A Comparison of the Quality of Life of Patients with Schizophrenia in Daycare and Homecare Settings

日間留院與居家照顧精神分裂病個案生活品質之比較研究

10.1097/jnr.0000000000000026

高家常(Chia-Chan Kao)；黃惠滿(Hui-Man Huang)

生活品質 ； 精神分裂病個案 ； 日間留院 ； 居家照護 ； 精神病理 ； quality of life ； schizophrenia patients ； daycare setting ； homecare setting ； psychopathology

The Journal of Nursing Research

22卷2期（2014 / 06 / 01）

126 - 135

英文

背景　台灣自1984年推動慢性精神病個案去機構化運動以來，生活品質成為瞭解慢性精神病個案照顧成果的重要指標。目的　本研究比較接受日間留院與居家照護之精神分裂病個案在生活品質各層面上之差異。方法　採橫斷式相關性研究設計，以方便取樣方式選取45位日間留院與25位居家照護之精神分裂病個案共70位參與本研究。以個人基本屬性問卷、精神疾病生活品質量表、正性及負性精神症狀量表三份問卷，收集個案的基本屬性、生活品質及精神症狀資料。結果　本研究結果發現，在較多工作機會及較少出現嚴重正向病徵二方面，日間留院之精神分裂病個案，其生活品質比居家照護個案佳。結論／實務應用　增加工作機會及控制精神病理程度，應能提升精神分裂病個案之生活品質。臨床精神照護人員可鼓勵慢性精神分裂病個案參與日間留院或居家照護方案。

Background: Deinstitutionalization has been a social movement in Taiwan since 1984. This practice emphasizes quality of life as an important outcome in the treatment of patients with chronic mental illness. Purpose: This study compares the quality of life of patients with schizophrenia between daycare and homecare settings in Taiwan. Methods: A cross-sectional comparison design was used. A convenience sample of 70 participants was drawn from daycare (n = 45) and homecare (n = 25) settings. Three structured questionnaires, a personal characteristics questionnaire, the Quality of Life Scale for Psychiatric Patients, and the Positive and Negative Syndromes Scale, were used to collect personal characteristics, quality of life, and psychopathological status information on participants. Results: Compared with homecare participants, daycare participants had higher quality of life in several domains, more work opportunities, and less severe positive symptoms. Conclusions/Implications for Practice: Providing work opportunities and proper psychopathology care to patients with schizophrenia may further enhance their quality of life. Practitioners should encourage people with chronic schizophrenia to receive regular care in either a daycare setting or a homecare setting.

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