Physical activity and quality of life in longterm hospitalized patients with severe mental illness: a cross-sectional study
Physical activity and quality of life in longterm hospitalized patients with severe mental illness: a cross-sectional study
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DOI：
10.1186/s12888-017-1466-0
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发表时间：
2017-08-18
期刊：
影响因子：
4.4
通讯作者：
van Harten, Peter
中科院分区：
文献类型：
--
作者：
Deenik, Jeroen;Kruisdijk, Frank;van Harten, Peter
背景资料：增加严重精神疾病患者的体力活动被认为对身体健康、精神症状和生活质量有积极影响。到目前为止，很少有人知道身体活动和长期住院的严重精神疾病患者的生活质量之间的关系和知识的行为变化的决定因素是缺乏的。本研究的目的是阐明客观测量的身体活动和生活质量之间的关系，并探讨可修改的心理因素的变化，在长期住院的严重精神疾病患者的身体活动。方法：在184名住院患者，身体活动测量使用加速度计（ActiGraph GTX+）。采用EuroQol-5D和WHOQol-Bref评估生活质量。采用体育活动享受量表和多维自我效能感问卷分别收集对体育活动的态度和自我效能感。从电子病历中回顾性地得出患者和疾病特征。协会和潜在的预测因素进行了分析，使用分层regression.Results：体力活动是正相关的，所有的生活质量的预测结果，除了在环境领域，独立的病人和疾病的特点。然而，非线性关系表明，生活质量的改善主要在于从久坐到轻度活动的变化。态度和自我效能不相关的体力activity.Conclusions：体力活动与生活质量呈正相关，特别是在低频谱的体力活动的患者。态度和自我效能感和体力活动之间的关联是不存在的。因此，研究结果表明，需要替代的，更综合的和（同行）支持的干预措施，以结构性地改善这一住院人群的身体活动。从久坐行为到体育活动的轻微改变可能足以改善生活质量。
Background: Increasing physical activity in patients with severe mental illness is believed to have positive effects on physical health, psychiatric symptoms and as well quality of life. Till now, little is known about the relationship between physical activity and quality of life in long-term hospitalized patients with severe mental illness and knowledge of the determinants of behavioural change is lacking. The purpose of this study was to elucidate the relationship between objectively measured physical activity and quality of life, and explore modifiable psychological determinants of change in physical activity in long-term hospitalized patients with severe mental illness.Methods: In 184 inpatients, physical activity was measured using an accelerometer (ActiGraph GTX+). Quality of life was assessed by EuroQol-5D and WHOQol-Bref. Attitude and perceived self-efficacy towards physical activity were collected using the Physical Activity Enjoyment Scale and the Multidimensional Self Efficacy Questionnaire, respectively. Patient and disease characteristics were derived retrospectively from electronic patient records. Associations and potential predictors were analysed using hierarchical regression.Results: Physical activity was positively related with and a predictor of all quality of life outcomes except on the environmental domain, independent of patient and disease characteristics. However, non-linear relationships showed that most improvement in quality of life lies in the change from sedentary to light activity. Attitude and self-efficacy were not related to physical activity.Conclusions: Physical activity is positively associated with quality of life, especially for patients in the lower spectrum of physical activity. An association between attitude and self-efficacy and physical activity was absent. Therefore, results suggest the need of alternative, more integrated and (peer-) supported interventions to structurally improve physical activity in this inpatient population. Slight changes from sedentary behaviour to physical activity may be enough to improve quality of life.