본문 바로가기
KERD
논문KCI 등재

정신과 외래 환자가 지각하는 낙인과 자기효능감 및 삶의 만족도에 관한 연구

Self-perceived Stigma, Self-efficacy and Quality of Life in Psychiatric Outpatients

1

조회

0

다운로드

24

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to explore self-reported perceived stigma, self-efficacy, and quality of life among psychiatric outpatients Methods: In the present study, researchers analyzed the survey responses of 195 patients recruited in the S hospital psychiatry outpatient clinic. The measurement tools used in this study were the "Devaluation & Discrimination" scale to determine perceptions of stigmatization, general and social efficacy scales to measure self-efficacy, and the "General Well-Being Index" to measure quality of life in psychiatric outpatient. Statistical analysis included means with standard deviation, t-test, ANOVA and Pearson correlation coefficients to identify relationships between the variables. Results: There was a significant difference in self-perceived stigma and quality of life in psychiatric outpatients (r=-.233, p=.001) and a negative correlation between self-efficacy and quality of life (r=-.424, p=.000). Correlation analysis results support the hypothesis that higher self-perceived stigma scores were related to reduced quality of life among patients with schizophrenia (r=-.231, p=.021), while there was a positive correlation between self-perceived stigma scores and self-efficacy scores among patients with bipolar disorder (r=.362, p=.013). Conclusion: The findings suggest that nursing imtervention strategies should include education programs to reduce stigmatization and enhance self-efficacy and quality of life among patients with chronic psychiatric illnesses.

Abstract

Purpose: The purpose of this study was to explore self-reported perceived stigma, self-efficacy, and quality of life among psychiatric outpatients Methods: In the present study, researchers analyzed the survey responses of 195 patients recruited in the S hospital psychiatry outpatient clinic. The measurement tools used in this study were the "Devaluation & Discrimination" scale to determine perceptions of stigmatization, general and social efficacy scales to measure self-efficacy, and the "General Well-Being Index" to measure quality of life in psychiatric outpatient. Statistical analysis included means with standard deviation, t-test, ANOVA and Pearson correlation coefficients to identify relationships between the variables. Results: There was a significant difference in self-perceived stigma and quality of life in psychiatric outpatients (r=-.233, p=.001) and a negative correlation between self-efficacy and quality of life (r=-.424, p=.000). Correlation analysis results support the hypothesis that higher self-perceived stigma scores were related to reduced quality of life among patients with schizophrenia (r=-.231, p=.021), while there was a positive correlation between self-perceived stigma scores and self-efficacy scores among patients with bipolar disorder (r=.362, p=.013). Conclusion: The findings suggest that nursing imtervention strategies should include education programs to reduce stigmatization and enhance self-efficacy and quality of life among patients with chronic psychiatric illnesses.

참고문헌 (44)

