运动疗法对慢性精神分裂症伴失眠患者的应用效果

Effect of exercise therapy in treatment of patients with chronic schizophrenia accompanied by insomnia

  • 摘要: 目的 探讨八段锦联合广播体操在慢性精神分裂症伴失眠患者中的应用效果。 方法 将94例慢性精神分裂症伴失眠患者随机分为干预组(n=48)和对照组(n=46)。2组均给予常规抗精神药物治疗,对照组给予心理干预、认知教育、行为指导,干预组在对照组基础上给予八段锦、广播体操干预。干预16周,比较2组心境状态、睡眠质量、生活质量变化。 结果 干预组愉悦性、活跃性评分高于对照组,抑郁性、激动性、愤怒性评分低于对照组,差异均有统计学意义(P<0.05或P<0.01)。干预组睡眠质量、睡眠时间、睡眠效率、睡眠障碍、匹兹堡睡眠质量指数(PSQI)总分均低于对照组,差异有统计学意义(P<0.01)。干预组生理功能、一般健康、社会功能、情感职能各项评分及健康状况调查问卷(SF-36)总分均高于对照组,差异有统计学意义(P<0.05或P<0.01)。 结论 八段锦联合广播体操有助于改善慢性精神分裂症伴失眠患者心理状态以及睡眠质量、生活质量。

     

    Abstract: Objective To explore application effect of Baduanjin exercise combined with broadcast gymnastics for patients with chronic schizophrenia accompanied by insomnia. Methods A total of 94 patients with chronic schizophrenia accompanied by insomnia were randomly divided into intervention group(n=48)and control group(n=46). Both groups were given routine antipsychotics. The control group was given psychological intervention, cognitive education and behavioral guidance, while the intervention group was given Baduanjin exercise combined with broadcast gymnastics intervention on the basis of the control group. After 16 weeks of intervention, the changes of mood state, sleep quality and quality of life in the two groups were compared. Results The scores of pleasantness and activity in the intervention group were significantly higher than those in the control group, and the scores of depression, excitability and anger were significantly lower than those in the control group(P<0.05 or P<0.01). Sleep quality, sleep time, sleep efficiency, sleep disorder and Pittsburgh Sleep Quality Index(PSQI)total scores in the intervention group were significantly lower than those in the control group(P<0.01). The scores of physiological function, general health, social function, emotional function and total scores of 36-item Short Form Health Survey Questionnaire(SF-36)in the intervention group were significantly higher than those in the control group(P<0.05 or P<0.01). Conclusion Baduanjin exercise combined with broadcast gymnastics can help to improve the psychological state, sleep quality and life quality of patients with chronic schizophrenia accompanied by insomnia.

     

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