• Title/Summary/Keyword: 정신간호학

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The Effect of the Death Education Program on the Death Anxiety and Attitudes toward Nursing Care of the Dying Patients of Nursing Student (죽음교육 프로그램이 간호 대학생의 죽음불안과 임종간호태도에 미치는 영향)

  • Cho, Hea-Jin;Kim, Eun-Sim
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.163-172
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    • 2005
  • Purpose: This study is to identify the effect of a death education program to the nursing students on their anxiety of death and attitudes toward nursing care of the dying. Methods: The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group 20 and control group 16 in senior grade of department of Nursing G university in J city. The experimental group had Death education Program, which was a three days per week program, for 2 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, paired Sample t-test using with SPSS win 10.0. Results: the experimental group was decreased in degree of anxiety of death and was improved in degree of positive attitudes toward nursing care of the dying. Conclusion: The death Education Program can be an effective nursing education program for their Nursing students to decrease their death anxiety and to prepare care of the dying.

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Mothers' Experience of Caregiving for Their Children with Schizophrenia (정신분열증 자녀를 돌보는 어머니의 경험)

  • Yi, Myung-Sun;Choe, Myoung-Ae;Hah, Yang-Sook;Kim, Keum-Soon;Yih, Bong-Sook;Kim, Ja-Hun
    • Journal of Korean Academy of Nursing
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    • v.36 no.1
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    • pp.45-54
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    • 2006
  • Purpose: The purpose of this study was to explore Korean mothers' experiences of caregiving for their adult children with schizophrenia. Method: A iterative descriptive qualitative research design was used to understand and explain the caregiving experience from the perspective of mothers. The data were collected by individual in-depth interviews and one focus group interview from 11 mothers. The ages of the participants ranged from 50 to 60 years old and the ages of their sick children ranged from late 20s to early 40s, Results: Three major themes were identified from qualitative thematic analysis: (a) 'emotional debris from the disease,' (b) 'the disease that makes mothers dumb' (c) 'space of rational reason,' Conclusions: This study would provide health care professionals insights in establishing intervention for mothers by deeply understanding the process of recognition and acceptance of their children with schizophrenia.

Study on Mental Health of the Aged using CMI (CMI에 의한 노인의 정신건강에 관한 고찰)

  • 송영선
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.47-54
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    • 1977
  • The author evaluated physical psychological and socio-economical problems of the elderly, using interview and Cornell Medical Index. The subjects were 160 aged Persons (above 65 years old). who were divided into two groups-80 in home, 80 in an asylum for the aged The mean CMI scores are as follows: 1. The total subjects was 45.04 and the asylum group was found higher then the home group. 2. The female group was higher than the male group. 3. The single group was higher than the group who has spouse. 4. There was significant difference according to the economic state. 5. There was significant difference according to the degree of the activities on daily living.

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Reseach on Transcultural Nursing (횡문화 간호에 관한 연구)

