• 제목/요약/키워드: Illness Attitude

검색결과 96건 처리시간 0.029초

바른체형운동 지도가 정신장애인의 우울감 및 폐활량에 미치는 효과 (Effects of the Upright Body Type Excercise on Lung Capacity and Depression of People with Mental Illness)

  • 우경희;양정옥;이중숙;이범진;김의숙;정숙희;곽이섭
    • 생명과학회지
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    • 제26권10호
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    • pp.1169-1181
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    • 2016
  • 본 연구는 바른체형운동 프로그램이 정신장애인의 폐활량 및 우울감에 미치는 영향을 알아보고자 경북 P시에 거주하고 정신장애 판정을 받았으며 정신재활프로그램에 참여하는 정신장애인을 대상으로 실시하였다. 참여한 피험자에게 연구목적과 내용을 설명하였고, 연구 참가동의서를 받은 19명을 최종 선정하여 10명은 운동군, 9명은 통제군으로 분류하여 12주간 바른체형운동 프로그램을 실시하였고, 연구결과는 다음과 같다. 우선 폐활량의 변화를 살펴본 결과 PEF (최대호기속도)와 FEV1/FVC (1초간 노력성 호기량의 노력성 폐활량에 대한 비)가 바른체형운동 적용 후에 증가하여 호기기능이 유의하게 향상됨을 확인하였다. 또한, 바른체형운동 프로그램 참여에 따른 운동군의 우울감의 변화는 통계적으로 유의한 차이는 나타나지 않았으나 우울정도의 감소폭이 통제군보다 운동군에서 훨씬 크게 나타나 바른체형운동이 정신장애인의 우울감 정도의 감소에 긍정적인 변화를 나타냈다고 할 수 있다. 그리고 본 연구에서는 프로그램 참가자들의 특수성으로 인한 표본 수의 한계로 인해 통계적 검증의 한계가 명확히 존재함을 고려하여 참여자들의 주관적 경험을 심층적으로 이해하는 것을 목적으로 한 질적분석(qualitative research)을 병행하여 실시하였다. 프로그램 참가자 중 동의하는 사람에 한해 심층적 면담을 실시하였으며 이를 통해 참여자들이 표현하는 내용의 의미단위를 검토하여 분류하고 세분화하는 작업을 통해 주제분석(thematic analysis)을 실시한 결과, 전반적으로 바른체형운동 프로그램에 참여한 정신장애인들의 우울감 정도가 줄어든 것을 알 수 있었다. 우울감의 변화과정은 ′변화의 시작′, ′프로그램에 대한 흥미′, ′신체적 건강의 필요성에 대한 인식′, ′신체적 건강증진′, ′신체적 기능의 회복′, ′부정적인 습관(자세)의 변화′, ′우울감의 감소′, ′할 수 있다는 자신감′, ′미래에 대한 희망′과 같은 3개의 주제와 6개의 하위 주제로 나타났다. 따라서 바른체형운동이 정신장애인들의 신체적 건강증진을 위해 심폐지구력을 높여 신체적 건강증진을 도모할 뿐 아니라 더 나아가 정신적 우울감의 감소에도 효과성을 높여 정신적 건강증진에도 도움을 줄 수 있는 프로그램으로 정신장애인의 삶의 질 증진을 위해서는 보급이 반드시 필요할 것으로 사료된다.

일종합병원의 지역 사회보건 간호사업에 대한 지역 사회 간호써비스 수혜자 및 의뢰자의 태도 조사 연구 (A Study on the Attitude of the Consumers and the ″Referees″ toward the Community Health Nursing Service of a General Hospital in Rural ]Korea)

