• Title/Summary/Keyword: 정신병동

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Predictors of Posttraumatic Stress in Psychiatric Nurses (정신과 병동 간호사의 외상 후 스트레스 영향요인)

  • Yeo, Hyun Ju
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.3
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    • pp.125-132
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    • 2017
  • Purpose: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. Methods: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. Results: The mean score of posttraumatic stress was $20.75{\pm}16.59$ points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. Conclusion: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.

Infestation rate of lice in patients in a mental hospital, Seoul, Korea (서울소재 한 정신병원 환자들의 이 감염 상황)

  • Sun Huh;Jina Kook;Jong-Yil Chai;Ki-Soo Pai
    • Parasites, Hosts and Diseases
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    • v.32 no.4
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    • pp.275-276
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    • 1994
  • We examined the infestation rate of head and/or body lice in patients in a mental hospital, Seoul, Korea on June 27-28, 1988. Of 438 women, 146 (33.3%) were positive with nits or worms of louse. Of 143 men, 22 (15.4%) were positive with those of louse . Regular control programs were necessary to this hospital.

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Efficacy of a Day-Center Treatment Program for Children with Developmental Disorders (발달장애아동을 대상으로 낮병동 치료 프로그램의 효과)

  • Kang, Hi Yang;Lee, Moon Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.4
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    • pp.188-195
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    • 2012
  • Objectives:This study was conducted in order to evaluate the effectiveness of a day-center treatment program to promote development of children with pervasive development disorder (PDD) and pervasive development disorder/mental retardation (PDD/MR). Methods:Twenty five children (14 in the PDD group and 11 in the PDD/MR group) participated in a day-center treatment program. They had been enrolled in the whole program for 2-3 years. Their performance was evaluated according to the Preschool Language Scale (PRES), Social Maturity Scale (SMS), and Korean version of the Childhood Autism Rating Scale (CARS). They were grouped by diagnosis at the beginning of the program and the treatment effect was compared. Results:Children who participated in the day-center treatment program showed a significant increase in their PRES and SMS scores and a decrease in their CARS scores. Conclusions:A day-center treatment program is effective for development of children with PDD and PDD/MR.

A Study on the Space Configuration and Required Area of the Inpatient department of Psychiatric Hospital in China (중국의 정신의료시설 병동부문의 공간구성 및 소요면적에 관한 연구)

  • Gao, Wen Mei;Moon, Ha Ni;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.2
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    • pp.45-54
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    • 2018
  • Purpose: China is increasingly paying more attention to mental illness as the number of people with mental illness increases rapidly. However, the design of a specialized psychiatric hospital is rarely studied. The purpose of this study is to analyze the spatial composition and the required area of psychiatric hospitals for the efficient design of psychiatric hospitals in China. In particular, we will analyze the space composition and present basic data for the future design of the Chinese psychiatric hospital space composition. Methods: This study examined the theories and related literature, and analyzed the plans of Chinese psychiatric hospital. Results: The results of the study are as follows. First, the spatial composition and area were analyzed. Second, the units of medical team, patient, supplies, and common area were analyzed by perspective of function, arrangement and composition. Third, based on the results of the analysis, considerations for the planning of Inpatient department were presented. Implications: This study will help improve the environment of Chinese psychiatric hospitals and provide basic data for the design of the Inpatient department of psychiatric hospital in China.

A Correlation Study of Perceived Importance of Nursing Interventions with Performance Frequency in Psychiatric Nursing Units Using the 3th NIC (정신과 병동 간호사의 간호중재에 대한 중요도 인지 및 수행빈도와의 관계 - 3차개정 Nursing Interventions Classification(NIC)을 적용하여 -)

  • 최자윤;김혜숙;박미선
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.95-103
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    • 2003
  • Purpose: The purpose of this study was to identify the perceived importance of nursing intserventions of psychiatric nurses according to domains, classes and interventions using the 3th NIC. Method: In this study, a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates: 94,0%) in Seoul, Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 4 point Likert scale. Result: Total perceived importance score was $2.905{\pm}0.463$ and total correlation score with performance frequency was r=0.295. The most important perceived domain and class was found to be ‘safety’ ($3.217{\pm}0.465$) and ‘community health promotion’ ($3.285{\pm}0.866$). The most correlated domain and class with performance frequency appeared to be ‘behavioral’ (r=0.431, p=0.000) and ‘communication enhancement’ (r=0.439, p=0.000). The most important perceived nursing intervention was found to be ‘active listening’ ($3.652{\pm}0.549$). Conclusion: In conclusion, nurses in clinical settings were found to perform less than perceive its importance. Therefore, further researches are needed to identify factors related to impede and develop strategies to improve the performance of nursing interventions.

