title: Psychological and physical self-management of people with schizophrenia in community psychiatric rehabilitation settings: a qualitative study.
abstract: This study had three objectives: to explore the psychological and physical self-management behaviours of people with mental illness; to identify their motivations for their self-management behaviours; and to develop a framework to understand the generative processes of healthy vs. unhealthy conditions. The participants were eight persons with schizophrenia who were attending psychiatric rehabilitation centres. We conducted semi-structured interviews with the participants on their observations regarding public health nurses' counselling with them. The data were analysed qualitatively. Six categories of health self-management behaviours were identified. The primary motivations that led to the participants' behaviours were 'getting a job in the near future' or 'maintaining my current level of living'. The use of their own methods caused unhealthy conditions when health management was excessively strict or there was a discrepancy between their and care providers' recognition of the appropriate level of self-management.
authors.affiliation: Department of Nursing, School of Health Care Sciences, Chiba Prefectural University of Health Sciences, Chiba, Japan. naoko.katakura@cpuhs.ac.jp
authors.forename: Naoko
authors.initials: N
authors.lastname: Katakura
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Matsuzawa
authors.forename: Kazue
authors.initials: K
authors.lastname: Ishizawa
authors.forename: Chikako
authors.initials: C
authors.lastname: Takayanagi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012559:Schizophrenia / Q000534:rehabilitation / Q000628:therapy*; D012648:Self Care