• Title/Summary/Keyword: 정신간호학

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The Effects of a Recovery Education Program on Rehabilitation Motivation, Symptoms, and Function for Schizophrenic Patients (재기교육 프로그램이 정신분열병 환자의 재활동기, 증상 및 기능에 미치는 영향)

  • Kim Yi-Young;Park Hyun-Sook;Park Kyung-Min
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.542-550
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    • 2006
  • Purpose: This study investigated the effects of a recovery education program on rehabilitation motivation, symptoms, and function for schizophrenic patients. Method: The study employed a quasi-experimental design. Participants for the study were 27 patients with schizophrenia, 14 in the experimental group and the other 13 in the control group. Data were analyzed by using the SPSS/WIN 11.5 program with Fisher's exact test, t-test, and Repeated measures ANOVA. Results: After a 7 week intervention, participants in the recovery education program group reported increased rehabilitation motivation and function scores, which was significantly different from those in the control group. Conclusion: A recovery education program was effective improving rehabilitation motivation and function for schizophrenic patients. Therefore, this program is recommended as a rehabilitation strategy for schizophrenic patients.

A Study on the Effect of the Hand Acupuncture on IBS-affected College Women's Bowel Symptoms and Psychologic Health (수지침이 과민성 장 증후군 여대생의 장 증상과 정신건강에 미치는 효과)

  • Yang, Kyung Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.802-812
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    • 2005
  • Purpose: to determine the effects of hand acupuncture on IBS-affected college women's bowel symptoms and psychologic health by applying the therapy to them. Method: The researcher sampled the nursing student attending a college of nursing science in Seoul and checked if they were affected by IBS in reference to the Rome II Criteria. Students were classified into a experimental group(21 subjects) and a control group(19 subjects). Hand acupuncture was applied to the experimental group 8 rounds for 4 weeks; each round lasted 30 minutes. Data were collected for 8 weeks from October 11 to December 1, 2004. The collected data were analyzed using the SPSS 12.0 program. Result: After the therapy, frequency(p=.005), distress(p=.001) and disability (p=.000) associated IBS bowel symptom and anxiety were significantly lowered in the experimental group(p=.026). Conclusions: It was confirmed through this study that the hand acupuncture would be effective in relieving IBS bowel symptoms and anxiety.

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Effects of Board Game Therapy on Executive Function in Hospitalized Patients with Chronic Schizophrenia (보드게임요법이 만성 정신분열병 환자의 실행능력에 미치는 효과)

  • Jeong, An-Soon
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.18 no.1
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    • pp.40-47
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    • 2011
  • Purpose: This study investigated changes in neurocognitive function over a 2-month period of board game therapy in patients with schizophrenia. Method: Twenty-one schizophrenic patients treated with board game therapy and nineteen control schizophrenic patients were evaluated with neuropsychological and clinical tests, such as the Wisconsin Card Shorting Test (WCST). The same tests were re-administered after 2 months of board game therapy. Results: At the first series of neuropsychological tests, no difference was seen in performance, demographical aspects, or clinical severity among both patient groups. After 2 months, the group receiving board game therapy showed significant improvement of WCST performances compared to the controls. However, no difference was observed in clinical symptoms between the groups. Conclusion: The results of cognitive enhancement in patients playing board games indicates that board game play, easily used in an inpatient setting, is a promising tool for executive function improvement in chronic schizophrenic patients.

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Relationships between Perceived Stress, Mental Health, and Social Support in Community Residents (일 도시지역 주민의 스트레스 지각, 정신건강 및 사회적 지지)

  • Kim, Pan-Hee;Kim, Hee-Sook
    • Journal of Korean Public Health Nursing
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    • v.24 no.2
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    • pp.197-210
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    • 2010
  • Purpose: The study investigated the relationships among perceived stress, mental health, and social support in community residents. Method: A self-reporting questionnaire was completed by 302 community residents aged 19-64-years-of-age from October 7 to November 30, 2008. Assessment tools were an The established perceived stress scale, standardized mental health scale, and established social support scale. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffe's test, and Pearson's correlation coefficient using the SPSS WIN 12.0 program. Result: Significantly negative correlations were evident between perceived stress and social support, and between social support and mental health. But, there was a significantly positive correlation between perceived stress and mental health. Conclusion: It is necessary to develop a strategy to decrease perceived stress, improve mental health, and increase social support for community residents.

