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健康教育对住院法医精神病病房患者生活质量的影响。

The Impact of Health Education on the Quality of Life of Patients Hospitalized in Forensic Psychiatry Wards.

机构信息

Doctoral School, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.

Doctoral School, Faculty of Health Sciences in Bytom, Medical University of Silesia, 41-902 Bytom, Poland.

出版信息

Int J Environ Res Public Health. 2023 Mar 3;20(5):4533. doi: 10.3390/ijerph20054533.

Abstract

PURPOSE

An original health education program, developed for a group of patients of forensic psychiatry wards, was the basis for conducting a study on the impact of educational influences on the quality of life of patients long-term isolated from their natural environment. The main aim of the study was to answer the question: Does health education affect the quality of life of patients in forensic psychiatry wards and is educational activity effective?

METHODS

The study was conducted at the State Hospital for Mental and Nervous Diseases in Rybnik, Poland, in the forensic psychiatry wards, and lasted from December 2019 to May 2020. During the study, patients gained knowledge in the field of broadly understood health education. The study group consisted of 67 men, aged 22-73, diagnosed with schizophrenia. The method of double measurements (before and after the health education cycle) was applied, using the WHOQOL-BREF scale of quality of life and the first author's questionnaire of patients' knowledge, from the educational program used.

RESULTS

Health education does not significantly affect the overall quality of life of patients staying in forensic psychiatry wards, but it does affect their somatic condition. The proprietary health education program is effective because the patients' knowledge has significantly improved.

CONCLUSIONS

The quality of life of interned patients with schizophrenia is not significantly related to educational activities, however, psychiatric rehabilitation through educational activities effectively increases the level of patients' knowledge.

摘要

目的

为一组法医精神病病房的患者开发了一个原创的健康教育计划,该计划是开展一项研究的基础,旨在探讨教育对长期与自然环境隔离的患者生活质量的影响。该研究的主要目的是回答以下问题:健康教育是否会影响法医精神病病房患者的生活质量,以及教育活动是否有效?

方法

该研究在波兰雷布尼克的州立精神与神经疾病医院的法医精神病病房进行,研究时间为 2019 年 12 月至 2020 年 5 月。在研究过程中,患者获得了广泛意义上的健康教育知识。研究组由 67 名年龄在 22-73 岁之间、被诊断患有精神分裂症的男性组成。采用双重测量方法(健康教育周期前后),使用世界卫生组织生活质量量表(WHOQOL-BREF)和作者自创的患者知识问卷对患者进行评估。

结果

健康教育对留院法医精神病患者的整体生活质量没有显著影响,但对其躯体状况有影响。由于患者的知识有显著提高,原创的健康教育计划是有效的。

结论

住院精神分裂症患者的生活质量与教育活动没有显著关系,但通过教育活动进行的精神病康复可有效提高患者的知识水平。

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Recovery and its correlates in patients with schizophrenia.精神分裂症患者的康复及其相关因素
Asian J Psychiatr. 2020 Aug;52:102162. doi: 10.1016/j.ajp.2020.102162. Epub 2020 May 15.
2
Life satisfaction in persons with mental disorders.精神障碍患者的生活满意度。
Qual Life Res. 2020 Nov;29(11):3043-3052. doi: 10.1007/s11136-020-02556-9. Epub 2020 Jun 16.
8
Quality of life in Chinese patients with schizophrenia: A meta-analysis.中国精神分裂症患者的生活质量:一项荟萃分析。
Psychiatry Res. 2018 Oct;268:392-399. doi: 10.1016/j.psychres.2018.07.003. Epub 2018 Jul 24.

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