• Title/Summary/Keyword: 정신간호학

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The Effects of an Insight-oriented Nursing Program on Schizophrenic Patients' Insight, Positive and Negative Syndromes, and Depression (병식-지향 간호프로그램이 정신분열병 환자의 병식, 양성.음성증상, 우울에 미치는 효과)

  • An, Hyo-Ja
    • Journal of Korean Academy of Nursing
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    • v.37 no.4
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    • pp.510-518
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    • 2007
  • Purpose: This study examined the effects of an insight-oriented nursing program on schizophrenic patients' insight, positive and negative syndromes, and depression. Method: A non-equivalent control group non-synchronized design was utilized. For this research, a total of 34 subjects were selected at a psychiatric hospital in Daegu during the period ranging from Oct. 1st, 2005 to Feb. 11th, 2006 (experimental group=17, control group=17). Result: After the treatment, between the experimental and control groups, there wasa significant difference in the level of SUMD(t=-4.52, p=.000) and positive syndrome(t=6.97, p=.013), but no significant difference in the negative syndrome(t=-1.81, p=.079) and depression(t=2.23, p=.145). Conclusion: The results of this study show that the insight-oriented nursing program works well for schizophrenic patients. Therefore, it is recommended that this program should be used in clinical practice as an effective nursing intervention for schizophrenic patients.

Job Satisfaction of Psychiatric and Community Mental Health Nurses in Community Mental Health Centers (정신보건센터에 근무하는 정신보건간호사의 직무만족도)

  • You, Kwangza;Lee, Kyunghee
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.2
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    • pp.108-115
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    • 2012
  • Purpose: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. Methods: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. Results: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (${\beta}$=.46, p<.001), self-esteem (${\beta}$=.35, p<.001), leadership (${\beta}$= .27, p<.001), career as a PCMHNP (${\beta}$=-.12, p<.007), job-related characteristics (${\beta}$=.11, p<.24), and career as a nurse in community mental health center (${\beta}$=.09. p<.045). These factors explained 70.3% of the total variance. Conclusion: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

Recovery of People Living with Mental Illness: A Concept Analysis (정신질환의 회복[Recovery] 개념분석)

  • Yeu, Ki-Dong;Bernstein, Kun-Sook;Lee, Mi-Hyoung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.19 no.1
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    • pp.46-54
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    • 2012
  • Purpose: The purpose of this study is to analyze the concept of recovery in relation to those living with mental illness and provide a better understanding to the definition, perspectives, and paradigm of recovery in phenomenon, as a conceptual knowledge. Methods: A literature review was conducted to define the concept of recovery from a mental illness by using key words, "recovery", "mental health and illness", "concept analysis" and "recovery-oriented nursing", and searching the Cumulative Index to Nursing and Allied Health Literature, PubMed, Cochrane library and RISS4U database. Concept analysis of recovery was done, by using the Walker and Avant's framework of concept analysis. Results: Attributes of recovery for those living with mental illness included regain, life reconstruction, hope, adjustment, and health. Antecedents of recovery from mental illness included instilling hope, recovery vision, belief, peer support, recovery-oriented services, empowerment, personal accountability, education, human rights and culture. The consequences, as meanings of recovery included self-esteem, hopeful life, positive adjustment, and healthy life. Conclusion: Concept of recovery is important for a nurse to understand when caring for a person living with mental illness. This concept of recovery from mental illness may apply to future studies to develop a recovery-oriented nursing intervention.

