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社区精神障碍者社会参与自我效能感及其影响因素研究

李从红 天谷真奈美   

  1. 上海交通大学护理学院基础护理教研室(李从红);京都大学医学研究科精神护理教研室(天谷真奈美)
  • 出版日期:2017-01-25 发布日期:2017-01-25
  • 基金资助:
    上海市浦江人才计划项目(13PJ085);上海交通大学医学院科研基金(13XJ10044)

The social participation and self-efficacy and it's influencing factors among mentally ill patients

  • Online:2017-01-25 Published:2017-01-25

摘要: 目的:调查影响精神障碍者社会参与自我效能感的相关因素,为促进精神障碍者康复提供依据。方法:采用方便抽样法,选取在精神科专科医院门诊随访的117 名康复期精神疾病患者为研究对象,采用精神障碍者社会参与自我效能感量表(SESP27)、Rosenberg 自尊量表(SES)、一般健康问卷(GHQ12)、社会支持、生活满意度和一般资料问卷等进行评定,采用相关分析和多元回归分析对相关因素进行分析。结果:分析发现一般健康状况(GHQ12)、对近邻关系的满意度、自尊、生活自理能力和宗教信仰均是社会参与自我效能感的主要影响因素。结论:可从精神障碍者个人层面促进其生理、社会功能和自尊的恢复,从家属和社区层面促进精神障碍者参与交流互动,从社会和文化等多层面促进精神障碍者社会参与自我效能感。

Abstract: Objective: To discuss factors related to self-efficacy for social participation of individuals with mental illness. Methods: Using convenience sampling, a total of 117 people with mental illness were recruited from the outpatient department in a psychiatric hospital. All participants completed an anonymous self-report questionnaire that assessed selfefficacy for social participation, self-esteem, general mental health, social support, and life satisfaction. Results: Multiple regression analysis showed that general health, life satisfaction with community, life skills are the major factors influencing the self-efficacy for social participation of people with mental illness. Conclusions: It was implicated that we can promote social participate efficacy of people with mental illness from individual, family & community, and social & cultural dimensions.