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조현병 환자 가족의 가족건강성 예측모형 구축

Developing a Prediction Model for Family Health in Families of Patients with Schizophrenia

정신간호학회지 2019년 28권 4호 p.309 ~ 320
한금선 ( Han Kuem-Sun ) - 고려대학교 간호대학

홍영선 ( Hong Yeong-Seon ) - 백석문화대학교 간호학과
강현철 ( Kang Hyun-Cheol ) - 호서대학교 빅데이터경영공학부
노연희 ( Roh Youn-Hee ) - 경복대학교 간호과
최명숙 ( Choi Myung-Sook ) - 서일대학교 간호학과
문희진 ( Moon Hee-Jin ) - 명지병원 간호부

Abstract


Purpose: The purpose of this study was to identify factors related to family health and develop a prediction model with an ability to explain family health in families of patients with schizophrenia.

Methods: A hypothesized model with twelve pathway forms was developed based on literature review. Family stress and social stigma were included as two exogenous variables; whereas family resilience, family empowerment, self-esteem, community integration, and family health were included as endogenous variables. Data were collected using a self-report questionnaire from 206 families of patients with schizophrenia living in Republic of Korea. Data were analyzed with PASW/WIN 18.0 and AMOS 18.0 programs.

Results: Social stigma had a negatively indirect and total effect on family health. Family resilience, self-esteem, and community integration had positive and direct and overall effects on family health.

Conclusion: A prediction model for families of patients with schizophrenia is proposed and social stigma, family resilience, self-esteem, and community integration are presented as predicting factors for family health. Nursing interventions and support programs should be developed to overcome social stigma and improve family resilience, self-esteem, and community integration.

키워드

조현병; 가족 건강; 사회적 낙인
Schizophrenia; Family health; Social stigma
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