Pitkänen A, Hätönen H, Kuosmanen L, Välimäki M
Department of Nursing Science, University of Turku, Turku, Finland.
J Psychiatr Ment Health Nurs. 2009 Feb;16(1):3-9. doi: 10.1111/j.1365-2850.2008.01308.x.
People with mental disorders have been found to suffer from impaired quality of life (QoL). Therefore, the assessment of QoL has become important in psychiatric research. This explorative study was carried out in acute psychiatric wards. Thirty-five patients diagnosed with schizophrenia and related psychosis were interviewed. QoL was rated by the Schedule for Evaluation of Individual Quality of Life which is a respondent-generated QoL measure using semi-structured interview technique. Patients named five areas of life important to them and then rated their current status and placed relative weight on each QoL area. The data were analysed with qualitative content analysis and descriptive statistics. The most frequently named areas for QoL were health, family, leisure activities, work/study and social relationships, which represented 72% of all QoL areas named. Patients' average satisfaction with these QoL areas ranged 49.0-69.1 (scale 0-100). The mean global QoL score was 61.5 (standard deviation 17.4; range 24.6-89.6; scale 0-100). Awareness of patients' perceptions of their QoL areas can enhance our understanding of an individual patient's QoL and reveal unsatisfactory areas where QoL could be improved with individually tailored needs-based interventions.
人们发现，患有精神障碍的患者生活质量受损。因此，生活质量评估在精神病学研究中变得至关重要。这项探索性研究在急性精神科病房进行。对35名被诊断为精神分裂症及相关精神病的患者进行了访谈。生活质量由《个人生活质量评估量表》进行评分，该量表是一种通过半结构化访谈技术由受访者生成的生活质量测量工具。患者说出对他们来说重要的五个生活领域，然后对他们的当前状况进行评分，并对每个生活质量领域给予相对权重。数据采用定性内容分析和描述性统计进行分析。生活质量方面最常被提及的领域是健康、家庭、休闲活动、工作/学习和社会关系，占所有提及的生活质量领域的72%。患者对这些生活质量领域的平均满意度在49.0至69.1之间（量表0至100）。全球生活质量平均得分为61.5（标准差17.4；范围24.6至89.6；量表0至100）。了解患者对其生活质量领域的看法可以增进我们对个体患者生活质量的理解，并揭示出通过基于个体需求的量身定制干预措施可以改善生活质量的不尽人意之处。
