瑜珈輔助療法改善思覺失調症病人正性和負性症狀之實證研究

The Empirical Study of Yoga Adjunctive Therapy to Improve Positive and Negative Symptoms of Schizophrenia

蔡佳玲(CHIA-LING TSAI)

指導教授 ： 黃心樹

中臺科技大學/護理學院/護理研究所/碩士(2019年)

摘要

藥物治療是思覺失調症最主要的治療，而輔助療法改善藥物副作用和舒緩症狀已普遍受到重視。本研究的目的，在探討瑜珈輔助療法改善思覺失調症病人正性和負性症狀之效果評量。以系統性文獻回顧檢視瑜珈輔助療法於思覺失調症之訓練處方，並以後設分析比較瑜珈、運動、及常規治療對思覺失調症正性與負性症狀的效果。依實證研究，從形成問題、文獻搜尋、篩選文獻、文獻品質評析、萃取整合並做結果評值。搜尋2018年5月前於The Cochrane Library、PubMed、CINAHL、Medline及臺灣碩博士論文系統、臺灣期刊論文索引系統、Airiti Library華藝線上圖書館等相關資料庫之文獻。搜尋關鍵字：思覺失調症（Schizophrenia or schizoaffective or psychosis or psychotic）、瑜珈（yoga or yogic or yogi），也搜尋發表於中英文期刊之國內外隨機試驗研究之文獻，找出符合本研究目的相關文章，納入評讀進行分析。共納入12篇研究樣本進行系統性文獻回顧，其瑜珈訓練皆由瑜珈認證專業員或教練進行指導，為期4~8週短期性介入，瑜珈頻率每週3~7天不等，每次60分鐘；其中7篇研究樣本進入後設分析，發現8週瑜珈輔助療法和常規治療相比較，對改善正向症狀有顯著效果（p = .05），對於改善負性症狀則未達顯著效果（p = .40）。12週瑜珈輔助療法和常規治療相較於改善PANSS總分具有顯著效果（p < .00001）。16週瑜珈組和運動組之間改善正性症狀（p = .08）和負性症狀（p = .55）並無顯著差異。綜合結論為瑜珈輔助療法在減輕思覺失調症病人的正性及負性症狀仍是優於常規治療，所以其可做為臨床實務與研究的參考。

關鍵字

瑜珈 ； 輔助療法 ； 思覺失調症 ； 正性和負性症狀

並列摘要

Drug therapy is the major treatment for schizophrenia, and adjunctive therapy has been widely recognized for improving drug side effects and soothing symptoms. The purpose of this study was to investigate the effect of yoga adjunctive therapy on the improvement of positive and negative symptoms of schizophrenic disorders. In the systematic reviews examine the training prescriptions and meta-analysis of yoga adjunctive therapy in schizophrenic patient to compare the effects of yoga, exercise, and conventional treatment on positive and negative symptoms of schizophrenia. According to empirical research, we process from the formation of problems, literature search, screening of literature, literature quality evaluation, extraction integration and evaluation of results. And search for related literatures in The Cochrane Library, PubMed, CINAHL, Medline and Taiwan Master's Thesis System, Taiwan Journal Paper Index System, Airiti Library Huayi Online Library, etc. before May 2018. Search for keywords: Schizophrenia or schizoaffective or psychosis or psychotic, yoga or yogic or yogi, also search for literature published in Chinese and English journals at home and abroad, to find out that it is relevant for the purpose of this study. The article was included in the review for analysis. A total of 12 research samples were included for systematic reviews. The yoga training was guided by a yoga professional or coach. The short-term intervention was 4-8 weeks. The frequency of yoga was 3 to 7 days per week and each session no more than 60min. Seven of the study samples entered the meta-analysis and found that 8-week yoga adjunctive therapy had a significant effect on improving positive symptoms compared with conventional therapy (p = .05), but did not achieve significant effect on improving negative symptoms (p = .40). Compared with conventional treatment, the 12-week comparison of yoga adjunctive therapy had a significant effect on improving the PANSS total score (p < .00001). There was no significant difference between the improvement of positive symptoms (p = .08) and negative symptoms (p = .55) between the yoga group and the exercise group at 16 weeks. The comprehensive conclusion is that yoga adjunctive therapy is still superior to conventional treatment in reducing the severity of positive symptoms and negative symptoms, so it can be used as a reference for clinical practice and research.

並列關鍵字

Yoga ； adjunctive therapy ； schizophrenic ； positive and negative symptoms

參考文獻

中文文獻

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