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題名:慢性精神病患者客觀生活品質之探討
書刊名:護理研究
作者:梁玉雯蔣欣欣李從業吳玫勳嚴小燕崔翔雲
作者(外文):Liang, Yu-wenChiang, Shin-shinLee, Tsorng-yehWu, Mei-hsunYan, Hsiao-yenTsui, Hsiang-yun
出版日期:1997
卷期:5:3
頁次:頁212-222
主題關鍵詞:慢性精神病患客觀生活品質Chronic mentally ill patientObjective life quality
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(6) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:0
  • 點閱點閱:22
     為了瞭解慢性精神疾患客觀生活品質的現況,研究者運用Heinrichs的21項生活品質量,在臺北地區選取一所醫學中心及一所地區醫院,針對精神科急性病房(33例)、日間病房(21例)、及門診病患(35例),共收集有效樣本89例慢性精神病患為研究對象,進行生活品質的量化評估與統計分析。研究結果顯示慢性精神疾患的客觀生活品質的差異與疾病狀況(診斷及患病期間)、及在不同型態之醫療照護下皆有相關。研究結果包括:(1)精神分裂症個案的客觀生活品質明顯的低於情感性精神病者(p=0.0001);(2)患病十年以上的個案其客觀生活品質明顯的低於患病期間在十年以內者(p<0.001);(3)日間病房個案的整體客觀生活品質亦明顯的低於門診個案(p=0.0028)。這些結果也顯示Heinrichs的21項生活品質量表是一套有效的客觀生活品質測量工具,可以推廣運用於更大規模的慢性精神疾病客觀生活品質評估,且可被用來做縱向研究比較臨床醫療照護前後的療效,將更能深入瞭解精神病患的生活品質。
     The purpose of the study is to evaluate the changes of objective life quality (OLQ) of chronic mentally ill patients under the current psychiatric patient care system in the Taipei area. A total of eighty-nine valid cases were selected from medical centers and community hospitals with psychiatric acute wards (33 cases), day care centers (21 cases), and OPDs (35 cases). The 21-item OLQ scale introduced by Heinrichs was used to evaluate patients' symptoms, signs and objective functional status. The results of this study indicate that: (1) the OLQ of schizophrenic patients are lower than the affective disorder patients (p=0.0001); (2) The OLQ of chronic patients having more than ten years history are lower than those patients with less than ten years (p<0.001); (3) The cases treated at day care centers have lower OLQ than the OPD cases (p=0.0028). These results also indicate that Heinrichs' OLQ scale is a useful tool not only in the evaluation of the effectiveness of the current psychiatric care system but also for longitudinal study of proposed care programs for chronic mentally ill patients.
期刊論文
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2.Burckhardt, C. S.(1985)。The impact of arthritis on quality of life。Nursing Research,34(1),2-16。  new window
3.Lehman, A. F.、Ward, N. C.、Linn, L. S.(1982)。Chronic mental patients: The quality of life issue。American Journal of Psychiatry,139(10),1271-1276。  new window
4.Wish, N. B.(1986)。Are We Really Measuring the Quality of Life? Well-Being Has Subjective Dimensions, as Well as Objective Ones。American Journal of Economics and Sociology,45(1),93-99。  new window
5.Calman, K. C.(1984)。Quality of life in cancer patients--an hypothesis。Journal of Medical Ethics,10(3),124-127。  new window
6.Ferrell, B.、Grant, M.、Schmidt, G. M.、Rhiner, M.、Whitehead, C.、Fonbuena, P.、Forman, S. J.(1992)。The meaning of quality of life for bone marrow transplant survivors: Part 1 the impact of bone marrow transplant on quality of life。Cancer Nursing,15(3),153-160。  new window
7.Padilla, G.、Ferrell, B.、Grant, M.、Rhiner, M.(1990)。Defining the content domain of quality of life for cancer patients with pain。Cancer Nursing,13(2),108-115。  new window
8.Mechanic, D.、McAlpine, D.、Rosenfield, S.、Davis, D.(1994)。Effects of illness attribution and depression on the quality of life among persons with serious mental illness。Social Science and Medicine,39(2),155-164。  new window
9.Heinrichs, D. W.、Hanlon, T. E.、Carpenter, W. T. Jr.(1984)。The quality of life scale: an instrument for rating the schizophrenic deficit syndrome。Schizophrenia bulletin,10(3),388-398。  new window
10.Katz, S.(1987)。The science of quality of life。J Chro Dis,40(6),459-463。  new window
11.Bayles, M. D.(1980)。The value of life-by what standard。American Journal of Nursing,20(12),2228-2230。  new window
12.Bootzin, R. R.、Shadish, W. R.、Orwin, R. G.、Silber, B. G.(1985)。The subjective well-being of mental patients in nursing homes。Evaluation and Program Planning,8(3),239-250。  new window
13.Dean, H.(1985)。Choosing multiple instruments to measure the quality of life。Oncology Nursing Forum,2(5),96-100。  new window
14.Gill, W. M.(1984)。Subjective well-being: Properties of an instrument for measuring this (in the chronically ill)。Social Science Medicine,18(8),683-691。  new window
15.Greenblatt, M.(1983)。Psychiatric rehabilitation: Some personal reflections。Psychiatric Annals,13(7),530-535。  new window
16.Grieco, A.、Long, C. L.(1984)。Investigation of the Karnofsky performance status as a measure of quality of life。Health Psychology,3(2),129-142。  new window
17.Hurny, C.、Bernhard, J.、Gelber, R. D.、Coates, A.、Castiglione, M.、Isley, M.、Dreher, D.、Peterson, H.、Goldhirsch, A.、Senn, H. J.(1992)。Quality of life measures for patients receiving adjuvant therapy for breast cancer: An international trial。European Journal of Cancer,28(1),118-124。  new window
18.Levine, S.(1987)。The changing terrains in medical sociology emergent concern with quality of life。Journal of Health and Social Behavior,28(1),1-6。  new window
19.Murrell, S.、Norris, F.(1983)。Quality of life as the criterion for need assessment and community psychology。Journal of Community Psychology,11(4),88-97。  new window
20.Sharp, J. W.(1992)。Expanding the definition of quality of life for prostate cancer。Cancer,71(3),1078-1082。  new window
21.Campbell, Angus(1976)。Subjective measures of well-being。American psychologist,31(2),117-124。  new window
22.Bigelow, D. A.、McFarland, B. H.、Olson, M. M.(1991)。Quality of life of community mental health program clients: validating a measure。Community Mental Health Journal,27(1),43-55。  new window
23.Flanagan, J. C.(1982)。Measurement of Quality of Life: Current State of the Art。Archives of Physical Medicine & Rehabilitation,63(2),56-59。  new window
24.Spitzer, W. O.(1987)。State of science 1986: Quality of life and functional status as target variables for research。Journal of Chronic Diseases,40(6),465-471。  new window
圖書論文
1.Caiman, K. C.(1987)。Definitions and dimensions of quality of life。The quality of life of cancer patients。New York:Raven Press。  new window
2.Dean, H.(1992)。Multiple instruments for measuring quality of life。Instruments for clinical nursing research。Boston:Jones & Bartlett Publishers。  new window
 
 
 
 
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