• Title/Summary/Keyword: 정신간호학

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The Effect of Clinical Experience for Psychiatric Nursing on Urinary 17-Ketosteroid(KS) and 17-Hydroxycorticosteroid(OHCS) of the Student (간호학생의 정신간호학 실습이 요중 17-Ketosteroid(KS), 17-Hydroxycorticosteroid(OHCS)에 미치는 영향)

  • Na, Hyun-Ju
    • Journal of Korean Biological Nursing Science
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    • v.2 no.1
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    • pp.85-93
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    • 2000
  • The purpose of this study is to determine the effect of the first experience of the clinical experience for psychiatric nursing on the urinary 17-ketosteroid (KS) and 17-hydroxycorticosteroid (OHCS) of the nursing students. We analyzed the urine of fifteen students on curriculum who were students of D college in K city, compared with the control. In terms of 17-KS, at the end (4 PM) of the first day (p=0.001) and the last day (p=0.003), there was statistically significant difference between the control and the experimental group. In terms of 17-OHCS, at the end of the first day, there was statistically significant difference between the control and the experimental group (p=0.005), and between at the beginning (8 AM) and at the end during the clinical experience (p=0.035). At the last day, also, there was significant difference on the statistics between at the beginning and at the end in both the control (p=0.018) and the experimental group (p=0.004). In conclusion, 17-KS and 17-OHCS may be used as a indicator of the amount of stress to improve the educational environment for the students.

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Converging Influence of Empathy and Prejudice against Mental Illness on Discriminatory Behavior toward the Mentally Illness Patients in the Nursing Students (간호대학생의 공감능력과 정신질환에 대한 편견이 정신질환자에 대한 차별행동에 미치는 융합적 영향)

  • Moon, Weon-Hee;Kwon, Myoungjin;Kim, Young-Hee
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.81-88
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    • 2016
  • This study is descriptive correlational research to analyze converging influence of empathy and prejudice on discriminatory behavior toward the mentally illness patients in the nursing students. Research objects are 175 students of department of nursing and who understand purpose of this study and agree with participate in this study. Collected Data were analyzed t-test, ANOVA, Pearson's correlation coefficient, Linear Regression by IBM SPSS 21.0 program. As a result empathy increased prejudice and discriminatory behavior on mentally illness patients was reduced. And prejudice against mentally illness patients was increased discriminatory behavior. In addition, factors that affect the discriminatory behavior of the mentally illness patients are gender, prejudice and empathy. In order to reduce prejudice and discriminatory behavior on mentally illness patients of nursing college students suggest that brief training program and the need for promoting empathy in the nursing curriculum.

Factors Influencing on Mental Health of Adults Who Have Experienced Bereavement (사별을 경험한 성인의 정신건강 영향요인)

  • Gang, Moonhee;Kim, Sun Hee
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.28 no.2
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    • pp.156-164
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    • 2019
  • Purpose: The aim of this study was to identify factors influencing on the mental health in bereaved adults. Methods: A descriptive and correlational study was conducted in 160 adults who had experienced bereavement. The collected data was analyzed using descriptive statistics, Pearson's correlation, and hierarchical multiple linear regression analyses with SPSS 26.0. Results: The participants' mental health showed a positive correlation with complicated grief (r=.31, p<.001) and a negative correlation with grief and meaning reconstruction (r=-.30, p<.001). Sex, sleeping time, intimacy with the deceased, grief reaction, and grief and meaning reconstruction were significant factors influencing on the mental health. The total explanatory power of these variables was 31.8%. Conclusion: It is necessary to explore the persistent and impairing grief after experiencing bereavement. Our study findings will be fundamental evidence to develop nursing interventions to improve adult mental health dealing with bereavement and grief.

