太極氣功團體對精神科急性住院病人焦慮、憂鬱之成效探討

Exploring the Effectiveness of Taiji Qigong Group on Anxiety and Depression for Acute Psychiatric Inpatient

林玄昇(Shuan-Sheng Lin) ； 曾淑君(Shu-Chun Tseng) ； 陳美碧(Mei-Bih Chen)

《中華團體心理治療》 25卷1期 (2019/03) Pp. 18-30

摘要

目的：本研究旨在探索太極氣功團體改善住院精神病人憂鬱、焦慮之效果。方法：採兩組前後測之類實驗研究設計，以方便取樣，樣本取自臺北某醫學中心精神科急性病房診斷思覺失調症或憂鬱症之病人，本研究先予對照組收案完成後，再進行實驗組資料收集，兩組各收54名，合計108名。對照組為接受常規性照護，實驗組除常規照護外，另介入每日30分鐘的太極氣功團體；研究工具採醫院焦慮憂鬱量表，並每日監測血壓、心跳及睡眠時數等生理數值，兩組於入院3天內和出院前收集醫院焦慮憂鬱量表及生理數值。結果：實驗組以女性40人（74.1%）、憂鬱症35人（64.8%）為多，平均年齡46.65歲，平均每人參加氣功團體23.8次；實驗組與對照組的基本資料之性別變項達統計上明顯不同（p=.03），顯示實驗組女性較對照組為多，其餘變項均屬同質性。兩組前後測資料進一步以廣義推估方程式（GEE）分析，發現實驗組焦慮得分較對照組有明顯差異情形（p=.03），憂鬱則無顯著差異；而血壓、心跳及睡眠時數等生理數值，亦未達顯著差異。質性分析描述如某位病人說：「活在當下……，思緒較通暢，從心情平穩，有助於精神病的治療，放鬆心情，也為自己多一份安全感，免除恐懼，建立自信心……」結論：本研究結果太極氣功有助於改善急性住院精神病人之焦慮症狀，精神科護理人員若能持續加以推動，對病人而言，不啻是一項良好的健康促進活動，對其功能的復元會有所助益。

關鍵字

太極氣功團體 ； 急性住院精神病人 ； 焦慮 ； 憂鬱

並列摘要

Purpose: The aim of this study was to explore the effects of Taiji Qigong activity has on the anxiety and depression for psychiatric inpatients. Methods: This quasi-experimental designed study included experimental group who received daily 3D-minute Taiji Qigong activity training program, and the control group who received usually care during the hospitalized. Participants were recruited schizophrenia or depression from two acute psychiatric wards at a medical center in Taipei City. A total of 108 participants were equally assigned to either experimental group or control group. The measurements of this study includes the hospital anxiety and depression scale (HADS), blood pressure, heart rate, and sleep hour monitor on daily basis. The anxiety and depression scores were collected in the pre-test within 3 days after admission and the post-test before the discharge. Results: There were 40(74.1%) of female, 35(64.8%) of depression, average of age 46.65, and the mean of participant 23.8 in the experimental group. The pre-test of characteristics of variables were no statistics different expected gender between both groups. The results of post-test revealed significant differences of the anxiety scores between the experimental group and the control group by GEE, p=.03. There was no significant differences in the scores of depression, and the physiological data. The qualitative analyses showed as one patient said ＂living in the moment..., making the thoughts clear and the mood stable, to relax, to help the treatment of mental illness, to perceive the security, to avoid the fear and build the self-confidence.＂. Conclusions: The results of this study have shown Taiji Qigong activity can improve anxiety symptoms for acute psychiatric inpatients. If psychiatric nurses can continue to provide a good health promotion activity for patients. There will be helpful in recovery of patient's function.

並列關鍵字

Taiji Qigong group ； acute psychiatric inpatients ； anxiety ； depression

參考文獻

王鈞逸、楊聯琦、黃僅喻、張合富(2015)。運動對憂鬱症影響之探討。臺中科大體育學刊，(11)，132-137。

林玄昇、許樹珍、李鶯喬、蔣欣欣(2014)。精神病者身體活動與生命療癒—以太極拳為例。護理雜誌，61 (4) ，46-55。

林貞岑(2015)。太極運動，全球最夯的復健處方。康建雜誌Common Health，198，152-156。

林厚省(2006)。太極氣功十八式。新北市：新潮社。

徐敏、趙安安、鍾灼輝、劉華孝、高尚仁(2010)。國際研究對中醫心理學之貢獻：以針灸、氣功、太極、靜坐為例。應用心理研究，46，93-123 。