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Influences of Professional Autonomy, Communication Competency on Job Satisfaction of Psychiatric Nurses (정신간호사의 전문직 자율성과 의사소통능력이 직무만족도에 미치는 영향)

  • Park, Soyoung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.3
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    • pp.232-239
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    • 2018
  • Purpose: The aim of this study was to investigate the influences of professional autonomy and communication competency on the job satisfaction of psychiatric nurses. Methods: Participants were 141 psychiatric nurses working in psychiatric departments in 5 provincial hospitals. The questionnaire was composed of a total of 88 questions: general characteristics of participants (12 items), professional autonomy (30 questions), communication competency (15 questions), job satisfaction (30 questions). Data were collected and analyzed using t-tests, ANOVA, Pearson's correlation coefficients, and Multiple regression analysis with SPSS/WIN 24.0. Results: Job Satisfaction had significant positive correlations with both professional autonomy (r=.18, p<.001) and communication competency (r=.32, p<.001). These variables explained 24.3% of the variance in psychiatric nurses' job satisfaction. Conclusion: Thease findings indicate that professional autonomy and communication competency are important variables influencing job satisfaction for psychiatric nurses. Development and provision of intervention programs to increase professional autonomy and communication competency will help to increase psychiatric nurses' job satisfaction.

Effect of Heath behavior, Physical health and Mental health on Heath-related Quality of Life in Middle aged Women : By using the 2014 Korea Health Panel Data (건강행위와 신체건강 및 정신건강이 중년여성의 건강관련 삶의 질에 미치는 영향 : 2014년 한국의료패널 자료 이용)

  • Kim, Min A;Choi, So Eun;Moon, Ji Hyun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.1
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    • pp.72-80
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    • 2019
  • Purpose: This study aimed to measure health-related quality of life (HRQoL) and investigate the relevant factors for middle aged women using the 2014 Korea Health Panel data. Methods: The Korea Health Panel data 2014 were collected from February to August 2014 by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation and included 2,075 people who responded to the questionnaire. Using SPSS WIN program, the data were analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Limited activity was the most influential factor for the health-related quality of life of middle-aged women. For health behavior, the factors affecting HRQoL were drinking, sleeping time, and physical activity. For physical health, factors affecting HRQoL were vision problems, eating problems, and hearing problems. For mental health, the factors affecting HRQoL were suicidal impulse, stress, and frustration. Conclusion: These results indicated that to improve HRQoL for middle-aged women, limited activity and suicidal impulses should be addressed.

Patients' and Family Caregivers' Perception on Recovery from Mental Illness: "An Ongoing and Steady Change Together" (정신질환 회복에 대한 환자와 가족의 인식: "함께하는 지속적이고 꾸준한 변화")

  • Nam, Kyoung A;Jin, Juhye
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.3
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    • pp.344-355
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    • 2020
  • Purpose: Recovery has a growing influence on policy for individuals with mental illness and their families. This study was designed to examine the meaning of recovery from the perspectives of community-dwelling patients with mental illness and their families. Methods: Using a descriptive qualitative approach, in-depth, face-to-face interviews were conducted on 24 adults (14 patients with mental illness and 10 family members). All interviews were audiotaped, transcribed and analyzed using thematic analysis. Results: The findings showed that recovery for the patients with mental illness suggested gradual changes by individual will and self-awareness, the relationship with both their family and self-help group, and the support of a therapeutic environment. Seven primary themes emerged from the analysis: improving insight on illness, strong will toward hope, discovering changed myself, helping each other together, gradual influence of positivity, being oriented to a therapeutic setting, and recognizing of home as a calm place. Conclusion: The findings of this study revealed that based on the conceptual elements of recovery of the patients with mental illness and their families, we expect to improve the systematic, comprehensive, and quality mental health services.

Predictors for Aggressive Behavior of Patients with Mental Illness in a Closed Psychiatric Ward using Zero-Inflated Poisson Regression: A Retrospective Study (영과잉포아송회귀분석을 활용한 안정병동에 입원한 정신질환자의 공격행동 예측요인)

