• Title/Summary/Keyword: 심리사회적 지지프로그램

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우리나라 직장 정신보건제도의 방향과 전망

  • Baek Do-Myeong
    • 대한예방의학회:학술대회논문집
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    • 2002.05a
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    • pp.73-83
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    • 2002
  • 우리 사회에서 일정 정도 이상의 사회와 가정에서의 기능상의 부적응을 초래하는 정신적 문제는 경제활동인구에 있어 가장 흔한 보건의료상의 문제일 것으로 추측되고 있으나, 현재까지는 정신보건제도 마련에 있어 가장 극심한 부적응을 보이는 정신적 장애를 지닌 환자를 위주로 수용시설과 지역사회에서의 재활과 관리에 그 초점을 두어 왔다. 즉 직업스트레스와 같은 일시적인 사회심리적 갈등으로 인한 신체증상의 호소나 알을 및 약물중독으로 인한 사고의 발생으로부터 일생동안 관리되어야 하는 지능저하나 학습장애와 같은 만성적인 문제에 이르기까지 다양한 스펙트럼을 보이는 사업장과 지역사회에서의 정신적 문제들 중 그 일부만이 제도적으로 관리되어 왔다. 실제 그 동안 직장 내 정신보건문제에 대한 행정적 관심은 일부 장애인의 취업 문제를 제외하고는 없었다고 하여야 할 것이다. 그러나 한편으로 우리 사회의 산업구조와 경제사회적 조건의 변화에 따른 노동내용과 조건상 유연화의 증대가 많은 직장에서 노동강화로 이어진다는 점, 그리고 가족 및 교류집단을 비롯한 전통적인 사회적 지지구조가 와해되고 있다는 점과 정신적 문제로 인한 기능상 부적응의 척도가 한편으로 사회적 가치관의 변화에 따라 계속 그 영역이 넓어지는 방향으로 변화하고 있다는 점등에서 직장 내 정신보건 문제는 앞으로 더욱 그 비중이 커질 것으로 판단되고 있다. 문제의 심각성에 대한 관심이 요구되는 현재의 시점에서 제도적 접근에 대한 검토 또한 시작되어야 할 것으로 판단되고 있다. 현재까지 기업 내에서 이루어지고 있는 정신보건관리의 현황을 단편적으로 파악해 보았을 때, 단지 일부 기업에서 취업시 내지는 부서 배치시 성격검사를 비롯하여 적성검사를 실시하고 있으며, 기업윤리확보 차원에서 비정규적으로 사기앙양을 주목적으로 하는 집단적인 교육이나 단체훈련이 이루어지고 있으나, 정신심리적 문제를 개인적 차원에서 그리고 또한 조직적 차원에서 체계화된 프로그램으로 관리하고 있는 사례는 아직 없다. 앞으로 직장 내 정신보건문제에 대하여 제도적인 접근을 하기 위하여서는 다음과 같은 세가지 조건들이 구비되어야 할 것으로 판단된다. 첫 번째로 문제점 그 자체의 내용과 그 규모에 대한 정확한 파악과 예측이 가능하여야 한다. 즉 제도 전체의 운영을 객관적으로 평가하고 개선할 수 있는 기제가 함께 있어야 제도가 실제적인 기능을 할 수 있다는 최소한의 목적이 달성될 수 있다. 두 번째로 문제점의 관리를 위한 효과적인 개입내용 및 개입지점의 확보가 가능하여야 한다. 특히 직장 내에서 수행할 수 있는 프로그램이 개발되어야 하며, 이는 시범사업과 시장을 통한 소비자, 즉 사업주들의 자발적인 선택을 통하여 검토되고 걸려져야만 한다. 마지막으로 제도 운영의 대상, 특히 정신보건문제를 안고 있는 노동자들의 자발적인 동의가 확보될 수 있어야 한다. 이는 정신적 문제가 안고 있는 편견과 그로 인한 차별이 가져다주는 문제를 함께 고려하면서 제도가 운영되어야 하며, 이에 있어 제도 운영상 노동자들의 주체적인 참여가 필요하기 때문이다. 이상 고려되는 직장 내 정신보건문제에 대한 제도적 접근을 담기 위하여서는 프로그램 개발이나 전문가 집단의 양성과 같은 단순한 기술적 접근과 이들의 인허가 및 사업화에 따른 적용기준 및 의무의 설정과 같은 제도적 접근에 그쳐서는 그 실효성을 담보하지 못할 것으로 판단된다. 보다 중요한 것은 이러한 정신보건문제에 대한 노사의 공감대를 이루어 내는 것이며, 사회 전반적인 인식의 확산과 더불어 바람직한 관리모습에 대한 사회적 가치관을 도출해 내는 것이 제도적인 접근의 성공을 보장할 수 있는 기반 조건이 될 것이다. 이러한 점에 있어 정신보건문제를 바라보는 기존의 가치관이 부정적이고 고착화된 모습만을 강조하였으나, 이제는 점차 긍정적이 사회활동에 수반되는 역동적인 모습으로서 비추어지는 것이 많아진다는 측면에서 그 전망을 밝게 하여 주고 있다.

