关于这个问题的知识是什么?:精神分裂症患者的身体功能下降,比没有条件的人更容易感到孤独。身体机能低下与精神病患者的更大孤独感有关。然而,目前尚不清楚社会隔离和孤独感是否会导致该人群的身体功能受损。孤独与老年人身体功能障碍的风险增加有关,但是对精神分裂症患者的研究是有限的。本文对现有知识有什么帮助?:这项研究首次评估了精神分裂症住院患者中社会孤立和孤独感与身体功能的纵向关联。研究表明,超过三分之一的参与者在2年内经历了身体机能下降。孤独,而不是社会孤立,在住院精神分裂症患者中,与超过2年的身体功能障碍增加有关。实践有什么意义?:医疗保健专业人员应该认识到孤独是精神分裂症住院患者身体功能受损的潜在风险因素。建议对精神分裂症患者的孤独感进行评估,并提供干预措施以减轻他们的孤独感。实施干预措施以减少孤独感可能有助于改善精神分裂症患者的身体功能和整体生活质量。
■导言:精神分裂症患者常出现身体机能低下的情况,这与负面的健康结果有关。因此,调查身体机能的危险因素在这一人群中至关重要.
目的:本研究调查了精神分裂症患者中社会隔离和孤独感与身体功能的纵向关联。
方法:使用日常生活活动(ADL)来评估身体功能,工具日常生活活动(IADL)和ADL/IADL组合得分。使用五种类型的社交联系对社会隔离进行索引,并使用UCLA孤独量表测量孤独感。
结果:社会隔离与2年以上的身体机能指标无关。孤独感在随访时表现出与IADL和ADL/IADL相关,在对结果的基线水平进行调整后。当社会孤立和孤独同时进入模型时,这些关联仍然存在。
结论:孤独,而不是社会孤立,在住院精神分裂症患者中,超过2年与身体功能障碍增加相关。
结论:医疗保健专业人员应将孤独视为身体功能受损的潜在危险因素。评估患者的孤独感并实施干预措施以减少孤独感将是有益的。
WHAT IS KNOWN ON THE SUBJECT?: People living with schizophrenia have reduced physical function and are more likely to experience loneliness than those without condition. Low physical function is associated with greater loneliness in people with psychosis. However, it is unclear whether social isolation and loneliness contribute to impaired physical function in this population. Loneliness is linked to an increased risk of physical function impairment among older individuals, but research on patients living with schizophrenia is limited. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This study is the first to evaluate the longitudinal association of social isolation and loneliness with physical function among inpatients living with schizophrenia. It showed that more than one third of the participants experienced a decline in physical function over a 2-year period. Loneliness, rather than social isolation, was associated with an increase in physical function impairment over 2 years among inpatients living with schizophrenia. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Healthcare professionals should recognize loneliness as a potential risk factor for impaired physical function among inpatients diagnosed with schizophrenia. It is recommended that people living with schizophrenia are assessed for loneliness and that interventions are offered to alleviate their feelings of loneliness. Implementing interventions to reduce loneliness may help improve physical function and overall quality of life for individuals living with schizophrenia.
UNASSIGNED: INTRODUCTION: Patients living with schizophrenia often experience low physical function, which is associated with negative health outcomes. Therefore, investigating the risk factors for physical function is crucial in this population.
OBJECTIVE: This study examined the longitudinal association of social isolation and loneliness with physical function among inpatients living with schizophrenia.
METHODS: Physical function was assessed using measures of activities daily living (ADL), instrumental activities daily living (IADL) and the combination scores of ADL/IADL. Social isolation was indexed with five types of social connection and loneliness was measured using UCLA Loneliness Scale.
RESULTS: Social isolation was not associated with the measures of physical function over 2 years. Loneliness exhibited an association with IADL and ADL/IADL at follow-up, after adjustment for baseline levels of the outcomes. These associations remained when both social isolation and loneliness were simultaneously entered into the model.
CONCLUSIONS: Loneliness, rather than social isolation, was associated with increased physical function impairment over 2 years among inpatients living with schizophrenia.
CONCLUSIONS: Healthcare professionals should consider loneliness as a potential risk factor for impaired physical function. It would be beneficial to assess patients for loneliness and implement interventions to reduce feelings of loneliness.