  • Kim, Jung Ho;Shin, Sung Hee
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.160-169
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    • 2022
  • Purpose: This study was conducted to identify predictors related to aggressive behavior of patients with mental illness admitted to a closed psychiatric ward. Methods: This study adopted a retrospective design which analyzed the hospital medical records of 363 patients with mental illness admitted to the psychiatric closed ward of a university hospital in Seoul, Korea. The collected data were analyzed using SPSS IBM 20.0 and STATA 12.0 SE. ZIP (Zero-Inflated Poisson) and count data analysis were used for the factor influencing the occurrence and frequency of aggressive behavior. Results: The results of ZIP model showed that the factors influencing non-probability of aggressive behavior were anxiety, non-adherence, and frustration. In addition, the factors influencing frequency of aggressive behavior were bipolar disorder and personality disorder trait. Conclusion: We found that bipolar disorder, frustration, and non-adherence are more likely to increase the likelihood of aggressive behavior in patients with mental illness. In particular, patients diagnosed with bipolar disorder were 1.95 times more likely to engage in repetitive aggressive behavior compared to those without a diagnose. However, since the results were different form previous studies, further studies on the traits of anxiety and personality disorders are needed.

Practice of Quarantine Rules and Psycho-Social Health of the Elderly in Rural Areas during the COVID-19 pandemic (코로나19 팬데믹 상황에서 농촌 노인의 방역수칙 실천과 정신적 건강)

  • Kwon, Myung Soon;Jang, Ji Hye;Heo, Yeon Jeong
    • Journal of Korean Academy of Rural Health Nursing
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    • v.19 no.1
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    • pp.12-24
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    • 2024
  • Purpose: This study examines the levels of adherence to quarantine guidelines, mental health, and instrumental activities of daily living among elderly individuals during the COVID-19 pandemic, and to identify correlations among these variables. Methods: A survey was conducted from February 28, 2023, to May 19, 2023, among 210 elderly individuals aged 65 and above residing in rural areas. The relationships among adherence to quarantine guidelines, mental health, and instrumental activities of daily living were tested using Pearson's correlation coefficients. Results: Loneliness was positively correlated with subdomains, including familial loneliness, social loneliness, and a sense of belonging, whereas depression was significantly negatively correlated with adherence to quarantine guidelines(cough etiquette, ventilation, mask wearing, and environmental disinfection) and rules of social distancing. Conclusion: Analyzing the various factors influencing adherence to quarantine guidelines among the elderly and developing and implementing intervention programs are essential for future research.

Job Retention Process among Working People with Mental Illness: A Grounded Theory Approach (취업 정신장애인의 직업 유지 과정: 근거이론적용)

  • Hyun, Myung Sun;Nam, Kyoung A;Kim, Hyunlye;Kim, Su Young
    • Journal of Korean Academy of Nursing
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    • v.51 no.3
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    • pp.320-333
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    • 2021
  • Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.

Effects of Group Tai Chi Exercise Prograam on Body Mass Index(BMI), Positive and Negative Psychiatric Symptoms in Patient with Schizophrenia (타이치 운동프로그램이 정신분열병 환자의 신체질량지수와 양성 및 음성 정신 증상에 미치는 효과)

  • Kwon, Yun-Hee;Kwag, Oh-Gye
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.2
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    • pp.129-135
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    • 2011
  • Purpose: This study was done to examine the effects of Tai Chi exercise program on BMI, positive and negative psychiatric symptoms in patient with schizophrenia. Methods: The participants were patient with schizophrenia in S psychiatric hospital in D city. Twenty five patients were assigned to experimental group, and 26 patients were assigned to control group. Data were collected from May 9, to July 8, 2011. The Tai Chi exercise program was conducted with a duration of 60 minutes, 2 times a week for 8 weeks (a total 8 times). Measures were BMI, positive and negative psychiatric symptoms. Data were analyzed using descriptive statistics, chi-square test and t-test with SPSS/WIN 19.0 version. Result: The experimental group received Tai Chi exercise program had a significant changes in BMI, positive and negative psychiatric symptoms. Conclusion: The results of this study indicate that Tai Chi exercise program is an effective intervention program to improve the BMI, positive and negative psychiatric symptoms of patients with schizophrenia.