  • Shin, Kyng-Rim
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.454-463
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    • 1992
  • 세계가 일일 생활권화 됨과 더불어 국제교류가 활발해지므로써 횡문화 간호 연구는 전문직 간호(Professional Nursing)에 있어서 매우 중요한 부분을 차지하고 있음을 많은 문헌을 통해서 알 수 있다(Brink, 1976 : Leininger, 1977 : Roberston & Boyle, 1987). 횡문화 간호연구는 서로 다른 문화적 배경을 가진 사람들을 잘 이해하고 그들의 건강을 돌봄에 있어서 더욱 효과적이고, 안전한 간호를 할 수 있을 뿐만 아니라 간호이론 개발, 간호모형(Model) 개발에 있어서도 매우 중요한 역할을 한다고 믿는다. 본 연구는 1984년에서 1987년 사이에 전문적 간호연구지에 실린 10편의 횡문화 간호연구와 관련된 논문들을 발췌하여 간호지식체의 본질적인 과정인 비판적 문헌고찰을 통해 각 논문들을 비교 분석 한 것으로써, 미래의 간호연구를 위한 간호실무, 간호교육, 간호연구 방법 및 간호 행정면에서 그 적용성을 높여줄 것이다. 비판적 문헌고찰을 위한 기준은 Burns와 Grove(1987)의 방법을 참고하여 아래와 같이 선정하였다. 1. 분석대상 : 목적, 가설 진술, 문헌고찰, 표본조사, 방법론적 논점, 결과 해석 2. 이론적 틀의 유도 흑은 통합 3. 발전적인 간호수행을 위한 중요성, 적용성 및 제언 이상의 내용으로 비교 분석을 해본 결과 1984년에서 1987년 사이에 발표된 횡문화 간호에 관한 논문들의 주제는 주로 여성을 대상으로 한 건강돌봄, 자가간호, 건강신념, 수유, 임신 그리고 간호사와 소수민족 노인과의 의사소통 양상 등으로 나누어 볼 수 있었다. 이론적 틀은 주로 사회학, 정신심리학, 인류학 이론으로부터 도출되었고, 오직 두 편만이 간호 이른에 틀을 둔 것으로 나타났다. 1. 10개의 논문의 가설과 목적의 분석에 있어서 4편의 논문은 목적과 가설이 구체적으로 진술되어 있었고, 나머지 6편은 목적이 전반적으로 진술되어 있었으며 가설도 구체적이지 않았다. 이러한 제한점은 각 논문의 연구자가 문헌고찰을 충분히 하지 못하고 단지 수편의 논문만을 제시 한 데서 비롯되었다고 분석 해 볼 수 있겠다. 2. 문헌고찰 부분에서는 각각의 연구주제를 지지해줄 수 있는 문헌들이 충분히 고찰되지 못하였고, 이론적배경 또한 횡문화 이론과의 관련성이 적었다. 또한 횡 문화 연구에 기초가 되는 연구대상자의 사회 인구학적 특성과 역사적 배경은 잘 나타났으나, 이론적 연구와 경험적 연구 간에 괴리가 있었다. 3. 표본추출방법은 문화에 기반을 둔 대상자를 선정한다는 점에서 한계성 이 있었다. 4. 방법론적 이유로는 대상자와의 면담시간이 구체적으로 기술되지 않았으며, 고유한 언어를 통역하는 과정에서 의미론적 문제에 대한 고려가 부족하였다. 면접과 기록과정에서 보면 자료의 기록과정과 분류 및 분석과정이 명시되어 있지 않았다. 참여관찰과 면접방법을 사용시 이에 대한 자세한 기술이 되어 있지 않았다. 5. 연구결과의 적용 및 이에 대한 논의는 상당히 제한되어 있었는데, 수편의 연구만이 방법론 문제점과 앞으로의 연구분야에 대한 전망을 제시하였으며, 특이한 것은 어 떤 연구자도 이른 개발을 위한 적용 및 임상실무적 차원에서 간호에 대한 제언을 하지 않았다.

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A Case Study of Neurotic Depression (우울성 신경증 환자의 증례분석과 간호)