The Changing Patterns and Predisposing Factors of Delirium at End of Life in Palliative Care Unit (완화 병동에서 임종기 섬망의 변화 양상과 선행 요인)

  • Rim, Mi-Roo;Kang, Sang-Gu;Choi, Seo-Hyeon;Cho, Jinhyun;Lee, Moon-Hee;Kim, Hye-Young;Bae, Jae-Nam;Lee, Jeong-Seop;Kim, Won-Hyoung
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.94-101
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    • 2018
  • Objectives : The purpose of this study is to investigate the change pattern and the leading factors of delirium in the palliative ward from 2 weeks before to the end of life. Methods : From October 2015 to August 2017, a retrospective chart review was conducted on the final 180 patients of 207 patients with terminal cancer patients at the Inha University Hospital. Clinical records were collected during palliative care hospitalization. Patients were diagnosed with three subtypes of delirium through the Richmond Agitation Sedation Scale and the Nursing Delirium Screening Scale, which were evaluated daily. Results : The prevalence of delirium 13 days before death was 46%, of which 18.3% were hyperactive subtypes, 13.8% were hypoactive subtypes, and mixed subtypes were 13.8%. And hyperactive delirium gradually decreased with the approach to the end of the day, and the mixed subtype gradually increased until 4 days before the end of life. Of the patients, the day before death, 86.9% were diagnosed with delirium. In multivariate analysis, hematologic malignancy was associated with a lower rate of delirium at the end of life than gastrointestinal cancer. Overweight was associated with hyperactive, mixed, and hypoactive delirium. Conclusions : Most palliative care patients experienced delirium at the end of life. Overweight was considered as a protective factor that reduced the all subtypes of delirium at the end of life. Further prospective studies are needed to reveal the prevalence of terminal delirium, and their risk factors.

A Study on the Spatial Planning for the Establishment of Design Guideline for the Acute Psychiatric Ward in General Hospitals (종합병원 정신건강의학과 급성기 병동 가이드라인 수립을 위한 공간구성에 관한 연구)

  • Jee, Soo In;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.2
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    • pp.39-48
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    • 2023
  • Purpose: In Korea, the increase rate of the number of mentally ill patients increases, and the hospitalization period for severely mentally ill patients to stay in acute wards is long and the re-hospitalization rate is high. In order to improve the dignity of patients with acute mental illness and to plan a therapeutic environment for this, this study attempted to present a basic framework of spacial planning for establishing guidelines for psychiatric acute ward in general hospitals. Methods: By analyzing the acute psychiatric ward guidelines of the UK, Australia, and the US., this study analyzed the areas and required rooms of psychiatric acute ward in general hospitals, as well as the net floor area of each room, and the connection between the rooms. Results: As a result of the study, the basic framework for the ward areas and the required rooms, the net floor areas of the rooms, and the connection between the rooms were presented for the establishment of guidelines for the psychiatric acute ward in general hospitals. Implication: The results of the study will be used as a basic framework of space planning for establishing of guidelines for the psychiatric acute ward in general hospitals and will contribute to the establishment of detailed guidelines based on the space configuration through surveys and analysis of space use status, operation status, and expert interviews in Korea.

Validity and Reliability of a Korean Version of Behavior Health Care Competency on Non-psychiatric Nurse (한국어판 비정신과 간호사의 행동건강간호역량 측정도구의 신뢰도 및 타당도)

  • Han, Jung-Won;Woo, Hee-Yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.426-432
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    • 2016
  • This is a methodological study that verifies the validity and reliability by translating and modifying the Korean version of Behavior Health Care Competency (BHCC) tool. This study verified the content validity, construct validity, and reliability of 230 nurses working in general hospitals. The BHCC tool was analyzed using a total of 4 factors and 16 items. The tool had a high level of reliability and validity. The BHCC is a measurement tool considering the mental health care of non-psychiatric nurses, and it has meaning in that it establishes basic material so non-psychiatric nurses can manage the patient's physical and potential psychiatric problems effectively.

Pediatric Nurses' Perception and Knowledge about Pediatric Hospice Palliative Care (아동 호스피스·완화의료에 대한 아동병동 간호사의 인식과 지식)

  • Yu, Juyoun;Bang, Kyung-Sook
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.235-244
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    • 2015
  • Purpose: The aim of this study was to investigate pediatric nurses' perception and knowledge about pediatric hospice and palliative care. Methods: A cross-sectional descriptive study was conducted with 132 nurses who are stationed in pediatric wards and intensive care units. The participants were requested to fill out a questionnaire comprising 23 items for perception and 20 items for knowledge. Data were collected after obtaining written consent. Data were analyzed using SPSS 21.0. Results: Participants perceived difficulties in pediatric hospice palliative care, especially communication with patients and their families. The differences of perception among participants were observed according to pediatric hospice and palliative care experience, but not general characteristics. Participants' knowledge was $8.83{\pm}2.64$. Nurses who work in a ward showed higher level of knowledge about pediatric hospice/palliative care. Conclusion: An education program should be developed and provided to pediatric nurses to improve their perception and knowledge about pediatric hospice/palliative care.

Nursing Problems Finding of Neuro-Psychiatric Patients-Obtained through a Study on the Patients Hospitalized in 3 Neuro-Psychiatric Hospitals in Busan (정신질환자의 간호문제규명-부산시내 3개 신경정신과 병동을 중심으로-)

  • Kim Eun Ja;Kim Yn Sun;Kim Gee Sook
    • The Korean Nurse
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    • v.20 no.2 s.110
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    • pp.62-74
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    • 1981
  • From July 1 to August 16, 1980 these writers conducted a study on the problems afflicting 93 patients suffering from neuropsychosis hospitalized in neuro-psychiatric wards of three hospitals in Busan and obtained the following findings with respect to the

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