运动联合社会生活模拟训练对长期住院男性精神分裂症患者糖脂代谢及精神状态的影响

Effects of outdoor group aerobic exercise combined with social life simulation training on glucose and lipid metabolism and mental rehabilitation in long-term hospitalized male schizophrenic patients

目的分析户外团体有氧运动联合社会生活模拟训练对长期住院男性精神分裂症患者糖脂代谢及精神康复的影响。方法前瞻性选择2019年8月~2022年6月在我院长期住院男性精神分裂症患者116例按随机数字表法分为两组,各58例,治疗A组行常规护理干预,治疗B组在此基础上加户外团体有氧运动联合社会生活模拟训练干预,比较两组糖脂代谢及精神康复情况。结果干预后两组心理状态、精神康复状态较干预前有改善(P<0.05),且治疗B组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及精神康复状态均优于治疗A组(P<0.05);干预后3、6个月两组糖脂代谢水平较干预前有改善(P<0.05),且干预后6个月治疗B组总胆固醇(TC)、甘油三酯(TG)、空腹血糖(FPG)、低密度脂蛋白胆固醇(LDL-C)水平高于治疗A组,而高密度脂蛋白胆固醇(High density lipoprotein cholesterol,HDL-C)水平低于治疗A组(P<0.05)。结论将户外团体有氧运动与社会生活模拟训练联合应用于长期住院男性精神分裂症治疗中,可有效促进精神状态康复,改善糖脂代谢水平。

Objective To analyze the impact of outdoor group aerobic exercise combined with social life simulation training on glucose and lipid metabolism and mental recovery in long-term hospitalized male schizophrenia patients.Methods Prospectively select 116 male schizophrenic patients who were hospitalized in our hospital for a long time from August 2019 to June 2022,and divide them into two groups according to the random number table method,with 58 cases in each group.Group A received routine nursing intervention,while Group B received outdoor group aerobic exercise combined with social life simulation training intervention on this basis,and the glycolipid metabolism and mental rehabilitation of the two groups were compared.Results After intervention,the psychological status and mental rehabilitation status of the two groups were improved compared with that before intervention(P<0.05),and the Selfrating anxiety scale(SAS)and Self-rating depression scale(SAS)of the treatment group B were also improved.SDS scores and mental rehabilitation status were better than those of treatment group A(P<0.05).The level of glucose and lipid metabolism in both groups was significantly improved at 3 and 6 months after intervention compared with that before intervention(P<0.05),and Total cholesterol(TC)and Triacylglycerol in group B were treated at 6 months after intervention(P<0.05).The levels of TG,Fasting blood glucose(FPG)and Low-density lipoprotein cholesterol(LDL-C)were higher than those of treatment group A.The level of High density lipoprotein cholesterol(HDL-C)was lower than that of treatment group A(P<0.05).Conclusion The combination of outdoor group aerobic exercise and social life simulation training in the treatment of long-term hospitalized male schizophrenia can effectively promote their mental state recovery and improve their glucose and lipid metabolism levels.