园艺治疗对长期住院精神分裂症患者生活质量干预
|
摘要
目的:探讨园艺治疗活动对长期住院精神分裂症患者生活质量的影响。方法:选择符合入组标准的研究对象共60例,随机分成对照组和观察组各30例,给予对照组常规的医疗照护和药物维持,观察组在药物治疗的基础上给予规范持续的园艺治疗,每周2次,共3个月,所有研究对象均参与基线评估、中期评估和末期评估,采用精神分裂症患者生活质量量表(SQLS))进行生活质量评定。结果:经过12周持续且全面的园艺治疗服务,SQLS量表总分(F=108.16,P<0.01)、心理社会量表(F=70.61,P<0.01)、动力和精力量表(F=76.05,P<0.01)与症状/副作用量表(F=42.16,P<0.01)的处理效应与时间效应的交互作用均有统计学意义,各量表得分时间主效应有统计学意义(P<0.01)。结论:园艺治疗活动能显著改善住院精神分裂症患者的生活质量,对长期住院的精神分裂症患者生活质量的提高具有较好的效果。
Objective:To explore the effects of horticultural therapy on the life quality of patients who suffered from schizophrenia and stayer for a long period of hospitalization.Methods:Sixty patients of eligible study were selected,and randomly divided into a control group and an observation group(n=30).The control group was given a routine medical care and drug maintenance and the observation group was given an extra horticultural therapy based on the routine medical care and drug maintenance,with 2 times per week for 3 months.All subjects were required to adopt the schizophrenia quality of life scales(SQLS)to assess their life quality,and researchers recorded the scores of baseline and followed up after 6 and 12 weeks.Results:After 12 weeks of continuous and comprehensive horticultural therapy services,the interaction between treatment effect and time effect in the scores of SQLS and each scale of the two groups were statistically significant(F=108.16,70.16,76.05,42.16;P<0.01).Time main effect of each scale score was statistically significant(P<0.01).Conclusion:Horticultural therapy activities have an obvious effect on improving the life quality of long-term hospitalized schizophrenia patients.
Objective:To explore the effects of horticultural therapy on the life quality of patients who suffered from schizophrenia and stayer for a long period of hospitalization.Methods:Sixty patients of eligible study were selected,and randomly divided into a control group and an observation group(n=30).The control group was given a routine medical care and drug maintenance and the observation group was given an extra horticultural therapy based on the routine medical care and drug maintenance,with 2 times per week for 3 months.All subjects were required to adopt the schizophrenia quality of life scales(SQLS)to assess their life quality,and researchers recorded the scores of baseline and followed up after 6 and 12 weeks.Results:After 12 weeks of continuous and comprehensive horticultural therapy services,the interaction between treatment effect and time effect in the scores of SQLS and each scale of the two groups were statistically significant(F=108.16,70.16,76.05,42.16;P<0.01).Time main effect of each scale score was statistically significant(P<0.01).Conclusion:Horticultural therapy activities have an obvious effect on improving the life quality of long-term hospitalized schizophrenia patients.
引文
[1]陈琼妮,刘莉,张丹,等.社会支持对精神分裂症患者生活质量和康复的影响[J].中国临床心理学杂志,2016,24(1):185-187
[2]陶用富,周豪,丁佑萍,等.工娱治疗对慢性精神分裂症患者疗效及生活质量影响的对照研究[J].临床医药实践杂志,2008,1(13):352-354
[3]郑志华,侯春龙,蔡广超.农娱治疗在精神分裂症患者社会功能康复中的作用[J].中国神经精神疾病杂志,2003,29(6):442-444
[4]李日照,王学林,孟劲标,等.协助式农疗对慢性精神分裂症患者康复的影响[J].广州医药,2015,46(5):47-50
[5]曹民佑,吴虹.农艺治疗对住院慢性精神分裂症社会功能的影响日[J].医学信息,2013,26(4):321-322
[6]蔡广超,李朝晖.农娱治疗对长期住院慢性精神分裂症患者生活质量的影响[J].中国健康心理学杂志,2011,19(8):939-941
[7]陈晓庆,吴建平.园艺疗法的研究现状[J].北京林业大学学报(社会科学版),2011,10(3):41-45
