《中国康复理论与实践》

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (9): 1038-1047.doi: 10.3969/j.issn.1006-9771.2021.09.007

• 综述 • 上一篇    下一篇

基于ICF成年人休闲体育活动改善心理健康、生活质量和福祉的系统综述

崔德刚1,邱芬2(),邱服冰3,4,汤修齐2,刘静2,朱肖肖2,李中浩5   

  1. 1.武汉大学体育部,湖北武汉市 430072
    2.武汉理工大学体育部,湖北武汉市 430070
    3.中国ICF研究院/潍坊医学院,山东潍坊市 261053
    4.深圳大学体育部,广东深圳市 518052
    5.湖北理工学院学工部,湖北黄石市 435003
  • 收稿日期:2021-08-06 修回日期:2021-09-01 出版日期:2021-09-25 发布日期:2021-10-09
  • 通讯作者: 邱芬 E-mail:qfen0813@126.com
  • 作者简介:崔德刚(1972-),男,汉族,山东威海市人,博士,副教授,主要研究方向：体育与健康促进。
  • 基金资助:
    教育部人文社会科学研究青年基金项目(19YJC890033);武汉理工大学教学研究课题(W2020176)

Mental Health, Quality of Life and Well-being of Recreational Physical Activity for Adults Using ICF: A Systematic Review

CUI De-gang1,QIU Fen2(),QIU Fu-bing3,4,TANG Xiu-qi2,LIU Jing2,ZHU Xiao-xiao2,LI Zhong-hao5   

  1. 1. Department of Physical Education of Wuhan University, Wuhan, Hubei 430072, China
    2. Department of Physical Education of Wuhan University of Technology, Wuhan, Hubei 430070, China
    3. China Academy of ICF/Weifang Medical University, Weifang, Shandong 261053, China
    4. Department of Physical Education, Shenzhen University, Shenzhen, Guangdong 518052, China
    5. Student Affairs Department of Hubei Polytechnic University, Huangshi, Hubei 435003, China
  • Received:2021-08-06 Revised:2021-09-01 Published:2021-09-25 Online:2021-10-09
  • Contact: QIU Fen E-mail:qfen0813@126.com
  • Supported by:
    Ministry of Education Humanities and Social Science Project(Youth)(19YJC890033);Wuhan University of Technology Teaching Research Project(W2020176)

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摘要：

目的 基于《国际功能、残疾和健康分类》(ICF)的理论与方法,建立成年人休闲体育活动和康复体育活动架构,对成年人的休闲体育活动和康复体育活动文献进行系统综述。方法 采用主题检索方式,检索建库至2021年6月30日Web of Science、PubMed、中国知网、万方数据库中身体活动领域成年人休闲体育活动和心理健康的相关文献,提取文献内容,对成年人休闲体育活动改善心理健康、生活质量和福祉的效果进行综述。结果 共返回文献1856篇,最终纳入23篇。主要来源于医学、公共健康、康复、身体锻炼等领域期刊,研究方法主要为问卷调查法、测量法、访谈法等。研究涉及的休闲体育活动形式主要为闲暇身体活动、闲暇娱乐活动、非闲暇身体活动、非闲暇娱乐活动。根据ICF架构,休闲体育活动促进成年人心理健康的效果主要体现在身体功能(b1精神功能、b152情绪功能、b140注意力功能、b144记忆功能、b163基本认知功能、b126气质和人格功能、b134睡眠功能、b130能量和驱力功能、b122整体心理社会功能、b180自身体验和时间体验功能以及b139其他特指和未特指的整体精神功能)和活动与参与(d6家庭生活,d7人际交往和人际关系,d8主要生活领域,d9社区、社会和公民生活);具体表现为缓解倦怠、焦虑、压力感、抑郁症状,降低抑郁风险,提高记忆力和执行功能,缓解注意力疲劳,提高生命活力和自尊,增加积极、乐观情绪,减少消极情绪,降低精神障碍和失眠风险,促进睡眠,提高主观幸福感、生活满意度和生活质量等。休闲体育活动改善与健康相关的生活质量,提高健康和福祉。影响成年人休闲体育的活动和参与的因素主要有环境因素和个人因素,包括e3支持和相互关系,e4态度,e5服务、体制和政策,具体表现为工作负荷、积极情感、社会支持、情感支持等。结论 休闲体育活动改善心理健康、生活质量和福祉的效果主要体现在缓解焦虑、抑郁等情绪,减少抑郁症风险;改善认知功能、睡眠状况;提高幸福感、生活满意度和生活质量等。将休闲体育活动作为康复体育活动的重要组成部分,使人们通过身体活动达到保健康复、娱乐放松,提高身心健康的效果;扩大心理健康保健、提高生活质量和福祉,有助于实现联合国2030可持续发展目标三：确保健康的生活方式,促进各年龄段人群的福祉。

关键词: 休闲体育活动, 心理健康, 生活质量, 福祉, 国际功能、残疾和健康分类, 成年人, 系统综述

Abstract:

Objective To systematically review and develop the categories in the fields of recreational physical activities and rehabilitation exercise for adults based on the concept and method of the International Classification of Functioning, Disability and Health (ICF).Method The literatures about recreational or leisure time physical activities and mental health for adults were retrieved with subject retrieval method, from the database of PubMed, Web of Science, CNKI and Wanfang Data, until June 30, 2021. The effects of leisure physical activities on mental health, quality of life and well-being of adults were extracted.Results A total of 1856 literatures were returned, and 24 out of them were enrolled, which were published mainly from the journals of medicine, public health, exercise and rehabilitation. The researches mainly used questionnaire survey, interview and measurement methods. The types of physical activities involved were leisure time physical activities, leisure time recreational activities, non-leisure time physical activities and non-leisure time recreational activities. According to the framework of ICF, the effects of leisure time physical activities and recreational physical activities on mental health of adults were mainly reflected in body functions, including bl mental function, b152 emotion function, b140 attention function, b144 memory function, b163 basic cognition function, b126 temperament and personality function, b134 sleep function, b130 energy and drive function, b122 overall psychology and society function, b180 self-experience and time experience function, b139 other general mental functions specified and not specified; and activities and participation, including d6 family life, d7 interpersonal communication and interpersonal relationship, d8 main area of life, and d9 community, social and civic life; in terms of burnout, depression, anxiety, perceived stress, risk of depression, attention fatigue, life vigor, self-esteem, positive and negative emotions, mental disorders, insomnia, subjective well-being, life satisfaction and quality of life, etc. Leisure time physical activities and recreational physical activities might improve health-related quality of life and well-being. Some environmental and personal factors might affect the participation and performance in leisure time and recreational physical activities for the adult, including e3 support and interpersonal relationships, e4 attitude, e5 service system and policy, in terms of workload, positive emotion, social support, emotional support, etc.Conclusion Adults can benefit from leisure time physical activities and recreational physical activities for promoting mental health, quality of life and well-being. These activities are beneficial to emotion, cognition, sleep, happiness, satisfaction and quality of life, etc. It is critical for rehabilitation to integrate leisure time and recreational physical activities into health care, recreation and relaxation, physical and mental health. And it is effective to expand mental health care to improve quality of life and well-being and achieve the United Nations 2030 Sustainable Development Goal 3: Good Healthy and Well-being.

Key words: leisure time physical activities and recreational physical activities, mental health, quality of life, well-being, International Classification of Functioning, Disability and Health, adults, systematic review