Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 7 de 7
Filtrar
1.
Hu Li Za Zhi ; 67(5): 26-32, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978763

RESUMO

The popularization of smart technology is a global phenomenon. The increasing ubiquity of smartphones offers the potential to apply smart technology in areas such as healthcare and behavioral change interventions. Mobile health services may enhance the effectiveness and resolve the shortcomings of traditional medical services, which cannot continuously and instantly track changes in disease symptoms. The popularity of mobile phones has led to the emergence of mobile health applications. Mobile health applications use active and passive methods to collect data and transmit information. Studies have confirmed the feasibility and acceptance of these applications in assessing and detecting diseases and in mental health interventions. In this article, the limitations of traditional psychiatric medical diagnosis and the opportunity to develop mobile health using information and communication technology are discussed, and related empirical research on using smart technology to evaluate and detect symptoms is explored using the example of bipolar disorders. In addition, the benefits and future prospects of onset alert and the development of healthcare models for action are highlighted. In the future, we look forward to developing mobile health applications that meet the needs of healthcare in Taiwan. Furthermore, we recommend more research and investment in related fields to accumulate more extensive empirical evidence.


Assuntos
Transtornos Mentais/terapia , Aplicativos Móveis , Smartphone , Telemedicina/métodos , Humanos , Taiwan
2.
Hu Li Za Zhi ; 65(2): 64-74, 2018 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-29564858

RESUMO

BACKGROUND: The ideology of recovery addresses the autonomy of patients with mental illness and their ability to reconstruct a normal life. Empirical knowledge of this process of recovery and related factors remains unclear. PURPOSE: To assess the process of recovery and related factors in patients with mental illness. METHODS: This cross-sectional, correlational study was conducted on a convenience sample in a psychiatric hospital. Two-hundred and fifty patients with mental illness were recruited and were assessed using 3 instruments: Questionnaire about the Process of Recovery (QPR), Perceived Psychiatric Stigma Scale (PPSS), and Personal and Social Performance Scale (PSP). Data were analyzed using descriptive statistics, χ2, analysis of variance, and multiple linear regression analysis. RESULTS: Most of the participants were male, middle-aged, unmarried, educated to the senior high school level, employed, receiving home-care treatment, and diagnosed with schizophrenia. Those who were unemployed, living in a community rehabilitative house, and living in the community, respectively, earned relatively higher recovery scores (p < .05). The total scores of QPR and the 3 subscales were negatively correlated with PPSS (p < .01) and positively correlated with PSPS (p < .01; p < .05). Multiple regression analysis indicated that the factors of education, employment, having received community rehabilitative models, and stigma, respectively, significantly explained the recovery capacity of patients with mental illness. CONCLUSIONS: Community psychiatric nurses should provide care to help employed patients adapt to stresses in the workplace, strengthen their stigma-coping strategies, and promote public awareness of mental health issues by increasing public knowledge and acceptance of mental illness in order to minimize patient-perceived stigma and facilitate their recovery.


Assuntos
Transtornos Mentais/psicologia , Adaptação Psicológica , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estigma Social
3.
Hu Li Za Zhi ; 64(5): 59-68, 2017 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-28948592

RESUMO

BACKGROUND: The negative attitudes of the general public toward mental illness frequently influence the integration of mental illness patients into the community. Auditory hallucination simulation may be considered as a creative teaching strategy to improve the attitudes of learners toward mental illness. However, the empirical effects of auditory hallucination simulation to change the negative attitudes toward mental illness remains uncertain. PURPOSE: To compare and analyze, using a systematic review and meta-analysis, the effectiveness of auditory hallucination simulation in improving empathy, knowledge, social distance, and attitudes toward mental illness in undergraduates. METHODS: A search using the keywords "auditory hallucination" and "simulation" and the 4 outcome indicators of empathy, knowledge, social distance, and attitudes toward mental illness was conducted to identify related articles published between 2008 and 2016 in 6 Chinese and English electronic databases, including Cochrane Library, EBSCO-CINAHL, MEDLINE, PsycINFO, PubMed, and Airiti Library. Research quality was appraised using the Modified Jadad Scale (MJS), the Oxford Centre for Evidence-Based Medicine Level of Evidence (OCEBM LoE), and the Cochrane Risk of Bias tool. RESULTS: Eleven studies were recruited, and 7 studies with sufficient data were included in the meta-analysis. The meta-analysis showed that hallucination simulation significantly improved the empathy and knowledge of participants, with respective effect sizes of 0.63 (95% CI [0.21, 1.05]) and 0.69 (95% CI [0.43-0.94]). However, this intervention also increased social distance, with an effect size of 0.60 (95% CI [0.01, 1.19]), and did not change attitudes toward mental illness significantly, with an effect size of 0.33 (95% CI [-0.11, 0.77]). CONCLUSIONS / IMPLICATIONS FOR PRACTICE: Auditory hallucination simulation is an effective teaching strategy for improving the empathy and knowledge of undergraduates. However, related evidence for the effects of social distance and attitudes toward mental illness need to be further strengthened. Most of the extant research on this subject was conducted in the United States and Australia and was of moderate quality. Future studies should use sufficiently rigorous research designs to explore the safety issues and the effectiveness of the auditory hallucination simulation intervention in different countries and ethnic populations.


