未婚女性精神分裂病患的日常生活困擾

本描述性探索研究是針對某教學醫院日間病房中採立意取樣的八位未婚女性精神分裂病患，以自填加上個別式訪談，瞭解其日常生活困擾問題的程度與內容。所得的結構化性資料與半結構化質性資料，分別予以描述性統計或內容分析。結果顯現研究對象的日常生活困擾問題主要為：異性交往、口語表達、家人相處、休閒娛樂活動、工作、復學、服藥、日常作息、及性慾。前述困擾問題的程度方面，除了異性交往與口語表達兩項明顯較高以外，其餘居中上程度。困擾問題的內容方面，具有自我效能感差、缺乏社會接觸、及失權的特色。此研究除了欲提醒大家對未婚女性精神分裂病患日常生活困擾問題的重視以外，亦討論未來可繼續探討的相關議題。希望本文可做為精神醫療服務與研究的參考。

In this study, a descriptive exploratory design was used to investigate the level and content of the daily life distress among a non-probability sample of 8 single female schizophrenic patients in a psychiatric day care ward. Structural and semi-structural data were collected from self-reporting and interviewing. Descriptive statistics and content analysis were used to analyze the data. The result shows that their major problems of daily life distress are, by order, intimate relationship, verbal expression, family interaction, recreational activity, vocational employment, school resuming, medication, life routine, and sexuality. The first two problems are significantly high in level, while the others are only moderately high. In content, their problems are characterized by low self-efficacy, network crisis, and disempowerment. This study is intended to call for our attention to the problems in single female psychotic patients. Several related issues for future studies are also discussed. This paper is expected to use as a reference in the service and research of psychiatric mental health.