• Title/Summary/Keyword: 정신간호학

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Factors Influencing Suicidal Ideation in Community-dwelling Patients with Chronic Mental Health Problems (지역사회 만성정신질환자의 자살사고에 영향을 미치는 요인)

  • Kim, Jung Sug;Lim, Jung Hee
    • Journal of Korean Academy of Rural Health Nursing
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    • v.10 no.1
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    • pp.31-41
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    • 2015
  • Purpose: The study was performed to identify factors influencing suicidal ideation in patients with chronic mental health problems and who live in the community. Methods: Data were collected using questionnaires and participants were 140 people with mental illness living in Y-si, Gyeonggi-do. The study was carried out from May 15 to September 30, 2014. Data were analyzed using descriptive statistics, Pearson Correlation Coefficients, and Logistic Regression with the SPSS/WIN 18.0 statistical program. Results: The number of persons who attempted suicide was 47(33.6%) and the number who had suicide ideation was 22(15.7%). The mean score for depression was $6.4{\pm}6.45$. The mean score for life satisfaction was $16.5{\pm}8.21$. Depression had a significant negative correlation with life satisfaction. Odds ratio of suicide ideation was 1.19. The significant factor influencing suicidal ideation was depression. Conclusion: The results of this study can be used in the development and practice of programs to decrease suicide in people with mental illness.

An Integrative Review on Mental Health-related Quality of Life for the Mental Health Management of Workers (근로자의 정신건강관리를 위한 정신건강 관련 삶의 질에 대한 통합적 고찰)

  • Ha, Yeong Mi;Han, Sang Mi
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.254-261
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    • 2020
  • Purpose: Despite the importance of mental health-related quality of life among workers, its comprehensive understanding is lacking. This study aimed to identify influencing factors regarding mental health-related quality of life through a comprehensive literature review. Methods: The integrative review method of Whittemore and Knaf was used. Data search was conducted on papers published before September 2020, and RISS, NDSL, and KISS were used for the search. Results: Fourteen studies were selected for analysis. Five factors affecting the mental health-related quality of life of workers were found. Mental and physical health status, job stress, working environment, health behaviors, and other personal and socio-economic characteristics were significant influencing factors. Conclusion: Findings from the review suggest the necessity of developing a customized intervention program to improve the mental health-related quality of life of workers.

The Effects of Abdominal Meridian Massage on Constipation in Institutionalized Psychiatric Patients Taking Antipsychotic Drugs (항정신 약물을 복용하는 시설거주 정신과 환자의 변비 완화를 위한 경락마사지 효과)

  • Kim, Inja;Cho, Yu Na
    • Korean Journal of Adult Nursing
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    • v.19 no.5
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    • pp.127-137
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    • 2007
  • Purpose: It was investigated if abdominal meridian massage has effects on constipation in institutionalized psychiatric patients taking antipsychotic drugs. Methods: According to the constipation screening tests, 22 patients were selected as subjects. One group pre and post repeated measurement design was used. Constipation was operationalized as perceived constipation, frequency of defecation, frequency of bowel sound, and number of medicine taken to relieve constipation. Abdominal meridian massage was given for two weeks, 10-15 minutes each time and 10 times in total. Results: Perceived constipation, frequency of bowel sound, and number of medicine taken were significantly improved after massage. Except for number of medicine taken, the effects on perceived constipation and frequency of bowel sound were found to be persistent 2 weeks after massage. Conclusion: Based upon these results, abdominal meridian massage was recommended as independent nursing intervention for the relief of constipation in psychiatric patients who taking anti-psychotic drugs. Further studies to investigate the maximal duration time of effects and whether the effects of intermittent application of this method is more beneficial than the continuous application of this method are necessary.

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Effects of Assertive Training on Interpersonal Relations, Social Behavior, and Psychiatric Symptoms in Patients with a Mental Disorder (정신질환자의 자기주장훈련이 대인관계, 사회행동 및 정신증상에 미치는 효과)

  • Han, Kuem-Sun;Im, Hee-Su;Yang, Bo-Kyum;Chung, Hae-Kyung;Suh, Yong-Jin
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.896-903
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    • 2005
  • Purpose: This study was designed to exam me the effects of an assertive training program on interpersonal relations, and psychiatric symptoms in patients with a mental disorder. Method: The study employed a quasi experimental design. The subjects included 44 patients with a mental disorder, 20 in the experimental group, and 24 in the control group. Data was collected using structured questionnaires over a 3 month period. Results: There were greater significant increases in scores of interpersonal relations and content of communication in the experimental group than the control group. Also, there was a greater significant decrease in the score of psychiatric symptoms in the experimental group than the control group. Conclusion: Assertive training has an effect on increasing content of communication and decreasing psychiatric symptoms.

Survey for Community Attitudes toward People with Mental Illness (일 지역사회의 정신질환자와 정신건강사업에 대한 태도 연구)

  • Hyun, Mi-Yeul;Yang, Soo;Lee, Gyung-Joo
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.84-94
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    • 2009
  • Purpose: This study was done to investigate community attitudes towards people with mental illness and to mental health services. Methods: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. Results: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of $93.38{\pm}17.29$. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. Conclusion: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.

