Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Mansoura University, Egypt.
Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Mansoura University, Egypt; Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain.
Arch Psychiatr Nurs. 2024 Oct;52:60-68. doi: 10.1016/j.apnu.2024.07.013. Epub 2024 Jul 8.
Quality of life has emerged as a powerful indicator of therapeutic success. However, little research has been conducted to study potential factors that influence quality of life in persons with schizophrenia, particularly in low-income developing nations.
This study aimed to investigate how insight and empathy impacted the quality of life and severity of symptoms in patients.
A descriptive cross-sectional research design was conducted on 168 patients with schizophrenia using the PANSS Scale, Schizophrenia Quality of Life Scale R4, the Interpersonal Reactivity Index, and the Birchwood Insight Scale.
Our findings show that the mean score for quality of life was (70.9 ± 9.2), whereas the mean scores for empathy and insight were (60.8 ± 15.8) and (5.8 ± 1.9), respectively. Insight and empathy have predicted effects on QoL (adjusted r square = 0.035, sig = 0.009) and (adjusted r square = 0.012, sig = 0.027), respectively. On the other hand, the regression model also showed a substantial inverse relationship between the severity of the illness and both empathy and insight.
The majority of the clients had poor quality of life, low insight, and low empathy. Insight and empathy play a role in anticipating the patient's perceptions of quality of life. They might affect how severe their illness is. Our findings highlight the importance of developing empathy and insight, and therapies that do so may aid patients with low quality of life.
生活质量已成为治疗成功的有力指标。然而，很少有研究致力于探讨影响精神分裂症患者生活质量的潜在因素，尤其是在低收入发展中国家。
本研究旨在调查洞察力和同理心如何影响患者的生活质量和症状严重程度。
采用描述性的横断面研究设计，使用 PANSS 量表、精神分裂症生活质量量表 R4、人际反应指数和 Birchwood 洞察力量表，对 168 名精神分裂症患者进行了研究。
我们的研究结果表明，生活质量的平均得分为（70.9±9.2），而同理心和洞察力的平均得分分别为（60.8±15.8）和（5.8±1.9）。洞察力和同理心对 QoL 有预测作用（调整后的 r 平方为 0.035，sig=0.009）和（调整后的 r 平方为 0.012，sig=0.027）。另一方面，回归模型还显示，疾病的严重程度与同理心和洞察力呈显著负相关。
大多数患者生活质量较差，洞察力和同理心较低。洞察力和同理心在预测患者对生活质量的认知方面发挥作用。它们可能会影响疾病的严重程度。我们的研究结果强调了培养同理心和洞察力的重要性，以及可能有助于改善生活质量较差的患者的治疗方法。
