探討康復之家精神分裂症患者生活品質之相關因素

Demographic Influences on Quality of Life among Patients with Schizophrenia in Halfway House

本研究針對康復之家精神分裂症患者生活品質的相關因素進行探索，研究方法採橫斷式研究設計並以問卷訪談方式進行研究資料的蒐集，以高雄與屏地區康復之家精神分裂症患者為研究對象，收案期間為民國98年12月至99年3月止，統計有效樣本為185人。研究結果顯示，研究對象的家庭結構狀態、教育程度、家庭經濟狀況及病識感等因素於生活品質表現達統計差異，家庭結構狀態完整者、教育程度較高者、家庭經濟狀況較優渥者、與病識感較佳者，較能擁有優質的生活品質感受，亦是影響病患生活品質的重要預測因子。透過對康復之家精神分裂病患生活品質的探討，提供國內精神分裂症患者生活品質相關研究資料之佐證與建立，期盼能做為精神衛生政策與相關醫療單位之參考。

The main purpose of this study was to research the relative factors of quality of life for schizophrenia patients in Halfway House. The questionnaires, which included demographic characteristics and the scale for quality of life, were used to investigate the patients with schizophrenia from Halfway House in Kaohsing and Pingtung. The study was conducted by the cross-sectional design. and purposive sampling method. Moreover, the 185 valid responses were selected from December, 2009 to March, 2010. However, the findings in study were that: (i)the patients with complete family structure would get better performance in quality of life than the others(p<.05), (ii)the patients with higher level of education would have better performance in quality of life than the others(p<.05), (iii)the patients’ quality of life would be worst if their families’ income were lacking(p<.05), and (iv)the quality of life in schizophrenia patients were also affected by their insight, and the more complete insight for patients could own better performance in quality of life than the others(p<.05). Therefore, we concluded that these related factors could be important predictors for quality of life for schizophrenia patients. We also wished that those results could be helpful to provide the references and evidences for clinical psychiatric assessment, or establish the health policies for government in Taiwan.