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精神分裂症患者的生活质量:社会人口学和临床特征的影响以及对社会支持的满意度

Quality of life in schizophrenic patients: the influence of sociodemographic and clinical characteristics and satisfaction with social support.

作者信息

Guedes de Pinho Lara Manuela, Pereira Anabela Maria de Sousa, Chaves Cláudia Margarida Correia Balula

机构信息

Departamento de Educação e Psicologia, Centro de Investigação "Didática e Tecnologia na Formação de Formadores" (CIDTFF), Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS), Universidade de Aveiro, Aveiro, Portugal.

Escola Superior de Saúde de Viseu, Instituto Politécnico de Viseu (IPV), Centro de Estudos em Educação, Tecnologias e Saúde (CI&DETS), Viseu, Portugal.

出版信息

Trends Psychiatry Psychother. 2018 Jul-Sep;40(3):202-209. doi: 10.1590/2237-6089-2017-0002. Epub 2018 Mar 8.

Abstract

OBJECTIVE

To evaluate the relationship of sociodemographic and clinical characteristics and satisfaction with social support with the quality of life of schizophrenic patients.

METHODOLOGY

This study included a sample of 268 participants. An interview was conducted to obtain sociodemographic and clinical data, supplemented with two assessment tools used to evaluate quality of life (World Health Organization Quality of Life instrument-Abbreviated version - WHOQOL-Bref) and satisfaction with social support (Social Support Satisfaction Scale - SSSS). Descriptive and inferential analyses were performed.

RESULTS

Most individuals were male (63.4%), with a mean age of 45.4 years, single (85.4%), living with their family (62.3%) and unemployed (90.3%). As for clinical characteristics, most had the disease for less than 20 years (50.7%), and 55.6% had at least one hospitalization within the last 5 years. Being employed and having had no hospitalization within the last 5 years were positively correlated with one or more WHOQOL-Bref domains. The results of the variables intimacy (p<0.001) and satisfaction with friends (p<0.001) were independently related to the total WHOQOL-Bref score.

CONCLUSION

Having a job, having had no hospitalization within the last 5 years and having greater satisfaction with social support are factors that positively influence quality of life among schizophrenics. It is therefore crucial that the psychosocial rehabilitation of patients with schizophrenia take these factors into account, increasing the support network, preventing relapses and promoting occupational activities.

摘要

目的

评估社会人口学和临床特征以及社会支持满意度与精神分裂症患者生活质量之间的关系。

方法

本研究纳入了268名参与者作为样本。通过访谈获取社会人口学和临床数据,并辅以两种评估工具,分别用于评估生活质量(世界卫生组织生活质量量表简版-WHOQOL-Bref)和社会支持满意度(社会支持满意度量表-SSSS)。进行了描述性和推断性分析。

结果

大多数个体为男性(63.4%),平均年龄45.4岁,单身(85.4%),与家人同住(62.3%)且失业(90.3%)。至于临床特征,大多数患病时间不足20年(50.7%),55.6%在过去5年内至少有过一次住院治疗。就业以及过去5年内未住院与WHOQOL-Bref的一个或多个领域呈正相关。亲密程度(p<0.001)和对朋友的满意度(p<0.001)这两个变量的结果与WHOQOL-Bref总分独立相关。

结论

有工作、过去5年内未住院以及对社会支持有更高的满意度是对精神分裂症患者生活质量产生积极影响的因素。因此,精神分裂症患者的心理社会康复必须考虑这些因素,增加支持网络,预防复发并促进职业活动。

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