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对心理健康专业人员关于精神疾病患者运动观点的定量评估:来自资源匮乏地区的观点

A quantitative assessment of the views of mental health professionals on exercise for people with mental illness: perspectives from a low-resource setting.

作者信息

Vancampfort Davy, Stanton Robert, Probst Michel, De Hert Marc, van Winkel Ruud, Myin-Germeys Inez, Kinyanda Eugene, Mugisha James

机构信息

KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.

KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.

出版信息

Afr Health Sci. 2019 Jun;19(2):2172-2182. doi: 10.4314/ahs.v19i2.42.

Abstract

BACKGROUND

Exercise is nowadays considered as an evidence-based treatment modality in people with mental illness. Nurses and occupational therapists working in low-resourced mental health settings are well-placed to provide exercise advice for people with mental illness.

OBJECTIVES

We examined the current exercise prescription practices employed by Ugandan health care professionals when working with people with mental illness, and identified perceived barriers to exercise prescription and exercise participation for people with mental illness.

METHODS

In this study, 31 Ugandan health care professionals 20 men; 31.2 ± 7.1 years completed the Exercise in Mental Illness Questionnaire- Health Professionals Version EMIQ-HP.

RESULTS

The vast majority of the respondents 29/31, 94% reported they prescribed exercise at least "occasionally" to people with mental illness. Exercise-prescription parameters used were consistent with those recommended for people with mental illness. Regarding barriers to exercise participation, coping with side effects of psychotropic medication at the individual level and reducing stigma at community level should be prioritized.

CONCLUSION

A health care reform to enable collaboration with exercise professionals, such as exercise physiologists or physiotherapists, might increase exercise uptake for people with mental illness, thereby improving health outcomes for this vulnerable population.

摘要

背景

如今,运动被视为针对患有精神疾病的人的一种循证治疗方式。在资源匮乏的心理健康环境中工作的护士和职业治疗师,处于为患有精神疾病的人提供运动建议的有利位置。

目的

我们研究了乌干达医疗保健专业人员在为患有精神疾病的人提供服务时当前采用的运动处方实践,并确定了患有精神疾病的人在运动处方和运动参与方面存在的感知障碍。

方法

在本研究中,31名乌干达医疗保健专业人员(20名男性;年龄31.2±7.1岁)完成了《精神疾病中的运动问卷——医疗保健专业人员版》(EMIQ-HP)。

结果

绝大多数受访者(29/31,94%)报告称,他们至少“偶尔”为患有精神疾病的人开具运动处方。所使用的运动处方参数与为患有精神疾病的人推荐的参数一致。关于运动参与的障碍,应优先考虑在个体层面应对精神药物的副作用以及在社区层面减少污名化。

结论

进行医疗保健改革,以促进与运动专业人员(如运动生理学家或物理治疗师)的合作,可能会增加患有精神疾病的人的运动参与度,从而改善这一弱势群体的健康状况。

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