Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Theoretical Structural Model for Caring Persons with Early Psychosis: A systematic review and qualitative meta-analysis

조기 정신증 돌봄 모형 개발: 질적 메타분석을 통한 이론적 접근

  • Sung, Kyung Mi (College of Nursing & Institute of Health Sciences, Gyeongsang National University)
  • 성경미 (경상대학교 간호대학 & 건강과학연구원)
  • Received : 2016.09.23
  • Accepted : 2017.01.06
  • Published : 2017.01.31
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Abstract

This study was aimed to construct a theoretical model for managing persons with early psychosis. We systematically searched SCOPUS, PubMed, RISS, Web of Knowledge, and KoreaMed for related factors to manage persons with early psychosis. Significant terms or phrases for a preliminary structural model were obtained from 19 studies since 2000 regarding the management of persons with early psychosis. Moreover, the content validity for the model was evaluated by 22 professionals. The study results revealed 51 factors for managing persons with early psychosis extracted by meta-analysis, and all factors were divided into 21 medium classification and 8 categories. A theoretical model was constructed with 8 categories, by using the middle range theory of Peplau's Interpersonal Relationships in Nursing. The results suggest that the theoretical model for the management of persons with early psychosis provides a sound theoretical basis for future study.

본 연구는 조기 정신증 환자를 대상으로 포괄적인 간호중재를 제공함으로써 정신증 진행을 늦추고 정신기능의 불구를 줄여 사회적 기능이 최적으로 호전될 수 있도록 돕는 새로운 돌봄의 이론적 모형을 개발하기 위해 시도되었다. 본 연구에서는 조기 정신증 환자의 돌봄에 대한 이론적 모형을 구축하기 위해 1) 연구주제 및 자료 분석방법 결정, 2) 문헌탐색 및 분석대상 선택, 3) 자료 추출, 4) 예비모형 구축 및 타당도 검증의 단계를 적용하였다. 2000년대 이후 '조기 정신증 돌봄'에 대해 실시된 선행문헌중 본 연구대상에 선정된 19개 문헌에 대해 질적 메타분석를 실시하였다. 그 결과 일차 분석틀에서 개별 연구에 나타난 조기 정신증 돌봄 요인 51개를 추출하고 이를 21개의 중분류로 나누었으며 이차 분석틀에서 요인의 속성이 유사한 것끼리 모아 8개의 범주명을 제시하였다. 또한 돌봄 요인에 대한 범주명을 간호사와 환자가 건강과 관련된 어려움을 해결하는 대인관계에 초점을 둔 중범위 이론인 Peplau의 대인관계이론을 기틀로 하여 예비모형을 구축하였다. 본 연구는 지역사회 접근을 통해 조기 정신증 환자의 치료받지 않는 기간을 줄이고 개인의 발달기와 환경에 적합한 간호중재를 제공해 줌으로써 사회적 기능을 증진시킬 수 있는 돌봄 모형의 중요한 토대가 될 수 있다.

Keywords

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