低强度运动疗法对住院慢性精神分裂症患者的影响

Effect of low-intensity exercise therapy on the hospitalized patients with chronic schizophrenia

目的：探讨低强度运动疗法对住院慢性精神分裂症患者身心健康的影响。方法将90例住院慢性精神分裂症患者，按照随机数字表法分为干预组和对照组各45例，两组均接受常规治疗与护理，干预组再同时实施3个月的运动疗法干预。测定两组干预前后生理指标：血压包括收缩压和舒张压，生化指标：血脂包括总胆固醇和甘油三酯，以及阳性与阴性症状量表（ PANSS）评分比较干预效果。结果干预3个月后，干预组收缩压（121±9） mmHg和舒张压（82±7） mmHg均低于对照组，两组比较差异有统计学意义（t值分别为－4．353，－2．648；P＜0．05）；干预组总胆固醇（4．08±0．53）mmol／L和甘油三酯（0．90±0．21）mmol／L均低于对照组，两组比较差异有统计学意义（t值分别为－4．517，－2．734；P＜0．01）；干预后PANSS总分为（63．93±5．78）分，其中阳性量表（14．65±2．71）分，阴性量表（13．44±2．40）分，一般精神病理量表（35．84±3．78）分，均低于对照组评分，两组比较差异具有统计学意义（ t值分别为－10．521，－4．174，－7．256，－8．055；P＜0．01）。结论低强度运动疗法有助于促进住院慢性精神分裂症患者的身心健康。

Objective To investigate the effects of the low-intensity exercise therapy on physical and mental health in hospitalized patients with chronic schizophrenia .Methods According to the random number table, a total of 90 inpatients with chronic schizophrenia were divided into intervention group (45 cases) and control group(45 cases).Both groups were treated with routine treatment and care , and the intervention group received extra exercise therapy for 3 months.Physiological indexes of blood pressure (both systolic and diastolic blood pressure , SBP and DBP ) , biochemical parameters of blood lipids including total cholesterol ( TC ) , triglyceride( TG) and Positive and Negative Syndrome Scale ( PANSS) scores were compared before and after intervention.Results After 3months′intervention, SBP(121 ±9)mmHg and DBP(82 ±7)mmHg of intervention group were lower than the control group (t =-4.353,-2.648;P<0.01).TC(4.08 ±0.53) mmol/L and TG (0.90 ±0.21)mmol/L of the intervention group were lower than the control group (t=-4.517,-2.734;P<0.05).Total score of PANSS (63.93 ±5.78)points and its 4 sub scales including positive scale (14.65 ± 2.71)points, negative scale (13.44 ±2.40)points, and general psychopathology scale (35.84 ±3.78)points&nbsp;were lower than the control group (t=-10.521,-4.174,-7.256,-8.055;P<0.01).Conclusions Low-intensity exercise therapy could promote the physical and mental health of the hospitalized patients with chronic schizophrenia .