A Study on the Experience of Nursing Student's Clinical Education in School Practice: Focused on Psychiatric Nursing Practice (간호대학생의 임상실습 교과의 교내실습 경험연구: 정신간호학 실습을 중심으로)

  • Kim, Hyeun-sil;Kim, Eun-mi;Lee, Dong-suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.169-178
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    • 2021
  • This study is a qualitative study to explore the experiences of nursing students' psychological nursing practice in-school. The subjects of this study were 62 students who were the 3rd grade nursing students at a University in Gangwon-do. The data were collected from August 3rd to August 20th, 2020. For data analysis, Colaizzi's qualitative analysis method was applied. Six categories were derived from data analysis: 1) Lingering affection for clinical practice in field. 2) Achievement through learning 3) Fear of nurse's role in future 4) Burden for many tasks 5) Feeling free of stress from clinical practice in field 6) Importance of cooperation with other departments. The positive aspects of in-school practice education, which from nursing students' evaluation, were immediate feedback, detailed explanations, and indirect experiences. Based on this study result, it is recommended to develop in-school nursing practice education program for gap-reducing with clinical practice. It would be consisted of various contents: simulation, online/non-face-to-face practice, face-to-face practice for indirect experience. In addition, these multi-aspect effort is needed more in psychological nursing practice education to reduce the gap with clinical practice such as therapeutic communication and hallucination interventions.

Mental Health and Physical Health by College Students' Smartphone Addiction (대학생 스마트폰 중독에 따른 정신건강과 신체건강)

  • Yun, Hun Seo;Kwon, Myung Soon;Yu, Jeong Soon
    • Journal of Korean Public Health Nursing
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    • v.32 no.3
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    • pp.411-423
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    • 2018
  • Purpose: This study was to form a healthy smartphone culture and serve as basic materials for developing smartphone addiction intervention program by understanding mental health and physical health of college students caused by smartphone addiction. Methods: The data collected from 261 college students at G and S city universities who understood the purpose of this study and consented to take part in the study were analyzed on mean, standard deviation, frequency, Chi square test and t-test using SPSS 20.0. Results: The result showed that the level of smartphone addiction was significantly different according to gender, age, type of college, satisfaction with college life and satisfaction with family life. The smartphone addiction risk group showed higher score in life stress, depression, social avoidance and distress than the general user group and the physical health was also higher in the risk group than the general user group. Conclusion: It is necessary to develop and apply customized intervention plan per each person's characteristics and level of addiction to prevent addiction and improve health condition from overuse of smartphone.

Exploring Decision-Making Factors of Psychiatric Nurses in the Application of Seclusion and Restraint: Applying Focus Group Interviews (정신간호사의 격리·강박 적용에 대한 의사결정 요인 탐색: 포커스 그룹 인터뷰 적용)

  • Park, Kyung Hwan;Jang, Mi Heui
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.380-393
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    • 2018
  • Purpose: The purpose of this study was to explore psychiatric nurses' decision making in the use of seclusion and restraint (SR). Methods: Data were collected using focus group interviews. Two focus group interviews were held with a total of 10 psychiatric nurse participants. All interviews were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: Eleven categories emerged from three main themes. All the themes describe factors that participants took into account when deciding whether to implement SR: 1) Personal factors area: 'Personal attributes of nurses,' 'Attitude of nurses regarding SR,' 'Nurses' physical and emotional states,' 'Negative experiences of nurses related to SR'; 2) Relational factors area: 'The level of cooperation between nurses and doctors,' 'Role models created by seniors and colleagues,' 'The level of support by nursing assistants,' 'Therapeutic relations with patients'; and 3) Environmental factors area: 'Poor nursing work environment,' 'Atmosphere of ward regarding SR,' and 'Social atmosphere to raise alarm about SR.' Conclusion: These findings should be considered in the evaluation of the use of SR in psychiatric hospital settings and appropriate strategies used to help minimize the use of restraint.

