DOI QR코드

DOI QR Code

Narrative Inquiry on Experience of Mentally Ill Patients in Psychiatric Day Hospital Care

정신과 환자의 낮병원 이용 경험에 대한 내러티브 탐구

  • Eom, Kwang-Jin (Department of Social Welfare, Graduate School of Soongsil University) ;
  • Maeng, Hae-Young (Department of Social Welfare, Graduate School of Soongsil University) ;
  • Kim, Jung-Yoo (Department of Social Welfare, Graduate School of Soongsil University)
  • 엄광진 (숭실대학교 사회복지학과) ;
  • 맹혜영 (숭실대학교 사회복지학과) ;
  • 김정유 (숭실대학교 사회복지학과)
  • Received : 2020.01.02
  • Accepted : 2020.04.20
  • Published : 2020.04.28

Abstract

This narrative inquiry examines the experience of mentally ill patients who used the psychiatric day hospital care service. The researchers in this inquiry conducted in-depth interviews three times with four patients who used day hospital care and data was also collected from additional conversations when patients were on outpatient visit after being discharged from the day hospital. The inquiry uses the narrative research method to describe the experience of using day hospital services as follows; a springboard to reconnect to the world, a place to be empowered and set the mind at ease, and a guide to direction in life. This inquiry is meaningful in that it deals with the in-depth stories of the mentally ill patients who experienced the day hospital care. Based on the results of the inquiry, the following policy suggestions are made; institutional support for reducing social isolation of psychiatric patients, activation of various support systems and further program development.

본 연구는 내러티브 탐구를 활용하여 정신과 낮병원 이용 환자들의 경험을 연구하였다. 연구자들은 낮병원 이용경험이 있는 정신과 환자 4명을 대상으로 3회 이상 심층면담을 실시하였으며 낮병원 퇴원 후 외래 진료 과정에서 추가 면담을 실시하여 자료를 수집했다. 연구 참여자들의 낮병원 이용 경험의 의미는 '세상과 끊어진 줄을 다시 묶다.', '힘이 되는 마음의 안식처.', '삶에 대한 방향성을 찾다.' 세 가지 주제로 나타났다. 본 연구는 정신과 낮병원 이용 당사자들의 이야기를 깊이 있게 다루었다는 점에서 의의가 있다. 연구 결과를 바탕으로 정신과 환자의 고립 해소를 위한 제도적 지원, 다양한 지지체계 활성화 노력, 프로그램 개발 활성화의 정책적 제안을 한다.

Keywords

References

  1. C. H. Kim. (2017). A Study of Contents and Resolutions in the Mental Health Welfare Act. Association Public Land Law Review, 80, 303-331.
  2. National Assembly of the Republic of Korea. (2018). Mental Health Welfare Act, Law no.15907, Seoul : National Assembly of the Republic of Korea.
  3. J. H. Lee. (2018. 5. 24). Mental Hospital Compulsory Hospitalization Reduced 42% in One Year. Hankook economy,
  4. G. D. Park. (2019. 8. 11). Hospitalization tricky. Psychiatric hospital beds are reduced. Chosun Ilbo.
  5. W. G. hong. (2019. 8. 20). Why do Korea have many psychiatric beds?. Docter's News.
  6. H. M. Sung & S. Y. Moon. (2015). A Study on the Deinstitutionalization and Community Mental Health in Mental Health Act. Social Science Research Review, 31(1), 303-325. DOI : 10.18859/SSRR.2015.02.31.1.303
  7. M. M. Choi, J. Y. Kwon & G. D. Kim. (2016). An Exploration on the Applicative Potentials of the Late Modern Social Space to Deinstitutionalization of the Mental Health Field. Korean Journal of Social Welfare, 68(4), 225-246. DOI : 10.20970/KASW.2016.68.4.010
  8. H. J. Kwon. (2019. 4. 23). Jinju Apartment Fire and Murder suspect, Symptoms of schizophrenia appear for a long time. dtoday,
  9. M. H. Kim. (2019. 6. 12). To establish dormitory for mentally disabled person… Local residents who say "I will burn.". Hankook Ilbo,
  10. H. S. Jang. (2010). The structural causes and perpetuating factors affecting long-term hospitalization of the mentally ill in korea. Doctoral Dissertation. Ulsan University, Ulsan.
  11. J. J. Lee. (2007). The Study on Quality of Life, The family burden of the Mentally Disabled in Social Rehabilitation Facilities. master's thesis. Chonnam National University, Chonnam.
  12. H. H. Seo. (1999). Study on the quality of life of the chronical mentally disabled people using the community mental health center. master's thesis. Catholic University, Bucheon.
  13. O. J. Jang, B. D. Lee & Y. I. Chung. (2015). A Study on Factors Related to Long-term Hospitalization in Patients with Chronic Schizophrenia. J Korean Neuropsychiatr Assoc, 201554(1), 76-83. DOI : 10.4306/JKNPA.2015.54.1.76
  14. K. Z. You & K. H. Lee. (2012). Job Satisfaction of Psychiatric and Community Mental Health Nurses in Community Mental Health Centers. Korean J Occup Health Nurs, 21(2), 108-115. DOI : 10.5807/KJOHN.2012.21.2.108
  15. J. N. Oh. (2010). A Study on the Influence of Teamwork on Organizational effectiveness in the Mental Health Center. master's thesis. Keimyung University, Daegu.
  16. J. H. Park & H. S. Park. (2017) Hope Enhancement Program for Increased Hope, Self-Efficacy, and Quality of Life for Mentally Ill Persons in Day Hospitals. J Korean Acad Psychiatr Ment Health Nurs, 26(3), 260-11. DOI : 10.12934/JKPMHN.2017.26.3.260
  17. J. U. Seo. (2018). The Effects of a Recovery Enhancement Program on Recovery Attitude, Drug Attitude, and Quality of Life for Mentally Ill Persons in Day Hospital. master's thesis. Daegu Catholic University, Daegu.
  18. J. H. Choi. (2013). Prospective study to determine the efficacy of day hospital care to improve treatment adherence of psychiatric outpatient. master's thesis. Chungnam National University, Daejeon.
  19. D. J. clandinin. & F. M. Connelly. (2000). Narrative Inquiry "Experience and Story in Qualitative Research.", San Francisco : Jossey-Bass.
  20. Y. M. Ahn. (2008). A Narrative Inquiry into Two Elderly Men's Search for Meaning of Life and Death. Doctoral Dissertation. Ewha Womans University, Seoul.
  21. E. J. Suh (2019). An Elementary School Teacher's Narrative of Implementing the National Curriculum. Journal of Qualitative Inquiry, 5(2), 29-53. DOI : 10.30940/JQI.2019.5.2.29