• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.410-422
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• 2017

본 연구의 목적은 만성 폐쇄성 폐질환자(COPD)의 질병관련 지식, 질병태도, 삶의 질 세요인간의 상관관계를 규명하고자 시도되었다. 연구결과 질병관련 지식은 대상자의 교육과 월수입, 주관적 호흡곤란 정도(mMRC), 흡입형 기관지 확장제, 항생제 치료에 따라 유의한 차이가 있었고 질병태도는 월수입, mMRC에 따라 유의한 차이가 있었다. 또한 삶의 질은 연령, 결혼상태, 월수입, 입원상태, 입원경험, 산소사용, 동반질환, mMRC, 흡입형 스테로이드에 따라 유의한 차이가 있었다. 질병관련 지식과 삶의 질(r=-.438, p<.001), 질병태도와 삶의 질(r=.279, p=.001)은 유의한 상관관계가 있는 것으로 나타났다. 따라서 세 요인에 공통적으로 상관성을 보인 변수인 월수입과 mMRC를 파악하는 것이 중요하며, 임상에서 COPD환자의 상태평가시, 객관적 검사결과 뿐만 아니라 mMRC의 사정에 관심을 가지고, 저소득계층을 중심으로 질병관련 지식향상과 긍정적인 태도함량을 위한 다학제간 접근과, 헬스코칭 프로그램을 개발하는 것이 필요하다.

• 한국사회복지학
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• 제60권3호
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• pp.59-82
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• 2008

본 연구는 정신장애인의 가족 태도가 질환의 재발과 상관관계가 있다는 선행연구를 토대로, 정신장애인 배우자의 정신질환에 대한 태도가 재발에 어떻게 영향을 미치는 지를 탐색하고자 하였다. 이를 위하여 이 두 변수간의 인과적 경로에 관여하는 주요 변수들인 부부관계 및 사회적응도와의 관계를 검증하였다. 결혼생활 중인 102명의 정신장애인들을 대상으로 수집한 자료를 구조방정식모델링을 통해 분석한 결과, 배우자가 갖는 정신질환에 대한 태도는 부부관계와 사회적응도의 순차적인 매개역할을 통하여 정신질환의 재발에 유의한 영향을 미치는 것으로 나타났다. 이에 근거하여 결혼한 정신장애인의 부부관계 증진을 위한 상담 및 배우자 교육프로그램의 활성화를 제언하였다.

• Journal of Preventive Medicine and Public Health
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• 제45권2호
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• pp.90-97
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• 2012

Objectives: While there have been many quantitative studies on the public's attitude towards mental illnesses, it is hard to find quantitative study which focused on the contextual effect on the public's attitude. The purpose of this study was to identify factors that affect the public's beliefs and attitudes including contextual effects. Methods: We analyzed survey on the public's beliefs and attitudes towards mental illness in Korea with multi-level analysis. We analyzed the public's beliefs and attitudes in terms of prejudice as an intermediate outcome and social distance as a final outcome. Then, we focused on the associations of factors, which were individual and regional socioeconomic factors, familiarity, and knowledge based on the comparison of the intermediate and final outcomes. Results: Prejudice was not explained by regional variables but was only correlated with individual factors. Prejudice increased with age and decreased by high education level. However, social distance controlling for prejudice increased in females, in people with a high education level, and in regions with a high education level and a high proportion of the old. Therefore, social distance without controlling for prejudice increased in females, in the elderly, in highly educated people, and in regions with a high education and aged community. Conclusions: The result of the multi-level analysis for the regional variables suggests that social distance for mental illness are not only determined by individual factors but also influenced by the surroundings so that it could be tackled sufficiently with appropriate considering of the relevant regional context with individual characteristics.

• 산업융합연구
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• 제16권3호
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• pp.9-15
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• 2018

본 연구는 간호대학생의 공감능력과 정신질환에 대한 태도와의 관련성을 확인하고 공감이 정신질환자에 대한 태도의 하위척도에 미치는 영향력을 파악하기 위해 시행되었다. 연구대상자는 D광역시에 소재한 간호학과에 재학중인 4학년을 대상으로 2017년 6월에 자료 수집하였으며 SPSS.19프로그램을 이용하여 통계처리 하였다. 연구결과 간호대학생의 공감능력은 정신질환자에 대한 태도에 유의한 영향을 미치는 것으로 나타났으며 각각의 하위척도에 미치는 공감능력의 설명력은 자비심에 18%, 권위주의에 16%, 사회생활제한 영역에 9%, 지역정신보건개념에 4%로 나타났다. 결론적으로 공감능력이 높아질수록 정신질환자에 대한 권위주의가 낮아지고 자비심은 증가되며 사회생활지원에 대해 긍정적이며 지역정신보건개념이 긍정적으로 형성되어 전반적으로 정신질환자에 대한 긍정적인 태도가 증가되는 것으로 확인되었다. 따라서 간호 대학생의 치료적 관계 형성을 위해 요구되는 공감 능력 함양을 위한 체계적인 교육과 훈련이 필요하며 이 같은 노력은 정신질환자에 대한 인식개선에 기여할 것으로 판단된다.

