康复期精神分裂症患者生存质量的单因素分析

Single-factor analysis of quality of life in patients with schizophrenia at recovery stage

目的了解康复期精神分裂症患者生存质量及其影响因素。方法采用一般资料问卷、精神病人生存质量问卷(QOL)调查广州市某医院256名住院治疗的康复期精神分裂症患者生存质量状况,按性别、工作、文化程度、婚姻状态分组作单因素分析。结果 72.2%的康复期精神分裂症患者的生存质量主观体验处于中等及以上水平;有工作者的生存质量总分、生理维度分和心理维度分较无工作者低,差异有统计学意义(P<0.05);不同受教育程度的社会维度分差异有统计学意义(P<0.05),多重比较显示,"大专及以上"组与小学及以下、初中、高中或中专差异均有统计学意义(P<0.05);按性别、婚姻状态分组患者的生存质量总分及各维度分差异无统计学意义(P>0.05)。结论康复期精神分裂症患者生存质量的主观体验和客观指标存在分离,影响主观体验的因素主要是身心状态和社会功能,工作和文化程度较高的患者生存质量较好。

Objective To examine the quality of life （QOL） and its influencing factors among schizophrenia at recovery stage. Methods 256 inpatients with schizophrenia from a hospital in Guangzhou were assessed with Quality of Life Questionnaire for Psychi- atric Patients（ QOL- P） and general information questionnaire. Single -factor analysis were used according to gender, job, degree of education and marital status. Results Quality of life in 72.2% patients were above the average level. There were significant differ- ences in score of QOL- P between patients with different professional status and degree of education（P 〈 0.05）. Differences between patients with different marital status and gender were not significant （ P 〉 0.05 ）. Conclusion The general assessment of quality of life is at a high level in patients with schizophrenia, especially in patients with jobs and high degree of educations.