An Integrative Literature Review of Quality of Life Intervention Programs for Patients with Schizophrenia

Go-Un Kim; Eun Young Jung

doi:10.12934/jkpmhn.2018.27.1.28

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Kim and Jung: An Integrative Literature Review of Quality of Life Intervention Programs for Patients with Schizophrenia

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2018; 27(1): 28-39.

Published online: 29 March 2018

DOI: https://doi.org/10.12934/jkpmhn.2018.27.1.28

An Integrative Literature Review of Quality of Life Intervention Programs for Patients with Schizophrenia

Go-Un Kim

, Eun Young Jung

Graduate School, College of Nursing, Yonsei University, Seoul, Korea.

Corresponding author: Jung, Eun Young. College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3368, Fax: +82-2-393-2808, eunyoung1708@gmail.com

Received 14 February 2018 Revised 27 February 2018 Accepted 6 March 2018

The Korean Academy of Psychiatric and Mental Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Schizophrenia, Quality of life, Literature review

Figures and Tables

Figure 1

Flow chart of study selection.

Table 1

Results of the Quality Assessment of the Studies

1.1=clear question; 1.2=randomization; 1.3=concealment; 1.4=blindness; 1.5=similarity; 1.6=effectiveness; 1.7=standardization; 1.8=drop-out (%); 1.9=allocation; 1.10=similar results; 2.1=clear question; 2.2=comparable population; 2.3=same exclusion criteria; 2.4=participation(%); 2.5=comparison of participants; 2.6=selection of case; 2.7=selection of control; 2.8=primary exposure; 2.9=validity/reliability; 2.10=potential confounder; 2.11=confidence interval; 3.1=title; 3.2=key words; 3.3=abstract; 3.4=introduction; 3.5=patient information; 3.6=clinical finding; 3.7=timeline; 3.8=diagnostic assessment; 3.9=therapeutic intervention; 3.10=follow-up and outcomes; 3.11=discussion; 3.12=patient perspective; 3.13=informed consent. Y=Yes; N=No; ++=High quality; +=Acceptable; −=Low quality.

Table 2

General Characteristics and Methodology of Studies (N=10)

ROK=Republic of Korea; USA=United States of America.

Table 3

Summary of Intervention Studies Regarding Quality of Life Program of Schizophrenia

Exp.=Experimental; Cont.=Control; QoL=Quality of life; +=Positive improvements; −=No beneficial effects; ^†Improved.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflicts of interest.

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ORCID iDs

Go-Un Kim
https://orcid.org/0000-0001-7191-5134

Eun Young Jung
https://orcid.org/0000-0002-0585-4625

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