Avtor/Urednik		Mujabašić, Milada
Naslov		The quality of life in inpatients with chronic schizophrenia
Prevedeni naslov		Kakovost življenja bolnikov v končni fazi shizofrenske bolezni
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 72, št. 4
Leto izdaje		2003
Obseg		str. 197-200
Jezik		eng
Abstrakt		Background. Whether in the prescription of appropriate types and doses of psychotropic medications or determining readiness for psychosocial treatment and rehabilitation, clinicians must be able to pinpoint, quantify, and monitor thes everity of psychiatric symptoms. Brief Psychiatric Rating Scale (BPRS) and LiSkal (Linzer Skala zur Messung der Lebensqualitaet bei Menschen mit chronischen psychosozialen Problemen) were proved to be reliable assessment tools and were used to quantify phenomenological features of schizophrenia in this study. Methods. 124 patients (76 male and 48 female) were interviewed in this study having the average age of 57. General information was taken from theircase histories andsymptoms were evaluated by means of the BPRS (Brief Psychiatric Rating Scale). In addition, LISKAL scale was used to evaluate quality of life and independence of patients. Data was processed and frequencies of categories for attribute variables as well as the average (xat) and standard deviation (SD) for numerical variables were calculated. Finally, 95% confidence limit was calculated. Results. Logistic regression model consisted of the following variables: living outside institutions in adulthood, working period, physical illness, motor slowing and bizzare delusions. The level of independence, measured with LiSkal scale, was 4 with both sexes. The evaluations of single sections in the questionnaire about the quality of life ranged between 3 and 4. The evaluation of independence correlated with the complex evaluation of the life quality. Conclusions. Results showed that symptoms of illness (negatively) and general facts (positively) affected the quality of life of patients suffering from chronic schizophrenia.
Izvleček		Izhodišča. Shizofrenija je bolezen celotne osebnosti in se zrcali v kakovosti bolnikovega življenja. Učinkovitost pri vsakdanjih življenjskih nalogah je mera te kakovosti. Kakovost življenja bolnikov s shizofrenijo povezujejo z različnimi dejavniki, kot so: starost, spol, bivalno in delovno okolje, vplivi stranskih učinkov zdravil itd. S standardiziranimi lestvicami BPRS (Brief Psychiatric Rating Scale) in LISKAL (Linzer Skala zur Messung der Lebensqualitaet) smo ugotavljali, kateri splošni dejavniki in simptomi bolezni so značilno povezani s kakovostjo življenja in samostojnostjo bolnikov s shizofrenijo v končni fazi shizofrenske bolezni. Ob upoštevanju dejstva, da gre za bolnike s shizofrenijo s slabim končnim izidom bolezni, sem želela kakovost njihovega življenja primerjati s samostojnostjo pri vsakdanjih opravilih. Obsežnejše znanje o tem bi bilo v pomoč pri načrtovanju namestitve bolnikov s shizofrenijo v institucije. Metode. V prečno študijo smo vključili vse bolnike s shizofrenijo, ki so prebivalci institucij v severnoprimorski regiji in so bili stari od 45-85 let. Od 189 bolnikov s slabim končnim izidom shizofrenske bolezni je bilo 124 intervjuvancev (65% vzorec populacije; 76 (61,3%) moških in 48 (38,7%) žensk). Simptome shizofrenije sem ocenila po lestvici BPRS (Brief Psychiatric Rating Scale), kakovost življenja po semistrukturiranem vprašalniku LISKAL (Linzer Skala zur Messung der Lebensqualitaet bei Menschen mit chronischen psychosozialen Problemen). Pri statistični obdelavi smo izračunali za atribute spremenljivke frekvence kategorij za numerično povprečje (xpov) in standardno deviacijo (SD) ter 95% interval zaupanja. Korelacijo med skupno oceno kakovosti življenja in oceno samostojnosti smo preverili z linearno regresijo. (Izvleček prekinjen pri 2000 znakih).
Deskriptorji		SCHIZOPHRENIA QUALITY OF LIFE INSTITUTIONALIZATION BRIEF PSYCHIATRIC RATING SCALE LOGISTIC MODELS