• Child Health Nursing Research
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• 제2권2호
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• pp.5-18
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• 1996

The purposes of this study were to measure the degree of perceived uncertainty and to identify the rearing attitudes of mothers with chronically ill children, and to examine the relationship between the perceived uncertainty and the rearing attitude of these mothers. The subjects of this study consisted of 133 mothers with chronically ill children, registered at 2 university hospitals in Seoul. Data was collected from April 1 to May 31, 1996. The Parents' Perception of Uncertainty Scale(28-item 4 point scale) and the Maternal Behavior Research Instrument (49-item 5 point scale) were used. Data was analyzed by Cluster analysis, ANOVA MANOVA and t-test. Results of this study are summarized as follows : 1. Mothers perceived their uncertainty to be slightly high (Mn 2.48). The degree of perceived uncertainty by the four components slightly differed unpredictability(2.72), lack in clarity(2.58), vagueness (2.52) and lack of information(2.04) . The degree of perceived uncertainty of mothers with ill children revealed to be influenced significantly by the age of the ill children, duration of illness after the diagnosis, and the experience of hospitalization. 2. Among the rearing attitudes : moderatlely high affective(Mn 3.98) and resrictive(Mn 3.58) attitudes of mothers toward their ill children were identified. Mothers tend to give positive evaluations of their childrens' behaviors (Mn 3.38) and less rejection(Mn 2.81). 3. Mothers' rearing attitude were correlated with the degree of perceived uncertainty in illness ; mothers in the Low Perceived Uncertainty Group (Mn 1.99) revealed the highest affective (Mn 4.08), the lowest resrictive(Mn. 2.72) attitudes and tendency to give positive evaluations of their childrens' behaviors (Mn 3.54) compared to the High Perceived Uncertainty Group(Mn 3.26) and Moderate Perceived Uncertaity Group(Mn 2.57). 4. The degree of perceived uncertainty, the duration of illness after the diagnosis and the experience of hospitalization revealed to be significantly influential to the rearing attitude of mothers with chronically ill children. From the above results, it can be concluded that predicting and controlling mothers' uncertainty are necessary for improved, efficient nursing interventions and normal growth & development of the chronically ill children.

• 한국산학기술학회논문지
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• 제20권4호
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• pp.250-263
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• 2019

본 연구는 일반인들이 정신질환을 가진 사람들에 대한 인식을 개선시키기 위한 일환으로 공공 노력의 필요성을 제기하고 방안을 제시하기 위함이다. 그리고 정신질환태도에 관한 인구통계학적인 차이, 인식개선을 위한 공익광고 필요성과 매체별로 현재수준과 기대수준을 비교 분석한 후 이를 개선하기 위한 방안을 제시하였다. 이를 위해 치료를 통해 완전히 회복될 수 있는 우울증, 강박증, 공황장애를 중심을 살펴보았고 서울과 수도권에 거주하는 일반인들을 대상으로 설문조사를 실시하였다. 연구결과 응답자들의 정신질환자에 대한 태도에 대한 인식차이에서는 성별, 결혼상태, 연령대, 가족 중 정신질환 치료 경험 유무에 따라 정신질환자에 대한 태도에서 인식차이가 있음을 확인하였다. 반면 종교, 월수입, 학력에 따른 인식차이는 유의하지 않음을 확인할 수 있었다. 또한 대부분의 응답자는 인식개선을 위해 공공의 노력 즉, 대중매체를 통한 노력이 필요하다고 인식하는 것을 확인하였고 TV광고, 인터넷, 라디오, 광고탑, 운송수단의 활용을 통한 광고가 강화되어야한다고 생각하는 것을 확인할 수 있었다. 이러한 연구 결과를 통해 본 연구에서는 정신질환자의 인식 개선을 위해 대중매체를 통한 광고의 필요성을 제시하였고 이를 강화하기 위한 방안으로 사회적 차원, 조직적 차원, 개인적 차원을 중심으로 제안하였다.

• 대한간호학회지
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• 제28권4호
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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.

