Ward 8, Shanghai Pudong New Area Mental Health Center (Mental Health Center of Tongji University, Shanghai Pudong New Area Psychological Counseling Center), Shanghai, China.
Department of Nursing, Shanghai Pudong New Area Mental Health Center (Mental Health Center of Tongji University, Shanghai Pudong New Area Psychological Counseling Center), Shanghai, China.
Medicine (Baltimore). 2024 Jun 14;103(24):e37393. doi: 10.1097/MD.0000000000037393.
To explore the effect of dance art on the treatment of hospitalized patients with chronic schizophrenia.
In a prospective randomized controlled study conducted from June 2019 to June 2020, 120 patients from Shanghai Pudong New Area Mental Health Center were divided into intervention (n = 60) and control (n = 60) groups using a random number table. Control patients received standard drug treatment and nursing care, while the intervention group underwent dance art therapy sessions for 90 minutes twice weekly, in addition to standard care. Treatment outcomes after 6 and 12 weeks were measured using the positive and negative symptom scale (PANSS), Wisconsin Card Sorting Test (WCST), Montreal Cognitive Assessment Scale (MoCA), and body mass index (BMI).
This study involved 120 male patients with chronic schizophrenia, aged 30 to 60 years. After 6 and 12 weeks, the intervention group showed a greater reduction in PANSS scores (intervention group: from 49.02 ± 2.53 to 37.02 ± 1.83, control group: from 49.08 ± 2.59 to 44.91 ± 2.35, P < .05). In the WCST, the intervention group exhibited a higher increase in classification completion and correct answers, and a greater decrease in errors (P < .05). MoCA scores improved significantly in the intervention group compared to the control group (P < .05). BMI decreased in both groups, with a more pronounced reduction in the intervention group (intervention group: from 26.47 ± 1.05 kg/m² to 22.87 ± 0.73 kg/m², control group: from 26.50 ± 1.03 kg/m² to 26.22 ± 0.80 kg/m², P < .05).
Based on routine drug treatment and routine nursing care, dance art has a better clinical effect in treating hospitalized patients with chronic schizophrenia, which can improve cognitive function, alleviate clinical symptoms, and reduce BMI.
探讨舞蹈艺术对住院慢性精神分裂症患者治疗的影响。
采用前瞻性随机对照研究，于 2019 年 6 月至 2020 年 6 月，选取上海市浦东新区精神卫生中心 120 例患者，采用随机数字表法分为干预组（n=60）和对照组（n=60）。对照组患者给予常规药物治疗和护理，干预组在常规护理基础上给予舞蹈艺术治疗，每周 2 次，每次 90 分钟。分别于治疗 6 周、12 周后，采用阳性和阴性症状量表（PANSS）、威斯康星卡片分类测试（WCST）、蒙特利尔认知评估量表（MoCA）、体质量指数（BMI）评价疗效。
本研究共纳入 120 例男性慢性精神分裂症患者，年龄 30~60 岁。治疗 6 周、12 周后，干预组 PANSS 评分低于对照组[（49.02±2.53）分比（49.08±2.59）分，（37.02±1.83）分比（44.91±2.35）分]，差异均有统计学意义（P<0.05）。WCST 测试中，干预组分类完成数、正确数高于对照组，错误数低于对照组（P<0.05）。MoCA 评分治疗后，干预组高于对照组（P<0.05）。两组 BMI 较治疗前均降低，且干预组降低更明显[（26.47±1.05）kg/m²比（26.50±1.03）kg/m²，（22.87±0.73）kg/m²比（26.22±0.80）kg/m²]，差异均有统计学意义（P<0.05）。
在常规药物治疗和护理基础上，舞蹈艺术疗法对住院慢性精神分裂症患者有更好的临床效果，可改善认知功能，缓解临床症状，降低 BMI。
