慢性精神病患者客觀生活品質這探討

A Study of the Objective Life Quality among Chronic Mentally Ⅲ Patients

梁玉雯(Yu-Wen Liang) ； 蔣欣欣(Shin-Shin Chiang) ； 李從業(Tsorng-Yeh Lee) ； 吳玫勳(Mei-Hsun Wu) ； 嚴小燕(Hsiao-Yen Yan) ； 崔翔雲(Hsiang-Yun Tsui)

《護理研究》 5卷3期 (1997/06) Pp. 212-222

https://doi.org/10.7081/NR.199706.0212

摘要

The purpose of the study is to evaluate the changes of objective life quality (OLQ) of chronic mentally ill patients under the current psychiatric patient care system in the Taipei area. A total of eighty-nine valid cases were selected from medical centers and community hospitals with psychiatric acute wards (33 cases), day care centers (21 cases), and OPDs (35 cases). The 21-item OLQ scale introduced by Heinrichs was used to evaluate patients’ symptoms, signs and objective functional status. The results of this study indicate that: (1) the OLQ of schizophrenic patients are lower than the affective disorder patients (p=0.0001); (2) The OLQ of chronic patients having more than ten years history are lower than those patients with less than ten years (p＜0.001); (3) The cases treated at day care centers have lower OLQ than the OPD cases (p=0.0028). These results also indicate that Heinrichs' OLQ scale is a useful tool not only in the evaluation of the effectiveness of the current psychiatric care system but also for longitudinal study of proposed care programs for chronic mentally Ⅲ patients.

關鍵字

慢性精神病患 ； 客觀生活品質

並列摘要

The purpose of the study is to evaluate the changes of objective life quality (OLQ) of chronic mentally ill patients under the current psychiatric patient care system in the Taipei area. A total of eighty-nine valid cases were selected from medical centers and community hospitals with psychiatric acute wards (33 cases), day care centers (21 cases), and OPDs (35 cases). The 21-item OLQ scale introduced by Heinrichs was used to evaluate patients’ symptoms, signs and objective functional status. The results of this study indicate that: (1) the OLQ of schizophrenic patients are lower than the affective disorder patients (p=0.0001); (2) The OLQ of chronic patients having more than ten years history are lower than those patients with less than ten years (p＜0.001); (3) The cases treated at day care centers have lower OLQ than the OPD cases (p=0.0028). These results also indicate that Heinrichs' OLQ scale is a useful tool not only in the evaluation of the effectiveness of the current psychiatric care system but also for longitudinal study of proposed care programs for chronic mentally Ⅲ patients.

並列關鍵字

chronic mentally ill patient ； objective life quality