  • 이정렬
    • 대한간호학회지
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    • 제8권1호
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    • pp.131-138
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    • 1978
  • The change of society has brought about various health problems which have become to demand comprehensive health services not only for individuals but also for families and communities as the unit. To meet the societal needs W Hospital in a rural Korea established a Department of Community Health Nursing Services and provided nursing services to patients under a early discharge program. This study is to evaluate the community health nursing services carried out the department in general, and has following specific objectives : 1. To learn attitude of the consumers and the "referees" toward early discharge program. 2. To find out attitude toward home care and cure services. 3. To find out the consumers and the "Referees" attitude toward the 15 selected home cue and cure activities by public health nurse. 4. To investigate possibility of charging fee for the 15 selected home care and cure activities by public health nurse. Three different study population were chosen: namely the consumer, the "referee" I and II. Excluding families moved out and not able to be contacted, the total families (77) referred to the department during the study period of September 1974 - December 1975 are defined as the consumer. Thirty seven nurses among 81 nurses who have been working in W Hospital since the inception of the Community Health Nursing Service Program were randomly selected. Thirty two nurses were defined as the "referee"I, because 5 questionnaires were not able to be collected. Twenty four doctors out of 37 who have been working since the Community Health Nursing Service Program started, and who were able to contact were called as the "referee" II. Data collection method employed for the consumers was direct interviewing with preposed interview schedules, and for the "referees"questionnaire method was utilized. x$^2$test and 100-percentage were employed in analyzing the data. The study findings are follows: 1. Attitude toward early discharge: Above 85% of the consumers and the "referees" approved the early discharge: Above 85% of the consumers and the "referees" approved the early discharge program. 2. Attitude toward the home care and cure services: Above 75% of the consumers and the "referees" showed positive attitude toward the home care and cure services by public health nurses. 3. Attitude toward 15 selected home care and curative activities by public health nurses: On the average more than 50% of the consumers and the "referees" expressed an affirmative attitude to perform 15 selected home care and cure services by public health nurses. 4. Attitude toward charging fee for 15 selected home care and curative activities by public health nurses: Above 85% of the consumers thought that they would pay for the services. Only 12.8% of the consumers and 5% of the "referees" what to have the services for nothing. Based upon the findings of this study; That is, the home care and cure services to be given by public health nurse were positively responded by the consumers and the pro-fissionable, one can conclude that the services provided by the Department of Community Health Nursing Service of W Hospital have been well accepted, and that early discharge program of hospital is believed to be a means to lessen the expenses of patients from hospitalization and to promote recovery from illness. It is recommended that hospital centered cure services should be reconsidered and scrutinized to meet community health needs. NOTE : "referees" are nurses and doctors who refer the early discharged Patient to the Department of Community Health Nursing Service.

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신증후군 환아 어머니의 삶의 질에 관한 예측모형 (A Prediction Model for the Quality of Life in Mothers of Children with Nephrotic Syndrom)

  • 백승남
    • Child Health Nursing Research
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    • 제7권3호
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    • pp.280-297
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    • 2001
  • The purpose of the study was to develop and test the model for the quality of life in mothers of children with nephrotic syndrome. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around ten constructs. Exogenous variables included in this model were mother's health, father's health, marital intimacy, mother's attitude on children, economic state, side effect of steroid, severity of illness and social support. Endogenous variables were mother's burden and quality of life. Empirical data for testing the hypothetical model were collected by using a self-report questionnaire from 152 mothers of children with nephrotic syndrom at the outpatient clinics and in the hospital. The data was collected from May, 1999 to August, 1999.Reliability of the seven instruments was tested with Cronbach's alpha which ranged from 0.71 - 0.92.For the data analysis, SPSS 8.0 WIN program and LISREL 8.20 WIN program were used for descriptive statistics and covariance structural analysis. The results of covariance structural analysis were as follow :1. The hypothetical model showed a good fit with the empirical data. [x2 = .56, df = 3, p = .90(p>.05 ), GFI = .99, AGFI = .99, RMSR = .005.] 2. For the parsimony of model, a modified model was constructed by deleting 1 variable and excluding 2 paths according to the criteria of statistical significance and meaning.3. The modified model also showed a good fit with the data[x2 = 2.83, df = 7, p = .90( p>.05 ), GFI = 1.00, AGFI = .97, RMSR = .011].The result of the testing of the hypothesis were as follows : 1. Mother's health(γ21 = .26, t = 4.16), father's health(γ22 = .19, t = 2.92), marital intimacy(γ23 = .26, t = 4.13) and social support(γ28 = .12, t = 2.03) had a significant direct effect on the quality of life.2. Mother's burden(β21 = -.20, t = -3.10) had a significant negative direct effect on the quality of life.3. Mother's attitude on children(γ14 = -.34, t = .-4.57), mother's health(γ11 = -.22, t = -2.96) and side effect of steroid (γ16 = -.23, t = .-2.69) had a significant direct negative effect on the burden. The result of this study showed that mother's health, marital intimacy, mother's burden, father's health, and social support had a significant direct effect on the quality of life. Mother's attitude on children, mother's health, and side effect of steroid had a significant direct effect on mother's burden. These six variables, mother's health, marital intimacy, father's health, social support, mother's attitude on children and side effect of steroid were identified as relatively important variables. The results of this study suggest, it needed to determine the nursing intervention will alleviate mother's burden and promote a greater quality of life in mothers of children with nephrotic syndrom.

