健走運動對慢性思覺失調症體重過重病人之減重成效--以某區域教學醫院為例

慢性思覺失調症體重過重病人的病人日益增加，因體重過重而產生的合併症也遂漸惡化。因此，本研究目的主在探討12週健走運動介入對慢性思覺失調症體重過重病人減重成效及對健康生活品質之成效。以中部某區域教學醫院3個精神科慢性病房病人為研究對象，採類實驗性研究，實驗組以每週5天、每天2次、每次30分鐘，連續12週健走運動介入，對照組則依常規性活動未參與健走運動。兩組於介入前、中、後量測生理成效指標(體重、身體質量指數BMI、腰臀圍比)及SF-36健康生活品質量表，所得資料以SPSS Window version 22.0進行資料分析，以敘述性統計、獨立樣本t檢定、單因子重複測量變異數分析(one-way ANOVA with repeated measures)及雙因子重複測量變異數分析(two-way ANOVA with repeated measures)進行兩組組間前、中、後測之差異比較。完成前中後測試者共74位(實驗組38位、對照組36位)，研究結果顯示，實驗組在體重、身體質量指數(BMI)及腰臀圍比達顯著改善(p <. 001，p = .004)，另實驗組比對照組的體重(F = 12.471, p <. 001)、身體質量指數(BMI) (F = 7.644 ,p =. 003)及腰臀圍比(F = 4.594, p <. 012)有統計上顯著的改善。在健康生活品質實驗組前中後比較結果各構面大都有顯著改善(p<. 05，p<. 001)，實驗組比對照組組間生活品質量表(SF-36)得分比較，結果顯示在活力狀況(VT) (F = 4.136, p= .021)、心理健康(MH)(F = 3.680, p= .032)、因情緒問題角色受限(RE) (F = 7.851, p= .003)有統計上顯著的改善。本研究結果發現12週健走運動介入有助於慢性思覺失調症體重過重病人減重之成效，進而提升病人的生活品質。建議未來可平行展開至其他精神科病房，將健走運動列入精神科病房每日活動常規，亦可再評估健走運動的長期效果。

關鍵字

健走運動；慢性思覺失調症；體重過重；生活品質

並列摘要

Chronic Schizophrenia patients with overweight are increasing and their complications of overweight are getting worse. Therefore, the purpose of this study was to examine the effects of 12-week walking exercise intervention on weight loss and the health-related quality of life among chronic schizophrenia patients with overweight. Participants were recruited from three chronic psychiatric wards at a teaching hospital in central Taiwan. Participants were randomly divided into experimental and control groups. The intervention for experimental group was a program of walking 30 minutes per time, twice per day, 5 days per week for totally 12 weeks. The control group was assigned to routine activities. Physiological performance indicators (body weight, body mass index BMI, waist-hip ratio) and the SF-36 health questionnaire were measured before, during and after the intervention for both groups. SPSS Window version 22.0 was used to analyze the data. By means of descriptive statistics and independent sample t test, One-way ANOVA with repeated measures and two-way ANOVA with repeated measures were used to compare the differences before, during and after intervention between the two groups. The results showed that 74 subjects (38 in the experimental group and 36 in the control group) completed the before- and after-tests. The body weight(F = 12.471, p < .001), body mass index (BMI) (F = 7.644, p <. 003) and waist-hip ratio(F = 4.594, p <. 012) were significantly improved in the experimental group (p < .001, p = .004). In addition, the comparison of physiological outcomes between the experimental and the control groups showed a significant difference (p < .05, p < .001). The Vitality status (VT) (F = 4.136, p= .021), Mental Health (MH) (F = 3.680, p = .032), Restricted Role (RE) (F = 7.851, p = .003) were statistically significant improvement. In conlusion, the results of this study found that 12 weeks of walking exercise intervention improved the weight loss of patients with chronic schizophrenia, thereby enhancing the quality of life of the patients. It is suggested that walking exercise can be promoted to other psychiatric wards as one of daily routine activities, and long-term effect of walking exercise may need to be reassessed in the future.