Predicting Quality of life of Schizophrenia Patients
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Abstract
Background: Previous studies on sociodemographic characteristics connected to quality of life in schizophrenia discovered inconsistent results. This study aims to analyze predicting factors of quality of life (QoL) of schizophrenia patients.
Methods: A quantitative study included 153 respondents who were selected using random sampling at the State Psychiatric Hospital Surakarta. The research instruments were a questionnaire containing questions about demographics consisting of age, age at first experiencing schizophrenia, gender, education level, work status, marital status, frequency of treatment, duration of suffering from schizophrenia, insight, physical health problems and quality of life by using WHOQOL-BREF. The analyses used were Spearmen's rank (rho) and the Pearson Chi-Square to analyze factors connected to QoL of schizophrenia patients and multiple logistic regression tests to analyze predictors of QoL of schizophrenia patients. This study was conducted in the State Psychiatric Hospital of Surakarta from September 2020 to March 2021.
Results: There were 4 characteristics of sociodemographic that have a positive significant relationship with the overall quality of life of schizophrenia patient, namely work status (p = 0.000), marital status with p = 0.000, gender (p=0.032), and adherence to take medicine with p=0.015 (p <0.05). marital status and work status that influence the quality of life (p=0.000 and p=0.001). Marital status and work status influence the quality of life (p=0.000 and p=0.001), the largest OR value obtained is 25.499. It means that married patients have a 25.499 times chance of having a better quality of life controlled by work status.
Conclusion: Marital status and work status are predictors of QoL of schizophrenia. In providing services to schizophrenic patients, health professional need to pay attention in assessing social demographics such as work status and marital status so that appropriate action can be taken with an approach to these aspects.
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References
Caqueo-Urízar, A., Urzúa, A., Mena-Chamorro, P., Fond, G., & Boyer, L. (2020). Adherence to antipsychotic medication and quality of life in Latin-American patients diagnosed with Schizophrenia. Patient Preference and Adherence, 14, 1595–1604. https://doi.org/10.2147/PPA.S265312
Chiang, Y. S., Chang, Y. C., Liu, Y. P., & Tzeng, W. C. (2020). Quality of life in patients with comorbid serious mental illness and chronic diseases: A structural equation model. Journal of Advanced Nursing, (August), 1–13. https://doi.org/10.1111/jan.14663
Desalegn, D., Girma, S., & Abdeta, T. (2020). Quality of life and its association with current substance use, medication non-adherence and clinical factors of people with schizophrenia in Southwest Ethiopia: A hospital-based cross-sectional study. Health and Quality of Life Outcomes, 18(1), 1–9. https://doi.org/10.1186/s12955-020-01340-0
Endriyani, L., Chien, C. H., Huang, X. Y., & Chieh-Yu, L. (2019). The influence of adherence to antipsychotics medication on the quality of life among patients with schizophrenia in Indonesia. Perspectives in Psychiatric Care, 55(2), 147–152. https://doi.org/10.1111/ppc.12276
Ertekin Pinar, S., & Sabanciogullari, S. (2020). The relationship between functional recovery and quality of life in patients affected by schizophrenia and treated at a community mental health center in Turkey. Perspectives in Psychiatric Care, 56(2), 448–454. https://doi.org/10.1111/ppc.12454
Ge, L., Ong, R., Yap, C. W., & Heng, B. H. (2019). Effects of chronic diseases on health-related quality of life and self-rated health among three adult age groups. Nursing and Health Sciences, 21(2), 214–222. https://doi.org/10.1111/nhs.12585
Hamaideh, S., Al-Magaireh, D., Abu-Farsakh, B., & Al-Omari, H. (2014). Quality of life, social support, and severity of psychiatric symptoms in Jordanian patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing, 21(5), 455–465. https://doi.org/10.1111/jpm.12112
Hasan, A. A.-H. (2019). The correlation between the quality of life and clinical variables among outpatients with schizophrenia. Psychiatry Research, 271(August 2017), 39–45. https://doi.org/10.1016/j.psychres.2018.09.062
Hasan, A. A., & Tumah, H. (2019). Determinants of quality of life among people diagnosed with schizophrenia at outpatient clinics. Perspectives in Psychiatric Care, 55(1), 30–39. https://doi.org/10.1111/ppc.12278
Hsiao, C. Y., Hsieh, M. H., Tseng, C. J., Chien, S. H., & Chang, C. C. (2012). Quality of life of individuals with schizophrenia living in the community: Relationship to socio-demographic, clinical and psychosocial characteristics. Journal of Clinical Nursing, 21(15–16), 2367–2376. https://doi.org/10.1111/j.1365-2702.2012.04067.x
Joshi, A., Joshy, J., Mathew, K. A., Jain, S. R., Hiremath, A. C., Tekkalaki, B. V., & Ganachari, M. S. (2023). Quality of life in Schizophrenia patients with and without adequate pharmaceutical care: A randomized controlled study. Clinical Epidemiology and Global Health, 20(August 2022), 101208. https://doi.org/10.1016/j.cegh.2022.101208
Khatimah, C. H., Adami, A., Abdullah, A., & Marthoenis. (2021). Quality of life, mental health, and family functioning of schizophrenia caregivers: A community-based cross-sectional study. Asia-Pacific Psychiatry, (March), 12–15. https://doi.org/10.1111/appy.12467
Ogunnubi, O. P., Olagunju, A. T., Aina, O. F., & Okubadejo, N. U. (2017). Medication adherence among Nigerians with schizophrenia: Correlation between clinico-demographic factors and quality of life. Mental Illness, 9(1). https://doi.org/10.4081/mi.2017.6889
Peng, X., Wang, S., Bi, J., You, L., Zhou, Z., Tan, W., … Liu, T. (2021). Gender differences in socio-demographics, clinical characteristic and quality of life in patients with schizophrenia: A community-based study in Shenzhen. Asia-Pacific Psychiatry, 13(2), 1–8. https://doi.org/10.1111/appy.12446
Renwick, L., Drennan, J., Sheridan, A., Owens, L., Lyne, J., O’Donoghue, B., … Clarke, M. (2017). Subjective and objective quality of life at first presentation with psychosis. Early Intervention in Psychiatry, 11(5), 401–410. https://doi.org/10.1111/eip.12255
Sevilla-Llewellyn-Jones, J., Cano-Domínguez, P., de-Luis-Matilla, A., Espina-Eizaguirre, A., Moreno-Kustner, B., & Ochoa, S. (2017). Subjective quality of life in recent onset of psychosis patients and its association with sociodemographic variables, psychotic symptoms and clinical personality traits. Early Intervention in Psychiatry, (April 2017), 525–531. https://doi.org/10.1111/eip.12515
Vaingankar, J. A., Abdin, E., Chong, S. A., Shafie, S., Sambasivam, R., Zhang, Y. J., … Subramaniam, M. (2020). The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey. Archives of Public Health, 78(1), 1–11. https://doi.org/10.1186/s13690-020-00476-1
Wang, X. Q., Petrini, M. A., & Morisky, D. E. (2017). Predictors of quality of life among Chinese people with schizophrenia. Nursing and Health Sciences, 19(2), 142–148. https://doi.org/10.1111/nhs.12286
Yerriah, J., Tomita, A., & Paruk, S. (2022). Surviving but not thriving: Burden of care and quality of life for caregivers of patients with schizophrenia spectrum disorders and comorbid substance use in South Africa. Early Intervention in Psychiatry, 16(2), 153–161. https://doi.org/10.1111/eip.13141