本研究旨在探討精神分裂症病患知覺烙印感因素、自我掌控信念因素、社會支持因素與生活品質相關性之研究。以橫斷性研究設計,採立意取樣,於台北市某醫學中心精神部門診及日間留院病房,經醫師轉介診斷為精神分裂症之病患為研究對象,共計收案160名。研究工具採結構式問卷,內容包括基本資料、社區精神病患症狀評量表、知覺烙印感量表、自我掌控信念量表、社會支持量表及世界衛生組織生活品質問卷簡明版量表。所得資料以SPSS12.0套裝軟體進行描述性及推論性統計。 研究結果顯示(1)社區精神分裂症病患的整體生活品質49.13(總分80分),四個範疇以生理範疇平均值12.69最高分,其次為環境範疇平均值12.66,第三高分為社會關係範疇平均值12.18,最低分為心理範疇平均值11.6。(2)「滿意所使用的交通運輸方式」最滿意,其次為「對醫療保健服務的方便程度滿意」;「享受生活」最不滿意,其次為「集中精神的能力」。(3)知覺烙印感平均得分31.96(總分48分)、自我掌控信念平均得分17.16(總分28分)及社會支持平均得分26.85(總分36分)。(4)精神分裂症病患知覺烙印感在整體生活品質及各範疇為強度負相關。自我掌控信念及社會支持在整體生活品質及各範疇為強度正相關。(5)精神分裂症病患生活品質之重要預測因子為性別、教育程度、負性症狀、正性症狀、精神症狀、知覺烙印感、自我掌控信念及社會支持。(6)自我掌控信念為生活品質及各範疇最佳預測因素,其次為社會支持。 研究結果提供臨床護理人員照顧精神分裂症病患之重要參考。
The purpose of the study was to explore the relationships among stigma, mastery, social support and quality of life in patient of schizophrenia.The study was a cross-sectional and correlation design. A convenience sample was used. One hundred sixty patients were recruited, either admitted at day center and OPD from medical center of major hospital, in northern Taiwan.The structured questionnaire was used to collect data. Measurement instruments were as follows :(1) Psychiatric symptoms Rating Scale (2) World Health Organization Quality of Life-Brief (3) devaluation-discrimination Scale (4) Mastery Scale (5) Social Support Questionnaires. Data were analyzed by using SPSS 12.0 software. The major findings of the study were as follows (1) using the WHOQOL-BREF the mean score of overall quality of life was 49.13 out of 80. in the domain of Physical health field got the highest score (12.69), was the most satisfied part on QOL, secondly was the environment (12.66), the third was the social relations(12.18), the psychological was the most dissatisfied field (11.6). (2) The overall quality of life was the most satisfied part on the “Transportation”, secondly was “Health Care Delivery Systems”. The most dissatisfied field of psychological was “enjoyment of life”, secondly was “to concentrate one’s attention”. (3) The overall stigma the mean score was 31.96 out 48. The mastery the mean score was 17.16 out 28. The overall social support the mean score was 26.85 out 36. (4) Stigma and quality of life was the positively correlated. Mastery, social support and quality of life were the negatively correlated. (5) The most important predictive variables for the quality of life were the sex, education, positively psychiatric symptoms, negatively psychiatric symptoms, psychiatric symptoms, stigma, mastery, social support in schizophrenia. (6) The best predictive variables for the quality of life was the mastery, and the social support was the secondly predictive. The study findings provided information for nurses who are talking care patient with schizophrenia.