| Summary: | 碩士 === 輔仁大學 === 護理學系碩士班 === 97 === The purpose of this research is to focus on community schizophrenia patients in northern Taiwan and to understand their correlation between anxiety and quality of life. Cross-sectional survey and convenient sampling were conducted. Data was collected in the day care and out patient department. In addition, Participants are all above 18 years old and use medical resources in the community medical institutes for over one month. This study excluded schizophrenia patients with anxiety symptoms from participants, there are 242 valid samples. Research instrument is constructed self-report questionnaire data collection, including subjects’ personal information, Beck Anxiety Inventory and World Health Organization Quality of Life brief version questionnaire (Taiwan Version) to proceed testing. After data was collected, The Statistical Package for the social Sciences (SPSS) for Windows, version 14.0, was used to analyze the data. Descriptive statistics include maximum, minimum, median, frequency distribution, average, standard deviation and percentage. Inferential Statistics includes: t-test, one-way ANOVA, Wilcoxon-Mann-Whitney test, Krusal-Wallis one-way analysis of variance by ranks, Pearson Correlation and Multiple Regression Analysis.
Research result shows: 1. The average of subjects’ severity of anxiety symptoms is 13.19 (SD=11.77). Median is 11. This shows community schizophrenia patients have mild anxiety condition. In all four domains of anxiety, “subjective perception domain” occupies most of the part. And then is “panic domain”. The least is “autonomic nerves domain”. 2. The mean score of overall rating of the WHOQOL BREF-Taiwan Version was 50.53 (SD=9.58). And the median is 49.39. Average item score is 3.18. This shows community schizophrenia patients’ overall life quality is between somewhat satisfied and satisfied. In all four domains of satisfactory level, “physical health domain” is the most satisfied. The next is “environment domain”, following by “social relationship domain”. The worst is “psychological health domain”. 3. In the aspect of the demographic data impact on anxiety symptoms: In the categorical variables of demographic data, there is significant difference for using anxiolytics in the four domains of anxiety symptoms (such as neurophysiologial domain, subjective perception domain, panic domain, autonomic nerves domain), and overall anxiety symptoms. This shows schizophrenia patients who do not take anxiolytics have more serious or obvious anxiety symptoms in the four domains and overall anxiety symptoms. There is non significance for anyother demographic data of continuous variables and categorical variables in the four domains and overall anxiety symptoms. 4. In the aspect of the demographic data impact on quality of life: In the categorical variables of demographic data, the patients who are taking anxiolytics have better quality of life in physical health, mental status and overall quality of life but have worse social relationship. In the continuous variables of demographic data, there is a positive correlation between age, years of illness and mental status in quality of life. This shows the older the age or the longer the years of illness are, the better mental status in quality of life. 5. Regarding the correlation between anxiety symptoms and quality of life: There is negative correlation between four domains of anxiety symptoms and those of quality of life and overall anxiety symptoms and overall quality of life. This means the worse the four domains of anxiety symptoms are, the more dissatisfied the four domains of quality of life. 6. The effect of demographic data and anxiety symptoms on quality of life: It shows in the demographic data that only using anxiolytics has negative influence on quality of life. The rest of the demographic data does not affect quality of life. Moreover, anxiety symptoms are important predictable variables in quality of life; especially subjective symptom domain is the most significant variable in the four domains. This shows nursing professionals can start from lowering patients’ feelings for anxiety symptoms.
This research result can provide reference for psychiatric professionals and enhance clinical psychiatric professionals’ awareness for anxiety feelings of schizophrenia patients. This can also preparation for continuous nursing in the community. Psychiatric nursing professionals should provide necessary interventions to cope with anxiety symptoms to lower patients’ anxiety.
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