八段锦锻炼对男性慢性精神分裂症住院患者康复的影响

目的探讨八段锦锻炼对男性慢性精神分裂症住院患者康复的影响。方法选取精神分裂症住院患者44例，随机分为研究组（n=25）和对照组（n=19），两组患者均采用抗精神病药物治疗，对照组给予常规护理，研究组增加八段锦锻炼。锻炼前和锻炼12周后分别用护士用住院患者观察量表（NOSIE）和阴性症状量表（SANS）评定两组治疗效果。结果两组患者入组时NOSIE及SANS评分差异无统计学意义（P〉0．05）。锻炼12周后，研究组患者NOSIE各因子中病情总分（220．24±9．31）、总积极（98．80±6．95）分、社会能力（36．084-2．12）分、社会兴趣（31．28±4．99）分、个人整洁（31．44±1．22）分，均高于对照组（189．79±6．49），（78．21±6．82），（31．794-2．57），（19．054-5．30），（27．374-2．98）分]；激惹（2．564-2．27）分、迟缓（2．484-1．93）分、抑郁（1．12±I．30）分，总消极因素（6．564-3．76）分均低于对照组，差异有统计学意义（t分别为12．163，9．805，6．064，7．829，6．184，-2．999，-8．155，-2．897，-7．276；P〈0．01）；SANS各因子分均低于对照组，差异有统计学意义（P〈0．05）。结论八段锦锻炼可改善男件悒件件院精神分裂痱患者的社会功能．减绎阴件症状．对患者的康寅有一宗辅助作用．

Effect of BaDuanJin exercise on the mental rehabilitation of male inpatients with chronic schizophrenia

Objective To explore the effect of BaDuanJin exercise on the mental rehabilitation of patients with chronic schizophrenia. Methods Totals of 44 patients with chronic schizophrenia were randomly divided into intervention group（ n = 25） and control group （n = 19）, patients in two groups received the same antipsychotic medications, intervention group received BaDuanJin exercise and control group received routine care. Before and after 12 weeks BaDuanJin exercises, Nurses＇ Observation Scale for Inpatient Evaluation （NOSIE） and Scale for the Assessment of Negative Symptoms Negative Syndrome Scale （SANS） were used to investigate the rehabilitation effect. Results There was no significantly difference in the scores of NOSIE and SANS between two groups before the intervention（P 〉 0.05 ）. While 12 weeks after intervention, the difference between intervention group and control group in the total score （ 220.24±9.31 ） vs （ 189.79±6.49） ], the score of positive points （98.80±6.95） vs （78.21±6.82） ] ,social ability （36.08±2.12） vs （31.79± 2.57） ], social interest （36.08±2.12） vs （ 19.05±5.30） ] ,and personal cleanliness （31.44±1.22） vs （27.37± 2.98 ） ], the score of the irritation, slow, depression and negative factors were statistically significant （t = 12. 163,9. 805,6. 064,7. 829,6. 184, - 2. 999, - 8. 155, - 2. 897, - 7. 276, respectively ; P 〈 0.01 ）. Totals scores of SANS evaluated 12 weeks after exercise of intervention group were significantly lower than those of the control group （P 〈0. 05）. Conclusions BaDuanJin exercises can improve the social function of male inpatients with chronic schizophrenia, reduce negative symptoms, and can promote the mental rehabilitation of patients.