| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 94 === The purpose of this study was to understand the depressive symptoms, hardiness, insight, social support and quality of life (QOL) for schizophrenic outpatients. Moreover, the relationship among these variables and the predictors of QOL were further explored. A cross-sectional and descriptive correlational design was conducted. One hundred and ninety subjects were recruited from a psychiatric hospital in northern Taiwan. Seven structured questionnaires were utilized to assess the subjects, including: (1) Personal Demographic Questionnaire, (2) Psychiatric Symptoms Scale, (3) Beck Depression Inventory, (4) Health Related Hardiness Scale, (5) the Schedule for Assessment Insight in Psychosis, (6) Social Support Questionnaire, and (7) WHOQOL-BREF. SPSS 10.0 for Windows was used to analyze the data.
The results of this study showed that: (1) Schizophrenic outpatients had asymptomatic to mild psychotic symptoms. Depressive symptoms of the subjects mainly showed within the normal range, and mild level secondarily. The subjects had moderate hardiness, insight and social support. Comparing with the norm, the subjects had worse QOL. Among the four domains of QOL, physical domain was the best, and social relational domain was the worst. (2) Psychotic symptoms and depressive symptoms negatively correlated with overall QOL and the four domains. Hardiness and social support correlated with overall QOL and the four domains positively. While the insight was negatively correlated with the overall QOL, physical and psychological domains, there was no significant relationship among social relational, environmental domains and insight. (3) Depressive symptoms, social support, and insight predicted 56.9% of the total variances in overall QOL. Depressive symptoms, social support and insight explain 49.5% of the total variances in physical domain of life quality. Fifty one point seven percent of the total variances in psychological domain of life quality was accounted by depressive symptoms, social support and insight. Depressive symptoms and social support predicted 46% of the total variances in social relational domain of life quality. Social support, depressive symptoms and marital status explained 47.1% of the total variances in environmental domain of life quality.
The results of the study enable nurses to assess and understand depressive symptoms, hardiness, insight, social support and quality of life for schizophrenic outpatients. These findings could be used as a practice guideline for nursing care plan to improve the life quality of schizophrenic patients in the community.
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