Comparative assessment of quality of life of patients with schizophrenia attending a community psychiatric centre and a psychiatric hospital
Autor: | Timothy O. Adebowale, Adetunji Obadeji, Lateef Olutoyin Oluwole, Victoria Ireti Elegbede |
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Rok vydání: | 2019 |
Předmět: |
Adult
Hospitals Psychiatric Male medicine.medical_specialty Community Mental Health Centers patient satisfaction Treatment outcome Nigeria treatment outcomes Young Adult Patient satisfaction Quality of life Ambulatory Care Medicine Psychiatric hospital Humans Psychiatry psychiatric hospital business.industry Outcome measures Middle Aged medicine.disease schizophrenia quality of life community psychiatric care humanities Depot Preparations Hospitalization Schizophrenia Female Original Article business Deinstitutionalization Diagnosis of schizophrenia |
Zdroj: | Ghana Medical Journal Ghana Medical Journal; Vol 53, No 2 (2019); 92-99 |
ISSN: | 2616-163X 0016-9560 |
Popis: | Background : Over the past few decades, there has been an emphasis on the de-institutionalisation of psychiatric care with a focus on community care. With Quality of Life (QoL) as an outcome measure, this study compared the QoL of patients with schizophrenia attending a psychiatric hospital and a community psychiatric centre. Design : This was a cross-sectional study in two psychiatric facilities Methods : Data were obtained through a socio-demographic and clinical questionnaire; the QoL was assessed with the WHOQOL-BREF and patient satisfaction with care with CPOSS. Total and domain scores of WHOQOL-BREF for each group were calculated and compared with each other and other group characteristics. Diagnosis of schizophrenia was based on ICD-10. Results : Participants from the two centres did not differ significantly on any of the socio-demographic characteristics measured. Similarly, there was no significant difference in their overall mean WHOQOL-BREF scores as well as the mean WHOQOL-BREF of domain scores. However, the married and females from both centres significantly had higher mean WHOQOL-BREF scores than their male counterparts. Patients in remission for more than two years or those on a single type of medication (either oral or depot preparation) from both centres significantly had higher mean WHOQOL-BREF score compared with those who had less than two years of remission or on both oral and depot preparations. Conclusion : Overall QoL of patients managed at the two centres was comparable, with similar socio-demographic as well as clinical variables influencing QoL. This suggests that patients with schizophrenia can be well managed at community psychiatric centres. Keywords : schizophrenia, quality of life, community psychiatric care, psychiatric hospital, patient satisfaction, treatment outcomes F unding : None declared |
Databáze: | OpenAIRE |
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