Human Rights Sensitivity, Advocacy Attitudes, and Advocacy Interventions for Mentally Disabled People in Psychiatric Nurses and Nursing Students (정신간호사와 간호대학생의 인권감수성, 정신장애인에 대한 옹호태도와 옹호개입)

  • Chung, Myung-Sill;Lim, Kyung-Choon;Ko, Jain
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.3
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    • pp.309-318
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    • 2017
  • Purpose: This study aimed to verify the relationship between human rights sensitivity, advocacy attitudes, and advocacy interventions for mentally disabled people in psychiatric nurses and nursing students. Methods: This is a descriptive study. Using questionnaires, data were collected from 206 participants who were recruited from one mental health institute, one general hospital, and one university in S city. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient using SPSS/WIN 22. Results: The mean age was $33.8{\pm}12.89$. The mean scores of human rights sensitivity, advocacy attitudes, and advocacy intervention was $37.7{\pm}18.09$, $53.7{\pm}5.67$, and $47.4{\pm}7.08$, respectively. Human rights sensitivity correlated significantly with advocacy attitudes (r=.25, p=.020) and advocacy intervention (r=.17, p=.015). Also, there was a significant positive correlation between advocacy attitudes and advocacy intervention (r=.44, p<.001). Conclusion: These findings highlight that advocacy attitudes and advocacy interventions for mentally disabled people could be improved by increasing human rights sensitivity. Tailored education programs will be effective in the field of mental health care services to increase human rights sensitivity.

Effect of Digital Health Interventions on Psychotic Symptoms among Persons with Severe Mental Illness in Community: A Systematic Review and Meta-Analysis (디지털 헬스 중재가 지역사회 중증정신질환자의 정신병적 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Oh, Eunjin;Gang, Moonhee
    • Journal of Korean Academy of Nursing
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    • v.53 no.1
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    • pp.69-86
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    • 2023
  • Purpose: This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community. Methods: A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis. Results: A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11). Conclusion: These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

The Effects of Psychosocial Rehabilitation Programs on the Levels of Self-Efficacy for Mentally Disabled Persons (정신사회재활서비스가 정신장애인의 자기효능감에 미치는 영향)

  • Park, Hyun-Sook;Bae, Sung-Woo;Kim, Yi-Young
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.704-711
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    • 2008
  • Purpose: This study investigated the effects of psychosocial rehabilitation programs provided by a psychosocial rehabilitation center on the levels of self-efficacy for mentally disabled persons. We followed the study subjects for 2 yr in order to examine whether the psychosocial rehabilitation programs had a positive impact on their levels of self-efficacy. Methods: There were 18 subjects in the experimental group and they received all the psychosocial rehabilitation services available at the psychosocial rehabilitation center for 2 yr. In the comparison group, there were 17 participants who voluntarily refused to participate in the psychosocial rehabilitation programs. Results: The results indicated that the psychosocial rehabilitation programs were effective in increasing the levels of the self-efficacy total score and specific self-efficacy score. Conclusion: The overall study results indicated that psychosocial rehabilitation programs provided by a psychosocial rehabilitation center had a positive impact on increasing the levels of self-efficacy for mentally disabled persons.

The Attitudes of Community Leaders Toward Mental Illness (지역사회 지도자의 정신질환에 대한 태도- 일 지역사회 정신건강관리 모형개발을 위한 기초조사 -)

  • 노춘희
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.881-892
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    • 1998
  • This study attempts to identify attitudes of community leaders toward mental illness in order to obtain useful information concerning the planning of community mental health services. The community sample consists of 50 community leaders including, civil servants, doctors, herb doctors, school nurses, counselors, village leaders, pharmacists, and pastors. Individuals were asked to give demographic data, their personal attitudes toward mental illness' etiology & prognosis, and toward neighbors who are psychiatric patients. The interview with open questions was used to collect data. According to the study community leaders 82% believed that mental illness could be treated, 66% believed that mental illness was caused by genetic factors and environmental stress, and 76% had negative impressions about mentally ill people such as fear, seclusion, asylum, also crime. Only 28% of mentally ill people were accepted as neighbors in community. 52% of community leaders rejected opening of mental hospital, and thought that the Chunchon community needed facilities such as group homes, or day care centers (30%), however, 34% of the leaders they didn't recognize community mental health. These findings suggest that mental health professionals need to pay special attention to change the attitude of Chunchon community leaders and mental health institutions need to a develop mental health education program for community leaders.

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Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers (지역사회 정신건강복지센터를 이용하는 만성정신질환자의 비만 관련요인)

  • Park, Eun-Suk;Lee, Eun-Hyun
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2018
  • Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

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.