조현병 환자의 삶의 질 관련 중재에 대한 통합적 문헌고찰 = An Integrative Literature Review of Quality of Life Intervention Programs for Patients with Schizophrenia

다국어 초록 (Multilingual Abstract)

Purpose: The purposes of this study are to review the literature on quality of life intervention programs and to recommend further research and clinical considerations to improve the quality of life among patients with schizophrenia. Methods: Three electronic databases - PubMed, CHINAHL and RISS - were searched using the search terms of “schizophrenia” AND “quality of life” AND “intervention^*” OR “program^*.” The search was limited to studies published in English and Korean. Results: Ten studies were selected for the final analysis and evaluated in terms of contextual and methodological quality. The 10 studies consisted of 5 randomized controlled trials, 4 quasi-experimental studies, and 1 case report. The selected studies utilized an educational program, art and music therapy, physical activity therapy, and community-based integrated programs to alleviate psychological symptoms and showed effectiveness in improving quality of life. Conclusion: Interdisciplinary interventions and programs using multiple components reduced psychological symptoms and improved the quality of life of patients with schizophrenia.

참고문헌 (Reference)

1 류정미, "집단미술치료가 시설거주 만성 조현병 환자의 대인관계와 삶의 질에 미치는 영향" 사단법인 아시아문화학술원 6 (6): 213-232, 2015

2 박순아, "조현병 환자의 입원 스트레스 측정도구 개발" 한국간호과학회 44 (44): 339-349, 2014

3 유소연, "조현병 환자의 삶의 질 예측모형 구축" 정신간호학회 23 (23): 144-155, 2014

4 김경화, "만성 조현병 환자의 삶의 질에 관한 미술치료 사례연구" 한국미술치료학회 24 (24): 1531-1555, 2017

5 Whittemore R, "The integrative review: updated methodology" 52 (52): 546-553, 2005

6 Ministry of Health and Welfare, "The epidemiological survey of mental disorders in Korea. Ministry of Health and Welfare Statistics"

7 Jeon GS, "The effectiveness of the Nanta-program on psychiatric symptoms, interpersonal relationships, and quality of life in forensic inpatients with schizophrenia" 31 (31): 93-98, 2017

8 Kang BI, "The effect of group art therapy on emotional expression, emotional behavior, interpersonal relationship, and quality of life in inpatients with schizophrenia" 4 (4): 27-51, 2015

9 World Health Organization (WHO), "The ICD-10 online version: 2016. International Classification of Diseases [Internet]"

10 Brissos S, "Symptomatic remission in schizophrenia patients: relationship with social functioning, quality of life, and neurocognitive performance" 129 (129): 133-136, 2011

11 Madhivanan S, "Symptomatic remission in schizophrenia and its relationship with functional outcome measures in Indian population" 11 (11): VC05-VC07, 2017

12 Meesters PD, "Subjective quality of life and its determinants in a catchment area based population of elderly schizophrenia patients" 147 (147): 275-280, 2013

13 Loh SY, "Structured walking and chronic institutionalized schizophrenia inmates: a pilot RCT study on quality of life" 8 (8): 238-248, 2016

14 Ministry of Health and Welfare, "Some amendments to the act on the promotion of mental health and support for welfare services for mentally ill patients. Bill Information [Internet]."

15 Gorna K, "Social functioning and quality of life in schizophrenia patients-relationship with symptomatic remission and duration of illness" 48 (48): 277-288, 2014

16 Goldstein JM, "Sex differences in the genetic risk for schizophrenia: history of the evidence for sex-specific and sex-dependent effects" 162B (162B): 698-710, 2013

17 Galuppi A, "Schizophrenia and quality of life: how important are symptoms and functioning?" 4 (4): 1-8, 2010

18 Owen MJ, "Schizophrenia" 388 (388): 86-97, 2016

19 Enhancing the QUAlity and Transparency Of health Research, "Reporting guidelines for main study types" EQ UATOR

20 Wunderink L, "Recovery in remitted first-episode psychosis at 7 years of follow-up of an early dose reduction/discontinuation or maintenance strategy" 70 : 913-920, 2013

21 Hsiao CY, "Quality of life of individuals with schizophrenia living in the community: relationship to socio-demographic, clinical and psychosocial characteristics" 21 (21): 2367-2376, 2012

22 Pitkanen A, "Patient education methods to support quality of life and functional ability among patients with schizophrenia: a randomized clinical trial" 21 (21): 247-256, 2012

23 Scottish Intercollegiate Guidelines Network (SIGN), "Methodology check list 2: randomized controlled trials" SIGN

24 Wang H, "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the global burden of disease study 2015" 388 (388): 1459-1544, 2016

25 Schlosser D, "Feasibility of PRIME: a cognitive neuroscience-informed mobile app intervention to enhance motivated behavior and improve quality of life in recent onset schizophrenia" 5 (5): e77-, 2016

26 Choi HM, "Effect of the group art therapy on stress coping strategy and quality of life in schizophrenia patients" 4 (4): 131-150, 2015

27 Wang FZ, "Combined intervention with education and progressive muscle relaxation on quality of life, functional disability, and positive symptoms in patients with acute schizophrenia" 21 (21): 159-165, 2015

28 Priebe S, "Association between symptoms and quality of life in patients with schizophrenia: a pooled analysis of changes over time" 133 (133): 17-21, 2011

29 Marshall M, "Assertive community treatment for people with severe mental disorders" 13 (13): 2011

30 Lambert M, "Assertive community treatment as part of integrated care versus standard care: a 12-month trial in patients with first- and multiple-episode schizophrenia spectrum disorders treated with Quetiapine immediate release (ACCESS Trial)" 71 (71): 1313-1323, 2010