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[社区康复中心治疗的精神分裂症患者的耻辱感认知、耻辱应对行为与生活质量之间的关联]

[Associations between stigma perception and stigma coping behavior and quality of life in schizophrenic patients treated at a community rehabilitation center].

作者信息

Tseng Chiu-Jung, Chiou Jeng-Yuan, Yen Wen-Jiuan, Su Hui-Chen, Hsiao Chiu-Yueh

机构信息

School of Nursing, Chung Shan Medical University, ROC.

出版信息

Hu Li Za Zhi. 2012 Aug;59(4):62-70. doi: 10.6224/JN.59.3.62.

DOI:10.6224/JN.59.3.62
PMID:22851395
Abstract

BACKGROUND

Quality of life (QOL) is a critical issue in mental health care. The associations between quality of life and schizophrenia patients' stigma perception and stigma coping behavior are not well understood.

PURPOSE

This study investigated quality of life in schizophrenia patients.

METHODS

We used a cross-sectional, correlational research design; enrolled 119 individuals diagnosed with schizophrenia as participants; and used instruments including a demographics datasheet, perceived stigma scale, stigma coping behavior scale, and the World Health Organization quality of life scale, brief version to collect data. Data were analyzed using SPSS 12.0 for Windows software.

RESULT

(1) Participants had an average QOL index score of 62.40, indicating moderate quality of life; (2) Long working hours, holding rehabilitation-related employment, and receiving social welfare support correlated with lower QOL; (3) Marital issues had the greatest impact on quality of life, with participants who chose secrecy ÷ concealment reporting generally better QOL; (4) Social welfare support, number of working hours, stigma perception, stigma coping, level of job satisfaction, and level of salary satisfaction together accounted for 48.8% of total QOL variance.

CONCLUSIONS

Findings increase our understanding of the influence of socio-demographics, stigma perception, and stigma coping behavior on quality of life in individuals with schizophrenia. Greater community involvement in schizophrenia treatment programs can enhance patient satisfaction with their jobs and lives.

摘要

背景

生活质量(QOL)是精神卫生保健中的一个关键问题。生活质量与精神分裂症患者的耻辱感认知及耻辱应对行为之间的关联尚未得到充分理解。

目的

本研究调查了精神分裂症患者的生活质量。

方法

我们采用了横断面相关性研究设计;招募了119名被诊断为精神分裂症的个体作为参与者;并使用了包括人口统计学数据表、感知耻辱量表、耻辱应对行为量表以及世界卫生组织生活质量量表简版在内的工具来收集数据。使用SPSS 12.0 for Windows软件对数据进行分析。

结果

(1)参与者的生活质量指数平均得分为62.40,表明生活质量中等;(2)工作时间长、从事与康复相关的工作以及接受社会福利支持与较低的生活质量相关;(3)婚姻问题对生活质量的影响最大,选择保密÷隐瞒的参与者总体生活质量较好;(4)社会福利支持、工作小时数、耻辱感认知、耻辱应对、工作满意度水平和薪资满意度水平共同占生活质量总方差的48.8%。

结论

研究结果增进了我们对社会人口统计学、耻辱感认知和耻辱应对行为对精神分裂症患者生活质量影响的理解。社区更多地参与精神分裂症治疗项目可以提高患者对其工作和生活的满意度。

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