Schmutte Timothy, Flanagan Elizabeth, Bedregal Luis, Ridgway Priscilla, Sells Dave, Styron Thomas, Davidson Larry
Program for Recovery and Community Health, Yale University School of Medicine, 319 Peck Street, Building #1, New Haven, CT 06513, USA.
Psychiatr Q. 2009 Mar;80(1):1-8. doi: 10.1007/s11126-008-9088-9. Epub 2008 Dec 2.
To help inform the design of a self-management intervention for improving the physical health of adults with serious mental illnesses, we conducted focus groups about their perceived medical care and physical health needs. Adults with serious mental illnesses participated in four semi-structured focus groups conducted at a transitional living facility, a social club, and a Hispanic outpatient mental health clinic. Questions included their recent experiences of seeking medical care, the effect of having a mental illnesses diagnosis, strategies for active self-care, and perceived barriers to better physical health. In addition to various systemic barriers to better medical care, participants articulated limited knowledge and self-efficacy regarding active self-management of their physical health. Despite their interest in learning more about health promotion, most participants expressed a sense of personal futility and powerlessness in improving their health. These data suggest that any effort to improve the wellbeing of these adults will need to address self-efficacy in the hope of improving self-care for their physical health needs.
为了为改善患有严重精神疾病的成年人身体健康的自我管理干预措施的设计提供参考，我们针对他们所感知到的医疗护理和身体健康需求开展了焦点小组讨论。患有严重精神疾病的成年人参加了在过渡性生活设施、社交俱乐部和一家西班牙裔门诊心理健康诊所进行的四个半结构化焦点小组讨论。问题包括他们最近寻求医疗护理的经历、患有精神疾病诊断的影响、积极自我护理的策略以及对更好身体健康的感知障碍。除了获得更好医疗护理存在的各种系统性障碍外，参与者还表示在积极自我管理身体健康方面知识和自我效能有限。尽管他们有兴趣了解更多关于健康促进的知识，但大多数参与者在改善健康方面表达了一种个人徒劳和无力感。这些数据表明，任何改善这些成年人福祉的努力都需要解决自我效能问题，以期改善他们对身体健康需求的自我护理。
