• Journal of Korean Public Health Nursing
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• v.15 no.1
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• pp.56-72
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• 2001

Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

• Journal of Korean Public Health Nursing
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• v.29 no.1
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• pp.40-52
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• 2015

Purpose: This study examined the characteristics of preparation to perform activities of suicide prevention according to professional type. Methods: A structural survey was conducted from Dec. 10, 2012 to Jan. 4, 2013 for 355 participants working at suicide prevention institutions in S city. The data were analyzed in terms of frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 18.0. Results: Self-evaluation knowledge of characteristics was a significant distance depending on education and economic status. Participants were classified according to four groups based on professional type; public health nurse, social worker, fire officer, and administrative staff. Significant differences in experiences in suicide, the several items of self-evaluation knowledge, and the preparation to perform activities of suicide prevention were observed according to professional type (p<.05). Correlation among the experience, self-evaluation knowledge and preparation to perform activities of suicide prevention showed a positive correlation in public health nurse, social worker, and administrative staff (p<.05). In all professional types, the variable that predicted preparation to perform activities of suicide prevention was self-evaluation knowledge (p<.001). Conclusion: Tailor-made suicide prevention programs that affect changes in preparation to perform activities of suicide prevention should be developed by professional types.

• Journal of Korean Public Health Nursing
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• v.26 no.2
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• pp.268-279
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• 2012

Purpose: The purpose of this study was to compare and contrast health promoting behaviors, mental health, and quality of life between shift nurses and non-shift nurses and to evaluate factors influencing their quality of life. Method: Data were collected by questionnaires from 113 non-shift nurses and 265 shift nurses who had been working at one of five hospitals in Incheon for more than one year. Descriptive statistics, ANCOVA, logistic regression, and multiple regression were used in performance of data analysis. Results: For shift nurses' mean total scores for health promoting behaviors and quality of life were significantly lower than those for non-shift nurses'(p<.05). Result of logistic regression analyses indicated that marital status (OR=2.092, 95%CI=1.174-3.729) and quality of life (OR=3.397, 95%CI=1.694-6.812) were significant between shift nurses and non-shift nurses. Non-shift work, low stress, provision of health-welfare programs, high score for health promoting behavior, and good mental health status showed an association with better quality of life (explained 48.3% of variance). Conclusion: Educational, policy, and regulatory approaches are required in order to improve mental health and quality of life for nurses, which may be influenced by their unhealthy behaviors such as irregular dietary patterns, while provision of counseling programs may be helpful to enhancement of nurses' mental health.

• Research in Community and Public Health Nursing
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• v.7 no.2
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• pp.265-280
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• 1996

A cross-sectional, descriptive-correlational design was employed in this study. The main purpose of this study was to identify the relationship between female adolescents' mental health and their perception of family characteristics, such as family adaptability, family cohesion, family type, and family satisfaction, The theoretical rationale for this study is the 3-Dimensionl Circumplex Model that was formulated by Olson, et al. With respect to method, a structured questionnaire was employed to obtain the data. A total of 199 female students(high school second year) were recruited by convenience sampling. Data for this study were collected in October 1994 after a pilot study and pretest of the tools. The research tool used the following four self-report research types : Youth Self-Report (YSR) developed by Achenbach and Edelbrock, Family Adaptability & Cohesion Evaluation Scales (FACES) III, Family Satisfaction(FS) developed by Olson, et al. and a Demographic Data Sheet. The resulting data were processed using an SPSS PC for a Pearson prod uct-moment correlation coefficient, ANOVA. A linear relationship were found between female students' mental health and their perceived family cohesion(r=-.2237, p<.001), and family satisfaction(r=-.3951, p<.001), but no significant correlations was found between female students' mental health and their perceived adaptability. These findings demonstrated that family cohesion, family type, and family satisfaction were more powerful predictors than family adaptability. This study contributes to nursing practice by demonstrating the usefulness of YSR to differentiate deviant behavior in youth and also by providing nursing interventions designed to promote female mental health.

• Journal of Korean Public Health Nursing
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• v.30 no.2
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• pp.195-205
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• 2016

Purpose: This study is to compare the difference in status between elderly individuals with and without a spouse. Methods: The study is based on the Fifth Korean National Health and Nutrition Examination Survey(KNHAENS), between 2010 and 2012. Subjects were over the age of 65 years who participated in the survey. Chi-square test and logistic regression of complex sampling design of the KNHAENS and used the survey analysis method by SPSS (version 18). Results: Sleep time of female elders living alone was the shortest which was 2.59 times that of male elders living with a spouse. Stress awareness of female elders living with a spouse was the highest, which was 3.21 times that of male elders living with a spouse. Depression was the highest in female elders living alone, which was 2.26 times that of male elders living with a spouse. Suicidal idea was the strongest in female elders living alone, which was 2.87 times that of male elders living alone. Conclusion: Female elders living alone were weakest in regards to socio-economical aspect with the highest rate of poverty, low educational status, and unemployment. The mental health status of females was worse than that of males. In particular, the mental health status of females living alone was the worst.

