Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness.
10.4040/jkan.2007.37.4.490
- Author:
Hyun Sook KIM
1
Author Information
1. Department of Nursing, College of Health Sciences, Eulji University, Korea. khsook@eulji.ac.kr
- Publication Type:Journal Article
- Keywords:
Rehabilitation;
Mentally ill persons;
Community mental health service
- MeSH:
Activities of Daily Living;
Adolescent;
Adult;
Aged;
Analysis of Variance;
Chronic Disease;
Female;
Humans;
Male;
Mental Disorders/psychology/*rehabilitation;
Middle Aged;
*Models, Psychological;
Psychiatric Status Rating Scales;
Questionnaires
- From:
Journal of Korean Academy of Nursing
2007;37(4):490-500
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically. METHOD: Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL. RESULT: 1) The fitness indices of the model were chi-square=133.77 (df=48, p=.00), GFI = 0.93, AGFI = 0.87, RMR = 2.32, NNFI = 0.95 and NFI = 0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors. CONCLUSION: This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.
