精神分裂症患者综合赋权模式的发展。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Public Health Research Pub Date : 2023-07-01 DOI:10.1177/22799036231197191
Dwi Indah Iswanti, Nursalam Nursalam, Rizki Fitryasari, Rian Kusuma Dewi
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引用次数: 0

摘要

背景:导致家庭无法照顾精神分裂症患者的主要因素是以家庭为中心的赋权不足。然而,家庭一体化的赋权模式尚未形成。本研究旨在建立一种整合授权模式来照顾精神分裂症患者。设计与方法:混合方法研究设计分为两个阶段。第一阶段采用横断面法对135个照顾精神分裂症患者的家庭进行问卷调查,采用有目的抽样。数据分析采用偏最小二乘法(PLS)。第二阶段是与6个家庭、7名卫生工作者和6名社会工作者进行重点小组讨论,并与两名专家就模式制定进行讨论。结果:基于整合赋权的家庭赋权模型由外向内赋权(路径系数= 0.309;t = 3.292)和由内而外赋权(路径系数= 0.478;t = 4.850)。家庭因素是塑造由内而外赋权最有效的变量(路径系数= 0.217;t = 2.309)。此外,照顾的重新意义是构建由内而外赋权变量的最强指标(t = 42.643)。Q2的值为0.433,表明该模型可以推广,因为61%的家庭有能力为精神分裂症患者提供照顾。结论:照顾的重新意义是塑造由内而外赋权的最有效指标,是形成该模型的最强因素。护士帮助家庭在照顾精神分裂症患者时能够找到能够产生积极意义的活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Development of an integrative empowerment model to care for patients with schizophrenia disorder.

Background: The main factor that causes a family the inability to care for patients with schizophrenia disorder is inadequate family-centered empowerment. Nevertheless, the family-integrated empowerment model has not been developed yet. This study aims to develop a integrative empowerment model to care for patients with schizophrenia disorder.

Design and methods: The mixed methods research design was divided into two stages. The first stage used a cross-sectional method with a questionnaire to 135 families who cared for patients with schizophrenia disorder using purposive sampling. Data analysis was obtained using Partial Least Squares (PLS). The second stage is a focused group discussion (FGD) conducted with six families, seven health workers, and six social workers, and discussions with two experts for model development.

Results: The integrative empowerment-based family empowerment model is developed from Outside-in empowerment (path coefficient = 0.309; t = 3.292) and Inside-out empowerment (path coefficient = 0.478; t = 4.850). Family factors is the most potent variable in shaping Inside-out empowerment (path coefficient = 0.217; t = 2.309). Moreover, re-meaning of caregiving is the strongest indicator that builds the Inside-out empowerment variable (t = 42.643). The value of Q2 is 0.433 indicates that this model can be generalized, since 61% of family ability to provide care for schizophrenia patients.

Conclusions: Re-meaning of caregiving is the most potent indicator in shaping Inside-out empowerment, which is the strongest factor forming this model. Nurses assist families to be able to find activities that can generate positive meaning when caring for patients with schizophrenia disorder.

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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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