Chia-Chi Chang
National Yang Ming University, Taiwan
Chang Gung University of Science & Technology
Scientific Tracks Abstracts: J Nurs Care
Background: About 27-30% of patients with chronic schizophrenia have depressive symptoms, and depressive symptoms reduce quality of life and increase the risk of committing suicide. Objective: To examine the relationship among deprssive symptoms, health promotion lifestyles and quality of life in patients with chronic schizophrenia. Method: This study recruited patients diagnosed with schizophrenia, who were admitted to a psychiatric inpatient rehabilitation wards and day care center in northern Taiwan. A total of 273 patients with chronic schizophrenia participated in this cross-sectional correlation study. A structural questionnaire was used to collect data, and which included demographric characteristics, Beck Depression Inventory II (BDI-II), Health-Promoting Lifestyles Profile (HPLP) and The World Health Organization Quality of Life BREF (WHOQOL-BREF). Hierarchical multiple regreesion was employed to analize the mediating effects. Results: The 6 subscales of HPLP and 4 domains of WHOQOL-BREF presented positive correlations, but self-actualization subscale of HPLP, depressive symptoms and QOL had negative correlation. As to the mediating role of HPLP between depressive symptoms and 4 domains of QOL, self-actualization had full mediation on environmental domain. The other 3 domains (physical health, psychological health and social relationship) had partial mediations. Conclusion: Self- actualization can reduce the negative impact of depressive symptoms on their QOL in patients with chronic schizophrenia.
Chia-Chi Chang has completed his Master of Nursing in 2008 from Fu Jen Catholic University. She is a Doctoral student at National Yang-Ming University in Taiwan.
Journal of Nursing & Care received 4230 citations as per Google Scholar report