有氧運動對體重過重精神分裂住院病人之健康相關生活品質的影響

The Effect of Aerobic Exercise on the Health-related Quality of Life among Overweight Inpatients with Schizophrenia

陳中(Chung Chen,) ； 馮煥光(Huan-Kwang Ferng) ； 李嘉富(Jia-Fu Lee,) ； 黃旭男(Shiuh-Nan Hwang) ； 高森永(Sen-Yeong Kao) ； 康勝傑(Sheng-Chich Kang) ； 高百源(Pai-Yuan Kao)

《台灣精神醫學》 21卷4期 (2007/12) Pp. 254-262

https://doi.org/10.29478/TJP.200712.0003

摘要

目的：本研究主要目的在探討有氧運動介入對某精神專科醫院體重過重精神分裂住院病人之健康相關生活品質的影響。方法：研究對象依意願區分運動組（25人）與對照組（26人），運動組接受12週共36節，每節60分鐘，控制組則不作任何運動。運動介入前、後第6及第12週，參加研究之體重過重精神分裂症病人，採自填式(self-administered)並由醫師或護理人員從旁協助方式進行簡明版世界衛生組織健康相關生活品質問卷(WHOQOL-BREF)量表。結果：體重過重精神分裂症病人運動介入前、中、後，在整體健康相關生活品質四大範疇中，均以生理健康範疇平均得分最高。整體的健康相關生活品質三次測得總平均得分為53.06分（總分80分），屬中等程度之生活品質。paired t-test分析發現運動組各範疇有達顯著差異者分別為：生理範疇，第12週較第6週改善(p=0.015)；心理範疇，第6 週較第0 週差(p=0.019)；社會範疇，第6週較第0週顯著變差(p=0.009)，第12週較第6週改善(p=0.013)；環境範疇，第12週較第6週顯著改善(p=0.018)。顯示經由運動介入12週後運動組生理健康較對照組有改善，於心理、社會及環境範疇，無論對照組或運動組均無顯著差異。結論：希望能提供醫療單位如慢性精神醫療院所等精神復健相關訓練機構，規劃病人運動課程參考，藉以輔助臨床醫療及提升慢性精神病人之健康相關生活品質。

關鍵字

體重過重 ； 精神分裂症 ； 運動介入 ； 有氧運動

並列摘要

Objective: The main purpose of this research was to explore the effect of aerobic exercise on the health-related quality of life for overweight inpatients with schizophrenia. Methods: Based on personal willingness, the study subjects were divided into two groups: an experimental group of 25 and a control group of 26 patients. Throughout the study period, only the experimental group received aerobic exercise activities while all participants continued regular clinic treatment activities. The experimental group received a total of 36 sessions of aerobic exercise activities over a period up to 12 weeks. Each session involved varied aerobic exercise activities for 60 minutes. Aerobic exercise was recorded ill the 1(superscript st) 6(superscript th), 12(superscript th) weeks. We administered the World Health Organization's Quality of Life (WHOQOL-BREF) questionnaire after each session to both the experimental and control groups. Participants completed the WHOQOL-13REF questionnaires with the assistance of physicians and nurses when necessary. Results: The main findings of this study are as follows: 1) Over the three stages, the physical domain was the highest scoring domain for subjects of experimental group. Lower scores imply lower quality of life in that domain. 2) The total mean score (at these three points) on health-related quality of life was 53.06, which represents a moderate level of quality of life (as compared to 80). 3) Significan differences were noted for the experimental group in the following domains: the physical domain (higher in 12(superscript th) as compared to 6(superscript th) week) (p=0.015), the psychological domain (lower in 6th as compared to 1(superscript st) week) (p=0.019), social relationships (lower in 6(superscript th) as compared to 1(superscript st) week (p=0.009); but improved in the 12(superscript th) week as compared to the 6(superscript th)) (p=0.013), and the environmental domain (improved in 12(superscript th) week compared to the 6(superscript th)) (p=0.018). The experimeiltal group made greater progress ill physical quality of life than the control group over all 12 weeks, while both groups demonstrated no obvious improvement in the domains of psychology, social relationships and environment. Conclusions: Aerobic exercise may have benefits for overweight inpatients with schizophrenia. Findings of this study may have clinical implications for long-term care mental institutions to improve health-related quality of life for overweight inpatients with schizophrenia.

並列關鍵字

overweight ； schizophrenia ； exercise intervention ； aerobic exercise

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