School of Human Sciences (Exercise & Sport Science), University of Western Australia, Australia.
Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Australia.
Australas Psychiatry. 2021 Feb;29(1):52-56. doi: 10.1177/1039856220943030. Epub 2020 Jul 28.
Despite support for the role of exercise in improving physical and mental health for various psychiatric disorders, few service implementation evaluations within diverse hospital environments exist. This study presents the feasibility and implementation of a clinical exercise physiology service within a hospital mental health service.
Feasibility and service data were collected from databases and self-report (consumer and staff) for 6 months from the commencement of new exercise services (gym and group sessions) for community and inpatients (one secure and three open wards).
One hundred and twenty consumers engaged with exercise services with 70 direct referrals over the 6-month audit period (mean age 40 ± 13 years (19-69); 41% male). The overwhelming reason for referral was related to weight loss/management (65.7%), with the majority of patients (51%) presenting with schizophrenia spectrum and other psychotic disorders. Further, 549 exercise service interactions were delivered and 78% gym attendees and 69% group session attendees rated the exercise sessions as 'Good' or 'Great', and intention to return ranged from 78% for inpatient gym sessions to 91% for community gym sessions.
Embedding exercise physiology into a mental health service is feasible and well accepted and the evaluation of long-term consumer outcomes in 'real-world' will serve as a crucial step.
尽管运动在改善各种精神疾病的身心健康方面具有支持作用，但在不同的医院环境中，很少有服务实施评估。本研究介绍了在医院心理健康服务中开展临床运动生理学服务的可行性和实施情况。
从新的运动服务（健身房和团体课程）开始的 6 个月内，从数据库和自我报告（消费者和工作人员）中收集了可行性和服务数据，适用于社区和住院患者（一个封闭病房和三个开放病房）。
在 6 个月的审核期间，有 120 名消费者参与了运动服务，其中有 70 名直接转介（平均年龄 40 ± 13 岁（19-69）；41%为男性）。转介的主要原因与体重管理有关（65.7%），大多数患者（51%）患有精神分裂症谱系和其他精神病性障碍。此外，共提供了 549 次运动服务互动，78%的健身房参与者和 69%的团体课程参与者将运动课程评为“好”或“很棒”，并且愿意返回的比例从住院健身房课程的 78%到社区健身房课程的 91%不等。
将运动生理学融入心理健康服务是可行的，并且得到了广泛认可，对“真实世界”中消费者长期结果的评估将是至关重要的一步。
