ABSTRACT
Purpose@#This study is to understand the experiences of people with serious mental illness following adjustment to independent living. @*Methods@#Aphenomenological research approach was used. Research participants were recruited from community psychiatric rehabilitation centers where they received the support for successfully independent living in the community. In-depth interviews were conducted with a total of 20 research participants from September 2019 to August 2021. The collected data were analyzed using the phenomenological analysis method previously described by Giorgi. @*Results@#Four major themes emerged from our analysis: (1) feeling free in everyday life changed when they started living independently; (2) being the owner of my life; (3) feeling surrounded by barriers at the start of independent living; and (4) required efforts and support for fully living independently. @*Conclusion@#Our study findings encourage fundamental understanding of benefits and difficulties in adjusting to independent living and the adjustment process among people with serious mental illness through in-depth analysis of their experiences. It is necessary to conduct further studies to develop interventions to support people with serious mental illness once they start living independently and instruments to measure their independence.
ABSTRACT
PURPOSE: The purpose of this study was to construct the clear definition of the concept 'self-reliance' among persons with psychiatric disabilities. METHODS: A hybrid model (comparative analysis between literature review findings and actual interview data) was employed to extract essential components of 'self-reliance' and develop its clear definition among those subjects. RESULTS: Self-reliance appeared to have complex nature and consist of multi-dimensional meaning units with 4 different levels (including 8 attributes and 21 indicators). 4 different levels of dimensions and their 8 attributes are suggested as follows: 1) Personal dimension (increasing insight, improving motivation for recovery); 2) Procedural dimension (encouraging empowerment and overcoming internalized stigma, self-esteem); 3) Institutional dimension (utilizing social and government support, formulating social-networks); 4) Consequential dimension (financial independence, planning for independent housing, self-determination). CONCLUSION: The findings of this study will contribute to developing valid measurements to examine self-reliance and establishing nursing interventions aiming at increasing self-reliance in persons with psychiatric disabilities.
Subject(s)
Humans , Housing , Independent Living , Motivation , Nursing , Power, PsychologicalABSTRACT
PURPOSE: The purpose of this study is to describe the prevalence of suicidal ideation and to investigate related factors contributing to suicidal ideation in elderly people with focus on comparison of gender differences. METHODS: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 3,164 old adults aged over 65. The original study was a population-based epidemiological survey of health and nutrition in a stratified multistage clustered probability design. Data were analyzed by using chi2-test and t-test and multiple logistic regression with the SPSS/WIN18.0program. RESULTS: Suicidal ideation in women (37.5%) occurred more frequently than men (17.5%). Depression, stress, restriction on activities and quality of life were significant variables of suicidal ideation in both the men and women aged 65 over. Low educational levels and economic states were significantly associated with suicidal ideation in men but not in women. CONCLUSION: The development of a suicide prevention program for elders requires different approaches to the genders respectively. It is also recommended that programs be developed that can help control the variables identified in this study along with a follow-up study for verifying the model.