摘要
目的从药物副反应、睡眠质量、情绪、社会功能、精神病症状等角度,全面评估舞动治疗对慢性精神分裂症患者康复效果的影响。方法选取2022年4月至2023年9月广州市民政局精神病院的150例慢性精神分裂症患者作为研究对象,按照随机数字表法分为舞动治疗组、体操训练组和对照组,每组各50例。干预过程中三组均维持原有的抗精神病药物治疗;舞动治疗组在常规治疗基础上予以舞动治疗,体操训练组在常规治疗基础上予以体操训练,对照组维持原有的常规治疗。采用自制基础问卷收集所有患者的一般人口学资料,采用锥体外系副反应量表(RSESE)、匹兹堡睡眠质量指数(PSQI)、总体幸福感量表(GWB)、多伦多述情障碍量表(TAS-20)、住院精神患者社会功能评定量表(SSPI)、阴性与阳性量表(PANSS)等在干预前和干预12周后进行评估并比较。结果干预12周后,舞动治疗组及体操训练组RSESE、PSQI、TAS-20、PANSS评分均低于本组干预前,舞动治疗组及体操训练组SSPI评分均高于本组干预前,舞动治疗组GWB评分高于本组干预前,对照组PANSS一般精神病理量表分低于本组干预前,差异有统计学意义(P<0.05)。干预12周后,三组RSESE、PSQI、GWB、TAS-20、SSPI、PANSS阳性量表分、阴性量表分、一般精神病理量表分、总分整体组间比较,差异有统计学意义(P<0.05)。干预12周后舞动治疗组RSESE、PSQI等评分低于体操训练组及对照组,SSPI评分高于体操训练组及对照组,GWB评分高于对照组,TAS-20、PANSS阳性量表分、阴性量表分、一般精神病理量表分、总分低于对照组,差异有统计学意义(P<0.05)。结论舞动治疗在改善慢性精神分裂症患者药物副反应、睡眠质量、情绪、社会功能、精神病症状等方面具有积极作用,是该类人群的有效综合性康复手段。
Objective To evaluate the effect of dance/movement therapy on the rehabilitation of chronic schizophrenia patients from the perspectives of drug side effects,sleep quality,mood,social function and psychotic symptoms.Methods A total of 150 patients with chronic schizophrenia in Mental Hospital of Guangzhou Civil Administration from April 2022 to September 2023 were selected selected as the study objects,and they were divided into dancing treatment group,gymnastics training group and control group according to random number table method,with 50 cases in each group.During intervention,all three groups maintained the original antipsychotic drug treatment.The dance/movement therapy group was given dance/movement therapy on the basis of conventional treatment,the gymnastics training group was given gymnastics training on the basis of conventional treatment,and the control group maintained the original conventional treatment.General demographic data of all patients were collected by self-made basic questionnaire.Rating scale for extrapyramidal side effects(RSESE),Pittsburgh sleep quality index(PSQI),general well-being schedule(GWB),Tronto alexithymia scale-20(TAS-20),scale of social function in psychosis inpatient(SSPI),and positive and negative syndrome scale(PANSS)were evaluated and compared before and 12 weeks after intervention.Results After 12 weeks of intervention,the scores of RSESE,PSQI,TAS-20,PANSS scores in the dancing treatment group and gymnastics training group were lower than those before intervention,SSPI scores in the dance/movement therapy group and gymnastics training group were higher than those before intervention,GWB scores in the dancing treatment group were higher than those before intervention,and PANSS general psychopathological scale scores in the control group were lower than those before intervention,with statistical significances(P<0.05).After 12 weeks of intervention,RSESE,PSQI,GWB,TAS-20,SSPI,PANSS positive scale score,negative scale score,general psychopathological scale score and total score were compared among the three groups,and the differences were statistically significant(P<0.05).After 12 weeks of intervention,RSESE and PSQI scores of the dancing treatment group were lower than those of the gymnastics training group and control group,SSPI scores were higher than those of the gymnastics training group and control group,GWB scores were higher than those of the control group,and TAS-20,PANSS positive scale scores,negative scale scores,general psychopathology scale scores and total scores were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Dance/movement therapy can improve drug side effects,sleep quality,mood,social function and psychotic symptoms in chronic schizophrenia patients,and is an effective comprehensive rehabilitation method for this group.
作者
郝军锋
朱珊珊
史海双
董乾
黄庆明
王美
HAO Junfeng;ZHU Shanshan;SHI Haishuang;DONG Qian;HUANG Qingming;WANG Mei(Department of Rehabilitation,Mental Hospital of Guangzhou Civil Administration,Guangdong Province,Guangzhou510430,China;Department of Rehabilitation and Treatment,Mental Hospital of Guangzhou Civil Administration,Guangdong Province,Guangzhou510430,China;Department of Rehabilitation Science and Education,Mental Hospital of Guangzhou Civil Administration,Guangdong Province,Guangzhou510430,China;Male Second District,Mental Hospital of Guangzhou Civil Administration,Guangdong Province,Guangzhou510430,China)
出处
《中国当代医药》
2025年第1期23-29,共7页
China Modern Medicine
基金
广州市民政局精神病院康宁科研项目(KN2022003)。
关键词
舞动治疗
精神分裂症
康复效果
药物副反应
睡眠质量
情绪
社会功能
Dance/movement therapy
Schizophrenia
Rehabilitation effect
Drug side effect
Sleep quality,mood
Social function
