Authors (including presenting author) :
Wong SL(1), Lee CC(2), Chow LP(1)(3), Lee WF(4), Fong CYV(3), Fung KS(3), Kwok KP(3)
Affiliation :
(1)Intensive Care Team, Kwai Chung Hospital, (2)Psychiatry, Kwai Chung Hospital, (3)EXITERS, Kwai Chung Hospital, (4)Central Nursing Division, Kwai Chung Hospital
Introduction :
Recovery-oriented care (ROC) is a paradigm shift from conventional rehabilitation approach. It empowers the patients to live a satisfying life and inculcate them with hope to conceive their personal goal away from the disruption of mental illness. Kwai Chung Hospital has used a Recovery Assessment Scale(RAS), a 41-item questionnaire to measure the outcome of ROC of in-patients since 2014. RAS has been found correlated with some psychopathological assessment like Brief Psychiatric Rating Scale(BPRS). As of today, there is only very few local studies on the phenomenon of ROC, and this study also the first one to correlate the established factor structure in recovery assessment to psychopathology scales amongst psychiatric in-patient Hong Kong. The greater understanding of components in recovery will enhance the recovery framework and practice.
Objectives :
To explore the latent factor structures of RAS amongst in-patients, and to investigate the correlation between RAS and BPRS
Methodology :
1.A retrospective case record study-includes all in-patients admitted to EXITERS from 01/10/2013 to 31/10/2017. 2.The initial RAS and BPRS performed within 28 days of admission to EXITERS were retrieved. 3.The latent factors of RAS were analyzed. 4.The correlation between RAS and BPRS were explored.
Result & Outcome :
The 267 case records of in-patients were studied. We confirmed that the Chinese RAS has a 5-factor structure, namely, “ Living with Supportive Resource”, “Maintaining Mental Wellness”, “Confidence with Goal and Hope”, “Control on Symptoms” and ”Sense of Symptoms Interfere” (Bartlett’s test of Sphericity: x2 = 7312.734, p < 0.001; Kaiser-Meyer-Olkin index: 0.948), which are broadly similar to the original RAS. There is also correlation between RAS and the depressive mood subscale in BPRS reaching statistical significance (r=-0.251, p=0.021). The results revealed the potential divergent views on recovery in Hong Kong in-patients. The factorial components in local in-patients were more related to psychiatric condition and symptom control. This may reflect cross-cultural differences in in-patient perceptions on recovery, and the views of our service users is also prejudiced by the mood status. Our results implied that the clinical staff should consider introducing additional strategies targeting on illness management and solving negative emotion when delivering the recovery-oriented care to in-patients.
