太极拳训练对帕金森患者心理健康及生活质量的影响

Influence of Tai Chi Exercise on the Mental Health and Quality of Life in Patients with Parkinson's Disease

目的:探讨太极拳训练对帕金森患者心理健康及生活质量的影响。方法:选择南昌市某三甲医院58例帕金森患者为研究对象,按随机数字表法分为干预组和对照组各29例。对照组接受神经内科常规护理,干预组在此基础上进行12周的太极拳训练。采用症状自评量表(SCL-90)和世界卫生组织生活质量简表(WHOQOLBREF)比较两组干预效果。结果:干预前,对照组和干预组帕金森患者SCL-90躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐惧、偏执、精神病性各维度得分无差异(P均>0.05);干预后,对照组和干预组帕金森患者SCL-90躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐惧、偏执、精神病性各维度得分有显著差异(t=6.91,3.97,6.37,7.52,8.35,4.61,4.24,4.69,7.25;P<0.05)。干预前,干预组WHOQOL-BREF与对照组差异无统计学意义(t=0.82,P>0.05);干预后,干预组WHOQOL-BREF与对照组得分,差异有统计学意义(t=3.31,P<0.01);干预前后自身比较,对照组差异无统计学意义(t=-1.48,P>0.05),干预组差异有显著统计学意义(t=-3.34,P<0.05)。结论:太极拳训练能改善帕金森患者的心理健康,提高其生活质量。

Objective：To explore the effect of Tai Chi exercise on the mental health and quality of life in patients with Parkinson’s disease.Methods：Dividing 58 patients with Parkinson’s disease into the intervention group（29 ca-ses）and the control group（29 cases）randomly.On the basis of the routine rehabilitation exercises,Tai Chi exercise was used in the intervention group.SCL- 90 and WHOQOL-BREF were used to evaluate the mental health and quality of life.Results：Before intervention,there was no significant difference between the two groups of the scores of factors of with somatization,compulsive,interpersonal sensitivity,depression,anxiety,hostile,terrorist,paranoid and psychosis of SCL-90（P 〉0.05）and WHOQOL-BREF（P 〉0.05）.After intervention,there was significant differ-ence between the two groups of SCL-90（t =6.91,3.97,6.37,7.52,8.35,4.61,4.24,4.69,7.25;P 〈0.05）and WHO-QOL-BREF（t =3.31,P 〈0.01）.Conclusion：Tai Chi exercise can improve mental health and the quality of life of patients with Parkinson’s disease.