认知行为治疗和运动干预对服用抗精神病药物患者影响的效果评价  

Effects of cognitive behavioral therapy and exercise intervention on weight and exercise status among schizophrenia patients taking antipsychotic drugs

作　　者：邹海欧[1] 王凤[2] 李峥[1] 姚秀钰[1] 张梁[2] 封砚村[2] 

机构地区：[1]北京协和医学院护理学院,100730 [2]北京安定医院

出　　处：《中国护理管理》2013年第4期33-36,共4页Chinese Nursing Management

摘　　要：目的:探讨认知行为治疗及运动干预对服用抗精神病药物治疗的精神分裂症患者体重、运动状况、服药状况以及是否复发等的影响。方法:将133例服用抗精神病药物治疗的精神分裂症患者随机分为实验组65例,对照组68例。对照组患者按常规接受护理和健康教育,实验组患者在此基础上接受为期3个月的院内认知行为治疗和运动干预。观察两组患者在出院后3个月时的体重、体重指数、运动状况、服药状况以及是否复发。结果:两组患者在出院后3个月时体重、体重指数、运动状况及服药状况比较,差异有统计学意义(P<0.05);但两组患者是否复发的差异无统计学意义(P=0.086)。结论:院内为期3个月的认知行为治疗以及运动干预可预防服用抗精神病药物患者体重及体重指数的增加、改善患者的运动状况以及服药状况。Objective： To explore the effects of cognitive behavioral therapy and exercise intervention on weight and exercise status among schizophrenia patients taking antipsychotic drugs. Methods： Totally 133 schizophrenia patients taking antipsychotic drugs were randomly divided into ＇the intervention group and the control group. Patients in the control group received conventional care and education. Patients in the intervention group received 3 months cognitive therapy and exercise intervention. Results： There were significant differences between the weight changes, BMI, exercise status and medication compliance of patients in the intervention and control group （P〈0.05）, however the reoccurrence rate had no significant difference between the patients in two groups （P=-0.086）. Conclusion： Three months cognitive behavioral therapy and exercise intervention could prevent weight gain and improve exercise status and medication compliance among the patients taking antipsychotic drugs.

关 键 词：认知行为治疗 运动干预 服用抗精神病药物患者 体重 运动状况 

分 类 号：R47[医药卫生—护理学]