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A Study on Factors Influencing the Recovery of People with a Mental Disorder: With a Focus on the Moderating Effects of Family Resilience (정신장애인의 회복에 영향을 미치는 요인에 관한 연구 : 가족탄력성의 조절효과를 중심으로)

  • Jeon, Soon-Bo;Lee, Dong-Young
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.306-315
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    • 2019
  • The purpose of this study was to analyze empirically influential factors related to the recovery of people with a mental disorder and also the moderating effects of family resilience. For this purpose, the investigator developed a research model that took into consideration both the positive and negative elements of individual and social factors based on the ecological, psychological, social, and ecosystem perspectives in previous studies and checked their causal effects and the moderating effects of family resilience in statistical significance. The subjects include 112 clients at an institution for people with a mental disorder. Data was collected with an interview based on a structured questionnaire. Collected data was put to the multiple regression analysis. The analysis results show that there was statistical significance in self-esteem, social stigma, and social support excluding symptoms and that the moderating effects of family resilience had positive(+) synergistic effects only on self-esteem and social support. Based on these results, the study made proposals about practice strategies including the establishment of internal and external support systems to make an effective approach to recovery and the systemization of family resilience and supportive strategies to promote the smooth recovery of people with a mental disorder through the reinforcement of programs related to the confirmed positive elements of self-esteem and social support.

The Mediating Effects of Social Support on the Relation between Emotional Labor and Organizational Commitment of Franchise Food Service Industry Employees (프랜차이즈 외식업체 종사자의 감정노동과 조직몰입 관계에서 사회적지지의 매개효과 분석)

  • Choi, Tae-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.444-455
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    • 2018
  • This empirical study examined the relationships among emotional labor, social support, and organizational commitment of franchise food service industry employees, and analyzed the mediating effects of social support from the fellow and director on the relationship between emotional labor and organizational commitment. A total of 268 employees in the franchise food service industry, such as fast food, chicken, and coffee in Seoul, were analyzed by frequency analysis, reliability analysis, correlation analysis, confirmatory factor analysis, and structural equation model analysis using the SPSS Program. The results of verifying the research hypotheses could be summarized as follows. First, the surface emotional labor of franchise food service industry employees had negative effects on the organizational commitment. Deep emotional labor had significant positive effects on the organizational commitment, and fellow and director support had significant positive effects on the organizational commitment. Second, the social support from the fellow and director had partially mediating effects on the relationship between emotional labor and organizational commitment. This suggests that emotional labor and social support play essential roles in enhancing the organizational commitment of franchise food service industry employees.

The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients (뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과)

  • Kim, Eun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8525-8534
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    • 2015
  • The purpose of this study was to investigate relations among the Health Promotion Behavior, Physically, Psychological, and Social factors of the stroke patients. The subjects include the patients that were Stroke was diagnosed and being admitted to hospital. The data of total 223 stroke patients were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and Structural Equation Analysis. As a result, The higher medical support health promotion behavior scores were higher. Health Promotion Behavior had correlations with the subjective health state(r=.56, p=.000), family support (r=.68, p=.000), medical support(r=.65, p=.000), Fatigue(r=.27, p=.004), and behavioral intentions(r=.75, p=.000). Factors Affecting Health Promotion Behaviors of the Stroke patients Physically factors of(${\beta}$=-.156, p=.014), Psychological factors of subjective health(${\beta}$ =.283, p=.001), behavioral intentions((${\beta}$=.362, p=.000), Social factors such as family support(${\beta}$=.219, p=.010), the medical support(${\beta}$=.246, p=.004) was found to be significant influence factors. In conclusion, health promotion behavior in stroke patients is subjective health, behavioral intentions, a family support. The higher medical support health promoting behavior appears score was found to be highly Psychological factors and social factors are important factors in promoting healthy behavior. Therefore, psychosocial personalized approach to maintaining the stroke health promotion, health promotion action program itdaneunde be used as basis for relapse prevention is significant.