• Journal of East-West Nursing Research
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• v.20 no.2
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• pp.93-102
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• 2014

Purpose: This study aimed to investigate the characteristics of patients attempting suicide and to analyze treatment determination factors for patients with mental illness who go to an emergency center for treatment. Methods: Data collected from 117 suicide attempters who visited Busan Regional Emergency Medical Center were analyzed using frequency, percentage, ${\chi}^2$-test with SPSS/WIN 15.0. Results: Only 31 cases consulted with the psychiatric department; the other attempters' refused to consult (26.5%). Among the 31 attempters who consulted, 23 cases (74.2%) were suffering from depression. The most common reason (38.6%) suicidal attempters gave to refuse psychiatric treatment was "I'm not mad. I don't need the psychiatric treatment". Treatment determination factors for mental illness were religion (p<.001), past history (p=.017), financial satisfaction (p=.048), previous history of suicidal attempts (p=.006), sleep disturbance (p<.001), expression of suicide (p=.010), and type of leaving the emergency room (p=.020, p<.001). Conclusion: Results suggest that people frequently misunderstand psychiatric treatment which leads to their refusal to accept psychiatric treatment. Therefore hospitals need to develop standard guidelines and procedures for suicidal attempters with the collaboration of emergency and psychiatry departments. In addition, medical teams need to provide attempters appropriate information and encourage them to actively seek psychiatric treatment.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.240-250
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• 2006

Purpose: This study examined the effects of spirituality promoting intervention for the stomach and colon cancer patients. Method: A quasi- experimental design was used. Data collection was carried out from April 2004 to June, 2004 at a cancer center in Korea. The intervention included pray, meditation, group education and discussion for coping with cancer. The experimental group were received a 1-hour intervention per week for 6 weeks, while the control group received usual care. Data collection was done at pre and post intervention. The degree of spirituality was measured by the Korean version of WHOQOL-SRPB pilot test(WHO Quality of Life-Spirituality, Religiousness and Personal Beliefs pilot test) Module, and social support was measured using scores on a PRQ 85(Personal Resources Questionnaire). Fighting spirit was measured by the scores of MAC(Mental Adjustment to Cancer) scale. Results: The experimental group showed significant increase in the scores of social support and fighting spirit compared to those in the control group after the intervention. There were no significant changes in terms of the spirituality score compared to the baseline score in the experimental group and the control group. Conclusion: This intervention appeared to be effective in increasing social support and fighting spirit, which considered to be very helpful in cancer adjustment.

• Korean Journal of Occupational Health Nursing
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• v.21 no.3
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• pp.221-228
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• 2012

Purpose: The purpose of this study was to identify the degree of satisfaction of part-time work of the mentally disabled and the factors affecting their job satisfaction. Methods: The subjects of this study were 106 part-time workers with mental illness in the city of B and Y. The data were collected from February 1, 2012 to May 30, 2012 using self-report questionnaires including the measurement scales of job satisfaction, family support, work volition and the degree of satisfaction with work environment. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The mean of score for job satisfaction was $61.8{\pm}13.84$. Job satisfaction was highly related to family support, work environment and work volition. The associated factor of the subjects job satisfaction were family support, work environment, work volition, and the period of employment. The combination of these four factors showed an explanation for job satisfaction at the rate of 80.2%. Conclusion: The results imply that job satisfaction needs to be increased for the job continuity of employees with mental illness. In addition to this, work environment, work volition and family support should first be improved for the increase of job satisfaction.

• Research in Community and Public Health Nursing
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• v.8 no.2
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• pp.289-303
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• 1997

This study analyzes the relations between perceived family characteristics, experienced abuse and mental health in childhood. For this, this study used row data by questionnaire, analysis, and frequency, ANOVA, t - Test, Pearson' correlation analysis. The sample was 118 children 10-12 years old in primary school. The findings are as follows. First, children perceived family cohesion and family adaptability highly, family adaptability showed a significant difference from the relations with a parent's job, a parent's academic level, and type of residence. Second, it appeared that some children experienced physical, emotional, and sexual abuse. Third, in general the mental health of children was good. Their mental health showed a significant relation to economic level of family, and type of residence, creating problems such as depression, anxiety, phobic anxiety, psychoticism. By family size, their mental health showed a significant relation to somatization, interpersonal sensitivity, depression, hostility, phobic anxiety, paranoid ideation, and psychoticism, Fourth, family cohesion and mental health perceived by children supported a linear relation to phobic anxiety, and family adaptability and mental health perceived by children supported the reverse -linear relation to somatization, anxiety, paranoid ideation, etc. Fifth, connections with perceived abuse and mental health as well as emotional abuse and mental health were also supported. Further more, on somatization, interpersonal sensitivity, depression, hostility, phobic anxiety, paranoid ideation, psychoticism, etc, a reverse-linear re lation existed. Physical abuse supported a reverse-linear relation with interpersonal sensitivity, depression, paranoid ideation, etc. and sexual abuse supported a reverse-linear relation with depression. These findings suggest that school and family have to concern themselves with the mental health of children because experienced abuse and family characteristics do indeed affect the mental health of children.

• Research in Community and Public Health Nursing
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• v.31 no.3
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• pp.244-255
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• 2020

Purpose: As the daily life experiences of community-dwelling people with mental disabilities are closely correlated to mental health recovery, this study aimed to analyze their daily life experiences in depth to determine their significance. Method: Participants included eight community-dwelling people with mental disabilities. A total of 12 in-depth interviews were conducted once or twice per participant. The collected data were analyzed using the phenomenological analysis method described by Giorgi. Results: The daily life experiences of community-dwelling people with mental disabilities were categorized into the following four components: "encountering shocking reality in the outside world", "life tied down by the mental illness", "happiness and gratefulness encountered in daily life", and "wishing for a change and self-sustaining life". Conclusion: This study found that the recovery and welfare of community-dwelling people with mental disabilities were promoted and that these patients made necessary efforts to become a member of the local community. These findings could be used as a reference for establishing social welfare policies which enable people with mental disabilities to participate as functioning members of the community that facilitate the prevention of relapse, to promote their integration into the community. Furthermore, the present results will contribute to the development of nursing intervention programs to promote recovery and prevent relapse, to ultimately establish a mental health management system.