正念认知疗法联合运动疗法对精神分裂症患者负性情绪及生活质量的影响

Effect of Mindfulness Cognitive Therapy Combined with Exercise Therapy on Negative Emotion and Quality of Life in Patients with Schizophrenia

目的:探讨正念认知疗法联合运动疗法对精神分裂症患者负性情绪及生活质量的影响。方法:选取2018年3月-2019年10月本院收治的78例精神分裂症患者,按随机数字表法分为对照组与观察组,各39例。对照组采用利培酮治疗,观察组在对照组基础上采取正念认知疗法联合运动疗法。比较两组治疗前与治疗8周后的焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、精神分裂症患者生活质量量表(schizophrenia quality of life scale,SQLS)和自我效能量表(general self-efficacy scale,GSES)评分。结果:治疗8周后,两组SDS与SAS评分均低于治疗前,且观察组均低于对照组(P<0.05)。治疗8周后,两组SQLS各维度评分及总分均低于治疗前,且观察组均低于对照组(P<0.05)。治疗8周后,两组GSES评分高于治疗前,且观察组高于对照组(P<0.05)。结论:正念认知疗法联合运动疗法可有效改善精神分裂症患者抑郁、焦虑的负性情绪,同时提高患者的自我效能感以及生活质量,具有重要的临床应用价值。

Objective:To explore the effect of mindfulness cognitive therapy combined with exercise therapy on negative emotion and quality of life in patients with schizophrenia.Method:A total of 78 schizophrenic patients admitted to our hospital from March 2018 to October 2019 were selected.They were divided into control group and observation group by random number table method,with 39 patients in each group.The control group was treated with Risperidone,and the observation group was treated with mindfulness cognitive therapy combined with exercise therapy on the basis of the control group.The scores of self-rating anxiety scale (SAS),self-rating depression scale (SDS),schizophrenia quality of life scale (SQLS) and general self-efficacy scale (GSES) were compared between the two groups before and 8 weeks after treatment.Result:After 8 weeks of treatment,SDS and SAS scores of the two groups were lower than those before treatment,and those of the observation group were lower than those of the control group (P<0.05).After 8 weeks of treatment,the all dimension and total scores of SQLS in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group (P<0.05).After 8 weeks of treatment,the GSES scores of the two groups were higher than those before treatment,and that of the observation group was higher than that of the control group (P<0.05).Conclusion:Mindfulness cognitive therapy combined with exercise therapy can effectively improve the negative emotions of depression and anxiety in schizophrenia patients,and improve the self-efficacy and quality of life of patients,which has important clinical application value.