Konieczyńska Z, Jarema M, Cikowska G
III Klinika Psychiatryczna IPiN w Warszawie.
Psychiatr Pol. 1997 May-Jun;31(3):323-31.
Health related quality of life was evaluated in 40 schizophrenics from day hospital at admission, during the treatment and after 8 weeks. In contrast to the psychopathology which significantly decreased after 4 weeks already, the improvement of quality of life was found to be significant only at the discharge from day hospital. The quality of life did not correlate with the severity of schizophrenic symptoms. The older and more frequently hospitalized patients were, the less favorably they evaluated the quality of life. Patients professionally disabled were also less pleased with their quality of life. All quality of life domains improved after treatment with the exception of physical functioning and reported health transition. Physical functioning, role-physical, general health and mental health correlated inversely with severity of schizophrenia after treatment. There was no correlation between clinical improvement after treatment and quality of life domains. The higher was the patients' educational level the better they evaluated their vitality, social functioning and reported health transition.
对40名日间医院的精神分裂症患者在入院时、治疗期间及8周后进行了健康相关生活质量评估。与4周后就显著下降的精神病理学不同，生活质量的改善仅在日间医院出院时才显著。生活质量与精神分裂症症状的严重程度无关。患者年龄越大、住院次数越多，对生活质量的评价就越差。职业残疾的患者对其生活质量也不太满意。除身体功能和报告的健康转变外，治疗后所有生活质量领域均有所改善。治疗后，身体功能、角色-身体、总体健康和心理健康与精神分裂症的严重程度呈负相关。治疗后的临床改善与生活质量领域之间没有相关性。患者的教育水平越高，对其活力、社会功能和报告的健康转变的评价就越好。
