Physical performance and physical activity of patients under compulsory forensic psychiatric inpatient care

Physical performance and physical activity of patients under compulsory forensic psychiatric inpatient care
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DOI:
10.1080/09593985.2018.1488320
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发表时间:
2020-04-02
影响因子:
2
通讯作者:
Gutke, Annelie
Gutke, Annelie
中科院分区:
医学4区
文献类型:
--
作者:
Bergman, Henrik;Nilsson, Thomas;Gutke, Annelie

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研究强调身体活动在一般精神病护理中的重要性。在法医精神病护理领域进行的研究很少。这项探索性的横断面研究的目的是评估各种身体,心理和健康变量的强制法医精神科住院治疗的患者,并检查这些变量之间的相关性。对28例患者进行了最大摄氧量(VO(2)max)、步行能力、跑步速度和爆发性腿部力量检查。患者回答了关于体力活动、攻击性、压力、性格成熟度和健康相关生活质量(HRQL)的问卷。患者的平均年龄为33.6岁,平均最大耗氧量为25.3(8.4)mL 0(2)/min/kg,平均体力活动水平为268.0(272.4)min/周。6分钟步行试验的结果为612.5(102.8)m。9名患者的体力活动水平低于国际建议的150分钟/周。攻击和压力水平高,HRQL低。结果表明,在法医精神病护理的病人是在一个非常差的身体状态,这需要物理干预,适应法医精神病护理的独特需求。
Research stresses the importance of physical activity in general psychiatric care. There is very little research made in the area of forensic psychiatric care. The aim of this exploratory, cross-sectional study was to assess various physical, psychological, and health variables of patients under compulsory forensic psychiatric inpatient care, and to examine correlations among these variables. Maximal oxygen uptake (VO(2)max), walking ability, running speed, and explosive leg strength were examined in 28 patients. Patients answered questionnaires about physical activity, aggression, stress, character maturity, and health-related quality of life (HRQL). The patients had a mean age of 33.6 years, a mean VO(2)max of 25.3 (8.4) mL 0(2)/min/kg and a mean physical activity level of 268.0 (272.4) min/week. Results from the 6-min walk test were 612.5 (102.8) m. Nine patients had physical activity levels below the international recommendations of 150 min/week. Levels of aggression and stress were high and HRQL was low. The results indicate that patients in forensic psychiatric care are in a very poor physical state, which warrants physiotherapeutic interventions, adapted to the unique demands of forensic psychiatric care.