住院精神病患生活滿意度之探討

Life Satisfaction of Psychiatric In-patients

成和玲(H. L. Cheng) ； 余伍洋(Younger W. Y. Yu)

《護理研究》 1卷3期 (1993/09) Pp. 269-278

摘要

隨著時代的變遷、社會的脈動，精神病患的人權逐漸受重視。重視病患權利，表現在住院精神病患者，即是關注其生活品質，而生活滿意度向來被視為精神病患者生活品質的一項重要指標。本研究之目的在探討住院精神病患者的生活滿意度，以瞭解影響生活滿意度的因素，期做為提供醫療處置之參考。本研究探描述性研究法，以問卷調查收集資料，採系統取樣法選取南部一所精神專科醫院住院病患119位為研究對象，結果發現：
1.住院精神病患大多為未婚、住院時間長、病程長的精神分裂病患。
2.以因素分析「住院精神病患者生活滿意度量表」得八個因素，依其屬性分別給予命名爲：環境因素、自主性、家的感覺、安全感、服務態度、被隔離與忽視、被尊重及個別性。依不滿意的百分比前十題排列順序中“自主性”即佔有四題。
3.以因素標準化分數來分析生活滿意度，最滿意的因素排列順序為：服務態度、家的感覺、安全感、環境因素、被尊重、被隔離與忽視、個別性及自主性。
4.復健開放病房的患者，對於住院生活有較高的滿意度。
根據本研究的結果，為改善住院精神病患者生活滿意度，提供三點建議： (l)允許適度的自主性、(2)增加病患與家屬的接觸、(3)個別化治潦。

關鍵字

住院精神病患 ； 生活滿意度 ； 自主性

並列摘要

With the change of society, much attention has been paid to the rights of psychiatric patients, which expressed in terms of psychiatric in-patients means paying attention to their quality of life. Life satisfaction has been regarded as an important marker in the quality of life of psychiatric in-patients. This study was aimed to explore the factors influencing life satisfaction of psychiatric in-patients and to provide references for medical management.
119 in-patients from a psychiatric hospital in southern Taiwan were systematically selected and data was collected through questionnaires. The results of this study were as follows:
1. The psychiatric inpatients were mostly single, long-hospitalized with a long illness course.
2. Factor analysis of life satisfaction scale identified 8 groups of related items, namely: environment, autonomy, feeling of homelikeness, security, service attitude, being isolated and ignored, being respected, and individualization. Four questions related to autonomy were found in the first ten questions according to the dissatisfactory percentage.
3. By using standardized factors score for life satisfation analysis, the sequence of satisfactory factors was: service attitude, feeling of homelikeness, security, environment, being respected, being isolated and ignored, individualization and autonomy.
4. Patients in open rehabilitation wards were more satisfied with their hospitalization life than patients in other wards.
In conclusion, to improve life satisfaction of psychiatric in-patients, three proposals were thus given: permission of appropriate autonomy, increasing patient-family contact, and providing individual treatment.

並列關鍵字

psychiatric in-patients ； life satisfaction ； autonomy