门诊精神分裂症患者生活质量的影响因素分析

Analysis on the Influencing Factors of Life Quality of Outpatients with Schizophrenia

目的了解门诊精神分裂症患者的生活质量状况,探讨主观服药态度及症状对其的影响。方法采用药物态度清单(DAI)、MOS健康状况问卷(SF-36)、简版症状自评量表(SCL-90)对在广州市脑科医院门诊就诊的208例精神分裂症患者进行问卷调查。结果门诊精神分裂症患者自评焦虑、抑郁及精神病性症状得分较低,其生活质量与主观服药态度不相关,与自评症状成负相关,与年龄、婚姻状况、是否出院也有一定的相关性。结论自评症状、年龄、婚姻状况以及住院史,是影响门诊精神分裂症患者生活质量的主要因素,这为制定干预方案提高其生活质量提供了参考依据。

Objective To investigate the condition of life quality of outpatients with schizophrenia, and to study the effect of subjective drug attitude and symptoms on life quality. Methods 208 cases of outpatients with schizophrenia treated in our hospital were selected and assessed with Drug Attitude Inventory（DAI）, MOS Item Short Form Health Survey（SF-36） and Symptom check list-90（SCL-90）. Results The scores of self-reported anxiety, depression and psychoticism in outpatients with schizophrenia were low, and their life quality was not relevant to subjective drug attitude, but had negative correlation with self-reported symptoms, and had some correlation with age, marital status and previous hospitalization status. Conclusions Self-reported symptoms, age, marital status and previous hospitalization status are the main influencing factors affect the life quality of outpatients with schizophrenia, which provides reference basis for the revise of intervention program improving quality of life.