有氧运动干预对抑郁症患者抑郁情绪及社会功能的影响
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2016 年上海交通大学医学院附属精神卫生中心院级课题(2016-YJ-16)


Effects of aerobic exercise intervention on depression symptoms and social function for patients with depression symptoms
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    摘要:

    目的 探讨有氧运动干预对住院抑郁症患者抑郁情绪及社会功能的影响。方法 选择 上海市精神卫生中心住院的抑郁症患者60 例,采用随机数字表法分为研究组30 例和对照组30 例。对 照组采用抗抑郁药物治疗合并常规护理,研究组在此基础上辅以跳绳、慢跑等有氧运动8 周,分别在干 预前及干预后第4、8 周末,采用汉密尔顿抑郁量表(HAMD),护士用住院精神病人观察量表(NOSIE-30), 社会功能缺陷筛选量表(SDSS)对患者进行评估。结果 通过抗抑郁药物治疗、常规护理及有氧运动, 两组在第8 周末HAMD、SDSS 评分均较干预前降低,但研究组更明显(P < 0.01)。在NOSIE-30 评分中 两组的总积极因素,病情总估计均较干预前增高,总消极因素评分均较干预前降低,且研究组更明显 (P< 0.01)。结论 有氧运动能显著改善抑郁患者的抑郁情绪及社会功能。

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    Objective To investigate the effects of aerobic exercise intervention on depression and social function for patients with depression symptoms in the hospital. Methods A total of 60 patients with depression were selected in Shanghai Mental Health Center, and were divided into 2 groups by random number table, 30 in the research group and 30 in the control group. The control group was treated with antidepressant drugs and conventional nursing service. Besides the same treatment received in the research group, patients in the control group had done aerobic exercise such as rope skipping and jogging for 8 weeks. All patients were scored by HAMD, Nurses' Observation Scale for Inpatient Evaluation( NOSIE-30), Social Disability Screen Schedule( SDSS) before the research and at the 4th, 8th week after intervention. Results Through antidepressant drugs, conventional nursing service and aerobic exercise intervention, the scores of HAMD and SDSS at end of the 8th week of both groups were lower than before, and the result of research group is more significant( P < 0.01). After intervention, total positive factors of NOSIE-30 and overall assessment of both groups were higher, especially the research group( P<0.01). The score of total negative factors is lower than that before intervention, especially the research group( P < 0.01). Conclusions Aerobic exercise can significantly improve depression symptoms and social function of patients with depression.

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诸凤芳 顾爱芳 李枫 陈姬.有氧运动干预对抑郁症患者抑郁情绪及社会功能的影响[J].神经疾病与精神卫生,2018,18(5):
DOI :10.3969/j. issn.1009-6574.2018.05.003.

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  • 在线发布日期: 2018-08-21