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精神分裂症患者生活质量评估:一项基于住院社会福利机构的横断面研究。

Evaluation of quality of life in patients with schizophrenia: An inpatient social welfare institution-based cross-sectional study.

作者信息

Petrovic Aleksandra D, Barjaktarevic Ana M, Kostic Olivera Z, Dimitrijevic Jelena M, Mijailovic Sara S, Gogic Andjela D, Jankovic Slobodan M, Andjelkovic Marija V, Stanojevic Pirkovic Marijana S, Parezanovic Ilic Katarina D, Kostic Marina J, Janjic Vladimir S

机构信息

Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

Department of Pharmacy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

出版信息

Open Med (Wars). 2024 Apr 6;19(1):20240947. doi: 10.1515/med-2024-0947. eCollection 2024.

Abstract

Schizophrenia is a chronic mental illness with a poor quality of life (QoL). The main aim of this study was to measure the QoL and factors that affect the QoL of patients with schizophrenia placed in a social welfare institution. This cross-sectional study included 287 patients with schizophrenia who were treated in a long-stay social care institution in which QoL was assessed using five different instruments: the World Health Organization Quality of Life scale, the EuroQoL Five-Dimension-Five-Level scale (including the visual analog scale), the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form, and the Brief Psychiatric Rating Scale. To determine the impact of patients' characteristics on score values, multiple linear regression using backward elimination was employed. Due to non-normality in the distribution of the dependent variables, a Box-Cox power transformation was applied to each dependent variable prior to conducting multiple linear regression analysis. Results revealed that patients with schizophrenia have lower QoL. Our study revealed that age, level of education, type of accommodation, type of pavilion, age of onset of the disease, number of prescribed antipsychotics, number of psychiatric comorbidities, duration of therapy, and the number of daily doses of antipsychotics are dominant contributors to the QoL in patients with schizophrenia who were treated in social welfare institution.

摘要

精神分裂症是一种生活质量较差的慢性精神疾病。本研究的主要目的是测量生活在社会福利机构中的精神分裂症患者的生活质量以及影响其生活质量的因素。这项横断面研究纳入了287名在长期社会护理机构接受治疗的精神分裂症患者,使用五种不同工具评估其生活质量:世界卫生组织生活质量量表、欧洲五维五级量表(包括视觉模拟量表)、生活质量享受与满意度问卷简表以及简明精神病评定量表。为确定患者特征对得分值的影响,采用了向后剔除法进行多重线性回归。由于因变量分布不呈正态,在进行多重线性回归分析之前,对每个因变量应用了Box-Cox幂变换。结果显示,精神分裂症患者的生活质量较低。我们的研究表明,年龄、教育程度、住宿类型、病房类型、发病年龄、处方抗精神病药物数量、精神科合并症数量、治疗时长以及抗精神病药物每日剂量数量是在社会福利机构接受治疗的精神分裂症患者生活质量的主要影响因素。

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