际体力活动问卷评价体力活动情况,采用健康状况问卷-8(SF-8)评价其生命质量。【结果】经重复测量的方差分析,研究组闲暇耗能(P=0.010)、静坐时间(P=0.020)、SF-8总体健康因子评分(P=0.014)的改善优于对照组,差异有统计学意义。【结论】体力活动咨询可在一定程度上提高精神分裂症患者的体力活动水平及生活质量。

【Objective】 To study the effect of physical activity counseling on the levels of PA in patients with stable schizophrenia.【Methods】 43 clinic patients with stable schizophrenia were recruited and randomly divided into research group（n = 22） or control group（n = 21）. 4 weeks＇ physical activity counseling was given to the patients in research group and ＂suggestion to increase physical activity level＂ was given to the patients in control group as well. International physical activity questionnaire（IPAQ, Chinese Vision）and Short Form 8 Health Survey Questionnaire（SF-8） were used to assess the PA levels and disease related quality of life. Continuous variables were evaluated by repeated-measures multivariate analyses of variance（MANOVA）. 【Results】 The MANOVA showed a significant treatment group×time interaction, as well as time main effects for the energy expenditure in leisure time, time spending in sitting quietly and the factor score of General Health in SF-8,P 0.05. 【Conclusion】 Physical activity counseling can improve the physical activity level and disease related quality of life.