康復之家精神分裂症病人的需求與生活品質

Needs and Quality of Life of the Patients with Schizophrenia Living in Halfway Houses

目的：精神衛生醫療服務的病人會有著多元化照顧需求。本文旨在了解社區康復之家精 神分裂症病人的整體性和特殊性需求，並於統計控制人口屬性和精神症狀嚴重度後，比較 高、低兩組不同精神功能的個案，他們的社區復健需求與生活品質之關係。方法：本文為 相關性的研究。我們採依規模大小成比例的機率抽樣原則，研究對象為居住在社區中康復 之家，曾被診斷為精神分裂症的成年病人 (n = 136)。結果：整體精神功能狀態得分為高分組 者，社區復健的符合性需求得分較高 (t = 3.03; p < 0.001)，對獲得幫助的滿意度得分也較高 (t = 1.97; p < 0.05)。低分組者，他們的整體性需求、符合性需求與主觀性生活品質呈統計顯著 的負相關（r = -0.23, -0.35; p < 0.05，依序排列）。結論：本研究瞭解社區康復之家的精神分 裂症病人於不同精神功能狀態時，未符合復健需求的概況，此可做為發展生活品質改善策略 之參考。

Objective:Psychiatric patients have a various care needs. The objective of this study was to study the specific and overall needs of outpatients with schizo-phrenia. Methods:With the method of the probability proportional to size sam-pling, we recruited adult patients who had been diagnosed with schizophrenia in the community halfway houses (N= 136). After adjusting for factors of their de-mographic characteristics and severity of symptoms, we divided those outpatients into high- and low-functioning subgroups to assess the correlation between reha-bilitation needs and the quality of life (QoL). Results:The high global assessment of function (GAF) group of outpatients was scored significantly higher both on met needs (t= 3.03; p< 0.001) and satisfaction with help (t= 1.97; p< 0.05). In the low-GAF group, their total needs and met needs were significantly negatively correlated with subjective QoL (r= -0.23, p< 0.05; r= -0.35, p< 0.05), respec-tively. Conclusion:Understanding varied needs between subgroups of schizo-phrenia with different functional levels can contribute to identifying unmet needs and developing strategy for improving QoL in the community.