臺灣版精神分裂症病人生活品質評量表：信度與效度之研究

The Taiwanese Version of the Lancashire Quality of Life Profile (T-LQOLP): Reliability and Validity

10.29478/TJP.200503.0004

許嘉純(Chia-Chun Hsu)；姚開屏(Kai-Ping Grace Yao)；胡海國(Hai-Gwo Hwu)；熊秉荃(Ping-Chuan Hsiung)

精神分裂症 ； 主觀生活品質 ； 客觀生活品質 ； schizophrenia ； subjective and objective quality of life

台灣精神醫學

19卷1期（2005 / 03 / 01）

33 - 46

繁體中文

目的：本研究目的是在檢測臺灣版精神分裂症病人生活品質量表(LQOLP)之信、效度，並探討人口學特質、精神症狀、醫療環境與病人生活品質間的關係。方法：樣本來自北部某醫學中心精神科日間病房及門診之精神分裂症病人100名，進行量表信、效度之檢定，結果：本評量表各層面主觀生活品質Cronbach’s, a範圍0.53-0.82，再測信度ICC範圍0.60-0.92。本評量表與SF-36及LQOLP量表中三項綜合評量題目兩項效標工具間具有顯著相關，亦具有良好之建構效度。探索性因素分析發現六個因素（家庭關係、健康與安全、經濟、自主與安適、社交關係、休閒），病人主觀生活滿意度中，以家庭關係層面最佳，工作及經濟兩層面最差，研究發現情緒及負性症狀、醫療環境、婚姻狀況為分居者、年齡20-30歲，是影響病人主觀生活品質之重要預測因子。結論：研究結果有助於瞭解病人多層面主、客觀生活品質，可用為精神衛生政策擬定之參考，有利於精神分裂症病人生活品質之本土性資料建立，以為未來跨文化比較研究之基礎。

The purpose of this study was to develop and test the reliability and validity of the Taiwanese version of Lancashire Quality of Life Profile(T-LQOLP). The relationship between demographic factors, psychotic symptoms, care settings, and quality of life (QOL) of patients with schizophrenia were also be examined. Methods: One hundred patients with schizophrenia were recruited from patients who were receiving hospital day care or were treated in an outpatient setting of a university hospital in Taipei. Data were collected by personal interview after written informed consent was obtained. Results: The T-LQOLP was established after linguistic modification. The internal consistency (Cronbach’s a) ranged from 0.53 to 0.82 for the nine subjective QOL domains. The test-retest reliability ICCs ranged from 0.60 to 0.92 in the nine subjective QOL domains. The SF-36 and three items from the T-LQOLP were used as the criterion-related validity tools. The T-LQOLP had significant correlations between the two scales, and had satisfactory contruct validity. Exploratory factor analyses revealed a six-factor (family relations, health and safety, finance, autonomy and well-being, social relations, and leisure) model. Among the nine subjective QOL domains, the highest satisfaction domain was family relations, while the lowest satisfaction domains were work and finance. The best factors in predicting subjective QOL were affect symptoms, care setting, separate marital status, age range of 20-3 0 years, and negative symptoms. Conclusions: This study has successfully established the T-LQOLP by demonstrating its satisfactory reliability and validity. This instrument is applicable for use in Taiwanese patients with schizophrenia. The T-LQOLP can also be served as a rating scale for cross-cultural study and as a tool for clinical psychiatric assessment in Taiwan. (Full text in Chinese)

