住院精神分裂症患者生存质量及相关因素

An investigation on quality of life in schizophrenic inpatients and analysis its related factors

目的探讨慢性精神分裂症患者的生存质量以及相关因素。方法采用简明曼彻斯特生存质量评定量表(MANSA)和阳性和阴性症状量表(PANSS)对150例住院精神分裂症患者进行评定。结果住院精神分裂症患者质量偏低。不满意的因子项目为经济状况和社会交往;基本满意的因子项目为法律与安全及健康状况。影响患者生存质量的主要因素为:经济状况、费用来源、饮食满意度、业余生活满意度、躯体状况满意度、心理健康满意度、阴性症状和自知力。而与年龄、性别、教育程度、病程、家族史等无关。结论该生存质量评定量表给患者、家属、医生、政府等提供了有价值的工具。

Objective To investigate the quality of life in schizophrenic patients and its rela ted factors.Method150schizophrenic inpatients met CCMD-2-R were assessed by the Manchester short assessmen t of quality of life(MANSA)and the positive and negative syn-drome scale(PANSS).Results The dissatisfied items of quality of life were economic and social factors,the basic satisfied items of quali ty of life were law,security and health factors.Significant relationship s were found between quality of life a nd financial situation,the resourc e of paying,diet,leisure activity,physical health,mental health,negative syndrome,and insight.However,n o significant relationships were fo und between quality of life and age,sex,education,course,and family histo ry.Conclusion MANSA provides a valuable tool for patients,relativ es of patie nts,psychiatrist and government.