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首页> 外文期刊>BMC Psychiatry >Mediating effect of empowerment on the relationship between global function and personal recovery among community-dwelling patients with schizophrenia: a cross-sectional study
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Mediating effect of empowerment on the relationship between global function and personal recovery among community-dwelling patients with schizophrenia: a cross-sectional study

机译:赋予赋权对社区精神分裂症患者全球职能与个人恢复关系的调解效应:横截面研究

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Functional degradation among community-dwelling patients with schizophrenia can negatively influence their recovery. Given the importance of patient empowerment during recovery, this study examined the mediating effect of empowerment on the relationship between global function and personal recovery among community-dwelling patients with schizophrenia. This cross-sectional study recruited community-dwelling patients with schizophrenia from northern and central Taiwan. Questionnaires with verified reliability and validity were provided and collected on site by trained nurses. Global function, empowerment, and personal recovery were measured using the Global Assessment of Functioning (developed by the American Psychiatric Association), Empowerment Scale, and Questionnaire on the Process of Recovery, respectively. The causal steps approach proposed by Baron and Kenny and the Sobel test were utilized to verify the mediation effect. The causal steps approach tested the four following pathways (regression coefficients): global function on empowerment (Path a), global function and empowerment as predictors of personal recovery (Path b), global function on personal recovery (Path c), and global function and empowerment on personal recovery (Path c’). A total of 373 participants completed the survey. After controlling for factors associated with recovery, Paths a (β?=?.24, p??.001), b (β?=?.68, p??.001), and c (β?=?.19, p??.001) were found to be significant; however, Path c’ was not significant (β?=?.03, p?=?.452). Empowerment was determined to exert “full mediation” over the effects of global function on personal recovery, and the Sobel test indicating significant mediation (Z?=?3.61, p??.001). Empowerment fully mediates the association between global function and personal recovery. This study suggested that offering empowerment-oriented care services may be more effective than global function improvement in recovery among these patients.
机译:社区住宅患者的功能性降解可能对其复苏产生负面影响。鉴于患者赋权在恢复期间的重要性,本研究审查了赋权对全球性能与精神分裂症患者的全球职能与个人复苏关系的调解效应。这种横断面研究招募了来自台湾北部和中部的精神分裂症的社区住宅患者。通过培训的护士提供并在现场收集验证可靠性和有效性的问卷。使用全球对恢复过程中的运作(由美国精神病学会开发),赋权规模和调查问卷的全球评估来衡量全球职能和个人恢复。 Baron和Kenny提出的因果步骤和Sobel测试的方法用于验证调解效果。因果步骤方法测试了以下四个途径(回归系数):赋权(路径a),全局函数和赋予个人恢复(路径b)的预测因子,个人恢复(路径c)和全局函数的全局函数和赋权个人恢复(路径C')。共有373名参与者完成了调查。在控制与恢复相关的因素之后,路径A(β?=α.24,p≤001),B(β=Δ.68,p≤001),以及C(β? =?19,p?& 001)被发现是重要的;然而,路径c'不显着(β?= ?. 03,p?= 452)。赋权在全球职能对个人恢复的影响中颁发“全调解”,以及表明重要调解的Sobel测试(Z?= 3.61,P?001)。赋权全面调解全球职能与个人恢复之间的关联。本研究表明,提供赋予赋权的护理服务可能比这些患者之间的全球功能改善更有效。

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