唱歌、打太极等活动对50岁以上的社区慢性病患者及高危人群心理健康作用研究

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摘要目的通过应用唱歌、打太极、舞蹈、器乐演奏等干预措施,观察其对慢性病及高危人群心理健康的影响,为进一步开展慢性病干预工作提供依据。方法将617名50岁以上的社区慢性病患者和高危人群以自愿原则分成五组,分别为唱歌组、太极组、舞蹈组、器乐演奏组和对照组,干预组分别给予不同的课程,对照组参加与干预措施无关的其它课程,干预措施持续15个月,分析各组健康效果、复原力、抑郁患病率等心理健康情况。结果各干预组干预后健康效果测量得分显著高于对照组(P<0.05),包括大脑执行功能、心理健康、精神状态、体力活动、自尊心等方面,在复原力方面干预组也高于对照组(P<0.05)。不同干预组的干预效果存在差异,唱歌组和太极组大脑执行功能得分最高,太极组和唱歌组健康相关生活质量得分最高,太极组和舞蹈组在自尊心方面得分最高,在复原力方面太极组得分也较高,器乐演奏组在大脑执行功能、精神健康等方面得分较高,但在社交技能、体力活动、复原力中的家庭关系、朋友支持等方面与对照组相比效果不显著(P>0.05)。结论对慢性病患者及高危人群,太极在促进大脑功能和预防抑郁方面效果显著,唱歌、舞蹈在预防大脑功能衰退和提高健康相关生活质量方面十分有效,器乐演奏能促进个体保持良好的心理健康状态。

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关键词 ：唱歌, 太极, 舞蹈, 器乐演奏, 心理健康

Abstract：[Objective]To use the intervention such as singing,tai chi,dancing,playing musical instrument,considered the role to psychological healthy of chronic disease patients and high-risks groups in community,so as to provide basis for intervention of chronic diseases.[Methods]617 members over 50 years old with chronic diseases or high-risks were divided into five groups with voluntary principle.The intervention groups including singing,tai chi,dancing,playing musical instrument and different courses were used.Control group participated in other courses and independent interventions.The whole intervention lasted 15 months.Analysised the health effects,resilience,depression prevalence and other mental health of each group.[Results]The health effects of each intervention group scored significantly higher than control group(P<0.05).Including the brain executive function,mental health,mental status,physical activity,self-esteem,etc.The resilience in the intervention groups were also higher(P<0.05).There were differences in intervention effects of different intervention groups.Singing group and tai chi group scored the highest executive function of the brain,tai chi group and singing group scored the highest health-related quality of life,tai chi group and dancing group scored highest in self-esteem, the score of tai chi group was higher in resilience too.Playing musical instrument group scored higher executive functions in the brain,mental health etc.But compared with the control group,there was no significant in social skills,physical activity,family relationships,the friends to support of resilience etc(P>0.05). [Conclusion]The effect is obvious that Tai Chi in promoting the prevention of depression in terms of brain function.Singing and dancing in the prevention of brain function decline and improve health-related quality of life is very effective.Playing musical instrument can promote individual to maintain good mental health.

Key words： Singing Tai chi Dancing Playing musical instrument Mental health

作者简介: 张宁（1973-）,男,汉族,江苏常熟人,本科,副主任医师,主要从事慢性病防制工作。E-mail:zn902031@163.com,电话：0512-52308230

引用本文:

张宁,周正元,孙静,沈苏英,徐晓燕,苏靖,周犇. 唱歌、打太极等活动对50岁以上的社区慢性病患者及高危人群心理健康作用研究[J]. 实用预防医学, 2015, 22(9): 1064-1068. ZHANG Ning*, ZHOU Zheng-yuan, Jing Sun, Shen Su-ying, XU Xiao-yan, Su Jing, Zhou Ben. Research on The Role of Exercises such as Singing,Tai Chi,etc to Psychological Healthy of Chronic Disease Patients and High-risks Groups over 50 years old in Community. , 2015, 22(9): 1064-1068.

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https://www.syyfyx.com/CN/ 或 https://www.syyfyx.com/CN/Y2015/V22/I9/1064

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