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題名:社區復健中心之精神分裂症患者其污名感受、污名因應與生活品質相關因素之探討
書刊名:護理雜誌
作者:曾秋蓉邱政元顏文娟 引用關係蘇惠珍蕭秋月
作者(外文):Tseng, Chiu-jungChiou, Jeng-yuanYen, Wen-jiuanSu, Hui-chenHsiao, Chiu-yueh
出版日期:2012
卷期:59:4
頁次:頁62-70
主題關鍵詞:精神分裂症污名感受污名因應取向生活品質SchizophrenicStigma perceptionStigma coping behaviorQuality of life
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:4
  • 點閱點閱:26
背景 : 生活品質在精神照護上是重要的議題,但是對精神分裂症病患之污名感受、污名因應與生活品質之相關研究仍有限。 目的 : 探討精神分裂症病患之污名感受、污名因應與生活品質之相關。 方法 : 採橫斷式、相關性研究設計,以「基本屬性」、「污名感受量表」、「污名因應取向量表」、「台灣簡明版世界衛生組織生活品質問卷」收集資料。共收案 119位精神分裂症病人,所得資料以 SPSS12.0 for Windows套裝軟體進行統計分析。 結果 : (1) 研究對象生活品質指標得分 62.40,屬中等程度; (2) 工作時數較長者、有復健工作者、及有領補助金者生活品質較差;(3) 在整體生活品質影響方面,婚配阻礙因素最高,採隱藏保密取向因應,生活品質感受較佳;(4) 領補助金、工作時數、污名感受、污名因應、工作滿意度及工作收入滿意度可解釋整體生活品質 48.8%之總變異量。其中以污名感受、工作滿意度及工作收入滿意度等變項對整體生活品質最具顯著之解釋力。 結論 : 本研究結果可增加健康專業人員,對精神分裂症病人生活品質的瞭解,協助因應污名,增加對工作滿意度,進而改善生活品質。
Background : Quality of life (QOL) is a critical issue in mental health care. The associations between quality of life and schizophrenia patients’ stigma perception and stigma coping behavior are not well understood. Purpose : This study investigated quality of life in schizophrenia patients. Methods : We used a cross-sectional, correlational research design; enrolled 119 individuals diagnosed with schizophrenia as participants; and used instruments including a demographics datasheet, perceived stigma scale, stigma coping behavior scale, and the World Health Organization quality of life scale, brief version to collect data. Data were analyzed using SPSS 12.0 for Windows software. Result : (1) Participants had an average QOL index score of 62.40, indicating moderate quality of life; (2) Long working hours, holding rehabilitation-related employment, and receiving social welfare support correlated with lower QOL; (3) Marital issues had the greatest impact on quality of life, with participants who chose secrecy / concealment reporting generally better QOL; (4) Social welfare support, number of working hours, stigma perception, stigma coping, level of job satisfaction, and level of salary satisfaction together accounted for 48.8% of total QOL variance. Conclusions : Findings increase our understanding of the influence of socio-demographics, stigma perception, and stigma coping behavior on quality of life in individuals with schizophrenia. Greater community involvement in schizophrenia treatment programs can enhance patient satisfaction with their jobs and lives.
