College of Nursing, Sahmyook University, Seoul 01795, Republic of Korea.
Nutrients. 2024 May 15;16(10):1490. doi: 10.3390/nu16101490.
(1) Background: People who are diagnosed with schizophrenia experience a reduced average lifespan compared to the general population. Also, approximately 85% of individuals with schizophrenia have chronic physical illnesses. Moreover, 60% of premature deaths in this population could be prevented through the adoption of health-promoting behaviors. (2) Methods: This study involved the recruitment of 220 participants from an outpatient clinic in Seoul, South Korea. Inclusion criteria comprised adults aged 19 years or older with a confirmed diagnosis of schizophrenia. Data collection occurred between 25 May 2021 and 2 August 2021, utilizing self-report questionnaires. A total of 202 responses were subjected to analysis using SPSS 23.0 and AMOS 23.0. (3) Results: The findings indicate that the final model is characterized by the following values: Normed = 2.240, RMSEA = 0.079, TLI = 0.926, = 562.2 ( < 0.001), AGFI = 0.830, GFI = 0.814, and CFI = 0.938. Notably, health knowledge did not exhibit a significant direct or overall impact on health-promoting behaviors. Conversely, social support and psychiatric symptoms demonstrated direct, indirect, and total effects on health promotion through an intervening variable. This study underscores the pivotal role of self-efficacy as the most influential factor affecting health-promoting behaviors in individuals with schizophrenia. (4) Conclusions: enhancing self-efficacy emerges as a crucial element in the design and implementation of intervention programs aimed at improving health-promoting behaviors in individuals with schizophrenia.
(1) 背景：与普通人群相比，被诊断患有精神分裂症的人平均寿命较短。此外，大约 85%的精神分裂症患者患有慢性躯体疾病。此外，通过采取促进健康的行为，这一人群中 60%的过早死亡是可以预防的。(2) 方法：本研究从韩国首尔的一家门诊诊所招募了 220 名参与者。纳入标准包括年龄在 19 岁及以上、确诊为精神分裂症的成年人。数据收集于 2021 年 5 月 25 日至 2021 年 8 月 2 日期间进行，使用自我报告问卷。共有 202 份回复使用 SPSS 23.0 和 AMOS 23.0 进行了分析。(3) 结果：研究结果表明，最终模型具有以下特点：标准化 = 2.240，RMSEA = 0.079，TLI = 0.926， = 562.2(<0.001)，AGFI = 0.830，GFI = 0.814，CFI = 0.938。值得注意的是，健康知识对健康促进行为没有显著的直接或总体影响。相反，社会支持和精神症状通过中介变量对健康促进具有直接、间接和总体影响。本研究强调了自我效能感作为影响精神分裂症患者健康促进行为的最具影响力因素的关键作用。(4) 结论：增强自我效能感是设计和实施旨在改善精神分裂症患者健康促进行为的干预计划的关键要素。
