Department of Occupational Therapy, Division of Health Science, Baekseok University, Cheonan-si, Chungcheongnam-do, Republic of Korea.
Asian J Psychiatr. 2022 Mar;69:102984. doi: 10.1016/j.ajp.2021.102984. Epub 2021 Dec 25.
Occupational balance is an essential element for social participation and quality of life. However, it is difficult for patients with schizophrenia to participate in occupation and achieve occupational balance in daily life due to physical and mental symptoms.
This study investigated the form of time use and occupational balance in a schizophrenic patient, and examined the effect of client-centered occupation-based case management.
The research was conducted at a private center visited using one-on-one weekly client interactions for 10 weeks from September 1, 2020, and time use was analyzed using the Occupational Questionnaire (OQ) and the 2019 Life Time Survey Table of the National Statistical Office. In addition, data on work performance and satisfaction were collected using Canadian Occupational Performance Measure (COPM), and client-centered occupation-based interventions were conducted.
As a result of identifying the balance of work of clients, 38.46% of rest and sleep during the day, 30.77% of IADL, 17.94% of Work, 10.26% of BADL, and 2.57% of leisure. Through occupation-based case management for child care and work, which are the main goals of the client, the COPM score increased on average by 2 or more points per item, showing a positive effect.
In order to resolve the occupation imbalance of schizophrenic patients, it is necessary to closely understand the type of time use and actively intervene in client-centered occupation-based interventions.
Data pertinent to this report will be made available upon reasonable request to the author.
职业平衡是社会参与和生活质量的重要组成部分。然而，由于身心症状，精神分裂症患者很难参与职业活动并在日常生活中实现职业平衡。
本研究调查了精神分裂症患者的时间利用形式和职业平衡，并考察了以患者为中心的基于职业的个案管理的效果。
该研究于 2020 年 9 月 1 日开始，在一家私人中心进行，每周进行一次一对一的客户互动，共进行 10 周。使用职业问卷（OQ）和国家统计局 2019 年生活时间调查表分析时间利用情况。此外，使用加拿大职业表现测量（COPM）收集工作表现和满意度数据，并进行以患者为中心的基于职业的干预。
通过确定客户工作的平衡，白天休息和睡眠占 38.46%，IADL 占 30.77%，工作占 17.94%，BADL 占 10.26%，休闲占 2.57%。通过基于职业的儿童保育和工作个案管理，这是客户的主要目标，COPM 评分平均每项增加 2 分或更多，显示出积极的效果。
为了解决精神分裂症患者的职业失衡问题，有必要密切了解时间利用类型并积极进行以患者为中心的基于职业的干预。
与本报告相关的数据将根据合理要求提供给作者。
