身心活化機能活動對慢性精神分裂症住民之認知功能、淡漠與憂鬱情緒的效果

The Effectiveness of an Activating Program for Physical and Mental Function on Cognitive Function, Apathy, and Depressive Mood in Residents with Chronic Schizophrenia

吳毓慧(Yu‐Hui Wu) ； 謝佳容(Chia‐Jung Hsieh) ； 歐陽文貞(Wen‐Chen Ouyang) ； 李劭懷(Shao‐Huai Lee)

《護理暨健康照護研究》 10卷1期 (2014/03) Pp. 3-14

https://doi.org/10.6225/JNHR.10.1.3

摘要

Background: Previous studies of institutionalized chronic schizophrenia patients have developed intervention activities designed to improve social interaction, depressive mood, and quality of life. Few interventions have been designed to improve the cognitive functions and apathy in this patient population.Objectives: The purpose of this study was to explore the effectiveness of a physical and mental functional activation program (PMFAP) in improving the apathy, depressive mood, and cognitive functions of institutionalized chronic schizophrenia patients.Methods: This quasi‐experimental study used purposive sampling to recruit chronic schizophrenia patients (N=77) at two institutions in Taipei, northern Taiwan. The PMFAP was provided to 43 patients in the experimental group for 3 months (90 minutes per week). The 34 patients in the control group continued their regular daily activities. The completion rate for participants in this study was 62.3% (experimental group: 34; control group: 14). The SPSS 17.0 software package for Windows was used to conduct non‐parametric statistical analyses.Results: Residents with chronic schizophrenia in the experimental group earned statistically significant improvements in terms of the orientation (χ^2=8.78, p=.032) and the constructive ability (χ^2=10.13, p=.016) dimensions of cognitive function as well as depressive mood (χ^2=13.71, p＜.001). A posttest comparison found significant differences between the two groups in terms of cognitive function (Z=2.67, p=.010) and depressive mood (Z=‐4.10, p=.010).Conclusion: The results of this study indicate that the PMFAP intervention program improves the cognitive functions and depressive mood of institutionalized chronic schizophrenia patients. Therefore, we suggest implementing this program with patients with chronic schizophrenia to both improve symptoms and delay degeneration. Future studies should extend the follow‐up time to assess the efficacy of the intervention over longer time periods.

關鍵字

身心機能活化方案 ； 慢性精神分裂症 ； 認知功能 ； 憂鬱 ； 淡漠

並列摘要

Background: Previous studies of institutionalized chronic schizophrenia patients have developed intervention activities designed to improve social interaction, depressive mood, and quality of life. Few interventions have been designed to improve the cognitive functions and apathy in this patient population.Objectives: The purpose of this study was to explore the effectiveness of a physical and mental functional activation program (PMFAP) in improving the apathy, depressive mood, and cognitive functions of institutionalized chronic schizophrenia patients.Methods: This quasi‐experimental study used purposive sampling to recruit chronic schizophrenia patients (N=77) at two institutions in Taipei, northern Taiwan. The PMFAP was provided to 43 patients in the experimental group for 3 months (90 minutes per week). The 34 patients in the control group continued their regular daily activities. The completion rate for participants in this study was 62.3% (experimental group: 34; control group: 14). The SPSS 17.0 software package for Windows was used to conduct non‐parametric statistical analyses.Results: Residents with chronic schizophrenia in the experimental group earned statistically significant improvements in terms of the orientation (χ^2=8.78, p=.032) and the constructive ability (χ^2=10.13, p=.016) dimensions of cognitive function as well as depressive mood (χ^2=13.71, p＜.001). A posttest comparison found significant differences between the two groups in terms of cognitive function (Z=2.67, p=.010) and depressive mood (Z=‐4.10, p=.010).Conclusion: The results of this study indicate that the PMFAP intervention program improves the cognitive functions and depressive mood of institutionalized chronic schizophrenia patients. Therefore, we suggest implementing this program with patients with chronic schizophrenia to both improve symptoms and delay degeneration. Future studies should extend the follow‐up time to assess the efficacy of the intervention over longer time periods.

並列關鍵字

physical and mental functional activation programs ； chronic schizophrenia ； cognitive function ； depression ； apathy

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