J Korean Acad Psychiatr Ment Health Nurs.  2011 Jun;20(2):180-187. 10.12934/jkpmhn.2011.20.2.180.

Hope, Self-care Agency and Mental Health in Patients with Chronic Schizophrenia

• Song HJ
• Hyun MY
• Lee EJ

• KMID: 2321896
• DOI: http://doi.org/10.12934/jkpmhn.2011.20.2.180

Abstract

PURPOSE
The purpose of this study was to identify the relationship between hope, self-care agency, and mental health in patients with chronic schizophrenia.
METHODS
The participants were 118 patients with chronic schizophrenia receiving care at a community mental health center. Data were collected from March 5th to May 29th, 2009 and were analyzed with using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression.
RESULTS
A significant positive correlation was found between hope and self-care agency; and a significant negative correlation between hope and mental health. Hope significantly predicted by mental health (p<.001) explained 34.9% of the variance in mental health.
CONCLUSION
As the results indicate hope is significantly correlated with self-care agency and mental health in patients with chronic schizophrenia. It is recommended that intervention programs should be developed to increase hope and to evaluate more precisely factors related to mental health in this population.

Keyword

Hope; Mental health; Chronic schizophrenia

MeSH Terms

Hope*
Humans
Mental Health*
Schizophrenia*
Self Care*

Reference

1. Cho HJ. The effects of hope on life stress, psychology and life satisfaction. Korean J Clin Psychol. 2010; 29:839–852.

2. Cho HS. The effect of psychosocial rehabilitation nursing program for chronic mental inpatients of longterm psychiatric hospital. Busan: Kosin University;2004. Unpublished doctoral dissertation.

3. Cohen J. Statistical power analysis for the behavioral science. 2nd ed. New York, NY: Academic Press;1988.

4. Deneys MJ. Development of an instrument to measure self care agency in adolescents. Ann Arbor, USA: University of Michigan;1981. Unpublished doctoral dissertation.

5. Derogatis LR. SCL-90-R administration, scoring, and procedures manual-II. Towson, MD: Clinical Psychometric Research;1983.

6. Estroff S. Self, identity, and subjective experience of schizophrenia: In search of the subject. Schizophr Bull. 1989; 15(2):189–197.

7. Han KH, Kim MH. A study on the relationship between hope and self-care agency in hemodialysis patients. Korean J Rehabil Nurs. 2001; 4(2):137–145.

8. Han KS, Park YH, Im HS, Ju GY, Bae MH, Kang HC. Hope, depression, and suicidal ideation in chronic mental illness patients. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19:205–211.

9. Hatfield AB, Lefley HP. Surviving mental illness: Stress, coping and adaptation. New York: The Guildford Press;1993.

10. Her HM. A study on the self-care agency and symptom management technique in chronic mental illness patients. Seoul: Korea University;2004. Unpublished master's thesis.

11. Hyun MY, Kim JH. A study on self-care activity, self-care agency and mental health for patients with chronic schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:129–136.

12. Hyun MY, Lee JE, Park SN. A study on the adolescents' hope and mental health. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12:116–123.

13. Jeong HK. Schizophrenic patients' hope, social support, and the quality of life. Seoul: Korea University;2007. Unpublished master's thesis.

14. Kim HJ. The relationship between perceived social support and the mental health status of persons receiving psychiatric care as out-patient. J Korean Acad Psychiatr Ment Health Nurs. 1992; 1:51–67.

15. Kim JH, Jum HP, Hyun MK, Gun JJ. Hope and quality of life in hemodialysis patients. Kyungpook Univ Med J. 1997; 38(1):131–140.

16. Kim MS. Effect of group art therapy program on selfesteem, assertiveness, and hope in chronic schizophrenia. Chuncheon: Gangwon University;2004. Unpublished master's thesis.

17. Kim MY. Relationship between self-disclosure and mental health status of hospitalized psychiatric patients. Seoul: Ewha Womans University;1986. Unpublished master's thesis.

18. Kim SH. The effects of general self-efficacy on the mental health of the high school students. Seoul: Ewha Womans University;1999. Unpublished master's thesis.

19. Kim YJ. The effects of interpersonal caring behaviors on self esteem, hope and quality of life of inpatients with mental disorder. Seoul: Ewha Womans University;2004. Unpublished master's thesis.

20. Landeen J, Pawlick J, Woodside H, Kirkpatrick H, Byrne C. Hope, quality of life, and symptom severity in individuals with schizophrenia. Psychiatr Rehabil J. 2000; 23:364–369.

21. Lee HJ. The effects of hope and empathy on psychological well-being in adolescents. Seoul: Catholic University;2007. Unpublished master's thesis.

22. Lee JJ. Theory and practice of the nursing-logotherapy. J Korean Acad Psychiatr Ment Health Nurs. 1996; 5:28–49.

23. Lee JM. The relationship between hope and health related quality of life according to cancer pain. Seoul: Konkuk University;2006. Unpublished master's thesis.

24. Moon H, Lee JS. The effect of perceived social support and symptom distress of patients with cancer on hope. J Korean Acad Psychiatr Ment Health Nurs. 1995; 4:27–44.

25. Nowotny ML. Assessment of hope in patients with cancer: Development of an instrument. Oncol Nurs Forum. 1989; 16(1):57–61.

26. Snyder CR. The past and future of hope. J Soc Clin Psychol. 2000; 19:11–28.

27. Snyder CR, Irving L, Anderson JR. Hope and health: Measuring the will and the ways. In : Snyder CR, Forsyth DR, editors. Handbook of social and clinical psychology: The health perspective. Elmsford, New York: Pergamon;1991. p. 285–305.

28. Snyder CR, Pulvers K. Dr. Seuss, the coping machine and "Oh the places you will go". In : Snyder CR, editor. Coping and coper: Adaptive processes and people. New York: Oxford University Press;2001. p. 3–29.

29. Valle MF, Huebner ES, Suldo SM. An analysis of hope as a psychological strength. J Sch Psychol. 2006; 44:393–406.

30. West P, Isenberg M. Instrument development: The mental health-related self-care agency scale. Arch Psychiatr Nurs. 1997; 11:126–132.