精神分裂病患者生活品質之分析

Analyses of the Quality of Life among Patients with Schizophrenia

目的：本研究旨在探討影響精神分裂病患者生活品質的因子分析。方法：收集自2009 年9 月至2010 年3 月期間，採用立意取樣法從某地區醫院精神科病人中抽取精神分裂病病 人共220 人。以結構式訪談問卷蒐集病人的相關資料。研究工具包含基本資料問卷、簡短 精神症狀量表(BPRS)、整體功能量表(GAF)、及世界衛生組織生活品質問卷－－台灣簡明版 (WHOQOL-BREF (TW)。所蒐集的資料以描述統計、單因子多變量變異數分析之統計方法 進行分析。結果：病人的生活品質屬中等滿意程度。其中生理與環境範疇較佳，心理與社會 關係範疇最差。不同就業狀況與收入的病人在生活品質上呈現差異，全職優於未就業，有收 入優於無收入，但生活品質不因婚姻狀況而有差異。結論：若想提高病人生活品質應從就業 及增加收入方面改善。

Objective: The objective of this study was to analyze the factors infl uencing quality of life among patients with schizophrenia. Methods: We adopted the purposive sampling method to recruit 220 patients with schizophrenia from several district hospitals between September 2009 and March 2010. Patients’ demographic data were obtained through structured questionnaires, including questionnaires for basic demographics, the Brief Psychiatric Rating Scale (BPRS), the General Assessment of Functioning Scale (GAF), and the World Health Organization Quality of Life Questionnaire-Brief Taiwan Version (WHOQOL-BREF(TW). Results: The satisfaction level toward quality of life among these patients was moderate. Among the domains of quality of life, patients were more satisfi ed with physiological and environmental domains while less satisfi ed with mental and social relationship domains. Patients’ quality of life differed signifi cantly by employment status (p < 0.034) and income groups (p < 0.019). Compared to patients without a job, those with a full-time job had greater quality of life; patients with income had greater quality of life than those without it (p < 0.019). But marital status did not signifi cantly infl uence one’s quality of life. Conclusion: Efforts should be made to improve the employment status and income level among patients to enhance their quality of life.