  • Lee, So-Woo
    • Journal of Korean Academy of Nursing
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    • v.5 no.2
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    • pp.51-73
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    • 1975
  • 인간은 누구나 자기 인생과정 중 우울한 때를 만날 수 있다. 실로 인생 그 자체가 참을 수 없는 우울의 연속인지도 모른다고 느끼는 사람도 있을 수 있다. 특히 대인관계의 실패나 인생목표의 좌절, 심지어 사소한 사건에서의 실망은 곧 잘 인간에게 여러 가지 감정반응을 일으킨다. 이는 정신건강이 건전한 사람에게는 문제가 될 수 없지만 신경증인 사람에게는 자신의 안정감을 보호하기 위해 현실과 환상의 세계에서 심각한 투쟁을 하고 있다. 그러므로 신경증적인 사람이 자신의 보호에 실패하였을때 불안이나 우울의 정도가 건강한 사람보다 그 농도가 짙게 되어진다고 말할 수 있다. 특히 신경증적 우울은 저하된 자기존중이나 자기의 무가치로 특징지어지며 여러 가지 신체증상도 있고 이러한 증상들은 독립성 강퇴나 죄의식 또는 흥미저하로 이끌어 종극에는 자살을 시도하려는 경향도 나타낸다. 바로 이리한 자살로까지 이끄는 우울의 현상이 저자로 하여금 증례를 찾아 연구해 보겠다는 의욕을 만들게 한 것이다. 이 증례에서 나타난 가정과 결론은 다음과 같다. \circled1 우울반응은 Separation파 loss의 한 반응이다. \circled2 연속된 긴장, 새로운 직장 또는 반복된 실직, 부모의 어린시절의 사별. 창녀생활. 새로운 문화의 적응모국어의 기억상실. 환자의 성격 그리고 환경 등이 우울로 이끌게 한 요인들이다. \circled3 자살은 개인의 양가감정을 나타내는 매우 복잡한 심리학적 반응이다. 즉 그것은 죽고싶은 비관적인 표현일수도 있고 동시에 살고싶은 욕망의 표현일수도 있다.

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A Study on the Work Stress and the Morale perceived in Psychiatric Nursing Assistants (정신간호조무요원의 업무스트레스 및 근무의욕에 관한 연구)

  • 박영숙;이경옥
    • Journal of Korean Academy of Nursing
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    • v.25 no.1
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    • pp.110-123
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    • 1995
  • This study was done to analyze the relationship between task stress and morale in psychiatric nursing assistants. The subjects were 118 psychiatric nursing assistants selected from the National Mental Hospital in Seoul and 18 non-medical mental institutions. The data were collected from October 22 to November 12, 1994. The instruments used for this study were modified PNOSS (Psychiatric Nurse Occupational Stress Scale) which was developed by Bai and modified the Morale scale which was developed by Oh. The confidence varification of these instruments were computed and Cronbach $\alpha$=.9255, .9260. Data were analyzed by t -test, ANOVA on 5% significant level and Pearson correlation coefficient. The results of the study are as follows : 1. The average work stress scores of subjects were 2.83. Among the work stress factors : the conflict with nurse was identified as the most stress factor. There was significant relationship between the degree of work stress and the variables of psychiatric Nursing Assistants such as the marital status, educational level, religion, job satisfaction, working place, predicted period of work. 2. Average total morale scores for the subjects was 3.08. There was a significant relationship between the degree of morale and variables of psychiatric nursing assistants such as working place, certification as a nursing assistant, job satisfaction, opportunity for practical education and predicted period of work. 3. There was a significant relationship between the degree of morale and work stress factors such as administration problem, work overload.

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Development and Effectiveness of the Interpersonal Caring Program for Young North Korean Defectors (탈북청소년을 위한 대인간호중재 프로그램의 개발 및 효과)

  • Choi, Jeong Im;Choi, Eun Joung
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.310-321
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    • 2020
  • Purpose: The purpose of this study is to evaluate the effectiveness of the interpersonal caring program for young North Korean defectors which we developed based on Kim's interpersonal caring technique. Methods: This study employs a non-equivalent control group pretest-posttest design. The subjects of this study are 36 young North Korean defectors living in three areas. The participants are recruited through alternative schools, churches, and acquaintances. The experimental group consists of 20 participants and the control group consists of 16 participants. Experiments are conducted by four days. Specifically, the experiments are conducted eight times and each takes about 120 minutes. Furthermore, we run the camp for two nights and three days. We test our hypothesis by using Kolmogorov-Smirnov, Independent t-test, Paired t-test, and Independent t-test. Results: All the test statistics support our hypotheses such as self-esteem (t=1.87, p=.035), mental health (t=-1.69, p=.049), interpersonal relationships (t=1.93, p=.031), and quality of life (t=1.88, p=.034). Conclusion: We found that the interpersonal caring program developed in this study is effective in improving North Korean defectors' self-esteem, mental health, interpersonal relationships, and quality of life.

