The relationship between mental symptoms and the number of steps taken by schizophrenic patients in a mental hospital

精神病院精神分裂症患者精神症状与步数的关系

• 批准号: 07672513
• 负责人: KUME Kazuoki
• 金额: $ 0.26万
• 依托单位: Yamagata University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1996
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07672513/
• 关键词: schizophrenia; number of steps; mental symtom; PANSS; prodromal symtom; psychiatric nursing; 前駆症状; 行動特性; 万歩計; 問題行動

It is important for psychiatric nurses to catch prodromal symptoms as soon as possible in order to prevent psychiatric symptoms deteriorating. Up to now, prodromal symptoms have tended to be researched as phenomenological and daily episodes unmeasurable. I believe that prodromal symptoms must be objective ones to a certain degree. Therefore the attention has been directed to the change in a patient's steps as one of the measurable prodromal symptoms. If the change in the number of a patient's steps is related to the changes of his mental symptoms, psychiatric nurses will be able to predict to a limited extent the change of his mental symptoms.The subjects are six patients with schizophrenia in a mental hospital in Yamagata City. The nurses measured the number of steps with pedometers from ten in the morning to four in the afternoon, Monday through Friday. They averaged the sum of them weekly. The doctor in charge evaluated the patients' mental symptoms on Friday every week with PANSS.The total scores of positive, negative, and general psychopathological symptoms in PANSS were mainly used to compare with the number of a patient's steps. The duration of the research differed with the patients, and ranged between 25 weeks to 39 weeks.In four of the six patients, three scores of positive, negative, and general psychopathological symptoms, or part therof, showed some significant positive correlations not only with the number of the present steps but also with that of four weeks before. In one of the remaining two patients, five mental symptoms showed significant correlations in relation to the number of steps of a few weeks before. From these results it can be surmised that in a fair number of patients with schizophrenia in a mental hospital, the change in the number of their steps probably precedes the change of mental symptoms.

精神科护士应及早发现前驱症状，以防止精神症状恶化。到目前为止，前驱症状往往被研究为现象学和日常发作不可测量。我认为前驱症状在一定程度上是客观的。因此，注意力已经被引导到患者的步骤的变化作为可测量的前驱症状之一。如果病人步数的变化与其精神症状的变化有关，精神科护士就能在一定程度上预测其精神症状的变化。周一至周五，护士们从早上10点到下午4点用计步器测量步数。他们把每周的总数平均了一下。每周周五由主治医生用PANSS评定患者的精神症状，PANSS阳性、阴性和一般精神病理症状总分主要用于与患者的步数比较。研究持续时间因患者而异，从25周到39周不等，在6名患者中，有4名患者的阳性、阴性和一般精神病理症状（或部分症状）的三种评分不仅与当前步数呈正相关，而且与四周前的步数呈正相关。在剩下的两名患者中，有五种精神症状与几周前的步数有显著相关性。从这些结果可以推测，在精神病院的相当数量的精神分裂症患者中，他们的步数变化可能先于精神症状的变化。