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维吾尔族和汉族精神分裂症患者生活质量的对比研究

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背景:精神分裂症作为一种慢性疾病,患者及其家庭的生活质量日益受到重视.精神分裂症患者及其家庭生活质量均较低.维吾尔族族与汉族有较大的文化差异,在不同文化背景下两民族精神分裂症患者生活质量有何差异?目的:初步了解维吾尔族和汉族精神分裂症患者生活质量的差异,以及影响生活质量的相关因素,探讨提高维吾尔族精神分裂症患者生活质量的措施.设计:横断面调查.单位:中山市埠湖医院康复科、新疆精神卫生中心心身康复科.对象:样本取自2000-01/2001-01在新疆精神卫生中心住院、符合中国精神疾病分类与诊断标准第2版修订版精神分裂症的诊断标准、病情稳定能够完成量表测试的精神分裂症患者91例(维吾尔族36例,汉族55例).方法:由高年住院医以上的医师统一培训后应用生活质量综合评定问卷(GQOLI-74)对符合入组标准的维吾尔族族与汉族精神分裂症住院患者进行评定.主要观察指标:反映生活质量的躯体功能、心理功能、社会功能及物质生活状态4个维度20个因子的评分.结果:维吾尔族精神分裂症患者的躯体功能(64.01±13.78)和社会功能(54.62±15.68)均显著优于汉族精神分裂症患者,差异有显著性意义(t=3.40,2.17;P<0.05~0.01);物质生活条件(59.03±16.91)及心理功能(60.12±15.88)无明显差异.以生活质量总分为因变量,各维度分为自变量作多元回归分析,维吾尔族组4个自变量的标准回归系数大小依次为心理功能(r=0.392),物质生活(r=0.253),躯体功能(r=0.216),社会功能(r=0.157).结论:维吾尔族精神分裂症患者总的生活质量优于汉族精神分裂症患者,与其良好的人际环境及社会支持网络有密不可分的关系,应为他们提供积极的心理干预及提高物质生活水平.
Comparative study on the quality of life of patients with schizophrenia between Uigur and Han nationality
BACKGROUND: Since schizophrenia is a chronic psychotic disorder and can severely influence the life of the patient and his family, the quality of life(QOL) of patients with schizophrenia and his relatives are now increasing paid great attention to. But what' s the difference between the schizophrenia patients of Uigur and Han nationality with different culture background still remained less acknowledged.OBJECTIVE: To investigate the difference of QOL in patients withschizophrenia between Uigur and Han nationality, as well as the correlative factors, and probe into the therapeutic method for improving QOL of patients of Uigur nationality.DESIGN: Cross-sectional investigation.SETTING: Rehabilitative Department of Buhu Hospital, Zhongshan City,and Psychotic Rehabilitation Department of Xinjiang Psychiatric Center.PARTICIPANTS: Totally 91 patients(36 of Uigur nationality and 55 of Han nationality) with schizophrenia were recruited from Xinjiang Psychiatric Center between January 2000 and January 2001, who were confirmed of schizophrenia according to the second revision of China Classification and Diagnostic Standard for Psychiatric Disorders and could complete the questionnaire in stable phase of the disorder.METHODS: The recruited schizophrenia patients of Uignr and Han nationality were asked to fill the General Questionnaire of Life Quality(GQOLI-74) with MAIN OUTCOME MEASURES: Scores for twenty factors in four dimensions of somatic, psychological, social function and state of material life.RESULTS: Somatic function(64.01 + 13.78) and social function (54.62 + 15.68) were found markedly better in schizophrenianic patients of Uigur nationality in contrast with the schizophrenianic patients of Han nationality, and the difference has statistical significance( t = 3.40, 2. 17; P < 0. 05 - 0.01 ); but there were no obvious difference in the state of material (59.03 + 16.91 ) and psychological function(60. 12 + 15.88) . Multiple regressive analysis was used with total scores as attributive variable and each dimension as automatic variable, which revealed that standard regressive coefficient of psychological function, material life state, somatic function and social function were r=0.392, r=0.253, r=0.216 and r=0. 157 respectively in Uigur nationality group.CONCLUSION: General QOL of schizophrenia patients of Uignr nationality was better than that of Han nationality, which was closely correlated with their better interpersonal relationship and social assistances, and consequently active psychological intervention and better material life should be provided for them.

吴瑞萍、古丽娜、吐尔洪

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中山市埠湖医院康复科,广东省中山市,528451

新疆精神卫生中心心身康复科,新疆维吾尔自治区乌鲁木齐市,830002

精神分裂症 生活质量 维吾尔族

2004

中国组织工程研究
中国康复医学会,《中国组织工程研究与临床康复》杂志社

中国组织工程研究

CSTPCD北大核心
影响因子:1.387
ISSN:2095-4344
年,卷(期):2004.8(33)
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