The Effect of Maladaptive Perfectionism, Self-leadership, and Social Support on Nursing students' Clinical Practice Stress

  • Mi-Sook Park;Mi-Jin You
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.4
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    • pp.105-114
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    • 2024
  • The purpose of this study was to identify factors influencing maladaptive perfectionism, self-leadership, and social support on nursing students' clinical practice stress. Participants were 150 nursing students who were enrolled at four universities in Chungcheongbukdo. Data were collected using questionnaire by from 03 to 30 November, 2022. The measurement tools consisted of the Almost Perfect Scale-Revised, Self Leadership Questionnaire-Revidsed, Scale of Social Support, and Clinical Practice Stress Scale-Revised. Results revealed that higher levels of maladaptive perfectionism were associated with increased clinical practice stress. Decreased self-leadership, satisfaction with nursing major, number of clinical practice in other regions, and social support was also associated with increased clinical practice stress. Findings indicate that specific characteristics such as maladaptive perfectionism and decrease of social support can lead to increase clinical practice stress. In this paper, we propose that active considerations for these psychological characteristics are important when reducing clinical practice stress for nursing students.

A Study on the Determinants of Service Quality of Worker in the Youth Training Tacility (청소년수련시설 종사자의 서비스 질 결정요인에 관한 연구)

  • Youn, Ki-Hyok;Lee, Jin-Yoel
    • Journal of Internet of Things and Convergence
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    • v.5 no.1
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    • pp.1-6
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    • 2019
  • This study was intended to verify the impact on the quality of service for employees of youth training facilities. The purpose of this study is to provide basic data for improving service quality by analyzing the factors influencing service quality of youth training facility workers. Data were collected from 110 youth training facilities in Busan. The results showed that social support, emotional labor and self-efficacy had a static effect on the quality of service. Based on the results of this study, the following suggestions were made. First, in order to enhance social support, it is necessary to strengthen regular networking with other agency workers, interview with middle managers, and counseling. Second, to raise emotional labor, it is necessary to imprint a sense of mission as a youth leader. Psychological and emotional programs should also be developed and implemented. Third, in order to increase the self-efficacy, it is necessary to strengthen the administrative super vision and strengthen related education such as image making.

College Students' Gambling Behavior: Mediating Effect of Self-Control and Multiple Group Analysis (대학생의 도박행동: 자기통제력의 매개효과 및 다집단 분석)

  • Kim, Duck-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.197-208
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    • 2017
  • The purpose of this study was to construct and test a structural equation model for college student's gambling behavior. A structured questionnaire was completed by 246 college students to analyze the relationships between perspective factors(irrational gambling belief), psychological factors(depression, anxiety), social factors(parental monitoring, parental support, friend support), self-control and gambling behavior. The moderating effects of gender, friends and family's gambling behaviors were examined. The data were analyzed using SPSS 21,0 and AMOS 20.0 programs. Self-control and psychological factors directly affected the college student's gambling behavior, while perspective factors and social factors affected it indirectly. The model fit indices of the modified model were suitable for the recommended levels. The overall study findings suggest the need to develop a gambling prevention program for college students that reinforces self-control, parental monitoring and support, and friend support while reducing irrational gambling belief, depression, and anxiety. An approach that considers gender and a development of a group counseling program for family or friends are also required.

