Needs and Quality of Life of the Patients with Schizophrenia Living in Halfway Houses

康復之家精神分裂症病人的需求與生活品質

謝佳容(Chia-Jung Hsieh) ； 張玨(Chueh Chang) ； 陳杏佳(Shing-Chia Chen) ； 施雅雯(Ya-Wen Shih)

《台灣精神醫學》 27卷4期 (2013/12) Pp. 283-294+3

摘要

Objective: Psychiatric patients have a various care needs. The objective of this study was to study the specific and overall needs of outpatients with schizophrenia. Methods: With the method of the probability proportional to size sampling, we recruited adult patients who had been diagnosed with schizophrenia in the community halfway houses (N = 136). After adjusting for factors of their demographic characteristics and severity of symptoms, we divided those outpatients into high- and low-functioning subgroups to assess the correlation between rehabilitation needs and the quality of life (QoL). Results: The high global assessment of function (GAF) group of outpatients was scored significantly higher both on met needs (t = 3.03; p ＜ 0.001) and satisfaction with help (t = 1.97; p ＜ 0.05). In the low-GAF group, their total needs and met needs were significantly negatively correlated with subjective QoL (r = -0.23, p ＜ 0.05; r = -0.35, p ＜ 0.05), respectively. Conclusion: Understanding varied needs between subgroups of schizophrenia with different functional levels can contribute to identifying unmet needs and developing strategy for improving QoL in the community.

關鍵字

精神分裂症 ； 精神復健 ； 需求評估 ； 生活品質

並列摘要

Objective: Psychiatric patients have a various care needs. The objective of this study was to study the specific and overall needs of outpatients with schizophrenia. Methods: With the method of the probability proportional to size sampling, we recruited adult patients who had been diagnosed with schizophrenia in the community halfway houses (N = 136). After adjusting for factors of their demographic characteristics and severity of symptoms, we divided those outpatients into high- and low-functioning subgroups to assess the correlation between rehabilitation needs and the quality of life (QoL). Results: The high global assessment of function (GAF) group of outpatients was scored significantly higher both on met needs (t = 3.03; p ＜ 0.001) and satisfaction with help (t = 1.97; p ＜ 0.05). In the low-GAF group, their total needs and met needs were significantly negatively correlated with subjective QoL (r = -0.23, p ＜ 0.05; r = -0.35, p ＜ 0.05), respectively. Conclusion: Understanding varied needs between subgroups of schizophrenia with different functional levels can contribute to identifying unmet needs and developing strategy for improving QoL in the community.

並列關鍵字

schizophrenia ； psychiatric rehabilitation ； needs assessment ； quality of life

參考文獻

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