• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권3호
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• pp.117-126
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• 2012

Objectives : We developed the short form of the Mentalization Improvement Program for Adolescent-Community Model (MIPAdo-CM-S), based on the concept of the mentalization. Methods : The MIPAdo-CM was composed of 6 sessions and was applied to 133 students in the 1st grade of a middle school for six weeks during their regular school hours. After 6 weeks, we compared the endpoint changes of Adolescent Mental Problem Questionnaire-Revised (AMPQ-R), Emotional Empathy Test, Peer Aggression Scale, Peer Bullying Scale, School Adjustment Scale, Test Anxiety Inventory and Visual Analogue Scale between the subject and the control group. Results : On the Visual Analoge Scale, students in the trial classes reported an increased understanding and respect for others, as well as themselves. Conclusion : The efficacy of MIPAdo-CM was subjective improvement of understanding and respect for both others and themselves. To prove objective usefulness of this program, further studies should be administered in the form of long-term, regular and structured courses.

• 한국사회복지학
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• 제61권3호
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• pp.103-127
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• 2009

사례관리의 수행요소가 지역거주 정신장애인의 삶의 질에 미치는 영향이 소비자 만족도에 의해 어떻게 매개되는지를 분석하였다. 분석대상은 지역사회정신보건서비스 기관 중 사례관리를 수행하는 18개 기관과, 이 기관의 서비스를 이용하는 381명의 정신장애인이다. 설문조사를 실시하였으며, 클라이언트 수준과 기관 수준의 자료를 동시에 고려하는 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 주요한 연구 결과는 실무자의 담당 사례량이 삶의 질에 직접적 영향을 주었다. 사례관리팀 접근은 소비자 만족도에 직접적 영향을 미친 반면, 소비자 만족도를 매개하여 삶의 질에 이르는 간접적 영향은 미미하였다. 적절한 사례량의 확보 및 사례관리자 확대, 팀접근의 유용성에 대한 실천적 함의를 제안하였다.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.270-282
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• 2014

정신건강 토탈케어 바우처 기관의 사례관리자와 이용자를 대상으로 사례관리 수행요소가 정신질환자의 삶의 질에 미치는 영향을 분석하였다. 클라이언트 요인, 사례관리자 요인, 서비스 전달 요인과 기관요인을 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 본 연구는 국내최초로 사례관리자의 사회복지경력과 사례관리 개입범위가 정신질환자의 삶의 질에 유의미한 영향력이 있다는 것을 검증하였고, 담당 사례수가 1인당 20케이스 이하일 경우 삶의 질에 영향을 미치지 않는 것을 확인하였다. 연구를 통해 사례관리자의 사회복지경력, 담당 사례수, 지역사회환경체계 개입범위의 유용성에 대한 실천적 함의를 제안하였다.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.1-13
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• 2011

Objectives: This study investigated beliefs of Koreans on the usefulness of various resources they use to alleviate depressive symptoms and to identify factors affecting the beliefs on different approaches to depressive symptoms. Methods: A household survey was conducted on a stratified sample of adults of age 18~74 (N=1,607) in 2009. The participants were asked to read a case vignette of depression and to provide their opinion about usefulness of 39 types of resources as ways of addressing the symptoms. Factors affecting opinions on usefulness of various resources were examined with logistic regression. Results: The three approaches identified via factor analysis were believed to be useful in the order of 'psychological/relational/activity-oriented', 'lifestyle/cultural', and 'physical/medical' approaches. The logistic regression analyses revealed that correct recognition of symptoms increased the likelihood of positive opinion about psychological and physical approaches, and so did having current symptoms about physical and popular approaches. Past help-seeking experience increased the likelihood of negative opinion about physical approach, however. Conclusions: Strategies to adopt various types of resources need to be developed, including rigorous use of psychosocial methods, mechanisms to control service quality, and the integration of diverse resources into the current community mental health services.

• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.34-45
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• 1992

In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

• 의학교육논단
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• 제23권3호
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• pp.154-159
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• 2021

The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted all aspects of undergraduate, postgraduate, and continuing medical education. Only the focus of medical education-care for patients and communities-has remained an integral part of all of the above sectors. Several challenges have been experienced by learners and educators as the education and training of future doctors has continued in the midst of this crisis, including the cancellation of face-to-face classes and training, reduced patient encounter opportunities, fairness issues in online assessments, disruption of patient interview-based exams, reflections on the role of doctors in society, and mental health-related problems linked to isolation and concerns about infection. In response to these disruptions, educators and institutions have rapidly deployed educational innovations. Schools have adopted educational strategies to overcome these challenges by implementing novel education delivery methods in an online format, providing clinical experiences through simulation or telehealth methods, introducing online assessment tools with formative purposes, encouraging learners' involvement in nonclinical activities such as community service, and making available resources and programs to sustain learners' mental health and wellness. During the COVID-19 pandemic, educators and institutions have faced drastic changes in medical education worldwide. At the same time, the quantitative expansion of online education has caused other problems, such as the lack of human collaboration. The long-term effects of the COVID-19 pandemic on medical education need to be studied further.