[8]Benjamin R.Medical inquiries and observations upon diseases of the mind[M].Philadelphia:Kimber&Richardson,1812:226
[9]Prema T P,Devarajaiah C,Gopinath P S.Horticulture therapy:An attempt at Indianisation of psychiatric nursing.The Nursing Journal of India,1986,77(6):154-156
[10]Shiue I.Gardening is beneficial for adult mental health:Scottish Health Survey,2012-2013[J].Scandinavian Journal Occupational Therapy,2015,11:320-325
[11]Blake M,Mitchell G.Horticultural therapy in dementia care:Aliterature review[J].Nursing Standard,2016,30(21):41-47
[12]Prater L F.The healing garden[J].Successful Farming,2006,104(4):60-62
[13]Ashman J.Growing healing one garden at a time[J].J Christ Nurse,2016,33(1):35-37
[14]高云,黄素,陆钰勤.园艺疗法对慢性精神分裂症的康复效果分析[J].中国医药科学,2016,6(7):202-205
[15]班瑞益.园艺疗法对慢性精神分裂症患者的康复效果观察[J].南方护理学报,2001,7(5):8-10
[16]Wilkinson G,Hesdon B,Wild D,et al.Self-report quality of life measure for people with schizophrenia:The SQLS[J].British Journal of Psychiatry,2000,177(177):42-46
[17]李洁,周涵辉,肖勃,等.精神分裂症病人生活质量量表信度、效度测试报告[J].中国心理卫生杂志,2003,17(11):778-780
[18]蒋幸衍,徐清,方馨怡,等.精神分裂症患者的家庭负担调查[J].中国健康心理学杂志,2011,19(9):1038-1040
[19]杨静娟,任朝晖,古俊蕊.阿立哌唑与舒必利治疗精神分裂症的疗效及生活质量对照研究[J].中国健康心理学杂志,2012,20(3):328-329
[20]裴双义,宋珀槿,孙淑红.阿立哌唑治疗老年精神分裂症及其对生活质量的影响[J].中国健康心理学杂志,2013,21(6):825-826
[21]朱艳玲,黄文芬,李晓雯,等.82例康复期精神病患者园艺规范化训练的效果观察[J].中国民康医学,2010,22(13):1725-1726
[22]周朝当,吴云,白巧云.园艺种植康复活动在减轻精神分裂症特质焦虑中的作用[J].中国神经精神疾病杂志,2003,29(2):109-110
[23]诸顺红,万恒静,陆志德,吴慧萍,张群,钱晓琼,叶尘宇.合并园艺治疗对慢性精神分裂症住院患者随机对照研究(英文)[J].上海精神医学,2016,28(4):195-203
[2]陶用富,周豪,丁佑萍,等.工娱治疗对慢性精神分裂症患者疗效及生活质量影响的对照研究[J].临床医药实践杂志,2008,1(13):352-354
[3]郑志华,侯春龙,蔡广超.农娱治疗在精神分裂症患者社会功能康复中的作用[J].中国神经精神疾病杂志,2003,29(6):442-444
[4]李日照,王学林,孟劲标,等.协助式农疗对慢性精神分裂症患者康复的影响[J].广州医药,2015,46(5):47-50
[5]曹民佑,吴虹.农艺治疗对住院慢性精神分裂症社会功能的影响日[J].医学信息,2013,26(4):321-322
[6]蔡广超,李朝晖.农娱治疗对长期住院慢性精神分裂症患者生活质量的影响[J].中国健康心理学杂志,2011,19(8):939-941
[7]陈晓庆,吴建平.园艺疗法的研究现状[J].北京林业大学学报(社会科学版),2011,10(3):41-45
[8]Benjamin R.Medical inquiries and observations upon diseases of the mind[M].Philadelphia:Kimber&Richardson,1812:226
[9]Prema T P,Devarajaiah C,Gopinath P S.Horticulture therapy:An attempt at Indianisation of psychiatric nursing.The Nursing Journal of India,1986,77(6):154-156
[10]Shiue I.Gardening is beneficial for adult mental health:Scottish Health Survey,2012-2013[J].Scandinavian Journal Occupational Therapy,2015,11:320-325
[11]Blake M,Mitchell G.Horticultural therapy in dementia care:Aliterature review[J].Nursing Standard,2016,30(21):41-47
[12]Prater L F.The healing garden[J].Successful Farming,2006,104(4):60-62
[13]Ashman J.Growing healing one garden at a time[J].J Christ Nurse,2016,33(1):35-37
[14]高云,黄素,陆钰勤.园艺疗法对慢性精神分裂症的康复效果分析[J].中国医药科学,2016,6(7):202-205
[15]班瑞益.园艺疗法对慢性精神分裂症患者的康复效果观察[J].南方护理学报,2001,7(5):8-10
[16]Wilkinson G,Hesdon B,Wild D,et al.Self-report quality of life measure for people with schizophrenia:The SQLS[J].British Journal of Psychiatry,2000,177(177):42-46
[17]李洁,周涵辉,肖勃,等.精神分裂症病人生活质量量表信度、效度测试报告[J].中国心理卫生杂志,2003,17(11):778-780
[18]蒋幸衍,徐清,方馨怡,等.精神分裂症患者的家庭负担调查[J].中国健康心理学杂志,2011,19(9):1038-1040
[19]杨静娟,任朝晖,古俊蕊.阿立哌唑与舒必利治疗精神分裂症的疗效及生活质量对照研究[J].中国健康心理学杂志,2012,20(3):328-329
[20]裴双义,宋珀槿,孙淑红.阿立哌唑治疗老年精神分裂症及其对生活质量的影响[J].中国健康心理学杂志,2013,21(6):825-826
[21]朱艳玲,黄文芬,李晓雯,等.82例康复期精神病患者园艺规范化训练的效果观察[J].中国民康医学,2010,22(13):1725-1726
[22]周朝当,吴云,白巧云.园艺种植康复活动在减轻精神分裂症特质焦虑中的作用[J].中国神经精神疾病杂志,2003,29(2):109-110
[23]诸顺红,万恒静,陆志德,吴慧萍,张群,钱晓琼,叶尘宇.合并园艺治疗对慢性精神分裂症住院患者随机对照研究(英文)[J].上海精神医学,2016,28(4):195-203