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특정의약품의 자가투약행위에 관한 연구 (A Study on Self-medication Beharior of Four Cautious Drugs.)

  • 황미숙
    • 보건교육건강증진학회지
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    • 제4권2호
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    • pp.46-70
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    • 1987
  • The survey with questionnaire were conducted to grasp the actual condition of four cautious drugs-antibiotics, sedative hypnctics, mincr tranquilizer, analeptics-self -medication behavior through drugstore use and to analyze the primary factors connected with it. The following six objectives were established. 1) To catch the reason why the man who medicate himself buy four cautious drugs at a drugstore, and to know the choice motive of each drug purchased. 2) To grasp the distribution of four cautious drug taken by the man who medicate himself and to analyse the reason of taking the drug. 3) To find out whether the buyer has taken the same drug past and to know the duration and the frequency. 4) To grasp the degree of recognition about four cautious drugs and the attitude toward continuous taking them. 5) To analyze the degree of recognition about the influence on human body and the attitude of medication behavior. 6) To know "the experience of side-effects" and to grasp the kind of the side-effects. The data were collected from 15 drugstores with 677 respondents in seoul from August 17 to september 21, 1987. The following results were obtained. 1) The reasons for drugstore use were first, "for easy access and convenience" (53.7%) second, "for the slightness of illness" (19.9%) third "for the cheap price" (13.2%). According to that result, the factor of "the easy access of drugstore" was most influential. In case of the poor, the factor "for the cheap price "was revealed second (37.3%). And "for the slightness of illness" was second reason in the medically insured (22. 9%), "for the cheap price" was second reason in the others (29%). 2) The kind of drugs purchased were antibiotics (62.8%), analeptics(17.2%), minor tranquilizer(13.3%) and sedative hypnotics (6.7%) on the whole. In teenagers, besides antibiotics the percentage of taking analepits came second (42.4%) and it was revealed that the percentage of sedative hypnotics, minor tranquilizer increase with age. But in proportion to the increase of age, the taking of analeptis decreased. 3) The choice motives of each drug purchased were all different. In case of antibiotics "recommendation of pharmacist" was 39.6%, sedative hypnotics "recommendation of pharmacist" and "my own judgement", 28.9%, respectively, minor tranquilizer "my own judgement", 35.2%. and in case of analeptics "my oun judgement" was most common with 53.5%. 4) The reasons for taking drugs were as follows. antibiotics was taken for the inflammation mitigation of a wound and a swelling (38.5%), sedative hypnotics for the removal of insomnia (97.5%), minor tranquilizer because of restlessness and qloominess(39.3%), and analeptics for the shortening of sleeping hours (35.1%). 5) Those experienced in taking four cautious drugs were 78.2% on the average. It was revealed that antibiotics use duration was "from one week to one month" (38.9%), the frequency was "rarely" (62.1%), sedative hypnotics and minor tranquilizer; "More than three years", (35.7%, 30.4%), respectively, "Somtimes", (43.8%, 35%), respectively. analeptics ; "from one year to three years", (27.6%), "Sometimes", (42.7%). 6) In regard to the source of information in taking drugs, 35.3 percent of male were relied on "recommendation of pharmacist", 32.6 percent of female "my own judgement", There was a difference between below the middle school graduates and over the high school graduates Thease were relied on "recommendation of pharmacist" first, those "my own judgement" first. And "my own judgement" was the first source of specialist(40%), labours(41.4%), salesman(43.5%), and jobless men(36.8%), "recommendation of ralatives on friends" was the first source of students (30.4%), "recommendation of pharmacist" was the first soure of teachers, administrative office workers (39%) and housewives (40.7%). 7) The degree of recognition about four cautious drugs was as follows. "know a little" was (43.0%), "don't know" (30.2%), "know" (26.8%), respectively. In regard to the attitude toward continuous taking them, it was revealed that "I will take it according to circumstamces" was first (56.2%), " I will not take it as possible" was first(56.2%), "I dont know well" (12.9%), "I will take it continuously" (8.3%). 8) About the influence on human body, "if proper, it is effect" was common attitude toward antibiotics (43.6%), "Probably bad influence on the health" was first toward the other drugs (46.2%), In terms of the degree of observance to taking-time and dose of drugs, "suitably" was first (37.3%), "relatively correctly" second (27%), "correctly" (17%). 9) The percentage of four cautious drugs side-effects was 27.5 on the average. The kind of side-effects were eruption and urticaria (28.5%), heart acceleration and so forth. (25.4%), headache and Giddiness, dyspepsia (23%), respectively.