• 대한간호학회지
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• 제3권2호
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• pp.31-43
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• 1973

The trend in modern nursing is toward the performance of comprehensive nursing care. Psychiatric nursing emphasizes education which enables the nurse to understand the underlying difficulties being expressed through a wide range of emotions and through practice to be more adept in her selection of a manner of approach which best meets the needs of a given situation. Presently, in Korea, there is nothing in the literature regarding evaluation of the effect of psychiatric nursing education on the attitudes of nurses towards mental illness and mentally ill patients. This stud!1 was attempted in order to understand 1) some of the problems in psychiatric nursing education 2) some of tile factors which affect the attitudes of nurses towards mental illness and mental patients. A questionnaire, a Korean translation of the "Opinions about Mental illness Scale" by Cohen and Stranding, 1962, was administered to 188 nonpsychiatric registered nurses employed in Yonsei University Hospital (Y. Hospital) and Seoul National University Hospital (S. Hospital) located in the city of Seoul. All of the nurses were directly involved with adult patient care. They graduated from various nursing schools. The data was collected during the period of October 2 to October 16,1972. The age, educational background , marital status, type of previous psychiatric experience, experience as a graduate nurse and close personal relationship with someone who was a psychiatric patient were compared with the O.M.I. scores. The mean and standard errors for each of the comparison groups were computed and tile relationships calculated by a t-test. The results of the study are summarized as follow: 1. There is no significant difference between the age of the nurses and their attitudes toward mental illness and mental patients. 2. There is no significant difference between the. educational backgrounds of the nurses and their attitudes toward mental illness and mental patients. 3. There is a significant difference in the nurses ′student psychiatric nursing experience and their attitudes towards mental illness and mental patients for the nurses in 5. Hospital only. The nurses who had 3-4 week of student psychiatric nursing experience had a significantly higher mean score for Benevolence (factor B) than nurses whose student psychiatric experience had been less than 1 Ivcek (P<0.05). The nurses who had 1-2 weeks, 3-4 weeks and more than 4 weeks of student psychiatric nursing experience had significantly higher mean scores for Interpersonal Ethology (factor E) than nurses whose student psychiatric had been less than 1 week (p<0.05), 4. There is a significant difference in the nurses′student psychiatric nursing experience by types of institution and their attitudes towards mental illness and mental patients for S. Hospital nurses only. The nurses who had their student psychiatric nursing experience in the government psychiatric hospitals recorded significantly higher mean score for Authoritarianism (factor A) than nurses who had their. experience in private psychiatric hospitals (p<0.05). 5. There is no significant difference in the nurses′psychiatric nursing experience as a graduate nurse and their attitudes toward mental illness and mental patients. 6. There is no significant difference in the nature and variety of the nurses′experience as a graduate nurse and their attitude toward mental illness and mental patients. 7. There is no significant difference in the presence or absence of a close personal relationship with a mentally ill person and the nurses′attitude toward mental illness and mental patients. 8. There is no significant difference in the nurses′ marital status and their attitude toward mental illness and mental patients. 9. There is no significant difference between the nurses who were employed ill S. and Y. hospitals and their attitudes towards mental illness and mental patients. Major suggestion for further study was to have more larger and wider scale research for establishing of the reliability and validity of the Korean translation of the O.H.I. Scale.

• 사회복지연구
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• 제42권1호
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• pp.179-217
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• 2011

본 연구는 TV시사다큐멘터리가 정신장애와 정신장애인에 대해 어떤 담론을 생산하고 있는지를 알아보고 있다. 담론은 현실을 규정하고 해석하여 현실을 재구성하는 힘을 가지므로, 다큐멘터리가 생성하는 정신장애담론은 언어표현의 방식과 내용을 통해 지배담론의 형상과 지배담론이 현실을 어떻게 재구성하는지를 포착할 수 있는 중요한 단서가 된다. 이를 위해 공중파 방송사들의 시사다큐멘터리 중 정신장애를 다루고 있는 프로그램 4개를 Fairclough의 비판적 담론분석방법으로 분석하였다. 분석 결과, TV 다큐멘터리가 생성하고 있는 정신장애 담론은 '구별짓기의 완성' 이었다. 텍스트 수준에서 구별의 이유를, 담론적 실천에서는 구별의 주체와 방법을, 사회적 실천에서는 구별짓기의 일상화를 보여주고 있었다. 다큐멘터리의 정신장애 담론은 정신장애인에 대한 관습적이고 통념적 담론을 반복적으로 재생산하고 정신장애인을 담론생산의 장으로부터 배제하면서 그들의 주체적 위치를 상실시킨다. 정신장애에 대한 지배담론의 구조와 질서를 전복할 수 있는 대안담론은 정신장애인들이 담론생산의 주체 위치를 회복할 때 가능해 질 수 있는 것이다. 또한 연구자와 실천가들도 지배담론의 효과에 민감하며 대안담론의 생산에 적극적으로 가담할 때 대안담론 구성의 가능성을 열 수 있을 것이다.

• 대한간호
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• 제17권5호통권97호
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• pp.41-54
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• 1978

This study is designed to meet the following objectives. 1) To study attitude toward and knowledge of mental illness in a community, 2) To study psychiatric nursing needs from infancy to old age. 3) To obtain basic data which can be used for future planni