社會功能與社區慢性精神病人復元之相關性研究--以社區復健中心與康復之家為例_

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題名：	社會功能與社區慢性精神病人復元之相關性研究--以社區復健中心與康復之家為例
書刊名：	臺大社會工作學刊
作者：	劉素芬
作者(外文)：	Liu, Su-fen
出版日期：	2011
卷期：	23
頁次：	頁137-180
主題關鍵詞：	社會功能；精神復健；復元；Social functioning；Mental health rehabilitation；Recovery
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:4 共同引用:22 點閱:608

本研究以使用社區精神復健服務的個案為對象，探討社會功能與其精神復元的相關性。資料蒐集方式為量化問卷調查，樣本來源來自台灣各地共13家社區復健中心與13家康復之家，共訪問310位的社區慢性精神病患。社會功能量表使用宋麗玉(2001)發展的社區精神病患社會功能量表。精神復元指標包括精神病人主觀的精神復元評估，以及工作人員的客觀評估；前者採用Corrigan, Giffort, Rashid, Leary 與Okeke(1999)發展的精神復元自評表，後者使用簡明精神病評定量表(Brief Psychiatric Rating Scale, BPRS)。本研究亦納入病人的基本資料及疾病史等變項。在資料分析方面以多元階層迴歸分析為主。資料分析結果顯示精神病人的社會功能表現愈好，其主觀精神復元程度愈佳，其精神症狀穩度較高。社會功能與五個主觀精神復元次向度－目標與成功取向、信心與希望、求助意願、自助以及不受症狀影響皆達顯著相關。機構類型（社區復健中心或康復之家）與病人之精神復元程度並未發現顯著差異。本文亦討論其它相關影響精神復元因素。

以文找文

This study aims to investigate the relationship between social functioning and recovery from mental illness, using persons with mental illness as target. This study employed a cross-sectional survey design using a convenience sample of 310 mental health consumers who were members in community mental health agencies (the rehabilitation centers or the half-way houses) in Taiwan and 26 practitioners who were familiar with these participated consumers. Social functioning was measured using an adapted Chinese version of the Social Functioning Scale (SFS), which is developed by Song (2001). Subjective recovery from mental illness was assessed through the adapted Chinese version of the Recovery Assessment Scale (RAS), which was developed by Corrigan et al. in 1999. Objective recovery from mental illness was assessed through the adapted Chinese version of the Brief Psychiatric Rating Scale. A series of hierarchical multiple-regression models were used.There were the significant association between social functioning and subjective recovery from mental illness. Persons with mental illness having higher level of social functioning were more likely to have better level of subjective recovery from mental illness. In addition, there were significant association between social functioning and five sub-dimensions of subjective recovery: goal and success orientation, personal confidence and hope, willingness to ask for help, self-help, and not dominated by symptoms. The correlation between the agency type (community mental health centers and half-way houses) and the level of recovery from mental illness was not found in this study. Factors related to the level of recovery from mental illness are also discussed in the study.

以文找文

期刊論文
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研究報告
1.	宋麗玉(2001)。具實務應用性之量表發展 : 精神病患社會功能量表與照顧者負荷量 (計畫編號：NSC89-2412-H260-001-SSS)。延伸查詢

學位論文
1.	李雅敏(2006)。成年就業精神分裂症患者之康復經驗及其歷程研究(碩士論文)。國立彰化師範大學。延伸查詢
2.	洪秀汝(2005)。精神分裂症患者疾病復原歷程之探討(碩士論文)。東吳大學。延伸查詢
3.	洪千惠(2006)。慢性精神病患從醫院回歸社區--為何回家是一條漫長的路(碩士論文)。國立中正大學。延伸查詢
4.	許美智(2004)。《社區化就業於精神病患之應用 -- 就業服務員的觀點》。延伸查詢
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其他
1.	活力滿分社區復健中心(2010)。〈服務項目〉，http://tw.myblog.yaho.com/jw!OeZEMjuCAw6VJXzLuqQ-/， 20101220。延伸查詢
2.	高雄市立凱旋醫院(2010)。〈服務項目〉，http://www.uho.com.tw/web.asp?id=18270&m=2， 20101220。延伸查詢
3.	健保局(2010)。〈醫管統計資料〉，http://www.nhi.gov.tw/wcbdata.asp?mcnu=l&menu_id=4&webdata_id=805， 20100103。
4.	健保局(2010)。〈全民健康保險重大傷病證明實際有效領證統計表〉，http://www.nhi.gov.tw/webdata.asp?menu=1&menu_id=4@webdata_id805&WD_ID=4， 20101003。延伸查詢
5.	衛生署(2010)。97年醫療統計年報，http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now_fod_list_no=10903&level_no=3&doc_no=73472， 20101001。
6.	Substancc Abuse and Mental Health Services Administration SAMHSA(2006)。National Consensus Statement on Mental Health Recovery (SMA Publication no. 05-4129)，http://storc.samhsa.gov/shin/content//SMA05-4129/SMA05-4129.pdf。

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