新冠肺炎大流行期间动物辅助治疗对精神分裂症患者社会交往和生活质量的影响:一项实验研究

IF 2.1 3区 医学 Q2 NURSING Asian Nursing Research Pub Date : 2023-02-01 DOI:10.1016/j.anr.2023.01.002
Chieh-An Shih , Man-Hua Yang
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引用次数: 4

摘要

目的大多数精神分裂症患者由于消极的社会经历而表现出较低的重返社会意愿。新冠肺炎大流行导致精神分裂症患者严重的社会隔离。然而,动物辅助治疗(AAT)可以提高个体的同理心、社会功能和生活质量。该研究旨在评估AAT在新冠肺炎大流行期间改善慢性精神分裂症患者社交互动和生活质量的有效性。方法以台湾六所精神病康复机构为个案进行实验研究。这些机构的患者被随机分配到实验组和对照组,实验组每周接受一次60分钟的AAT,持续12周,对照组参加常规讨论小组并观看关于动物的短片。比较两组干预前后的社会功能、社会适应功能和生活质量。在干预前(T1)、干预后立即(T2)和干预后3个月(T3)收集数据。结果组间比较显示,T2时实验组的社会功能显著高于对照组。然而,实验组的社会适应功能没有改善的迹象。在T2和T3,实验组的生活质量显著高于对照组。结论新冠肺炎对研究效果有影响。AAT改善了慢性精神分裂症患者的社会功能和生活质量。干预后对生活质量的影响仅持续了3个月。应推广AAT作为慢性精神分裂症患者的社区康复工具。试验注册中国临床试验注册中心,ChiCTR220061715。https://www.chictr.org.cn.
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Effect of Animal-Assisted Therapy (AAT) on Social Interaction and Quality of Life in Patients with Schizophrenia during the COVID-19 Pandemic: An Experimental Study

Purpose

Most patients with schizophrenia exhibit low willingness to return to society because of negative social experiences. The COVID-19 pandemic led to severe social isolation for schizophrenia patients. However, animal-assisted therapy (AAT) can improve individuals' empathy, social functions, and quality of life. The study aimed to evaluate the effectiveness of AAT in improving social interactions and quality of life in patients with chronic schizophrenia during the COVID-19 pandemic.

Methods

An experimental study was conducted, with six institutions for psychiatric rehabilitation in Taiwan as the case institutions. Patients in these institutions were randomly allocated to the experimental group, which received 60 minutes of AAT once a week for 12 weeks, or the control group, which engaged in routine discussion groups and watched short films about animals. Comparisons between the two groups were made before and after the intervention on social function, social adaptive function, and quality of life. Data were collected before the intervention (T1), immediately after the intervention (T2), and 3 months after the intervention (T3).

Results

Comparison between groups showed that social functioning was significantly higher in the experimental group than in the control group at T2. However, there was no sign of improvement in social adaptive functions of the experimental group. The experimental group exhibited significantly higher quality of life than the control group at T2 and T3.

Conclusions

There was an impact of COVID-19 on the studied effects. AAT improved social functioning and quality of life in patients with chronic schizophrenia. The effect on quality of life lasted only up to 3 months after the intervention. AAT should be promoted for use as a community-based rehabilitation tool in patients with chronic schizophrenia.

Trial registration

Chinese Clinical Trial Registry, ChiCTR2200061715. https://www.chictr.org.cn.

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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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