[[alternative]]Factors Influencing Recovery in Community-dwelling Patients Diagnosed with Schizophrenia under Home Care Services

[[abstract]]背景與研究目的:協助社區居家思覺失調症病人邁向復元為目前精神醫療人員共同努力的目標，本研究目的在探討社區居家思覺失調症病人復元之影響因素。研究方法:採橫斷式研究，研究對象為北部接受精神居家照護及社區關懷之思覺失調症病人。研究對象自填及研究人員評估，共同收集人口學變項、病況現況、疾病烙印、信守服藥與復元程度，以信效度良好問卷為資料收集工具，並以階層迴歸統計方法檢驗各變項對復元之影響。研究結果:研究對象共100位，男性佔59%、平均年齡為46.65歲、高中畢業均多佔56%。整體變項中，人口學變項之宗教信仰之有無對復元有顯著差異 (t = 2.64, p = .01)；整體功能 (r = .34, p < .001)及信守服藥 (r = .32, p = .001) 與復元呈顯著正相關；精神症狀 (r = -.27, p = .007)及疾病烙印 (r = -.24, p = .017) 與復元呈顯著負相關。階層迴歸模式下，以宗教信仰 (β = .31, p < .000)為最具影響力之因素，其次為整體功能 (β = .27, p = .002) 、信守服藥 (β = .26, p = .006)及疾病烙印 (β = -.18, p = .045) ，解釋力達28.6%。結論與實務應用:宗教信仰、整體功能、信守服藥及疾病烙印依序最能顯著影響居家思覺失調症病人復元，建議善加利用宗教信仰力量、增進整體功能、促進病人信守服藥並推動去汙名化，能有效促進社區病人之復元。[[abstract]]Background and Research Aim: The primary goal of the psychiatric professionals is to promote the recovery of the community-dwelling patients with schizophrenia under home care services. The aim of this study was to explore the factors influencing recovery in the community-dwelling patients with schizophrenia under home care services.Methods: This was a cross-sectional study. The study participants were patients diagnosed with schizophrenia under home care services in northern Taiwan. Researchers used structured questionnaires to collect data. The variables include individual factors, current health status, stigma, medication adherence and recovery. Hierarchical regression analysis was used to examine the factors influencing recovery.Results: A total of 100 participants were recruited, 59% of participants are male, with mean age of 46.65 years, 56% graduated from senior high school. Among all the variables, the religious beliefs of case factors have a significant difference to the recovery (t = 2.64, p = .01); General function (r = .34, p <.001) and medication adherence (r = .32, p = .001) are significantly positively correlated with recovery; mental symptoms (r = -.27, p = .007) and disease stigma (r = -.24, p = .017) are significantly negatively correlated with recovery. In the hierarchical regression model, religious beliefs (β = .31, p <.000) is the most influential factor, followed by general function (β = .27, p = .002), medication adherence (β = .26), p = .006) and disease stigma (β = -.18, p = .045), the explanatory power reaches 28.6%.Conclusion and practical applications: Religious beliefs, general function, medication adherence, and stigma perception with mental illness, can significantly predict recovery of community-dwelling patients with schizophrenia under home care services. It is recommended to use religious resources, enhance patients' global functions, medication adherence and promote de-stigmatization, which may contribute to the personal recovery of community-dwelling patients diagnosed with schizophrenia