1. 姚開屏(2000)。簡介與評論常用的一般健康相關生活品質量表兼談對未來研究的建議。測驗年刊，47，111-38。
   連結：
2. Bowne D,Roe M,Lane A,Gervin M,Kinsella A,Larkin C,Callaghan EO(1996).Quality of life in schizophrenia: Relationship to sociodemographic factors, symptomatology and tardive dyskinesia.Acta Psychiatr Scand,94,118-24.
3. Bow-Thomas CC,Velligan DI,Miller AL,Olsen J(1999).Predicting quality of life from symptomatology in schizophrenia at exacerbation and stabilization.Psychiatry Res,86,131-42.
4. Campbell A(1976).Subjective measures of well-being.Am Psychol,31,117-24.
5. Gaite L,Vazquez-Barquero JL,Arriaga Arrizabalaga A.Quality of life in schizophrenia: development, reliability and internal consistency of the Lancashire Quality of Life Profile-European Version.Br J Psychiatry 200,177,49-54.
6. Gaite L,Vazquez-Barquero JL,Borra C(2002).Quailty of life in patients with schizophrenia in five European countries: The EPSILON.Acta Psychiatr Scand,105,283-92.
7. Jarema M,Bury L,Konieczynska Z(1997).Comparison of quality of life of schizophrenic patients in different forms of psychiatric care.Psychiatr Pol,31,585-94.
8. Lehman AF,Ward NC,Linn LS(1982).Chronic mental patients: the quality of life issue.Am J Psychiatry,139,1271-6.
9. McHorney CA,Ware JJ,Raczek AE(1993).The MOS 36-item short form health survey (SF-36): Ⅱ. Psychomertic and clinical tests of validity in measuring physical and mental health constructs.Med Care,31,247-63.
10. McHorney, CA,Ware JJ,Rachel IF,Scherbourne CD(1994).The MOS 36-item short form health survey (SF-36): Ⅲ. Tests of data quality, scaling assumptions, and reliability across diverse patient groups.Med Care,32,40-66.
11. Meijer CJ,Schene AH,Kotete MWJ(2002).Quality of life in schizophrenia measured by the MOS SF-36 and the Lancashire Quality of Life Profile: a comparison.Acta Psychiatr Scand,105,293-300.
12. Mueser KT,Becker DR,Torrey WC,Xie H,Bond GR,Drake RE(1997).Working and nonvocational domains of functioning in preson with severe mental illness: a longitudinal analysis.J Nerv Ment Dis,185,419-26.
13. Nieuwenhuizen van Ch,Schene AH,Koeter MW,Huxley PJ(2001).The Lanacashire Quality of Life Profile: Modification and psychometric evaluation.Soc Psychiatry Psychiatr Epidemiol,36,36-44.
14. Oliver JP(1992).The social care directive: Development of a quality of life profile for use in community services for the mentally ill.Soc Work Soc Sc Rev,3,5-45.
15. Oliver JP,Huxley PJ,Bridges K,Mohamad H(1996).Quality of Life and Mental Health Services.
16. Ruggeri M,Bisoff G,Fonyecedro L,Warner R(2001).Subjective and objective of quality of life in psychiatric patients: a factor analytical approach: The South Verona Outcome Project 4.Br J Psychiatry,178,268-75.
17. Russo J,Trujillo CA,Wingerson D(1998).The MOS 36-item short form health survey reality validity, and preliminary finding in schizophrenic outpatients.Med Care,36,752-6.
18. Salokangas RKR,Honkonen T,Stengard E,Koivisto AM(2001).To be or not to be married that is the question of quality of life in men with schizophrenia.Soc Psychiatry Psychiatr Epidemiol,36,381-90.
19. Tunis JE,Croghan TW,Meilman DK,Johnstone BM,Obenchain RL(1999).Reality, validity, and application of the Medical Outcome Study 36-item short- form health survey (SF36) in schizophrenia patients treated with olanzapine versus haloperidol.Med Care,37,678-91.
20. Van Dongen CJ(1996).Quality of life and self-esteem in working and nonworking persons with mental illness.Comm Ment Health J,36,535-48.
21. 成和玲、楊美賞(1997)。門診與社區復健精神分裂病患生活品質之比較及影響生活品質之因素。高雄醫學科學雜誌，13，748-56。
22. 余伍祥、陳明哲、成和玲、林清華(1995)。不同醫療環境精神分裂病病人生活品質之比較。公共衛生，22，115-23。
23. 余伍祥、陳明哲、成和玲、林清華、龍佛衛(1995)。精神病病人生活品質量表之發展。公共衛生，22，29-39。
24. 林進嘉、殷建智、李添誠、謝秀幸(2001)。日間留院及居家治療之精神分裂症病人生活品質之比較。台灣精神醫學，15，226-36。
25. 胡海國(1997)。全國精神分裂一年中住院病人再次住院次數分析。當代醫學，24，964-8。
26. 梁玉雯、蔣欣欣、李從業、吳玫勳、嚴小燕、崔翔雲(1997)。慢性精神病病人客觀生活品質之探討。護理研究，5，212-22。
27. 蕭淑貞。衛生署八十四年度委託計劃研究報告衛生署八十四年度委託計劃研究報告,未出版
28. 戴傳文(1998)。我國精神衛生工作的發展。護理雜誌，45，5-11。

1. 洪宜惠,王美嬅(2023)。精神護理之家住民生活品質與幸福感。台灣公共衛生雜誌，42(2)，202-213。
2. 許秀月、李雅卿、李昭憲(2013)。探討康復之家精神分裂症患者生活品質之相關因素。美和學報，32(1)，27-40。
3. 劉玟宜,劉介宇,黃佑詢,林式穀,戎瑾如(2015)。探討思覺失調症病人社區生活技能中介疾病烙印對生活品質之影響。精神衛生護理雜誌，10(1)，1-8。