門診與社區復健精神分裂病患者生活品質之比較及影響生活品質之因素

The Comparative Study of the Quality of Life for Outpatient Care versus Community Rehabilitation Program Schizophrenic Patients

成和玲(Ho-Ling Cheng) ； 楊美賞(Mei-Sang Yang)

《The Kaohsiung Journal of Medical Sciences》 13卷12期 (1997/12) Pp. 748-756

https://doi.org/10.6452/KJMS.199712.0748

摘要

本研究旨在比較門診治療與社區復健治療兩種不同醫療方式的精神分裂病患者生活品質之差異，以及影響生活品質之因素。採立意取樣法，以問卷為研究工具，自84年2月至3月底，共收集診斷為精神分裂病的患者155名，包括59位參與社區復健計畫病人及96位門診追蹤治療病人，資料以描述性及推論性統計方法分析。結果發現：精神分裂病患者之生活品質涵蓋活動性、家庭支持、身體健康、心理健康及經濟功能五大層面。兩組患者在生活品質五大層面中最滿意家庭的支持，最不滿意的是缺乏活動。參與復健醫療計畫的病人其生活品質中的活動性與經濟功能較未參與者佳。無因定工作或上學者、家庭社經地位愈低、症狀愈嚴重及主觀缺失愈多之精神分裂病患者其生活品質愈差。本研究也發現：主觀缺失、就業或就學狀況、醫療環境及社經地位皆為「整體生活品質」的顯著預測因子，共可解釋38%之總變異量。研究結果顯示出社區照護及復健醫療的介入對精神分裂病患者生活品質之重要性。

並列摘要

The purpose of this study was to investigate the effects of demographic variables, illness factors and symptom factors on the quality of life in schizophrenic patients. Data were collected by personal interview and self-report questionnaire druing the month from February to March in 1995. A total of 155 schizophrenic patients purposefully selected from a psychiatric teaching hospital in Kaohsiung participated in the study. The data were analyzed by descriptive and inferential statistics. The quality of life was assessed in terms the following five parame-ters: activity, family support, psychological well-being, physical well-being, and economic function. In addition, the work status, subjective deficits symptoms and type of treatment program were uses as predictors of the total quality of life. These parameters shared 38% of their variance in stepwise multiple regression analysis. The findings indicated that schizophrenic patients who had participated in a rehabilitation program could maintain a well quality of life than in outpatient care only.

並列關鍵字

quality of life ； schizophrenia ； community rehabilitation