  1. 곽의향, "정신질환자가 지각한 낙인에 관한 연구", 석사, pp.2000
  2. 김광일, "한국에서의 정신질환에 대한 태도와 인식도", 대한의학협회지, 17(3), pp.31~34 (1973)
  3. 김광일, "정신질환에 대한 일반인의 견해조사", 정신건강연구, 8, pp.118~132 (1989)
  4. 김영돈, "정신장애자의 생활 만족 지수에 관한 상관변인분석", 석사, pp.1988
  5. 김용식, "정신장애에 대한 태도조사를 위한 예비적 연구", 서울의대 정신의학, 13(1), pp.27~36 (1988)
  6. 김철권, "매스미디어에 비친 정신질환자의 모습", 한국정신사회재활협회 춘계학술대회 발표자료집 (2001)
  7. 노은선, "정신분열병 환자의 자기효능과 삶의 질에 관한 연구", 대한간호학회지, 31(5), pp.912~919 (2001)
  8. 박소현, "정신장애인이 직가하는 사회적 낙인 및 사회적 지지가 심리적 안녕감에 미치는 영향", 석사, pp.2008
  9. 박완숙, "정신질환자의 병식수준에 따른 자아종중감, 우울감, 안녕감, 낙인지각 및 대처에 관한 연구", 석사, pp.2002
  10. 서미경, "정신질환자가 지각하는 낙인과 대처방법의 측정", 정신보건과 사회사업, 1, pp.145~158 (1994)
  11. 서미경, "지각된 낙인이 정신장애인의 삶의 만족과 자아존중감에 미치는 영향", 한국사회복지학, 56(4), pp.173~194 (2004), 한국사회복지학회
  12. 서순자, "정신질환에 대한 정신과 간호사의 태도 연구", 석사, pp.1991
  13. 성준모, "퇴원한 정신질환자가 지각하는 낙인의 정도와 그 대처경향에 관한 연구", 석사, pp.1996
  14. 손경희, "낮병원 환자와 정신과 외래 환자에 대한 자기효능비교연구", 정신간호학회지, 5(2), pp.229~238 (1997)
  15. 안동현, "지역사회 지도자들의 정신질환에 대한 반응", 서울의대 정신의학, 11, pp.281~297 (1988)
  16. 안승섭, "한국의 정신질환자 복지에 관한 연구", 석사, pp.1992
  17. 양옥경, "정신장애인에 대한 사회적 편견", 한국사회복지학, 35(8), pp.231~261 (1998)
  18. 오현수, "여성 관절염 환자의 건강증진과 삶의 질", 대한간호학회지, 23(4), pp.617~630 (1993)
  19. 유소연, "정신질환자가 지각하는 지각된 낙인정도에 관한 연구", 석사, pp.2004
  20. 윤명주, "정신장애인의 직무만족에 관한 연구", 석사, pp.2005
  21. 이경희, "정신장애를 지닌 사람에 대한 낙인 연구", 석사, pp.2001
  22. 이경희, "사회복귀시설 이용 정신장애인의 사회적 지지와 자기효능감과의 관계 연구", 석사, pp.2006
  23. 이부영, "정신질환자 낙인의 형성과정과 그 역사적 조명", 대한사회정신의학회 춘계자료학술대회자료집 (1992)
  24. 이형기, "한글 번역판 일반적 심리상태 설문지의 신뢰도에 관한 연구", 임상약리학회지, 4(2), pp.148~165 (1996)
  25. 정선미, "정신장애인이 지각하는 낙인에 관한 연구", 석사, pp.2004
  26. 심경순, "직업활동 중인 정신분열병 환자의 사회기술과 가족 지지, 자존감과 낙인지각 간의 인과관계연구", 정신보건과 사회사업, 26(26), pp.25~49 (2007), 한국정신보건사회복지학회
  27. 최이순, "정신질환자의 사회적 낙인에 대한 환자 가족들의 태도", 한국임상심리학회지, 15(1), pp.69~89 (1996)
  28. 한경례, "정신분열병 환자의 낙인에 영향을 주는 요인", 신경정신의학, 41(6), pp.1185~1196 (2002), 대한신경정신의학회
  29. Bandura, A., "Self-efficacy: Toward a unifying theory of behavioral change", Psychological Review, 84(2), pp.191~215 (1977)
  30. Brook, R. H., "Conceptualization and measurement of health for adults in the health insurance study (Vol. 8)" (1979), The Rand Corp
  31. Campell, A., "Subjective measure of well-being", American Psychology, 31, pp.117~124 (1976)
  32. Capinello, S. E., "The development of the mental health confidence scale: A measure of self-efficacy in individuals diagnosed with mental disorders", Psychiatric Rehabilitation Journal, 23(30), pp.236~243 (2000)
  33. Chiu, F. P. F., "Validation ot the chinese general self-efficacy scale among individuals with schizophrenia in Hong Kong", International Journal of Rehabilitation Research, 27(2), pp.159~162 (2004)
  34. Corrigan, P. W., "Social support and recovery in people with serious mental illness", Community Mental Health Journal, 40(6), pp.513~523 (2004)
  35. Goffman, E., "Stigma: Notes on the management of spoiled identity" (1968), Pengium Books
  36. Lehman, A., "The well-being of chronic mental patient: Assessing their quality of life", Arch General Psychiatry, 40, pp.369~373 (1983)
  37. Link, B. G., "Psychiatric rehabilitation for chronic mental patients", Psychiatric Annals, 13, pp.539~549 (1986)
  38. Link, B. G., "A modified labeling theory approach to mental disorder: An empirical assessment", American Sociological Review, 32, pp.400~423 (1989)
  39. Mechanic, D., "Effects of illness attribution and depression on the quality of life among persons with serious mental illness", Social Science & Medicine, 39(2), pp.155~164 (1994)
  40. Owen, S. V., "Using self-efficacy to evaluate training programs", Proceedings of the conference on technology and innovations in training and education, pp.227~236 (1989)
  41. Perlick, D. A., "Adverse effects of perceived stigma on social adaptation of persons diagnosis with bipolar affective disorder", Psychiatric Service, 52(12), pp.1627~1632 (2001)
  42. Rosenfield, "Labeling mental illness: The effect of received and perceived stigma on life satisfaction", American Sociological Review, 62(4), pp.660~672 (1997)
  43. Sherer, M., "The self-efficacy scale: Construction, & Validation", Psychological Reports, 51, pp.663~667 (1982)
  44. Strecher, V. J., "The role of self-efficacy in achieving health behavior change", Health Education Quarterly, 13(1), pp.73~92 (1986)

관련 논문AI추천

이 간행물의 다른 논문 (11건)