社区精神分裂症患者生活质量调查及其影响因素分析

目的 调查社区精神分裂症患者的生活质量状况，分析其影响因素。方法 采用分层整群抽样方法选取出四川省某市三个区县773例社区精神分裂症患者，采用问卷调查的方法进行调查，调查问卷包括精神分裂症生活质量量表(SQLS)、社会支持量表(SSRS)、一般情况调查表和生活行为方式调查表等，通过单因素和多重线性回归分析患者生活质量影响因素。结果 社区精神分裂症患者SQLS总分为(24.92±13.98)分。多重线性回归分析结果显示，社区精神分裂症患者生活质量的影响因素为：年龄≥66岁(β=3.942,P=0.001)、城镇户口(β=-7.890,P<0.001)、职业状态为待业/下岗(β=5.267,P<0.001)或其他(β=9.317,P<0.001)、医疗保险类型为其他(β=5.922,P<0.001)、躯体健康差(β=11.498,P<0.001)、生活满意度一般(β=6.092,P<0.001)或不满意(β=15.670,P<0.001)、过去一年存在自杀想法(β=9.280,P=0.001)、购买药物费用为自费(β=-6.041,P<0.0...

Quality of life and its influencing factors of schizophrenia patients in community

Objective To investigate the quality of life of patients with schizophrenia in the community and analyze the influencing factors. Methods A stratified cluster sampling method was used to select 773 community schizophrenia patients from three districts and counties of a city in Sichuan Province. Respondents were surveyed by questionnaires including Schizophrenia Quality of Life Scale (SQLS), Social Support Scale (SSRS), General Situation Questionnaire, and Lifestyle Questionnaire. The factors influencing patients’ quality of life were analyzed by univariate and multiple linear regression. Results The total SQLS score of community schizophrenia patients was (24.92±13.98). Multiple linear regression analysis revealed that the factors influencing quality of life of community schizophrenia patients were: age ≥66 years (β=3.942, P=0.001), urban household registration (β=-7.890, P<0.001), occupational status as non-working/laid-off (β=5.267, P<0.001) or other (β=9.317, P<0.001), type of health insurance as other (β=5.922, P<0.001), poor physical health (β=11.498, P<0.001), fair life satisfaction (β=6.092, P<0.001) or dissatisfaction (β=15.670, P<0.001), suicidal thoughts in the past year (β=9.280, P=0.001), self-paying medication (β=-6.041, P<0.001) or not taking medication (β=-7.082, P<0.001), the cost of treating mental illness having little impact on the household finance (β=-10.153, P<0.001), the convenience of collecting medication was fair (β=-4.099, P=0.037), participation in community-based rehabilitation services (β=-3.577, P<0.001), and total SSRS score (β=0.113, P=0.028). Conclusion There are many factors affecting the quality of life of patients with schizophrenia. Targeted measures should be taken from the aspects of economy, social support, medical security, and community rehabilitation to improve the quality of life of patients with schizophrenia.