Quality of life in patients with comorbid serious mental illness and chronic diseases: A structural equation model
學年 109
學期 1
出版（發表）日期 2020-11-24
作品名稱 Quality of life in patients with comorbid serious mental illness and chronic diseases: A structural equation model
作品名稱（其他語言）
著者 Yu-Shuang Chiang; Yue-Cune Chang; Yia-Ping Liu; Wen-Chii Tzeng
單位
出版者
著錄名稱、卷期、頁數 Journal of Advanced Nursing 77(3), p.1271-1283
摘要 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.
關鍵字 chronic disease;comorbidity;internalized stigma;mental illness;nursing;patient participation;quality of life;structural equation model
語言 en_US
ISSN 1365-2648
期刊性質 國外
收錄於 SCI
產學合作
通訊作者 Wen-Chii Tzeng
審稿制度 是
國別 USA
公開徵稿
出版型式 ,電子版
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機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/119978 )

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