期刊論文
1.Lam, C. S.、Tsang, H.、Chan, F.、Corrigan, P. W.(2006)。Chinese and American perspectives on stigma。Rehabilitation Education,20(4),269-279。  new window
2.李雅敏、林宏熾(20081200)。成年就業精神分裂症患者康復經驗之研究。復健諮商,2,49-75。  延伸查詢new window
3.Kao, Y. C.、Liu, Y. P.、Chou, M. K.、Cheng, T. H.(2011)。Subjective quality of life in patients with chronic schizophrenia: Relationships between psychosocial and clinical characteristics。Comprehensive Psychiatry,52(2),171-180。  new window
4.Sibitz, I. I.、Amering, M. M.、Unger, A. A.、Seyringer, M. E.、Bachmann, A. A.、Schrank, B. B.、Woppmann, A.(2011)。The impact of the social network, stigma and empowerment on the quality of life in patients with schizophrenia。European Psychiatry,26(1),28-33。  new window
5.El-Badri, S.、Mellsop, G.(2007)。Stigma and quality of life as experienced by people with mental illness。Australasian Psychiatry,15(3),195-200。  new window
6.Mueser, K. T.、McGurk, S. R.(2004)。Schizophrenia。The Lancet,363(9426),2063-2072。  new window
7.Lu, L.、Gilmour, R.、Kao, S. F.、Huang, M. T.(2006)。A cross-cultural study of work/family demands, work/family conflict and well-being: the Taiwanese vs. British。Career Development International,11(1),9-27。  new window
8.韓德彥、陳淑惠(20080900)。精神疾病污名感受量表及其短版之心理計量特性。中華心理衛生學刊,21(3),273-290。new window  延伸查詢new window
學位論文
1.王士娟(2003)。精神分裂症患者烙印覺知及烙印因應取向量表之信、效度研究(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.姚開屏(2005)。台灣簡明版世界衛生組織生活品質問卷之發展及使用手冊。台北:世界衛生組織生活品質問卷台灣簡明版發展小組。  延伸查詢new window
2.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
其他
1.Chan, S. H. W., & Yeung, F. K. C.(2008)。Path models of quality of life among people with schizophrenia living in the community in Hong Kong。  new window
2.Chan, S. W., Hsiung, P. C., Thompson, D. R., Chen, S. C., & Hwu, H. G.(2007)。Health-related quality of life of Chinese people with schizophrenia in Hong Kong and Taipei: A cross-sectional analysis。  new window
3.Cohen, C. I., Hassamal, S. K., & Begum, N.(2011)。General coping strategies and their impact on quality of life in older adults with schizophrenia。  new window
4.Cooke, M., Peters, E., Fannon, D., Anilkumar, A. P. P., Aasen, I., Kuipers, E., & Kumari, V.(2007)。Insight, distress and coping styles in schizophrenia。  new window
5.Evans, S., Banerjee, S., Leese, M., & Huxley, P.(2007)。The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples。  new window
6.Gaebel, W., Zäske, H., & Baumann, A. E.(2006)。The relationship between mental illness severity and stigma。  new window
7.Kleim, B., Vauth, R., Adam, G., Stieglitz, R., Hayward, P., & Corrigan, P.(2008)。Perceived stigma predicts low self-efficacy and poor coping in schizophrenia。  new window
8.Liang, W. M., Kuo, H. W., Lin, C. F., Shy, H. W., Chen, H. W., & Chen, J. J.(2005)。Factor construct of health-related quality of life in Taiwanese workers by WHOQOL-BREF Questionnaire。  new window
9.Link, B.(2007)。Implications of outpatient commitment and perceived coercion for stigma, quality of life and social functioning。  new window
10.Major, B., & O’Brien, L. T.(2005)。The social psychology of stigma。  new window
11.Meijer, C. J., Koeter, M. W., Sprangers, M. A., & Schene, A. H.(2009)。Predictors of general quality of life and the mediating role of health related quality of life in patients with schizophrenia。  new window
12.Mubarak, A.(2006)。Employment status, psychiatric disability and quality of life: Comparison of men and women with schizophrenia in Malaysia。  new window
13.Narvaez, J. M., Twamley, E. W., McKibbin, C. L., Heaton, R. K.,& Patterson, T. L.(2008)。Subjective and objective quality of life in schizophrenia。  new window
14.Phenryl, H. J.(2011)。The role of group-based status in job satisfaction: Workplace respect matters more for the stigmatized。  new window
15.Rosner, B.(2006)。Fundamentals of biostatics。  new window
16.Rüsch, N., Corrigan, P. W., Powell, K., Rajah, A., Olschewski, M., Wilkniss, S., & Batia, K.(2009)。A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome。  new window
17.Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M., & INDIGO Study Group.(2009)。Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey。  new window
18.Tsutsumi, A., Izutsu, T., Islam, A. M., Maksuda, A. N., Kato, H., & Wakai, S.(2007)。The quality of life, mental health, and perceived stigma of leprosy patients in Bangladesh。  new window
19.Vauth, R., Kleim, B., Wirtz, M., & Corrigan, P. W.(2007)。Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia。  new window
20.World Health Organization(1993)。Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL)。  new window
21.Wu, H. C.(2008)。Predicting subjective quality of life in workers with severe psychiatric disabilities。  new window
22.Xiang, Y. T., Weng, Y. Z., Leung, C. M., Tang, W. K., & Ungvari, G. S.(2008)。Subjective quality of life in outpatients with schizophrenia in Hong Kong and Beijing: Relationship to socio-demographic and clinical factors。  new window
 
 
 
 
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