温和运动对慢性精神分裂症合并高血压患者康复效果的影响

Effects of gentle exercise on rehabilitation in patients with chronic schizophrenia complicated with hypertension

目的:观察温和运动对慢性精神分裂症合并高血压患者康复效果的影响。方法:将80例男性精神分裂症合并高血压患者,根据抛硬币法随机分为研究组和对照组。两组在接受常规治疗和护理的同时,研究组进行为期十个月的温和运动。采用护士用住院患者观察量表(NOSIE-30)评定并比较两组温和运动前、后血压和体重情况。结果:温和运动前两组的血压、体重测量值及NOSIE-30评分比较,差异均无统计学意义(P>0.05),研究组进行温和运动后,收缩压、舒张压、体重测量值均显著下降(P<0.01),与对照组比较差异均有统计学意义(P<0.01);研究组在进行十个月的温和运动后,在社会能力、社会兴趣、个人整洁、激惹、迟缓、总积极因素、总消极因素、病情总估计方面与对照组比较,差异均有统计学意义(P<0.01),而精神病表现、抑郁两项指标与对照组比较,差异无统计学意义(P>0.05)。结论:在常规治疗和护理基础上,温和运动能有效降低慢性精神分裂症合并高血压患者的血压、体重,并改善社会功能。

Objectivewith hypertension. Methods 80 male patients with schizophrenia complicated with hypertension were randomly divided into two groups, namely the experimental group and the control group. The two groups received routine treatment and nursing, while the experi-mental group received gentle exercise for ten months. The nurses＇ observation scale for inpatient evaluation （NOSIE-30） was used to evaluate the blood pressure and body weight before and after gentle exercise. Results ： Before gentle exercise, there were no statistical differences in the blood pressure, body weight and NOSIE-30 score between the two groups （P 〉0. 05）. After gentle exercise, the sys-tolic pressure, diastolic pressure and body weight decreased significantly, and there were significant differences compared with the con-trol group （ P 〈0. 01）. Ten months later, the differences in the social ability, social interest, personal cleanliness, irritability and re-tardation ,the total positive factors and negative factors, and overall evaluation between the experimental group and the control group were statistically significant （ P 〈0. 01） ; however, there were no significant differences in the schizophrenia manifestation and depres-sion between the two groups （ P 〉0.05）. Conclusions ： Gentle exercise can effectively control blood pressure and body weight, and im-prove the social function of the patients with chronic schizophrenia complicated with hypertension based on the routine treatment and nursing.【