Effect evaluation of RAIDS mode of weight management on patients with first-episode schizophrenia
10.3760/cma.j.issn.1674-2907.2016.24.010
- VernacularTitle:RAIDS体质量管理模式在首发精神分裂症患者中的应用效果
- Author:
Aixiang XIAO
1
;
Huawei LEI
;
Junrong YE
Author Information
1. 510370 广州医科大学附属脑科医院 广州市惠爱医院 早期干预科
- Keywords:
Schizophrenia;
Weight management;
Effect evaluation
- From:
Chinese Journal of Modern Nursing
2016;22(24):3438-3442
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application effect of the comprehensive weight management mode, RAIDS ( hereinafter shortened as mode RAIDS ) , on patients with first-episode schizophrenia. Methods Totals of 83 patients with first-episode schizophrenia were selected and divided into experimental group, with 40 cases and control group, with 43 cases, according to admission date to the hospital. Patients in the experimental group were intervened according to mode RAIDS, by reviewing on experience, aerobic exercise, intervention on mentality, diet guidance and sleeping management, while patients in the control group were given routine nursing and guidance on physical exercise. The intervention lasted for 3 weeks. Index changes of patients in the two groups before and after the intervention were compared, including Positive and negative syndrome scale ( PANSS) scores, physical features[ body weight, body mass index ( BMI) and waist-to-hip ratio ( WHR) ] , biochemical indexes[ total cholesterol ( TC) , triglyceride ( TG) and fasting blood glucose ( GLU) ] , quality of sleeping[by Pittsburgh sleep quality index (PSQI)], and length of hospital stay. Six months after discharge, mental syndromes, changes in physical features and medication compliance of the patients in the two groups were compared. Results Three weeks after the intervention, compared with the control group, TC, TG and GLU of patients in the experimental group were lower ( P<0. 05 ); 3 weeks and 6 months after the intervention, weight, BMI, WHR, PANSS scores and PSQI scores of patients in the experimental group were lower than those in the control group ( P<0.05);length of hospital stay of patients in the experimental group was shorter than those in the control group, and their medication compliance was higher and detachment rate was also lower in the experimental group (P<0.05).Conclusions RAIDS Mode can effectively promote alleviation of mental syndromes, improve glucolipid metabolism, sleeping quality and treatment compliance of the patients, and control weight gain.
