• Title/Summary/Keyword: 정신적 요인

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A Study on Parenting Competency of Mothers with Mental Illness (여성정신장애인의 양육능력에 관한 연구)

  • Seo, Mi-Kyoung
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.77-98
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    • 2008
  • For women living with mental illness, motherhood may be a normalizing life experiences and offers the opportunity to develop competencies in a major life roles. So, the main premise of this study that social contexts, social support of spouse and extended family, is very important for successful parenting of mothers with mental illness. Thus this study analyzes the impact of marital relationship and social support of networks on three dimensions of parenting competency(expression of love, encouragement of independence, rational discipline) when the socioeconomic(age, number of offsprings, subjective economic level) and disability variables(diagnosis, severity of symptoms, chronicity, frequencies of psychiatric admission) are controlled. This study conducted the survey with 145 mothers with schizophrenia and mood disorder. The major finding of the study are : i) Using step-wise multiple regression, marital relationship, social supports and economic level affect significantly on the expression of love. ii) Using step-wise multiple regression, the most powerful influenced factor on encouragement of independence is marital relationship. iii) Using step-wise multiple regression, diagnosis, severity of symptoms, chronicity and economic level affect significantly on the rational discipline. That is two dimensions of parenting competency, expression of love and encouragement of independence, can be explained well by social contexts variables(marital relationship, social support, economic level). But only rational discipline can be explain well by disability factors. In conclusion, this study recommends service providers to use family based comprehensive case management for the mothers with mental illness.

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Assessing educational needs in the development of a simulation-based convergence training program on mental health nursing (시뮬레이션 융합 프로그램 개발을 위한 정신건강간호 교육요구도 조사)

  • Kim, Sun-Kyung
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.425-432
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    • 2020
  • This study was to identify the educational needs for mental health nursing among undergraduate nursing students, prioritizing the areas where require extensive convergence learning via simulation. One hundred and forty students completed the survey where data accrued from between March-May 2020. The educational needs for mental health nursing and nursing care schizophrenia patients were assessed using a self-reporting questionnaire, which included 19 and 15 items, respectively. Additional three essay questions were used to obtain information regarding previous simulation education experience. Higher educational needs in nursing care for schizophrenia were identified and the highest-priority need is communication skills. Factors, including realistic experience with standardized patients, teamwork, and feedback from the lecturers, affect positive experiences in mental health nursing simulation. The findings suggest that educational programs to improve communication skills are necessary for better mental health nursing competency. Well-designed and convergence based simulation programs providing real-like clinical experience would ensure optimal learning outcomes.

Influencing Factors on Intention of Career Choice toward Mental Health Nurses among Senior Nursing Students (졸업을 앞둔 간호대학생의 정신간호사에 대한 진로선택 의도 영향요인)

  • Jinyoung, Lee;Moonhee, Gang
    • Journal of Industrial Convergence
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    • v.21 no.2
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    • pp.53-59
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    • 2023
  • The purpose of this study was to identify the influencing factors on the intention of career choice toward psychiatric nurses among nursing students. The participants were 261 senior nursing students from five schools in D and W metropolitan cities. Data were collected from August 1 to 20, 2019, and analyzed by descriptive statistics, t-test, Pearson Correlation Coefficient, and multiple regression using SPSS 26.0 program. In the multiple regression analysis, age (𝛽=.13, p=.048), satisfaction of mental health nursing practicum (𝛽=.16, p=.035) were significant factors on intention of career choice toward mental nurses with 10.3% of total explanatory power. Therefore, it is necessary to improve the practice satisfaction of nursing students by improving the practice environment and clinical nursing instructors' teaching competence. In addition, an further study was proposed that can identify various variables that affect the career choice of mental health nurses by expanding the subjects.

A Study on the Differences in Self-perceived Oral Health Levels in Workers at Seoul-Inchon Area (경인지역 근로자의 자기평가 구강건강수준 인식에 관한 연구)

  • Kim, Sook-Hyang;Hong, Min-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5692-5699
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    • 2011
  • This study aims to determine potential differences in self-perceived oral health levels between blue-collar and white-collar workers. It is based upon questionnaire survey data dating from Mar. 1 to 30, 2011. All the data collected from 200 blue-collar workers and 100 white-collar worker was analyzed using statistical tools like SPSS ver. 19.0. Self-perceived oral health levels were analysed across three sub-factors - physical, psycho-social, and psychological factors - which were confirmed through factor analysis. The psycho-social factor was statistically significant for age and shift work. Self-perceived oral health levels across the three factors were quantitatively correlated except for psychological factors in blue-collar workers. The study found that occupational group affects workers' self-perceived oral health level. The explanatory power of these 4 variables total 51% in blue-collar group. In case of white-collar group, it was found one variable total 30%. Since oral health levels differ between blue-collar and white-collar workers, oral health promotion projects should differentiate between the two groups, and workers with an interest in their tooth for the prevention, yet negligent act because it will keep your personal oral health care in the prevention-oriented oral health promotion.

