Cai Chunfeng, Yu Liping
J Psychosoc Nurs Ment Health Serv. 2017 Aug 1;55(8):48-54. doi: 10.3928/02793695-20170627-03.
The aim of the current study was to examine the relationships among demographic characteristics, psychosocial variables, symptom severity, and quality of life (QOL), and the way these variables affect QOL in patients with schizophrenia living in Hubei, China. A convenience sample of 178 individuals with schizophrenia participated. The results suggest that the Schizophrenia Quality of Life Scale was positively and statistically significantly correlated with employment status (r = 0.232, p < 0.01) and monthly household income (r = 0.311, p < 0.01), positively correlated with personal empowerment (r = 0.692; p < 0.001), and negatively correlated with perceived stigma (r = -0.41, p < 0.01) and symptom severity (r = -0.54, p < 0.001). Illness uncertainty was not found to have a relationship with QOL in this sample. Among all variables, personal empowerment (accounting for 22.1% of variance) was the best positive predictor, whereas symptom severity (accounting for 7.6% of variance) was the best negative predictor of QOL in patients with schizophrenia. Implications for future research and practice are discussed. [Journal of Psychosocial Nursing and Mental Health Services, 55(8), 48-54.].
本研究旨在探讨中国湖北地区精神分裂症患者的人口统计学特征、心理社会变量、症状严重程度与生活质量（QOL）之间的关系，以及这些变量对生活质量的影响方式。178名精神分裂症患者组成的便利样本参与了研究。结果表明，精神分裂症生活质量量表与就业状况（r = 0.232，p < 0.01）和家庭月收入（r = 0.311，p < 0.01）呈正相关且具有统计学意义，与个人赋权呈正相关（r = 0.692；p < 0.001），与感知耻辱感（r = -0.41，p < 0.01）和症状严重程度（r = -0.54，p < 0.001）呈负相关。在该样本中未发现疾病不确定性与生活质量之间存在关联。在所有变量中，个人赋权（解释方差的22.1%）是生活质量的最佳正向预测因子，而症状严重程度（解释方差的7.6%）是精神分裂症患者生活质量的最佳负向预测因子。文中讨论了对未来研究和实践的启示。[《心理社会护理与心理健康服务杂志》，55(8)，48 - 54。]