A Study on Family Satisfaction with Community Mental Health Center Services in Gyeonggi Province by Families of People with Mental Illness (경기도 정신보건센터 서비스에 대한 가족 만족도 조사 - 경기도 31개 정신보건센터를 중심으로 -)

  • Kim, Hee-Jung
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.124-135
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    • 2009
  • Purpose: The purpose of this study was to evaluate the service satisfaction for families who have someone with mental illness, and are using community mental health centers in Gyeonggi Province. Methods: The participants in this study were 796 family members. Data were collected using Family satisfaction survey questionnaire developed by the author (23 items on family service and 15 items on client service). Results: The total satisfaction level for the service with family and client resulted in above average scores. Of the 23 service items, data showed the highest level of satisfaction was with professional skills and attitude, and day rehabilitation programs, and the lowest for professional activities for advocacy and social welfare benefits, emergency & crisis intervention, medical expense subsidies. Of the 15 service items, job and housing related service had the lowest level of satisfaction. Conclusion: It is recommended that psychiatric emergency & crisis intervention programs and system development be accelerated. Also, there is a need to develop medical expense subsidy programs for older family caregivers, job and housing focused rehabilitation programs and community facilities for the client, as well as more active and powerful professional advocate activities for persons who have mental disabilities and their families.

Effects of listening to Music on Auditory Hallucination and Psychiatric Symptoms in People with Schizophrenia (음악듣기가 정신분열병 환자의 환청 및 정신증상에 미치는 효과)

  • Na, Hyun-Joo;Yang, Soo
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.62-71
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    • 2009
  • Purpose: The purpose of this study was to explore the effects of listening to music in inpatients diagnosed with schizophrenia, on their auditory hallucinations, and positive and negative symptoms. Methods: A quasi-experimental research design with $2{\times}2$ cross-over trial and convenience sample was used. Eleven patients (Group AB) listened to music followed by a wash out period and then a usual care period, and 12 patients (Group BA) had a usual care period followed by a wash out period and then listened to music. For one week those who were in the experimental period listened to individualized music using an MP3 player whenever they heard hallucinations. Results: There was a statistically significant decrease in the frequency of auditory hallucinations after listening to the music. There was a decrease in the mean scores for positive symptoms, negative symptoms, and general psychopathology after listening to music, but only negative symptoms showed a statistically significant decrease. The treatment effects on scores for positive symptoms, negative symptoms, and general psychopathology were greater in Group BA than Group AB. Conclusion: These findings suggest that listening to music may be useful for managing auditory hallucinations in schizophrenia inpatients.

Correlation Between Spiritual Well-Being and Mental Health of Nursing Students (일부 간호대학생의 영적안녕과 정신건강과의 관계 연구)

  • 이화인
    • Journal of Korean Academy of Nursing
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    • v.32 no.1
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    • pp.7-15
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    • 2002
  • The purpose of this study is to test the correlation between spiritual well-being and mental health of nursing students and to provide baseline data of nursing education for the christian college. The data was collected from 10th to 30th September. 2000. The subjects were 220 nursing students. The instruments used for the study were the spiritual well-being scale developed by Paloutzian & Ellison (1982) and Gou Seong Hee's mental health (1989). The data was analyzed by using SPSS/PC. The study results were as follows: 1.There were significant differences between the type of religion (F=27.22, p=0.000), abscence of faith (F=65.33, p=0.000), grade (F=6.76, p=0.000), effect of religion on life style (F=14.21, p=0.000) and spiritual well-being. 2.There were significant differences between grade (F=4.87, p=0.009), satisfaction of nursing (F=6.47, p=0.000) and mental health. 3.There was positively significant partial correlation between spiritual well-being and mental health (r=0.52, p=0.000). The higher spiritual well-being score and the higher mental health was supported. 4.The mean score on the spiritual well-being scale was 3.48±0.64. The mean score on the mental health scale was 3.67±0.54. Viewing that, The type of religion, abscence of faith, effect of religion on life style, and grade contributed significantly in spiritual well-being for nursing students.

Development of a User Centered Web Site for Mental Health Management in Adolescents (초고속 통신망을 이용한 청소년의 정신건강관리 지원시스템 개발)

  • Bae, Jeong-Yee
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.14-25
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    • 2007
  • Purpose: A user centered web-based mental health management system may be particularly useful in Korea where there is widespread diffusion of personal computers and internet connectivity. The purpose of this paper was to describe the development of a web-based system for mental health management in adolescents using principals of a user centered design. Method: Our design process includes five distinct phases: needs assessment, analysis, design, development/testing/revision, and application release. Results: Web content includes an introduction, information about mental health management in adolescents, self-assessment and guidance, interventions for improving mental health, directory of self-help groups, and counseling and additional community resources. The web site was released using the URL: http://www.baejy.com/youth. Conclusion: The end result was a web based mental health management system for adolescents with a high degree of usability. The author believes that web-based mental health interventions in the future have true potential in helping Koreans who are suffering, or at risk, for mental health problems, particularly because of the stigma related to psychiatric therapy in Korea.

Effectiveness of the Self-care Education for the Medication and Symptoms Management on the Psychiatric Patients' Quality of life (약물 및 증상관리에 대한 자가간호교육이 정신질환자의 삶의 질에 미치는 효과)

  • Son Kyung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.2
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    • pp.300-314
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    • 1999
  • This study is an attempt to evaluate the effect of the medication and symptoms self-care education on the psychiatric patients' quality of life. This exploratory study was designed to a quasi-experiment of pretest-postest with a non equivalent control group. Subjects of 40 patients who were discharged from a mental hospital in Pusan were selected to be experiment and control group, with each group consisting of 20. The research period was from March, 6 to May, 29, 1999 and the pre-post test was given before and after implementing MSSE to the both experiment and control group. The results finding were summarized as follows ; 1. subjects who attended self-care education scored significantly higher than control group in quality of life.(Z=-2.06, P=0.034) 2. Those who were in the experiment group reported more significant higher scores than control group in item of quality of life, living situation(A=-2.62 P=0.012), relations with spouse (Z=-2.31 P=0.038) and children (Z=3.37, P=0.008), fear (Z=-1 95, P=0.049) and anger(Z=-2.07 P=0.041), work functioning (Z=-2.34, P=0.021), environmental adjustment. (Z=-2.05, P=0.039)

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