Henkel H, Schmitz M, Berghofer G, Lang A, Kager A, Steiner E, Schmidl F, Rudas S
Kuratorium für Psychosoziale Dienste, Wien.
Wien Med Wochenschr. 2000;150(3):32-6.
Object of this research project was to study the subjective quality of life of psychiatric patients. The vulnerability of 424 out- and inpatients was assessed. The Vulnerability Index, composed of: marital status, income, health, life conditions, occupation, and risk factors in childhood was used. According to their vulnerability, two groups of patients were differentiated: patients with high and low vulnerability. We compared these objective criteria of vulnerability with the subjective quality of life (Q-LES-Q). Quality of life was also compared with diagnosis, severity of illness, and treatment (first contact/long-term contacts). Quality of life of 250 patients was analysed after one year follow up. Patients with a low vulnerability score are more satisfied with 'social relations' than patients with a high vulnerability score. In-patients are more satisfied with 'social relations' than out-patients. Out-patients are more satisfied with their 'physical health', 'subjective feelings', 'leisure time activities', and 'overall life satisfaction' than in-patients. Patients with a mild affective disorder have a better 'life satisfaction' than patients with severe affective disorder. Quality of life of schizophrenics and of patients with anxiety and adjustment disorders has improved significantly after one year.
本研究项目的目的是研究精神科患者的主观生活质量。对424名门诊和住院患者的脆弱性进行了评估。使用了由婚姻状况、收入、健康状况、生活条件、职业和童年风险因素组成的脆弱性指数。根据脆弱性，将患者分为两组：高脆弱性患者和低脆弱性患者。我们将这些脆弱性的客观标准与主观生活质量（Q-LES-Q）进行了比较。生活质量还与诊断、疾病严重程度和治疗（首次接触/长期接触）进行了比较。在一年的随访后，对250名患者的生活质量进行了分析。脆弱性得分低的患者比脆弱性得分高的患者对“社会关系”更满意。住院患者比门诊患者对“社会关系”更满意。门诊患者比住院患者对他们的“身体健康”、“主观感受”、“休闲活动”和“总体生活满意度”更满意。患有轻度情感障碍的患者比患有重度情感障碍的患者有更好的“生活满意度”。精神分裂症患者以及患有焦虑和适应障碍的患者的生活质量在一年后有了显著改善。
