Qualities of Life of Patients with Psychotic Disorders and Their Family Caregivers: Comparison between Hospitalised and Community-Based Treatment in Beijing, China

Abstract

BackgroundCommunity healthcare in mainland China is still at an early stage. The qualities of life (QOLs) of patients with psychotic disorders undergoing rehabilitation in hospitals or in the community, as well as those of their caregivers, may differ from each other.ObjectivesThe study was performed to evaluate the QOL of patients with psychotic disorders and assess the differences in the QOLs between patients receiving care in diverse settings (hospital vs. the community).MethodsThis study was a descriptive study, in which all cases were collected from two psychiatric hospitals and five communities. Patients (n = 43) and caregivers (n = 40) in the psychiatric hospitals were grouped according to the length of illness and areas of residence and these criteria were also used to group patients (n = 55) and caregivers (n = 59) in the community. All participants were assessed using the WHOQOL-BREF (Chinese version). ANOVA was adopted to compare the QOL scores among the four groups (cases and caregivers in two settings), while confounding factors, such as age and marital status, were adjusted.ResultsAmong the four groups of participants, namely, hospitalised and community patients and their corresponding caregivers, community samples had a significantly lower QOL score. The QOL score for the social relationships domain of the hospitalised patients’ caregivers was significantly higher than that of the caregivers of community patients (P = 0.019).ConclusionCommunity patients and their caregivers tend to have lower QOL scores than their hospitalised counterparts. The support of family members is urgently needed to provide better care for patients.

The influence of a mental health home visit service partnership intervention on the caregivers’ home visit service satisfaction and care burden

“…Previous studies have shown that the medication adherence of patients after discharge was significantly lower than that during hospitalisation and the perceived discrimination was significantly higher (Wang et al., ). Community health caregivers should provide family members with health education and mental health education, assist family members to understand the treatment process of the disease, support family members to learn cope strategies and increase self‐efficacy to enhance cope skills and ability of care (Bademli & Duman, ; Guan et al., ; Thunyadee et al., ; Wang et al., ).…”

“…Studies show that the quality of life for the social relationship domain of community patients’ caregivers is significantly lower than that of hospitalised patients’ caregivers. (Guan, Xiang, Ma, Weng, & Liang, ).…”

Kelompok Dukungan Untuk Caregiver Orang Dengan Skizofrenia

“…(1998) mengembangkan fakta bahwa anggota keluarga harus mengatasi tugas dan permasalahan tersebut apapun tantangannya. Sejalan dengan paparan tersebut, salah satu penelitian mengenai caregiver pasien memperlihatkan bahwa rata-rata kualitas hidup para caregiver orang dengan skizofrenia lebih rendah ketimbang caregiver pasien dengan penyakit lain (Guan, Xiang, Ma, Weng, & Liang, 2016). Kondisi inilah yang menjadi perhatian dalam proses perawatan, sehingga jelas bahwa caregiver sangat membutuhkan bantuan.…”

A mental health home visit service partnership intervention on improving patients' satisfaction

“…Previous studies demonstrated that patients with mental health problems who live in the community had significantly lower quality of life than hospitalized patients (Guan, Xiang, Ma, Weng, & Liang, 2016). It is important to provide patient-centered services to meet individual recovery needs, with the aims of improving their overall quality of life and stabilize mental health conditions (Chan & Mak, 2014;Guan et al, 2016).…”