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门诊诊所中被诊断为精神分裂症患者的生活质量决定因素。

Determinants of quality of life among people diagnosed with schizophrenia at outpatient clinics.

作者信息

Hasan Abd Alhadi, Tumah Hussein

机构信息

Fakeeh College for Medical Sciences, Alhamra District, Palestine Street, Jeddah, Saudi Arabia.

出版信息

Perspect Psychiatr Care. 2019 Jan;55(1):30-39. doi: 10.1111/ppc.12278. Epub 2018 Apr 12.

Abstract

PURPOSE

The study examines the determinants of the quality of life (QoL) among outpatients with schizophrenia in Jordan.

DESIGN AND METHODS

A cross-sectional study design was used with 157 people with schizophrenia treated in outpatient clinics. Demographic, clinical and psychosocial variables were examined for their influence on QoL. Data were analysed with descriptive statistics, Pearson product moment correlation and stepwise forward multiple linear regression.

FINDINGS

The majority of the study participants were female, single, unemployed, had secondary level of education or less and were being supported financially by family members. QoL correlated negatively with advanced age, male gender, longer duration of illness, high body mass index and prescribed typical anti-psychotic medication. However, it was correlated positively with employment and being married. Illness duration, recurrent hospitalisation, knowledge level about schizophrenia, psychiatric symptoms and coping mechanisms were found to be key significant predictors of QoL among participants.

PRACTICAL IMPLICATIONS

The study findings enhance our understanding of socio-demographic, clinical and psychosocial characteristics influencing the QoL in people with schizophrenia. Involvement of families in the management process may improve patients' ability to be integrated in the community and be more socially active.

摘要

目的

本研究探讨约旦精神分裂症门诊患者生活质量(QoL)的决定因素。

设计与方法

采用横断面研究设计,对157名在门诊接受治疗的精神分裂症患者进行研究。考察人口统计学、临床和心理社会变量对生活质量的影响。采用描述性统计、Pearson积差相关和逐步向前多元线性回归分析数据。

研究结果

大多数研究参与者为女性、单身、失业、受教育程度为中学及以下且由家庭成员提供经济支持。生活质量与高龄、男性、病程较长、高体重指数以及使用处方典型抗精神病药物呈负相关。然而,它与就业和已婚呈正相关。病程、反复住院、对精神分裂症的知识水平、精神症状和应对机制被发现是参与者生活质量的关键显著预测因素。

实际意义

研究结果增进了我们对影响精神分裂症患者生活质量的社会人口学、临床和心理社会特征的理解。让家庭参与管理过程可能会提高患者融入社区并更加积极参与社交活动的能力。

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