Perceived Social Support Among the Elderly People Living Alone and Their Preference for Institutional Care: Analysis of the Mediator Effect in the Perception of the Probability of Lonely Death (독거노인의 지각된 사회적 지지와 시설 돌봄 선호: 고독사 가능성 인식의 매개 효과 분석)

  • Cho, Hye Jin;Lee, Jun Young
    • 한국노년학
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    • v.40 no.4
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    • pp.707-727
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    • 2020
  • This study aims to empirically analyze the role that perception of the probability of lonely death among the elderly people living alone plays in the relationship between perceived social support and preference for institutional care based on Andersen's expanded Behavioral Model (2002). The subjects (n=676) of this study were the elderly people living alone, extracted from the "2018 Seoul Aging Survey." With "perceived social support" as an independent variable, "preference for institutional care" as a dependent variable, and "perception of the probability of lonely death" as a mediator variable, we conducted a Binary Logistic Regression to follow the three steps of analyzing mediation effect, as suggested by Baron and Kenny (1986). The results showed that perceived social support has a negative effect on the preference for institutional care and perception of the probability of lonely death among the elderly people living alone; at the same time, perception of the probability of lonely death was found to have a positive effect on their preference for institutional care. Lastly, perception of the probability of lonely death was found to partially mediate the effect of perceived social support among the elderly people living alone in terms of their preference for institutional care. Based on these findings, the practical implications of this study can be summarized as follows. First, various programs and support should be provided to the elderly people living alone in order to enhance the level of perceived social support, a factor that has been confirmed to increase preference for institutional care among the elderly people living alone. Second, as the perception of the probability of lonely death was confirmed to be a psychosocial factor of the preference for institutional care, we need to promote education and support for older people living alone to prepare them for lonely death. These efforts are expected to form a foundations for implementing a community-based integrated care system, "Aging in Place," which is the policy direction required for older people care.

A Study of the Influence Factors on the Internet Addiction of the Elderly (노인의 인터넷 중독 경향에 영향을 미치는 요인에 관한 연구)

  • Ko, Jea Ug;Kim, Soo Bong
    • 한국노년학
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    • v.32 no.2
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    • pp.649-668
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    • 2012
  • The purpose of this study ahead of the aging society in Korea to prevent problems of the elderly aged new addiction Internet Addiction and identify factors affecting the quantitative increase and qualitative improvement beyond that aims to promote. To this end, residents in Seoul over the age of 60's targets, local welfare, cultural centers, senior centers and other research in the area through one-on-one interviews were conducted the survey. Findings The average degree of Internet addiction elderly 36.16 points (SD = 10.02) and the distribution of at least 20 points to 65 points, respectively. Factors affecting the degree of Internet addiction as a computer time (β = .248, p <.001), mon allowance (β = .180, p <.01), age (β = .139, p <.01) and social support (β = .087, p <.05), self-efficacy (β = - .078, p <.05), most used location (β = - .116, p <.05), degree of family relationship (β = - .147, p <.01), housing type (β = - .153, p <.01), were of the order, this factor was 17.6% of the variance. In other words, the more computer time, the higher the age, the more mon allowance, housing is not self, the lower the degree of family relationship, the house is not a place most used, lower self-efficacy, social support is high As increasing the degree of Internet addiction was thought to be the two predictor variables. Survey results to target the elderly through the Internet addiction group psychotherapy program implementation, and production and distribution of manuals related to Internet use and addiction-related factors, according to the case-by-case Case management services are tailored to be done, and the Internet in general for seniors potential risks related to use in training and preventive services for the elderly will need to be made.

Effects of Horticultural Therapy on the Improvement of the Self-Esteem and Sociality of Mentally Retarded Persons (원예치료프로그램의 적용이 정신지체장애인의 자기주장 및 사회성 향상에 미치는 영향)

  • 박민희;차영주;유영원;부희옥;이숙영
    • Korean Journal of Plant Resources
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    • v.17 no.3
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    • pp.339-351
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    • 2004
  • This study was conducted to evaluate the effect of phased horticultural therapy(HT) program on the experience of psychologic therapy and the development of job and social integration in the mentally handicapped persons. In this study, the mentally handicapped persons participated in HT program were chosen in disabled person's welfare institute of Jeonnam. HT program was performed twice a week with 1 hour activity for 4 months. As a results, the mentally handicapped persons participated in HT program showed high interest of horticulture and improvement of self-respect and the high satisfactory degree of HT program. Therefore, the mentally handicapped persons were showed the experience of both physical and mental therapy, improvement of self-esteem scale and sociality in HT program. Also, the application of HT program with continuously interest will be showed high improvement of physical, psychological and sentimental. In the course of this HT program progress, horticultural therapist and social welfare officer were showed the limitation of role. Therefore the leaders of group for successful HT program be required the comprehensive plan of more efficient HT program and induced technique of continuously up-phased improvements in HT program progress.