八段锦联合全病程护理对缓解期精神分裂症患者认知功能、服药依从性及疾病复发的影响
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上海市中医神志病研究所项目(SZB2022202);


Effects of Ba Duan Jin combined with whole course nursing on cognitive a-bility,medication compliance and relapse in schizophrenia patients in re-mission
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    摘要:

    目的:探讨八段锦联合全病程护理对缓解期精神分裂症患者认知功能、服药依从性及疾病复发情况的影响。方法:纳入124例缓解期精神分裂症患者作为研究对象,根据干预方式不同分为研究组和对照组,每组各62例。对照组接受4个月的全病程护理干预;研究组患者采用全病程护理干预联合30 min/d的八段锦锻炼。于干预前后,采用MATRICS共识认知成套测验(MCCB)评定患者认知功能;采用Frankl治疗依从性量表(FCS)评估其服药依从性。记录两组患者干预期间不良反应和复发情况。结果:干预后,研究组MCCB中的工作记忆因子、操作速度因子及连线测试因子评分均低于对照组(P<0.05);服药依从性等级评分高于对照组(P<0.05);复发率低于对照组(P<0.05)。两组患者治疗期间均未发生不良反应。结论:八段锦联合全病程护理有助于改善缓解期精神分裂症患者的认知功能、提高服药依从性并降低复发率。

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    Objective:To explore the effect of Ba Duan Jin combined with whole course nursing on cognitive function,medication compliance and disease recurrence of patients with schizophrenia in remission.Methods:124 patients with schizophrenia in remission were included as the research object.According to the intervention method,they were divided into two groups:the study group and the control group,with 62 cases in each group.The control group received a 4-month full course nursing intervention,while the study group patients received a full course nursing intervention combined with 30 minutes of Baduanjin exercise per day.Before and after the inter-vention,the patients'cognitive function was evaluated by MATRICS Consensus Cognitive Test(MCCB),and their medication compli-ance was evaluated by Frankl Treatment Compliance Scale(FCS).The adverse reactions and recurrence of the two groups were recor-ded during the intervention.Results:After intervention,the MCCB factor working memory scores,the operating speed,and wired test scores of the observation group were lower than those of the control group(P<0.05).The compliance grade score of the observation group was higher than that of the control group(P<0.05),and the recurrence rate was lower than that of the control group(P<0.05).Neither group of patients experienced any adverse reactions during the treatment period.Conclusion:Ba Duan Jin com-bined with combined with whole-course nursing can effectively improve the cognitive level,of schizophrenia patients in remission,but al-so can improve patients'medication compliance and reduce the recurrence rate after discharge.

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胡蓓莉;房圆;付聪;沈飞;朱佳红;琚明亮;朱翠芳;.八段锦联合全病程护理对缓解期精神分裂症患者认知功能、服药依从性及疾病复发的影响[J].川北医学院学报,2025,40(6):805-808.

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  • 在线发布日期: 2025-07-09
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