Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Influencing Factors on Alcohol Use of Persons with Severe Mental Illness in the Community

지역사회 만성정신질환자의 알코올 사용 관련요인

  • Gang, Moonhee (College of Nursing, Chungnam National University)
  • Received : 2013.09.28
  • Accepted : 2013.11.20
  • Published : 2013.11.28
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Abstract

This study was to explore demographic, psycho-social and clinical characteristics and the influencing factors on alcohol use of person with severe mental illness in the community. Cross-sectional descriptive design was used to recruit a convenience sample of 176 participants from four community mental health centers in Korea. The collected data were analyzed using t-tests, $x^2$-test, and logistic regression. Depending on the alcohol use (AUDIT-K), participants were divided into the problem alcohol use group (n=54, 30.7%) and normal group (n=122, 69.3%). The problem alcohol use group was significantly more smoking, anxiety, stress, suicidal thought, and had a lower age of onset, phase of rehabilitation, self-efficacy, and others' support. In logistic regression analysis, factors influencing on alcohol use were smoking, age of onset, phase of rehabilitation and others' support. The findings may provide useful information to develop strategies for prevent from alcohol induced the problems in this populations.

본 연구는 지역사회의 만성정신질환자를 대상으로 알코올 사용정도와 관련요인을 파악하여 정신질환자를 위해 효과적인 알코올 사용 예방프로그램 개발을 위한 기초자료를 제공하기 위해 시도되었다. 연구의 대상은 D와 C 지역에 위치한 2개 정신병원의 외래환자 및 4개 정신건강증진센터와 사회복귀시설을 이용하는 만성 정신질환자 176명이다. 자료수집기간은 2012년 7월 9일에서 27일까지 였으며, 수집된 자료는 서술통계, t-test, $x^2$-test, Logistic regression을 이용하여 분석하였다. 연구결과 정신질환자의 알코올 사용에 영향을 미치는 유의한 요인은 흡연, 발병연령, 재활단계, 타인지지로 나타났다. 따라서 정신질환자의 재활단계, 발병연령과 같은 임상적 특성을 고려하여 음주와 흡연을 효율적으로 예방 및 관리할 수 있는 프로그램을 개발하고 프로그램의 참여동기와 효과를 유지하기 위한 타인 지지 전략을 활용하는 방안이 필요하다.

Keywords

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