Assuntos
Atitude , Empatia , Alucinações , Conhecimento , Transtornos Mentais/psicologia , Estudantes/psicologia , Humanos , Projetos de Pesquisa
4.
Hu Li Za Zhi ; 64(3): 19-26, 2017 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-28580555

RESUMO

Bipolar disorder (BD) is a severe mental illness that is characterized by chronicity, pervasive instability, and relatively high rates of recurrence and suicide. Current evidence supports that adverse circles among hereditary and genetic factors, neuroinflamation, and social rhythm constitute a crucial etiology. Pharmacological treatment is the first priority for BD patients during the acute stage. Pharmacological and psychosocial treatments should be combined during the maintenance stage in order to help patients self-manage medication, effectively control mood swings, enhance disease self-management and social functions, decrease the risks of relapse and re-hospitalization, and stabilize overall health. The present article firstly introduces the characteristics and etiological assumptions related to BD, the related evidence-based care models and their effects, and the early development of an evidence-based care model, the BalancingMySwing group, for BD patients in Taiwan. This article provides updated information to clinicians who are involved in caring for this population. Moreover, the existing data related to biological and psychosocial factors for BD in Taiwan is insufficient and developing individual-tailored psychosocial intervention is urgently needed. The authors hope that this article will elicit greater concern for this issue from policy decision-makers and healthcare providers.


Assuntos
Transtorno Bipolar/terapia , Transtorno Bipolar/etiologia , Transtorno Bipolar/enfermagem , Enfermagem Baseada em Evidências , Humanos
5.
Hu Li Za Zhi ; 61(6): 48-56, 2014 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-25464956

RESUMO

BACKGROUND: Public attitudes toward mental illness influence the success with which patients reenter the community. An attitude instrument suitable to the Chinese cultural setting with good reliability and validity is essential to examining public attitudes toward mental illness. Exploring the perspectives of adolescents is relevant because most mental illness occurs during adolescence. PURPOSE: This study developed and tested the psychometric quality of the Chinese-version Attitudes Toward Mental Illness (CAMI) scale among senior high school students. METHODS: The original AMI was translated into Chinese using a back and forth translation method and its content validity was examined. A cross-sectional survey of 479 senior high school students was conducted to assess the construct validity, cross validity, and internal consistency of the CAMI. RESULTS: The CAMI showed adequate content validity. The confirmatory factor analysis support: the appropriateness of CAMI's original two-factor structure of negative attitude and recovery outcomes after deleting items 9 and 11; the measurement of the negative perceptions of mentally ill patients and their risks to community; and the perceptions of recovery of mentally ill patients. The construct validity and cross validity are appropriate and the internal consistency of the total scale and two subscales are acceptable (Cronbach's α: .76, .75, .81). CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The reliability and validity of the CAMI is appropriate for the sample of senior high students in this study. Future studies should target a broader range of people in order to establish the reliability and validity of the scale in different groups and to build up empirical knowledge on public attitudes toward mental illness. The application of this scale is expected to contribute to the development of anti-stigma interventions and to the creation of friendly communities for mentally ill patients.


Assuntos
Atitude Frente a Saúde , Transtornos Mentais/psicologia , Estudantes/psicologia , Humanos , Reprodutibilidade dos Testes
6.
Hu Li Za Zhi ; 58(3): 80-6, 2011 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-21678257

RESUMO

Public health nurses are the largest manpower component in community-based psychiatric care in Taiwan. However, controversies related to primary responsibility for such have erupted and must be addressed in order to ensure patients receive the most appropriate care and healthcare professionals are adequately trained and supported. This article used the STEP (social-technological-economical-political assessment) method to assess the macro-level contextual changes that have affected healthcare centers and public health nurses providing community psychiatric care as well as their role function and development. This study recommends several policy changes based on findings.


Assuntos
Serviços Comunitários de Saúde Mental , Enfermagem em Saúde Pública , Serviços Comunitários de Saúde Mental/economia , Humanos , Política , Taiwan
7.
Arch Psychiatr Nurs ; 22(5): 266-76, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18809119

RESUMO

Community care has been a paradigm shift for psychiatric treatment worldwide; however, it has not been successfully implemented in many developing countries, including Taiwan. This qualitative study aimed to explore the Taiwanese mentally ill persons' difficulties living in the community. Social disadvantages and illness adaptation were recognized as two domains of difficulties encountered by Taiwanese mentally ill patients living in the community, while six themes were identified: getting a "shameful" illness, unmet needs for community care, being overcome by a distorted world, denying the illness, living with the illness, and adapting to changed level of functioning. Related cultural issues were also discussed.


Assuntos
Adaptação Psicológica , Atitude Frente a Saúde/etnologia , Transtornos Mentais/etnologia , Pessoas Mentalmente Doentes/psicologia , Atividades Cotidianas/psicologia , Adolescente , Adulto , Idoso , Serviços Comunitários de Saúde Mental/organização & administração , Desinstitucionalização , Negação em Psicologia , Países em Desenvolvimento , Família/etnologia , Feminino , Grupos Focais , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Transtornos Mentais/prevenção & controle , Pessoa de Meia-Idade , Pesquisa Metodológica em Enfermagem , Enfermagem Psiquiátrica , Pesquisa Qualitativa , Vergonha , Comportamento Social , Estereotipagem , Inquéritos e Questionários , Taiwan
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...