Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
권호 표지

A Comparative Study on Self-care of the Chronically Mentally Disabled Participating and Those not Participating in Rehabilitation Programs in Mental Health Centers and Their Families' Feeling of Burden

정신보건센터 재활프로그램 참여.비참여 만성정신장애인의 자가관리 및 가족부담감 비교 연구

  • Received : 2011.01.20
  • Accepted : 2011.03.16
  • Published : 2011.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

Keywords

References

  1. Bloch, D. A. (1983). Familiy system perspectives on the management of the individual patient. Psychiatry Update (1st ed.), Washington D. C.: American Psychiatry Press Inc.
  2. Goldmam, H. H. (1982). Mental illness and family burden: A public health perspective. Hosp Community Psychiatry, 133, 557-560.
  3. Hall, C. S., & Lindzey, G. (1978). Theory of personality (3rd ed.). New York: John Wiley and Sons.
  4. Ha, Y. S., Kim, S. Z., Kim, G. S., & Park, H. S. (1998). The effects of community-based mental health program on burden of family carers of mentally ill patient. J Korean Acad Psychiatr Ment Health Nurs, 6(2), 170-178.
  5. Jeong, J. Y. (2000). The research about professional helping for the family having someone who have mental disorder, using community mental health center. Unpublished master's thesis, Public Administration Kyung Hee University, Seoul.
  6. Jones, C. I. (1986). Socio-adjustment, vocational and employment services for the chronically ill: A system integrated model. Psychosoc Rehabil J, 10(2), 47-55.
  7. Kim, K. S. (1994). The social therapy for social adjustment of the mentally disordered. Ment Health Soc Work, 1, 5-37.
  8. Kim, S. S. (1992). Experience of family caregivers caring for the patients with stroke. Unpublished doctoral dissertation, Yonsei University, Seoul.
  9. Kim, S. Y. J., Hyun, M. S., Sung, K. M., & Gong, S. S. (1993). The relationship between home care needs of families of in-Patients and family burden. Korean nurses, 32(3), 5-9.
  10. Kim, Y. B. (1999). A study of relationship between burden and quality of life for family with schizophrenia. Unpublished master's thesis, Hanyang University, Seoul.
  11. Kim, Y. H. (1994). A study on the family caregiver burden for psychiatric out-patients. Unpublished master's thesis, Public Health Seoul National University, Seoul.
  12. Lee, H. J., & Oh, B. H. (1996). Need about professional helping for the family according to chronic of schizophrenia. Ment Health, 1(1), 50-58.
  13. Lee, K. S., & Kim, Y. H. (1998). The effect of the community-based mental health program on the improvement of daily living skills for the chronic mentally ill. J Korean Acad Psychiatr Ment Health Nurs, 6(2), 141-152.
  14. Lee, M. K. (2000). Experiences of home-nursing by the mothers with mentally ill children. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  15. Lee, S. (1996). Effect of nursing program for mentally ill patients in home. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  16. Liberman, R. P. (1988). Psychiatric rehabilitation of mental patients. Washington D. C.: American Psychiatry Press.
  17. Ministry of Health Welfare (2001). Health and Welfare.
  18. Montgomery, R. J. V., Genyea, J. G., & Hooyman, N. R. (1985). Caregiving and the experience of subjective and objective burden. Fam Relation, 34, 19-26. https://doi.org/10.2307/583753
  19. Noh, I. Y. (2001). Comparative research of the medical cost, the quality of life, the family burden of the mentally 3 before and after the community mental health service. Unpublished master's thesis, Public Administration Kyung Hee University, Seoul.
  20. Oh, G. S. (1998). Effects of daily living skills training on the daily living function of chronic schizophrenics staying home. Unpublished master's thesis, Public Health Catholic University, Seoul.
  21. Park, J. W., Lee, C. S., & Lee, J. H. (1995). Community mental health psychiatric rehabilitation therapy. Seoul: Seoul City.
  22. Suh, D. W., Lee, Y. M., Kim, Y., Im, J. G., & Kim, D. J. (1999). A survey on nationwide mental health facilities for mental health program and inpatients. Korea Institute for Health and Social Affairs, Ministry of Health Welfare.
  23. Suh, D. W., Kim, Y. H., Bae, J. G., Shin, Y. J., Yun, M. S., Lee, K. J., Lee, Y. M., Lee, J. G., Lee, S. Y., & Kim, D. J. (2001). Community mental health technical support work report. Korea Institute for Health and Social Affairs.
  24. Suh, M. H., & Oh, G. S. (1993). A study on the burden of the families with the chronic mentally ill. J Nurs Acad Society, 23(3), 467-483. https://doi.org/10.4040/jnas.1993.23.3.467
  25. Stuart, G. W., & Sundeen, S. J. (1996). Psychiatric rehabilitation, Psychiatric nursing (5th ed.). St. Louis: Mosby.
  26. Wang, Y. A. (1997). A study for the family burden of the mentally ill. Unpublished master's thesis, Public Health Yonsei University, Seoul.
  27. Won, J. S., & Cho, H. (1999). The effect of different duration of community based mental health rehabilitation program on perceived family support of mentally ill patients. J Korean Acad Psychiatr Ment Health Nurs, 8(1), 179-189.
  28. Yang, O. K. (1996). Community mental health. Seoul: Nanam Press.
  29. Yang, S., Yu, S. J., & Lee, K. J. (1998). Effects of community-based mental health nursing program on self-care activities of chronic mentally ill patients at home. J Korean Acad Psychiatr Ment Health Nurs, 7(2), 205-218.
  30. Yu, S. J. (1991). Effect of discharge education on the self-care performance for the schizophrenics. Unpublished doctoral dissertation, Seoul National University, Seoul.
  31. Yu, S. J., Lee, K. J., Ae, J. H., & Cha, J. K. (1998). Effects of community-based mental health nursing program on self-care activities of chronic mentally ill patients at home. J Korean Acad Psychiatr Ment Health Nurs, 6(2), 153-160.