Influencing Factors on Symptom Self Management in Patients with Chronic Mental Disorders

만성정신질환자의 증상 자가관리에 영향을 미치는 요인

  • Published : 2006.02.01

Abstract

Purpose: The purpose of this study was to identify the factors influencing symptom self management (SSM) in the patient with a chronic mental disorder. Method: Data was collected by questionnaires from 204 chronic mental disorders in an outpatient clinic in a General Hospital and Public Mental Health Centers in Seoul and Kyunggi Province. The data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression, Results: The score of SSM showed a significantly positive correlation with the score of the level of self efficacy (SE) (r=.33, p=.00), social support (SS) (r=.27, p=.00), self care agency (SCA) (r=.36, p=.00) and daily living ability (DLA) (r=.34, p=.00). The score of DLA showed a significantly positive correlation with the score of level of SE (r=.46, p=.00), SS (r=.51, p=.00), and SCA (r=.52, p=.00), The most powerful predictor of SSM was SCA ($14\%$). A combination of SCA, DLA, and SS account for $20 \%$ of the variance in SSM. Conclusion: This study suggests that SCA, DLA, and SS are significant influencing factors on SSM in patients with chronic mental disorders.

Keywords

References

  1. Amador, X. F., Strauss, D. H., Yale, S. A., & Gorman, J. M. (1991). Awareness of illness in schizophrenia, Schizophr Bull, 17, 113-132 https://doi.org/10.1093/schbul/17.1.113
  2. Baker, C. (1995). The development of self-care ability to detect early signs of relapse among individuals who have schizophrenia, Arch Psychiatr Nurs, 9, 261-268 https://doi.org/10.1016/S0883-9417(95)80045-X
  3. Bandura, A. (1997). Self efficacy: The exercise of control, New York: Freeman
  4. Bloom, J. (1990), The relationship of social support and health, Soc Sci Med, 30, 635-637 https://doi.org/10.1016/0277-9536(90)90162-L
  5. Bekke, J. S. (1992). An examination of the relationships among three outcome scales in schizophrenia, J Nerv Ment Dis, 180, 162-167 https://doi.org/10.1097/00005053-199203000-00003
  6. Clinton, M., Lunney,P., Edwards, H., & Weir, D. (1998). Perceived social support and community adaptation in schizophrenia. J Adv Nurs, 27(5). 955-965 https://doi.org/10.1046/j.1365-2648.1998.t01-1-00573.x
  7. Cho, J. L. (2002). Influencing factors on self care agency and activity in hemodialysis patients. Master thesis, InJe University
  8. Cutler, C. G. (1997). The relationship of self-care agency. self-efficacy, and social support to post hospitalization adjustment of patient with a mood disorder, Dissertation of DNSc, The Catholic University of America
  9. Cutler, C. G. (2001), Self-care Agency and Symptom Management in Patients Treated for Mood disorder, Arch Psychiatr Nurs, 15(1), 24-31 https://doi.org/10.1053/apnu.2001.20578
  10. Cutler, C. G. (2003). Assesing patient's perception of self-care agency in psychiatric care, Issues Ment Health Nurs, 24, 199-211 https://doi.org/10.1080/01612840305300
  11. Eckman, T. A., Wishing, C. W., Marder, R. S., Viperman, R. P., & Cronk, K. J. (1992). Technique for training schzophrenia patients in illness self-management; A controlled trial. J Clin Psychopharmacol, 10(1), 33-28 https://doi.org/10.1097/00004714-199002000-00006
  12. Hwang, T. Y., Lee, W. K., & Lee, W. H. (2001). Yong In Cognitive Behavioral Rehabilitation Therapy. YongIn Mental Health Hospital. Pub
  13. Kennedy, M. G., Scheep, K. G., & O'Connor, F. W. (2000). Symptom self management and relapse in schzophrenia, Arch of Psychiatr Nurs, 14(6), 266-275 https://doi.org/10.1053/apnu.2000.19089
  14. Kim, C. K., & Byun, W. T. (2000). Psychosocial training for chronic mental illness, Hana. Pub
  15. Kim, H. S. (2003). Developing of psychosocial rehabilitation model for persons with chronic mental illness. Doctoral Dissertation, Seoul National University
  16. Kim, H., Lee, K, H., & Oh, S. W. (1995). Effect of perceived stress, personality, ways of coping, and social support on depression in schizophrenia, J Korean Neuropsychiatr Assoc. 34(1), 228-239
  17. Kim, E. M. (1999). A study on the relationship between learned helplessness and self care agency in hemodialysis patients, Master thesis, Seoul National University
  18. Kim, E. Y. (1995). The relationship between perceived family support and self care agency in adults with dialysis. Master thesis, Chonbuk National University
  19. Ko, Y. N. (1999). Effect of social support on quality of life of mental illness in community. Master thesis, KyungBuk University
  20. Lee, P. S., & Han, K. S. (2001). Influencing factors on social adaptation of chronic illness. J Korean Acad Nurs, 31(2), 340-350 https://doi.org/10.4040/jkan.2001.31.2.340
  21. McDermott, B. E. (1995). Development of an instrument for assessing self efficacy in schizophrenic spectrum disorders, J Clinc Psychol, 51(3), 320-331
  22. Pollack, L. (1996) Inpatient self-management of bipolar disorder, Appl Nurs Res, 9, 71-79 https://doi.org/10.1016/S0897-1897(96)80446-0
  23. Serban, G. (1979). Mental status, functioning, and stress in chronic schizophrenic patients in community care. American J Psychiatr, 136, 948-952 https://doi.org/10.1176/ajp.136.7.948
  24. Sherer, M., & Maddux, J. E. (1982) The self efficacy scale: construction and validation, Psychol Rep, 51, 663-671 https://doi.org/10.2466/pr0.1982.51.2.663
  25. Shon, K. H., & Park, S. S. (2002). Medication and symptom management education program for the rehabilitation of psychiatric patient in Korea; The effect of promoting schedule on self-efficacy theory, Yonsei Med J, 43(5), 579-589 https://doi.org/10.3349/ymj.2002.43.5.579
  26. Song, B. D. (2002). Correlations among family support, self esteem and self care agency in the hospital. Master thesis, Catholic University of Pusan
  27. Stefos, G. Bauwens, F., Staner, L. Pardoen, D., & Medilwwicz, J. (1996), Psychososical predictors of marjos affective recurrence in bipolar disorder; A four year longitudinal study of patients on prophylactic treatment, Acta Psychiatr Scand, 3, 420-426
  28. Thoits, P. (1982). Conceptual methodological and theoretical problems in studying social support as a buffer against life stress, J Health Soc Behav, 23, 145-159 https://doi.org/10.2307/2136511
  29. Viinamaki, R., Niskanen, L., Jaaskelinen, J., Antikainen, R., Kovumaa-honkanen, R., Tanskanene, A., Lavonen, T., & Ltritonen, J. (1996). Factors predicting psychosocial recovery in psychiatric patients, Acta Psychiatr Scand, 94, 365-371 https://doi.org/10.1111/j.1600-0447.1996.tb09874.x
  30. Woo, K. R. (2001). Influencing factors on self care activity in hemodialysis patients. Master thesis, KangWon University
  31. Woo, M. J. (2002). Social support and quality of life in psychiatric patients. Master thesis, ChongJu University