PDF(Pubmed)
Abstract：
(1) Background: People who are diagnosed with schizophrenia experience a reduced average lifespan compared to the general population. Also, approximately 85% of individuals with schizophrenia have chronic physical illnesses. Moreover, 60% of premature deaths in this population could be prevented through the adoption of health-promoting behaviors. (2) Methods: This study involved the recruitment of 220 participants from an outpatient clinic in Seoul, South Korea. Inclusion criteria comprised adults aged 19 years or older with a confirmed diagnosis of schizophrenia. Data collection occurred between 25 May 2021 and 2 August 2021, utilizing self-report questionnaires. A total of 202 responses were subjected to analysis using SPSS 23.0 and AMOS 23.0. (3) Results: The findings indicate that the final model is characterized by the following values: Normed x2 = 2.240, RMSEA = 0.079, TLI = 0.926, x2 = 562.2 (p < 0.001), AGFI = 0.830, GFI = 0.814, and CFI = 0.938. Notably, health knowledge did not exhibit a significant direct or overall impact on health-promoting behaviors. Conversely, social support and psychiatric symptoms demonstrated direct, indirect, and total effects on health promotion through an intervening variable. This study underscores the pivotal role of self-efficacy as the most influential factor affecting health-promoting behaviors in individuals with schizophrenia. (4) Conclusions: enhancing self-efficacy emerges as a crucial element in the design and implementation of intervention programs aimed at improving health-promoting behaviors in individuals with schizophrenia.
摘要：
（1）背景：与普通人群相比，被诊断为精神分裂症的人的平均寿命缩短。此外，大约85%的精神分裂症患者患有慢性身体疾病。此外，通过采取促进健康的行为可以预防该人群中60％的过早死亡。(2)方法：本研究从首尔的门诊招募了220名参与者，韩国。纳入标准包括19岁或以上确诊为精神分裂症的成年人。数据收集发生在2021年5月25日至2021年8月2日之间，使用自我报告问卷。使用SPSS23.0和AMOS23.0对总共202个应答进行分析。（3）结果：研究结果表明，最终模型具有以下特征：归一化x2=2.240，RMSEA=0.079，TLI=0.926，x2=562.2（p<0.001），AGFI=0.830，GFI=0.814，CFI=0.938。值得注意的是,健康知识对健康促进行为没有显著的直接或整体影响.相反，社会支持和精神症状表现直接，间接，以及通过干预变量对健康促进的总影响。这项研究强调了自我效能感作为影响精神分裂症患者健康促进行为的最重要因素的关键作用。（4）结论：在旨在改善精神分裂症患者的健康促进行为的干预计划的设计和实施中，增强自我效能感是至关重要的。
