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日本精神科日间护理使用者的活动信息、个人康复及相关社会心理因素之间的关系。

The relationships among activity information, personal recovery, and related psychosocial factors in psychiatric day-care users in Japan.

作者信息

Isaji Hikari, Hoshino Aiko, Asakura Tatsumi, Yamashita Yuji, Murata Natsumi, Kito Aki

机构信息

Occupational Therapy Sciences, Prevention & Rehabilitation Sciences Course, Division of Integrated Care Sciences Technology, Department of Integrated Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya, Japan.

Day Care Section, Department of Community Management and Support, Kyowa Hospital, Specified Medical Corporation Kyowakai, Obu, Japan.

出版信息

Br J Occup Ther. 2024 Feb;87(2):114-124. doi: 10.1177/03080226231198343. Epub 2023 Sep 18.

Abstract

INTRODUCTION

Psychiatric day-care services play a central role in community-based care in Japan. Recovery and related psychosocial factors are critical in promoting community participation of people with mental illness. This study aimed to reveal the relationships among activity information, personal recovery, and related psychosocial factors in day-care users.

METHOD

Forty day-care participants answered self-report questionnaires. The following assessments were applied: Recovery Assessment Scale, Occupational Questionnaire, Perceived Devaluation Discrimination Scale, and 26-item version of World Health Organization Quality of Life (QOL). The correlations among the factors were analyzed.

RESULTS

Data for 35 people were analyzed. Total recovery score was strongly correlated with total WHOQOL-26 score ( = 0.76,  < 0.001). Total QOL score was positively related with the value of activities ( = 0.46,  < 0.05). Social QOL and total stigma score had a significant negative relationship ( = -0.44,  < 0.05).

CONCLUSION

Participation in activities was suggested to improve QOL. Although there was a strong relationship between recovery and QOL, it was unclear to what extent participation in activities was related to recovery. We should consider approaches regarding other factors to fully accomplish community integration and personal recovery.

摘要

引言

在日本,精神科日间护理服务在社区护理中发挥着核心作用。康复及相关社会心理因素对于促进精神疾病患者的社区参与至关重要。本研究旨在揭示日间护理使用者的活动信息、个人康复及相关社会心理因素之间的关系。

方法

40名日间护理参与者回答了自我报告问卷。采用了以下评估方法:康复评估量表、职业问卷、感知贬低歧视量表以及世界卫生组织生活质量26项版本(QOL)。对各因素之间的相关性进行了分析。

结果

对35人的数据进行了分析。总康复得分与世界卫生组织生活质量26项总得分密切相关(r = 0.76,p < 0.001)。生活质量总得分与活动价值呈正相关(r = 0.46,p < 0.05)。社会生活质量与总耻辱感得分呈显著负相关(r = -0.44,p < 0.05)。

结论

参与活动被认为可改善生活质量。尽管康复与生活质量之间存在密切关系,但活动参与与康复之间的关联程度尚不清楚。我们应考虑针对其他因素的方法,以全面实现社区融入和个人康复。

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