精神科病人症狀嚴重度與生活品質之相關性

Relationship between Symptom Severity and Quality of Life in Psychiatric Patients

劉祥得(Hsiang-Te Liu) ； 陳淑英(Shu-Ying Chen) ； 朱彩鳳(Tsai-Feng Chu)

《北市醫學雜誌》 15卷1期 (2018/03) Pp. 54-68

https://doi.org/10.6200/TCMJ.201803_15(1).0006

摘要

目的：探討嚴重精神病人精神病症狀評估及自主性、社交活動、生活滿意、健康維護、家庭支持、經濟功能之關係，以了解嚴重精神病人精神病症狀和生活品質間的關聯性。方法：本研究獲得嚴重精神病人有效樣本共148份，居家治療佔21.6%；門診治療佔78.4%。利用LISREL軟體，以驗證式因素分析(confirmatory factor analysis, CFA)與模式整體效度檢定，檢測構面及題項的信度與效度。再以結構方程模式(structural equation modeling, SEM)，檢測所設立的研究假設。結果：本研究證實，嚴重精神病人精神病症狀越嚴重，病人自主性、社交活動、生活滿意、健康維護、家庭支持、經濟功能認知就越差。結論：嚴重精神病人精神病症狀越嚴重，其自主性、社交活動、生活滿意、健康維護、家庭支持、經濟功能認知都會降低。因此，降低嚴重精神病人精神病症狀，應該可以改善其各方面態度認知。

關鍵字

精神病症狀 ； 自主性 ； 生活滿意 ； 家庭支持 ； 經濟功能

並列摘要

Objectives: This study explored the relationships between severity of psychiatric symptoms and autonomy, social activity, life satisfaction, health maintenance, family support, and economic function among severely ill psychiatric patients. Methods: A total of 148 severely ill psychiatric patients were valid and collected. Among the patients, 21.6% accepted home treatment and 78.4% accepted outpatient treatment. Confirmatory factor analysis (CFA) and structural equation modeling were used to justify our hypotheses using the LISREL software. Results: Severity of psychiatric symptoms negatively affected autonomy, social activity, life satisfaction, health maintenance, family support, and economic function. Conclusion: Medical institutions and public sector should strengthen satisfaction of life, self-esteem, physical and psychological health, well beings and life adjustment of psychiatric patients. Health education, psychological treatment, telephone reminder, family intervention, etc, may be introduced to reduce psychiatric symptoms of the severely ill patients. Also, improving family and intimate relationships, encouraging participation in work, volunteer service, leisure or religious activities should be useful for eliminating the imprint of psychiatric disorders as well as their psychiatric symptoms.

並列關鍵字

Psychiatric symptoms ； autonomy ； life satisfaction ； family support ； economic function