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Tytuł pozycji:

Quality of life in patients with comorbid serious mental illness and chronic diseases: A structural equation model.

Tytuł:
Quality of life in patients with comorbid serious mental illness and chronic diseases: A structural equation model.
Autorzy:
Chiang, Yu‐Shuang
Chang, Yue‐Cune
Liu, Yia‐Ping
Tzeng, Wen‐Chii
Temat:
PSYCHIATRIC nursing
CHI-squared test
CHRONIC diseases
CONFIDENCE intervals
ECOLOGY
HEALTH status indicators
INTERPERSONAL relations
RESEARCH methodology
MENTAL illness
CLASSIFICATION of mental disorders
PATH analysis (Statistics)
PATIENT psychology
QUALITY of life
QUESTIONNAIRES
REGRESSION analysis
RESEARCH funding
STATISTICAL sampling
HEALTH self-care
STATISTICS
SOCIAL stigma
PATIENT participation
COMORBIDITY
SOCIAL support
STRUCTURAL equation modeling
CROSS-sectional method
SEVERITY of illness index
DATA analysis software
DESCRIPTIVE statistics
DISEASE complications
Źródło:
Journal of Advanced Nursing (John Wiley & Sons, Inc.); Mar2021, Vol. 77 Issue 3, p1271-1283, 13p
Terminy geograficzne:
TAIWAN
Abstract (English):
Aims: To investigate the factors affecting the quality of life among adults with comorbid serious mental illness and chronic diseases. Design: Descriptive, cross‐sectional study design. Methods: In total, 204 patients with serious mental illness were recruited from two hospitals. Self‐reported data were collected using the Brief Psychiatric Rating Scale, Internalised Stigma of Mental Illness, Patient Activation Measure and brief version of the World Health Organization Quality of Life Instrument. Data were collected between July 2018 – January 2019. The structural equation model was applied to examine the associations among the study variables. Results: Internalized stigma (β = −0.479, p =.002) had the greatest direct effect on quality of life, followed by patient activation (β = 0.238, p =.002), severity of comorbidities (β = −0.207, p =.002) and psychiatric symptoms (β = −0.186, p =.006). In addition, psychiatric symptoms directly influenced the severity of comorbidities, which in turn directly influenced internalized stigma and then in turn directly influenced patient activation and ultimately influenced quality of life. Conclusion: The relationship between internalized stigma and quality of life is significantly mediated by patient activation. This finding provides a theoretical basis for developing patient activation interventions for patients with comorbid mental and chronic diseases, which potentially improve the quality of life of this population. Impact: Multiple comorbidities cause impaired quality of life in patients with serious mental illnesses. We found that patient activation plays an important role in the management of chronic diseases for achieving more favourable quality of life, but this is negatively affected by internalized stigma. These findings can help mental health professionals develop tailored intervention strategies to enhance quality of life by promoting patient activation and reducing internalized stigma, psychiatric symptoms, and comorbidity severity in patients with comorbid serious mental illnesses and chronic diseases. [ABSTRACT FROM AUTHOR]
Czasopismo naukowe
Copyright of Journal of Advanced Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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