Effects of Basic Psychological Needs and Support of Health Professionals on Self Care Agency in Inpatients with Schizophrenia: Based on the Self-determination Theory

Abstract

Purpose The purpose of this study was to identify the effects of basic psychological needs and support of health professionals on the self care agency of inpatients with schizophrenia. Methods This descriptive correlational study was based on the basic psychological needs theory, a sub-theory of the self-determination theory (SDT). Participants were 172 inpatients with schizophrenia from four mental hospitals in two areas. Data were collected from self-report questionnaires administered June-September 2019. Data were analyzed using the t-test, one-way ANOVAs with Scheffé’s test, Pearson’s correlation coefficients, multiple regression and PROCESS macro mediation analysis with IBM SPSS 22.0. Results Basic psychological needs and support of health professionals showed a positive correlation with the self care agency. The results of the regression indicate the basic psychological needs and support of health professionals were predictors of self care agency. Conclusion The results suggest that basic psychological needs and support of health professionals are needed to improve the self care agency of inpatients with schizophrenia. Thus, the mental nursing practice needs a program for improving the self-care agency of inpatients with schizophrenia. Key words: Health services needs and demand; Hospitalization; Motivation; Schizophrenia; Self care 주요어: 보건서비스 욕구와 수요, ìž ì›, 동기, 조현병, 자가간호