集体运动激励疗法用于慢性精神分裂症患者的短期疗效观察

Short-term efficacy of collective exercise therapy for patients with chronic schizophrenia after exercise cessation

目的探讨慢性精神分裂症患者实施集体运动和激励刺激的效果,并观察治疗终止后短期内的持续疗效。方法将2019年7月至2021年7月宁波市康宁医院收治的82例住院治疗的慢性精神分裂症患者按随机数字表法分为观察组40例和对照组42例。对照组予以常规治疗,观察组在常规治疗的基础上联合健身操、太极拳等集体运动疗法,配合激励措施,持续3个月。两组患者分别于入院时和入院3、5个月时采用阴性症状量表(SANS)、住院精神病人社会功能评定量表(SSPI)、住院病人康复疗效评定量表(IPROS)进行测评。结果两组患者入组时的SANS、SSPI、IPROS评分差异均无统计学意义(均P>0.05);入院3个月,观察组患者的SANS、SSPI、IPROS评分与入组时比较差异均有统计学意义(均P<0.05)。入院5个月,观察组患者的SANS、SSPI、IPROS评分与对照组比较差异均有统计学意义(均P<0.05)。结论将集体运动和激励应用于住院治疗的慢性精神分裂症患者,可促进患者生活能力和生活质量的提升,疗效能持续到治疗终止后2个月,有助于其回归社会。

Objective To evaluate the efficacy of collective exercise therapy for patients with chronic schizophrenia.Methods Eighty two hospitalized patients with chronic schizophrenia were randomly divided into study group(40 cases)and control group(42 cases).The control group received conventional treatment,while the study group received group exercise therapy(such as aerobics and Tai Chi)with incentive measures on the basis of conventional treatment.The negative symptom scale(SANS),the social function rating scale for psychiatric patients(SSPI),and the inpatient rehabilitation evaluation scale(IPROS)were used for evaluation at admission and the end of the third and fifth month of hospitalization.Results There was no significant difference in the scores of SANS,SSPI,and IPROS between the two groups at admission(P>0.05).After 3 months of treatment,there were significant differences in scores of SANS,SSPI,and IPROS in the study group compared with those at admission(P<0.05),these scores of study group were significantly different from those of the control group at 5 months after admission(P<0.05).Conclusion The collective exercise therapy with incentive measures can improve the living ability of patients with chronic schizophrenia and the effect can last for at least two months after therapy ended.