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다국어 초록 (Multilingual Abstract)

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

Han, Kuem Sun1)․Yang, Bo Gyum2)

1) Associate Professor, Korea University, College of Nursing
2) Graduate student, Korea University, College of Nursing


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.

Key words : Symptom management, Daily living activity
* This study was supported by the research fund of Korea University Nursing Research Institute in 2005.

참고문헌 (Reference)

1 "and stress in chronic schizophrenic patients in community care. American J Psychiatr" 948-952, 1979

2 "Yong In Cognitive Behavioral Rehabilitation Therapy" 2001

3 "The relationship of social support and health" 635-637, 1990

4 "The relationship of self-care agency. self-efficacy, and social support to post hospitalization adjustment of patient with a mood disorder" The Catholic University of America. 1997

5 "The relationship between perceived family support and self care agency in adults with dialysis" Chonbuk National University 1995

6 "The development of self-care ability to detect early signs of relapse among individuals who have schizophrenia" 9 : 261-268, 1995

7 "Symptom self management and relapse in schzophrenia" 14 (14): 266-275, 2000

8 "Self-care Agency and Symptom Management in Patients Treated for Mood disorder" 15 (15): 24-31, 2001

9 "Self efficacy: The exercise of control" Freeman. 1997

10 "Psychososical predictors of marjos affective recurrence in bipolar disorder" 3 : 420-426, 1996

11 "Psychosocial training for chronic mental illness" 2000

12 "Perceived social support and community adaptation in schizophrenia" 27 (27): 955-965, 1998

13 "Medication and symptom management education program for the rehabilitation of psychiatric patient in Korea" 43 (43): 579-589, 2002

14 "Inpatient self-management of bipolar disorder" 9 : 71-79, 1996

15 "Influencing factors on social adaptation of chronic illness" 31 (31): 340-350, 2001

16 "Influencing factors on self care agency and activity in hemodialysis patients." InJe University 2002

17 "Effect of social support on quality of life of mental illness in community" KyungBuk University 1999

18 "Effect of perceived stress, personality, ways of coping, and social support on depression in schizophrenia" 34 (34): 228-239, 1995

19 "Development of an instrument for assessing self efficacy in schizophrenic spectrum disorders," 51 (51): 320-331, 1995

20 "Developing of psychosocial rehabilitation model for persons with chronic mental illness" Seoul National University 2003

21 "Correlations among family support, self esteem and self care agency in the hospital." Catholic University of Pusan. 2002

22 "Assesing patient's perception of self-care agency in psychiatric care" 24 : 199-211, 2003199-211.

23 "A study on the relationship between learned helplessness and self care agency in hemodialysis patients" Seoul National University. 1999

24 ". Technique for training schzophrenia patients in illness self-management" 33-28, 1992

25 ". Conceptual methodological and theoretical problems in studying social support as a buffer against life stress" 145-159, 1982

26 ". Awareness of illness in schizophrenia" 113-132, 1991

27 ". An examination of the relationships among three outcome scales in schizophrenia" 162-167, 1992