• 한국가족복지학
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• 제57호
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• pp.99-124
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• 2017

본 연구는 정신질환자의 가장 기본적인 보호체계인 가족의 기능에 대한 기존연구가 정신질환의 발병 단계(초기, 만성)에 대한 고려 없이 진행된 한계를 극복하고자 발병초기 정신질환자가족과 만성 정신질환자 가족의 가족기능이 차이가 있는지, 각 그룹의 가족기능에 영향을 미치는 요인이 무엇인지에 대해 살펴보는 것을 목적으로 하였다. 부산지역 정신보건 서비스 이용 정신질환자 628명을 대상으로 분석한 결과 발병초기 정신질환자의 가족기능보다 만성 정신질환자 가족기능이 더 높게 나타났다. 발병초기 정신질환자의 경우 가족기능 괴리감이 가족기능에 영향을 미치는 요인으로 확인되었다. 반면, 만성 정신질환자의 경우 일상생활수행능력, 주보호자의 건강상태, 가족기능 괴리감, 지역사회지지가 가족기능에 영향을 미치는 요인으로확인되어 두 그룹의 영향요인이 다름을 확인할 수 있었다. 이러한 연구결과를 바탕으로 실천현장에서 고려 할 수 있는 발병초기와 만성 정신질환자의 가족기능을 향상시키기 위한 차별적방법을 제언하였다.

• 한국학교보건학회지
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• 제11권1호
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• pp.27-50
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• 1998

Adolescent health is considered to contribute to health promotion in the home and community in the near future as well as individual health. However, adolescent health has been neglected from education field because of competitive school education focused on the university entrance examination That's why I suggest in this study that we should pay much more attention to adolescent health condition and try to make It better, in terms of man-power development and life-health promotion for nation development The purposes of this study are as follows First, to look into a variety of adolescent health problems Second, to find out the situation and problems of current adolescent health promotion and school health education Third, to make an effort to find, based on the current situation, various developments of adolescent health promotion and school health education in terms of practical, political and environmental change There are used study methods as adolescent-related, school heath-related literature review and anlysis of statistical data The results and suggestions are as follows Teenagers have a great variey of health problems including most Important physical, mental and social developments Recently, chronic diseases, emotional problems, health-risk behaviors linked With adolescents are on increase The complicated disorders of physical, mental, social health rather than paricular aspects of health or health-behavior problems influence adolescent health problems adolescence is regarded as the period when most health-related behaviors are formed. Therefore, adolescent health promotion would he assured by developing the ability of controlling multi-dimensional health determinants in the early stage. Health promotion is a positive concept that each individual, family and community makes real efforts to improve their health To achive this, we need health educational, organizational, political and environmental supports. Adolescent health promotion in Korea has been systematically treated in the category of school health Current school health services have had lots of systemic, constitutional, administrative and educational flaws Accordingly, I'm concerned that we can afford to accept a variety of adolescent health needs However, I would say that if were not to make those flaws better, it's certain that Korean national competitive power and the quality of the lives of most Koreans Will he threatened someday We have to develop Comprehensive School Health Crriculum(CSHC) and set up its standards to Improve adolescent health. CSHC is an organizational and costant process. CSHC means an Important part of overall curriculums. In addition, I could say that it's an Important school health education acivity including current school health services-health care service and school health environment. In conclusion, in order to develop CSHC, we require school nurse's role changes, establishment and management of intergrated subject of health education, striking revision of school health law(or legislation of school health promotion law), reorganization of administration system, big changes in curriculum for school health educators.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.409-420
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• 2014

본 연구는 직업분류 및 고용분류별 스트레스, 스트레스 상담, 우울증상, 우울증상 상담 정도를 파악하기 위해 지역사회건강조사 자료를 이차 분석하였다. 직업분류별 및 고용분류별 확실한 비교를 위해 기준 직업군으로 '무직(직업분류 기준항목)'과 '무급가족종사자(고용분류 기준항목)'를 포함하여 한국표준직업분류(6차 개정)에 의한 총 13개의 직업군을 이용하였다. 직업분류 및 고용분류별 스트레스, 스트레스 상담, 우울증상, 우울증상 상담 여부의 교차비에서는 '무직'과 '무급가족종사자'의 스트레스 정도가 대체적으로 더 낮게 나타난 반면, 스트레스 상담, 우울증상, 우울증상 상담에서는 '무직'과 '무급가족종사자'가 오히려 더 높은 교차비를 보였다. '관리직'을 포함한 7개의 직업군은 '무직'보다 스트레스를 많이 받지만(OR > 1), 의료기관 이용률은 낮게 나타났다(OR < 1). '고용주 및 자영업자'와 '임금근로자'가 '무급가족종사자'에 비해 높은 교차비를, 스트레스 상담 및 우울상담에서는 낮은 교차비를 보였다. 본 연구는 정신건강문제 선별 및 관리를 위해 특정 인구집단에 대한 접근을 통해 직장 내 정신보건서비스 제공에 대한 필요성을 시사하고 있다.

• 기본간호학회지
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• 제23권1호
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• pp.61-72
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• 2016

Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.