虛擬實境健走活動對思覺失調症個案之成效初探：前驅隨機對照試驗

Efficacy of Virtual-Reality Walking on Patients with Schizophrenia: A Pilot Randomized Controlled Trial

陳其嶸 ； 郭毓馨 ； 鄭中茵 ； 陳姿廷 ； 洪琪發 ； 李翊臻 ； 林克忠

《台灣實證醫學學會會刊》 12卷1期 (2021/06) Pp. 36-47

https://doi.org/10.6864/EC.202106_12(1).0010

摘要

背景：思覺失調症個案體適能不佳，導致心理社會負面影響並增加心血管疾病風險。本研究以虛擬實境技術結合跑步機健走，期能改善照護品質。目標：探討虛擬實境健走活動對思覺失調症個案之體適能及心理社會功能之成效。方法：採單盲隨機控制試驗，虛擬實境組進行4週虛擬實境健走活動。於前測、後測及治療後四週追蹤，進行體適能及心理社會評量。結果：虛擬實境組於行走距離（p=.006）、下肢肌力（p=.026）與自我效能（p=.041）的前後測分數改變較對照組顯著。健走訓練對行走距離（p=.025）及下肢肌力（p=.017）追蹤與後測改變分數顯著較對照組為佳，持續介入對體適能之成效可維持1個月。結論：本研究初步支持虛擬實境健走可增進思覺失調症個案之心肺功能、下肢肌力及自我效能。

並列摘要

Background: Schizophrenia patients have poor physical fitness, which might lead to decreasing psychosocial wellbeing and increasing risk on cardiovascular diseases. The present study would focus on the efficacy of virtual-reality combined with treadmill walking for quality improvement on the population. Objective: The aims of this study were to find out the efficacy on physical fitness and psychosocial function under virtual-reality based treadmill walking on schizophrenia patients. Methods: This study was a single-blind randomized controlled trial. The intervention group conducted virtual-reality based treadmill walking activities for 4 weeks. All participants underwent pretest, posttest and follow-up evaluations of physical fitness and psychosocial function. Results: The intervention group had significantly greater improvement than control group on walking distance (p=.006), lower-extremity endurance (p=.026) and self-efficacy (p=.041). The walking activities led to significantly higher scores on walking distance (p=.025) and lower-extremity endurance (p=.017) than control group from posttest to follow-up, providing the evidence on the efficacy of physical fitness under continued intervention can be at least maintained for 1 month. Conclusions: The preliminary results supported that virtual-reality based walking activities can improve the physical fitness, lower-extremity endurance and self-efficacy among schizophrenia population.