Psychological Factors Affecting Medical Conditions: Dermatologic Conditions (피부과 질환에 영향을 미치는 심리적 요인)

  • Han, Jin-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.228-234
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    • 1998
  • The importance of psychological factors in dermatologic disorders has been recognized for several decades. However, there have been few reports on the management of psychodermatologic disorders. Psychodermatologic conditions can be divided into three broad subgroup in the dermatologic point of view ; first, psychiatric disorders manifesting as dermatological symptom, second, dermatoses mainly caused by emotional factors, i.e., stress, or determined by complex psychophysiological mechanism, and third, psychological symptoms secondary to dermatological conditions, i.e., anxiety or depression. This article describes first two major categories of psychodermatologic disorders and attempts to provide brief guideline for each psychodermatologic condition in view of the clinical interface between dermatology and psychiatry.

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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.

Korean Version of the Revised UCLA Loneliness Scale : Reliability and Validity Test (한국어로 번역된 UCLA 외로움 사정도구의 신뢰도 및 타당도 조사)

  • Kim Ok Soo;Rn., Ph.D.
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.871-879
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    • 1997
  • 인간은 사회적 접촉을 필요로 하고 타인과의 상호작용을 원하는 사회적 동물이다. 외로움은 한 개인의 사회적 관계의 망이 양적이나 질적으로 부족할 때 발생하는 불유쾌한 감정이다. 외로움은 매우 보편적인 감정이나 고통스러울 수 있으며 이러한 경험이 지속되면 정신적, 신체적 건강을 해칠 수 있을 뿐 아니라 자살을 초래하기도 한다. 특히 노인은 여러 가지 종류의 변화와 상실을 경험하기 때문에 외로움을 더 느낄 수 있다. 본 연구의 목적은 번역과 역번역 과정을 통해 Revised UCLA Loneliness Scale에 대한 한국어 UCLA 외로움 사정도구를 만들고 이 도구를 한국노인에게 적용하여 신뢰도와 타당도를 조사하는 것이다. 개정판UCLA외로움 사정 도구는 각각 3번씩의 번역과 역번역 과정을 통해 원본 영문도구와 역번역된 영문도구 사이에 의미의 차이가 없다고 판단될 때까지 만들어졌다. 번역과 역번역 과정은 미국에서 석사나 박사학위를 취득한 6명의 한국유학생들에 의해 이루어 졌으며 원본 영문도구와 역번역된 도구사이의 의미의 차이는 본 저자와 미국인 간호학 교수에 의해 사정되었다. 번역된 한국어 외로움 사정도구는 미국의 3개 주에 거주하는 203명의 한국노인들을 대상으로 신뢰도와 타당도 조사가 이루어졌다. 한국어 UCLA외로움 사정도구의 신뢰계수는 .93으로 한국어 도구의 내용이 전반적으로 동질성을 띈다는 것을 알 수 있었다. 이는 Barren등(1992)이 미국인 노인여성을 대상으로 한 연구에서 얻은 신뢰계수 .87보다 높은 것이었다. 한국어 도구의 구성타당도를 조사하기 위해 요인 분석을 실시한 결과 본 도구는 친밀한 주변인, 사회적 주변인, 및 소속감 등의 3개 요인을 가지는 것으로 분석되었다. 구성타당도에 대한 이러한 결과는 미국의 대학생들을 대상으로 한 Austin(1983)의 연구결과와 일치하는 것이었다. 각 요인에 대한 신뢰계수는 .88(제 1요인), .90(제 2요인), .84(제 3요인)로 나타났다. 전반적으로 대상자들은 한국어 도구에 대해 이해를 잘 하는 편이었으나 부정문인 4번 항목, '나는 혼자라고 느끼지 않는다'에 대해서는 응답을 할 때는 다른 항목에 비해 시간이 더 소요되거나 연구보조자에 의한 반복 설명이 필요하기도 하였다.

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Understanding Stress : Psychosocial Aspect (스트레스의 사회 심리적 이해)

  • Chung, Sang-Keun
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.66-80
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    • 2001
  • Most people experience stress during his or her life. The types of psychosocial stressors are variable. Also, the stress appraisal, coping, and responses in stress process are variable. These varieties reflect individual differences due to ongoing social situation, personal dispositions such as personal resources and vulnerability factors, etc. The stress process results in psychosocial growth or no substantial change in functioning or health, or adverse change in functioning(illness) or health to person. Therefore, the preventive management and treatment of stress need to be tailored to individual characteristics. All physicians managing the stress-related patients have to understand the multidimensional aspects of stress. To understand stress better in psychosocial aspect, I comprehensively reviewed the literature on stress.

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Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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Employment Needs of People with Mental Disabilities - Centering on Economic Status and Occupational Ability Variables (정신적 장애인의 경제수준, 직업능력 및 취업욕구관련 분석)

  • Lee, Hyun-Kyung;Park, Hyo-Eun;Choi, Mankyu
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.265-277
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    • 2013
  • The study aimed to figure factors affecting employment needs of people with mental disabilities as the employment needs may differ according to income and occupational ability among people with mental disabilities who are classified economically inactive population. Study subjects included 298 economically inactive populations among registered people with mental disability. And the data from 2008-2010 Panel Data of Employment of Person with Disability were analyzed with logistic regression analysis. The result of the study is as follows. It has been found that interested in vocational education of mentally disabled when the graduated from junior high school, the types of intellectual disability, hope education participation rate was high. And then, Mental disabilities with employment needs, male, head of household, when the graduated from junior high school, when ability to increase physical activity and mental disabilities type of autism spectrum disorder when employment desires were. Based on these results, to increase the economic participation of people with mental disabilities, provide vocational rehabilitation services that reflect the needs of people with mental disabilities and employer-driven professional activity is proposed.