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评估每日康复计划对 COVID-19 大流行期间精神障碍患者的焦虑和抑郁症状及生活质量的影响。

Assessment of the Impact of a Daily Rehabilitation Program on Anxiety and Depression Symptoms and the Quality of Life of People with Mental Disorders during the COVID-19 Pandemic.

机构信息

Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 42-612 Katowice, Poland.

Department of Psychiatric Rehabilitation, Department of Psychiatry and Psychotherapy, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-635 Katowice, Poland.

出版信息

Int J Environ Res Public Health. 2021 Feb 3;18(4):1434. doi: 10.3390/ijerph18041434.

Abstract

Community psychiatry is a modern and effective form of care for patients with mental disorders. The aim of the study was to assess the impact of a rehabilitation program at the Mental Health Support Centre in Tarnowskie Góry (Poland) on reducing severity of anxiety and depression symptoms, as well as improving overall quality of life during the COVID-19 pandemic. The study involved 35 patients, examined with an authors' questionnaire on sociodemographic data, the Hospital Scale of Anxiety and Depression (HADS) and the Short Form Health Survey (SF-36). Data was obtained during the first national lockdown and compared to data gathered before the pandemic on the same study group. Imposed restrictions, negative emotional state during lockdown, subjectively assessed higher health risk and a low level of knowledge about the COVID-19 pandemic did not significantly correlate with a severity of depression and anxiety, as well as general quality of life. However, the comparison of the results obtained in HADS and SF-36 scales show a significant improvement in both categories. Rehabilitation activities, including physical training, cognitive exercise and social therapy, reduce the severity of the symptoms and have a positive effect on the overall quality of life in patients suffering from schizophrenia and affective disorders. Therefore, holistic mental health support services may positively affect building an individual resilience. The severity of anxiety symptoms during the COVID-19 pandemic shows a negative correlation with the patient's age.

摘要

社区精神病学是一种针对精神障碍患者的现代且有效的护理形式。本研究旨在评估在塔尔努夫戈尔斯基心理健康支持中心(波兰)实施的康复计划对减轻 COVID-19 大流行期间焦虑和抑郁症状严重程度以及提高整体生活质量的影响。该研究涉及 35 名患者,使用作者的问卷评估社会人口学数据、医院焦虑和抑郁量表(HADS)和健康调查简表(SF-36)。在第一次全国封锁期间获得数据,并与同一研究组在大流行前收集的数据进行比较。实施的限制、封锁期间的负面情绪状态、主观评估的更高健康风险以及对 COVID-19 大流行的低知识水平与抑郁和焦虑的严重程度以及总体生活质量没有显著相关性。然而,对 HADS 和 SF-36 量表中获得的结果进行比较表明,这两个类别都有显著改善。康复活动,包括体育锻炼、认知训练和社会治疗,可以减轻症状的严重程度,并对患有精神分裂症和情感障碍的患者的整体生活质量产生积极影响。因此,全面的心理健康支持服务可能会对建立个体韧性产生积极影响。COVID-19 大流行期间焦虑症状的严重程度与患者年龄呈负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29d9/7913642/9fc20587c51b/ijerph-18-01434-g001.jpg

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