Guan Lizheng, Xiang Yingqiang, Ma Xin, Weng Yongzhen, Liang Wannian
Department of Family Medicine, School of Public Health and Family Medicine, Capital Medical University, Beijing, China.
Beijing An Ding Hospital, Capital Medical University, Beijing, China.
PLoS One. 2016 Nov 21;11(11):e0166811. doi: 10.1371/journal.pone.0166811. eCollection 2016.
Community healthcare in mainland China is still at an early stage. The qualities of life (QOLs) of patients with psychotic disorders undergoing rehabilitation in hospitals or in the community, as well as those of their caregivers, may differ from each other.
The study was performed to evaluate the QOL of patients with psychotic disorders and assess the differences in the QOLs between patients receiving care in diverse settings (hospital vs. the community).
This study was a descriptive study, in which all cases were collected from two psychiatric hospitals and five communities. Patients (n = 43) and caregivers (n = 40) in the psychiatric hospitals were grouped according to the length of illness and areas of residence and these criteria were also used to group patients (n = 55) and caregivers (n = 59) in the community. All participants were assessed using the WHOQOL-BREF (Chinese version). ANOVA was adopted to compare the QOL scores among the four groups (cases and caregivers in two settings), while confounding factors, such as age and marital status, were adjusted.
Among the four groups of participants, namely, hospitalised and community patients and their corresponding caregivers, community samples had a significantly lower QOL score. The QOL score for the social relationships domain of the hospitalised patients' caregivers was significantly higher than that of the caregivers of community patients (P = 0.019).
Community patients and their caregivers tend to have lower QOL scores than their hospitalised counterparts. The support of family members is urgently needed to provide better care for patients.
中国大陆的社区医疗仍处于初级阶段。在医院或社区接受康复治疗的精神障碍患者及其照料者的生活质量可能存在差异。
本研究旨在评估精神障碍患者的生活质量，并评估在不同环境（医院与社区）接受治疗的患者生活质量的差异。
本研究为描述性研究，所有病例均来自两家精神病医院和五个社区。精神病医院的患者（n = 43）和照料者（n = 40）根据病程长短和居住地区进行分组，社区的患者（n = 55）和照料者（n = 59）也采用这些标准进行分组。所有参与者均使用世界卫生组织生活质量简表（中文版）进行评估。采用方差分析比较四组（两种环境下的患者和照料者）的生活质量得分，同时对年龄和婚姻状况等混杂因素进行了调整。
在四组参与者中，即住院患者和社区患者及其相应的照料者，社区样本的生活质量得分显著较低。住院患者照料者的社会关系领域生活质量得分显著高于社区患者的照料者（P = 0.019）。
社区患者及其照料者的生活质量得分往往低于住院患者及其照料者。迫切需要家庭成员的支持，以便为患者提供更好的护理。
