慢性失眠患者体力活动水平及体力活动咨询调查  

Investigation on physical activity level and physical activity counseling experience in patients with chronic insomnia

作　　者：王继辉[1] 韩洪瀛[1] 梁文靖[1] 吴小立[1] 张晋碚[1] 

机构地区：[1]中山大学附属第三医院精神科,广东省广州510630

出　　处：《中国慢性病预防与控制》2014年第4期439-442,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：广东省科技计划项目(2009B080701080)

摘　　要：目的调查慢性失眠患者的体力活动水平,调查并评价其体力活动咨询经历和质量,为临床工作提供指导。方法以386例门诊慢性失眠患者及154例健康对照为研究对象。采用国际体力活动问卷调查所有入组者体力活动情况,按照体力活动水平分为不充足和充足。采用5-As模型(评估、建议、达成共识、协助和随访安排)体力活动咨询框架调查并评价两组体力活动咨询经历及质量。结果失眠组体力活动充足者为22%(84/386),低于对照组(34%,52/154),差异有统计学意义(χ2=8.419,P<0.01)。失眠组体力活动咨询经历调查结果显示,仅有19%(72/386)的患者接受过体力活动咨询,且主要咨询策略为"建议",其他咨询策略使用少,无随访,属低强度体力活动咨询。结论慢性失眠患者体力活动水平明显不足,所接受的体力活动咨询内容简单、质量低。objective To investigate the physical activity（PA） level of patients with chronic insomnia,to evaluate their PA counseling experience and to provide the direction for clinical work. Methods The subjects consisted of 386 patients with chronic insomnia and 154 healthy people. International Physical Activity Questionnaire（IPAQ,Chinese Vision） was used to assess the PA levels of all subjects and the 5-As（Assess,Advise,Agree,Assist and Arrange） counseling model was used to evaluate the PA counseling experience for two groups. Results The proportion of enough physical activity in patient group was 22%（84/386） which was significantly lower than that（34%,52/154） in control group（P〈0.01）. According to the results of the PA counseling experience investigation,in patient group,only 19%（72/386） patients had received PA counseling. Moreover,the main PA counseling strategy only was advice without follow-up,which was low PA counseling action. Conclusion Most of the patients with chronic insomnia did not have enough physically activity and their received PA counseling is simple and low quality.

关 键 词：失眠 体力活动 咨询 

分 类 号：R749[医药卫生—神经病学与精神病学]