Background: The ideology of recovery addresses the autonomy of patients with mental illness and their ability to reconstruct a normal life. Empirical knowledge of this process of recovery and related factors remains unclear.
Purpose: To assess the process of recovery and related factors in patients with mental illness.
Methods: This cross-sectional, correlational study was conducted on a convenience sample in a psychiatric hospital. Two-hundred and fifty patients with mental illness were recruited and were assessed using 3 instruments: Questionnaire about the Process of Recovery (QPR), Perceived Psychiatric Stigma Scale (PPSS), and Personal and Social Performance Scale (PSP). Data were analyzed using descriptive statistics, χ2, analysis of variance, and multiple linear regression analysis.
Results: Most of the participants were male, middle-aged, unmarried, educated to the senior high school level, employed, receiving home-care treatment, and diagnosed with schizophrenia. Those who were unemployed, living in a community rehabilitative house, and living in the community, respectively, earned relatively higher recovery scores (p < .05). The total scores of QPR and the 3 subscales were negatively correlated with PPSS (p < .01) and positively correlated with PSPS (p < .01; p < .05). Multiple regression analysis indicated that the factors of education, employment, having received community rehabilitative models, and stigma, respectively, significantly explained the recovery capacity of patients with mental illness.
Conclusions: Community psychiatric nurses should provide care to help employed patients adapt to stresses in the workplace, strengthen their stigma-coping strategies, and promote public awareness of mental health issues by increasing public knowledge and acceptance of mental illness in order to minimize patient-perceived stigma and facilitate their recovery.
Title: 精神病患復元歷程之相關性研究.
背景: 復元理念強調精神病患自主權及建立其嶄新生活型態。國內對於精神病患復元歷程以及相關性因素的實證知識仍顯不足。.
目的: 探討精神病患的復元歷程之現況及其相關因素。.
方法: 採橫斷面相關性研究設計，以方便取樣，選取某精神科專科醫院精神病患250位。研究工具為復元歷程、精神疾病污名感受，以及個人與社會功能量表。以描述性統計、卡方檢定、變異數及線性複迴歸統計進行資料分析。.
結果: 研究對象多數為男性、中年、未婚、高中畢、就業中、接受居家治療及思覺失調症病患。無工作、接受康復之家照護模式及居住於社區之病患，具有較佳復元歷程表現（p < .05）。病患復元歷程總分及三個次量表，與污名感受呈現顯著負相關（p < .01），也與社會功能表現呈現顯著正相關（p < .05）。以復元歷程為依變項進行複迴歸分析，結果發現教育程度、工作狀態、精神復健模式及污名感受為顯著的預測因素，高中（含）以上、無工作、接受康復之家照護模式及精神疾病污名感受愈低，則復元歷程表現愈佳。.
結論: 社區精神衛生護理人員應提供就業精神病患工作壓力調適之照護，並且強化其對於污名化感受因應之策略，同時推動全民心理健康促進，提高對心理疾病的認識與接納，消弭精神疾病污名，以利病患復元。.
Keywords: patients with mental illness; perceived psychiatric stigma; recovery.