精神分裂症病人的生活品質與婚姻滿意度之關係

The Relationship between Quality of Life and Marital Status in Patients with Schizophrenia

目的：旨在比較已婚同住與單身之精神分裂症病人的差異，並探討已婚者生活品質與婚姻滿意度的關係。方法：採立意取樣法，取單身與已婚同住病人共100人。研究工具包括心理－－社會－－職業整體功能量表、簡短精神症狀量表、世界衛生組織生活品質問卷（台灣簡明版）及婚姻滿意度量表。資料以卡方檢定、單因子多變量變異數分析、積差相關與典型相關法進行分析。結果：已婚同住病人的生活品質與婚姻滿意度育有明顯的正相關(p<0.05)，生活品質之社會關係品質愈佳，其婚姻中的生活、經濟、社會、心理及價值觀的滿意度愈高。結論：已婚同住者的生活品質與婚姻滿意度成正相關，其中生活品質之社會關係範疇，能顯著的預測其各層面之婚姻滿意度，故改善生活品質之社會關係範疇最能提高其婚姻滿意度。

Objective:The purposes of this study were to investigate the difference in the quality of life (QoL) between married and single patients with schizophrenia, and to explore the relationship between QoL and marital satisfaction of the mar- ried patients. Methods:Totally,100 single patients and married patients with schizophrenia were sampled using purposive sampling method. We collected data with QoL questionnaire, Global Assessment of Functioning (GAF), Brief Psychi- atric Rating Scale (BPRS), WHOQOL-BREF (Taiwanese version), and Marital Satisfaction Scale for Schizophrenia (MSSS). Chi-squared test, multivariate anal- ysis of variance (MANOVA), Pearson product-moment correlation, canonical cor- relation, and multiple regression analysis were used to analyze the data. Results: A significantly positive correlation was found between QoL and marital satisfac- tion of married patients (p< 0.05). The better social connection was in their QoL, the more satisfaction in all aspects of their marriage status. Conclusion:A posi- tive correlation was found between QoL and marital satisfaction of married pa- tients. Among all aspects of the quality of life, the social-relationship aspect was the most effective factor for predicting their marital satisfaction.