个体化运动处方对改善住院精神分裂症患者身体素质的探讨  

Effect of Individualized Exercise Prescription on Improving Physical Quality of Hospitalized Schizophrenic Patients

作　　者：苏海燕[1] 张琦珍 陈秀梅[1] 郑晶晶 SU Haiyan;ZHANG Qizhen;CHEN Xiumei;ZHENG Jingjing(The Third Hospital of Quanzhou City,Quanzhou 362000,China)

机构地区：[1]福建省泉州市第三医院,福建泉州362000

出　　处：《中国医药指南》2022年第15期57-59,63,共4页Guide of China Medicine

基　　金：泉州市科技计划2020N003。

摘　　要：目的探究个体化运动处方对改善住院精神分裂症患者身体素质的效果。方法将2020年1月至2021年1月入选的50例患者作为此次研究对象,并根据随机法分为对照组和观察组,各25例。对照组采用常规康复运动方法,观察组采用个体化运动处方进行干预。运动处方师根据体能测试结果为患者制定个体化运动处方,指导、督促患者按规定运动量及频率进行运动锻炼,连续3个月,观察个体化运动干预前后患者身体素质的变化。比较两组患者干预满意度、各项身体素质评分、心理状态、康复疗效、生活质量。结果观察组患者干预满意度为96.00%(24/25),高于对照组68.00%(17/25),差异有统计学意义(P<0.05)。干预前,两组患者平衡素质、柔韧性素质、上肢力量素质、下肢力量、核心力量、最大摄氧量对比,无统计学意义(P>0.05);干预后,观察组患者平衡素质、柔韧性素质、上肢力量素质、下肢力量、核心力量、最大摄氧量评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者SAS、SDS评分对比,无统计学意义(P>0.05);干预后观察组患者SAS、SDS评分分别为(36.20±1.47)分、(33.25±1.84)分,均低于对照组(41.02±1.86)分、(38.26±1.14)分,差异有统计学意义(P<0.05)。干预前,两组患者工疗情况、生活能力、社交能力、关心和兴趣评分对比,无统计学意义(P>0.05);干预后观察组患者工疗情况、生活能力、社交能力、关心和兴趣评分均高于对照组,差异有统计学意义(P<0.05)。结论针对住院精神分裂症患者采用个体化运动处方进行干预可以有效提高患者身体素质,缓解患者不良心理状态,值得推广。Objective To explore the effect of individualized exercise prescription on improving the physical quality of hospitalized schizophrenic patients.Methods Fifty patients selected from January 2020 to January 2021 were randomly divided into control group and observation group,with 25 cases in each group.The control group was treated with routine rehabilitation exercise,and the observation group was treated with individualized exercise prescription.The exercise formulator formulates individualized exercise prescription for patients according to the physical fitness test results,guides and urges patients to exercise according to the specified amount and frequency for 3 consecutive months.The changes of physical quality of patients before and after individualized exercise intervention were observed.The intervention satisfaction,physical fitness scores,psychological status,rehabilitation efficacy and quality of life were compared between the two groups.Results:The intervention satisfaction of patients in the observation group was 96.00%(24/25),which was higher than 68.00%(17/25)in the control group(P<0.05).Before intervention,there was no significant difference in balance quality,flexibility quality,upper limb strength quality,lower limb strength,core strength and maximum oxygen uptake between the two groups(P>0.05).After the intervention,the scores of balance quality,flexibility quality,upper limb strength quality,lower limb strength,core strength and maximum oxygen uptake in the observation group were significantly higher than those in the control group(P<0.05).Before intervention,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the observation group were(36.20±1.47)and(33.25±1.84)respectively,which were significantly lower than those of the control group(41.02±1.86)and(38.26±1.14)(P<0.05).Before the intervention,the scores of work therapy,living ability,social ability,care and interest between the two groups were not statisti

关 键 词：个体化运动 改善 精神分裂症 身体素质 

分 类 号：R749.3[医药卫生—神经病学与精神病学]