Literature Review of Therapeutic Milieu of Psychiatric Patient and Suggestion for Changing Environment of Psychiatric Wards in Korea (치료적 환경에 대한 문헌적 고찰 및 정신과병동 환경변화에 대한 몇가지 제언)

  • Lee, So-Woo
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.80-90
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    • 1976
  • 정신과 영역의 환자를 위해 간호원의 역활을 필요로 한 이래 여러 가지 간호의 개념으로 간호원의 역할이 변화되어오고 있다. 정신과 환자의 안전만이 가장 큰 치료의 중심일 때는 병동열쇠의 위엄에 곁따라 보호관리에만 치중해 왔으며 정신의학에서 약물요법, 전기요법의 치료과정이 생기면서 간호원의 역할 변화 및 지식의 요구를 필요로 하게 되었으며, 환경과 개인의 밀접한 관계를 중시해오면서 치료적 환경속으로 환자의 인간적 치료가 강조되었을 때 의사소통과 대인관계의 인적 환경으로써 또한 간호원의 역활이 중요시 되어왔다. 이런 관점에서 치료적 환경에 대한 정확한 이해는 간호행위과정의 불완전을 제거하며 보다 활발한 정신과 환자간호에 기여하는 일 일 것이다. DR. Bartom은 병실 환경이 비생산적이고 비 치료적일때 성격의 변화는 물론 행동적 특성의 변화까지 가져올 수 있다고 말했다. 즉 무감동적이고, 무조건적 순종이 있으며 솔선하여 행하는 행위가 줄고 장래 계획에 대한 자극이 줄어들고 될대로 되어 가는 상태 그 자체에 머물러 있어 인간의 특징적 의미와 가치를 상실하게 된다는 것이다. 정신과 병실은 잠정적 체류지로 보아야 하겠고 이 체류지에서의 영향이 환자에게 보다 유익하게 끼칠려면 간호원이 지속적으로 치료적 분위기를 유지해야 할 것이다. 치료적 입장으로서의 간호의 활동 초점은 대인관계에서 환자의 의식수준과 자아관련 수준에서의 취급이 무의식 수준에서의 탐구조사보다 바람직하다. 치료적 가치로써 치료적 환경의 이론적 근거를 DR. Sullivan 은 인간의 상호관련 문제에 두고 있다. 즉 상호작용이 존재하는 환경은 어떠한 곳이든 성격에 영향이 있고 이 성격은 대인관계의 복잡성으로부터 결코 떨어질 수 없다는 얘기다. 자아구성 또한 환경의 영향을 받는데 Cumming은 병동환경과 자아구성 재동기간에 밀접성을 시사한바 있다. Visher와 O'sullivan은 정신과적 치료중에서 일상생활에서 경험되어지는 의사소통과 대인관계속에서 학습되어지는 여러 가지가 있기 때문에 매일의 활동획이 치료적 방향으로 계획되어 져야 한다고 말했다. Maxwell Jones 또한 치료적 환경의 유용한 가동은 전 직원의 기여에 있으며 이는 정신건강을 최적으로 올려 줄 것이다. 라고 말했다. 이러한 상황에서 간호원은 의미 없이 환자의 감정 욕구를 깨닫지 못하고 감정지지를 주지 못하며 정서적 긴장을 예방하지 못한 체 환자와의 관계를 유지한다면 현대간호의 개념에서 이탈되어지고 발달되어지지 못한 미숙아 현상이 유지 될 것이다. 보다 바람직한 치료적 환경 유지는 간호로써 환자에게 기여해 주는 일이다. 간호의 역활과 더불어 전문적 태도는 따뜻하고 포용성 있게 그리고 융통성 있게 대함은 물론 간호인 자신의 "자기이용"을 깊이 그리고 치료적으로 이용할 것을 깨달아야 할 것이다. 즉 정신과 병실에서의 간호원 존재 자제가 환자에게 미치는 영향도 고려해야 한다는 것이다. 덧붙여 환자를 위한 일주일 병동 행사표를 Model로 제시하였고 그 안에서의 간호원의 역활을 약술하였다.

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