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首页> 外文学位 >Hospital and community-based care for patients with chronic schizophrenia in Hong Kong: Quality of life and its correlates.
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Hospital and community-based care for patients with chronic schizophrenia in Hong Kong: Quality of life and its correlates.

机译：香港慢性精神分裂症患者的医院和社区护理：生活质量及其相关性。

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摘要

Background and objectives. There have been no systematic studies of the impact of de-institutionalization on psychiatric patients' quality of life (QOL) in Chinese culture. The objectives of this study were: (1) To explore the effects of living in community residences on QOL of Chinese chronic schizophrenic patients in Hong Kong; (2) To identify factors predicting subjective well-being of Chinese chronic schizophrenic patients, particularly during their resettlement in community-based residences.;Methods. The study consisted of two phases. Phase I compared the QOL of well-matched groups of patients living in hospitals (N = 67) and two community residences [Long stay care home (LSCH) (N = 69) and halfway house (HWH) (N = 68)], and attempted to identify the factors predicting subjective well-being. Phase II aimed to follow-up 25 hospitalized patients discharged to HWH. Multiple measures were used to assess QOL.;Results. In Phase I, significant differences in objective QOL indices were found between subjects staying in hospital and those in community-based residences. However, no significant differences were observed in subjective well-being. Residents in LSCH had significantly higher life satisfaction scores compared to HWH residents. Predictors of subjective well-being were educational level, negative life events and certain psychiatric symptoms. The impact of negative life events on subjective well-being decreased over time indicating that subjective well-being could adapt to changing living circumstances.;In Phase II, significant improvement in objective QOL indices was found after the subjects' discharge to HWH over a 12-month-follow-up. However, a significant decrease in the satisfaction with "environment" domain was detected. The decrease might be related to the influence of Chinese values and the stress of living in the community. Moreover, the qualitative analysis suggested that a number of factors interacted with each other to contribute to the fluctuation in subjective well-being after the subjects' discharge to HWH.;Conclusions. Both Phase I and II showed that community residential services positively influenced objective QOL indices, but not subjective well-being. Factors predicting subjective well-being were negative life events, certain psychiatric symptoms and socio-demographic characteristics of patients. Moreover, the qualitative analysis suggested a number of interacting factors contributing to the fluctuation in subjective well-being in patients during their resettlement in HWH.
机译：背景和目标。在中国文化中，尚未有关于去机构化对精神病患者生活质量（QOL）影响的系统研究。这项研究的目的是：（1）探讨居住在社区居民对香港中国慢性精神分裂症患者生活质量的影响； （2）确定预测中国慢性精神分裂症患者主观幸福感的因素，尤其是在他们以社区为基础的住所重新安置期间。该研究包括两个阶段。第一阶段比较了在医院（N = 67）和两个社区住所[长期护理院（LSCH）（N = 69）和中途住所（HWH）（N = 68）]中匹配良好的患者群体的生活质量，并试图找出预测主观幸福感的因素。第二阶段的目的是随访25名住院的HWH患者。使用多种措施来评估QOL。结果。在第一阶段，住院的受试者与社区居民的客观QOL指数存在显着差异。但是，在主观幸福感方面没有观察到显着差异。与HWH居民相比，LSCH居民的生活满意度得分明显更高。主观幸福感的预测因素是教育水平，负面生活事件和某些精神病症状。负面生活事件对主观幸福感的影响随着时间的推移而降低，这表明主观幸福感可以适应不断变化的生活环境。在第二阶段中，受试者在12个月内出院后，客观QOL指数得到了显着改善个月的随访。但是，检测到对“环境”域的满意度显着下降。下降可能与中国价值观的影响和社区生活压力有关。此外，定性分析表明，在受试者出院后，许多因素相互影响，以促进主观幸福感的波动。第一阶段和第二阶段都表明社区居民服务对客观生活质量指数产生积极影响，但对主观幸福感没有影响。预测主观幸福感的因素是阴性生活事件，某些精神症状和患者的社会人口统计学特征。此外，定性分析表明，许多因素会导致患者在HWH安置期间主观幸福感发生波动。

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  • 作者

    Chan, Wai-Lin.;

  • 作者单位

    The Chinese University of Hong Kong (Hong Kong).;

  • 授予单位 The Chinese University of Hong Kong (Hong Kong).;
  • 学科 Health Sciences Mental Health.;Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 264 p.
  • 总页数 264
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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