The Structural Equation Model for Posttraumatic Growth of Firefighter: Based on the Calhoun and Tedeschi's model of posttraumatic growth (소방공무원의 외상 후 성장 구조모형: Calhoun과 Tedeschi의 외상 후 성장 모형을 중심으로)

  • Jeong, Yeo Ju;Jeon, Mi Yang
    • Research in Community and Public Health Nursing
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    • v.31 no.4
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    • pp.459-471
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    • 2020
  • Purpose: The purpose of this study is to construct and validate a posttraumatic growth structural model for firefighters based on Calhoun and Tedeschi's model (2006). Methods: The research data was collected from 200 firefighters working in Gyeongsang-do, Jeolla-do, and Gyeonggi-do. The participants completed an anonymous survey asking about ego-resilience, active coping, family support, organizational support, self-exposure, deliberate rumination, posstraumatic stress and posttraumatic growth. Results: The model selected as a final model was the one that supports 10 hypotheses out of 13 hypotheses. In the final model, deliberate rumination (β=.59, p<.001) had a significant effect in the posttraumatic growth of firefighters. Active coping, organizational support, self-exposure, ego-resilience and posttraumatic stress had a significant indirect effect. The explanatory power of these variables was 36.0%. Conclusion: The results of the survey show that it is important to develop a strategy to strengthen deliberate rumination. In addition, encouraging deliberate rumination through organizational support and self-exposure can promote posttraumatic growth of firefighters.

Middle-aged Female Workers' Predictors of Psychological Well-Being Based on the Relationship between Positive Psychological Capital, Job Stress, and Job Satisfaction (직장 중년여성의 긍정심리자본, 직무 스트레스와 직무만족이 심리적 웰빙에 미치는 예측 요인)

  • Kim, Ja-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.31 no.3
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    • pp.114-124
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    • 2022
  • Purpose: This study aimed to identify the predictors of psychological well-being in middle-aged female workers by examining the relationship between positive psychological capital, job stress, and job satisfaction. Methods: Data were collected from 145 middle-aged female workers. A self-report questionnaire was used to assess the level of positive psychological capital, job stress, job satisfaction, and psychological well-being. SPSS/WIN version 23.0 was employed for data analysis. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: The most significant predictors of psychological well-being in the participants were positive psychological capital, living standards, and hobby. These explained 39% of the variance for psychological well-being. Conclusion: We found that positive psychological capital, living standards, and hobby influenced the participants' psychological well-being. Therefore, to improve middle-aged female workers' psychological well-being, developing a program based on positive psychological capital management is necessary.

The Influence of Psychiatric Nurses' Positive Psychological Capital, Empathy Ability and Stress Coping Style on Their Compassion Fatigue (정신과 병동 간호사의 긍정심리자본, 공감능력, 스트레스 대처방식이 공감피로에 미치는 영향)

  • Bae, Eun Nyo;Lee, Yongmi
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.1
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    • pp.30-38
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    • 2023
  • Purpose: This study aimed to investigate the effect of positive psychological capital, empathy ability, and stress coping style on psychiatric ward nurses' compassion fatigue. Methods: Data were collected using structured questionnaires for 140 psychiatric ward nurses. The data were analyzed using t-test, one-way ANOVA, and hierarchical regression. Results: The variable predictors of compassion fatigue were as follows: positive psychological capital (β=-.35, p<.001), empathy ability (β=.32, p<.001), and passive coping (β=.25, p=.004). These factors explained 27% of compassion fatigue, and psychological capital was found to have the greatest influence among these variables. Conclusion: Positive psychological capital, empathy ability, and passive coping are important factors influencing nurses' compassion fatigue in psychiatric wards. It is necessary to develop interventions and appropriate coping styles that strengthen positive psychological capital to prevent and reduce nurses' compassion fatigue in psychiatric wards. In addition, it is necessary to identify the required level of empathy ability to maintain a therapeutic relationship.