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A Literature Study on Usage of and Satisfaction Levels with Combined Treatment Including Oriental and Western Medicine

  • Lim, Jung-Hun;Lim, Sung-Min
    • 대한약침학회지
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    • 제15권3호
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    • pp.7-12
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    • 2012
  • Objective: This study aimed to summarize and analyze the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine. Methods: We searched studies on the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine over the past 10 yrs (2001-2011) from 3 Korean databases (National Assembly Library, Research Information Service System, and National Discovery for Science Leaders). The reviewers also conducted a summarizing analysis by sampling the literature according to the type of study, study period, region, study subjects, sample size, type of sampling, research method, data analysis, study instruments, main results, etc. Results: When the main results of six studies on combined treatment usage and satisfaction levels were considered together, the most important decisive factor in determining the usage of combined treatment was the illness of the patient, followed by the patient's occupation, sex, age, education, marital status, religion, treatment cost, and treatment results. In addition, the most important factor that determined satisfaction levels with combined treatment was age, followed by education, religion, income, health status, treatment procedures, staff attitude, and cleanliness. Conclusions: Elderly patients with musculoskeletal, cerebro-vascular, and circulatory system illnesses are more likely to prefer combined treatment over independent Oriental or Western treatment and are more likely to request specialized, adjusted medical care.

대구 경북 지역 일부 대학생들의 에이즈에 대한 지식과 태도 조사 (College Student's Knowledge and Attitudes toward AIDS in Taegu and Kyungbook areas)

  • 신영희;홍영혜
    • 대한간호
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    • 제35권1호
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    • pp.94-103
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    • 1996
  • Given the global impact of the AIDS pandemic, it is necessary to take every measure to prevent an epidemic of this disease in Korea. The only available strategy is prevention. Considering college students as a potential risk group, this study examined their knowledge of, and attitudes toward AIDS. In this study, a self-report questionnaire was administered to 167 students from three colleges in Taegu and Kyungbook province area. Findings indicated that most of the students had lacked knowledge about the AIDS. While knowledge about the modes of transmission and prevention improved, some respondents still believed that AIDS could be transmitted by sharing cups (17.4%), by coughing or sneezing(29.3%), and by moskito (25.7%). About 10% of the students reported that they had received some instruction about AIDS, and 87.3% indicated a desire to know more about the disease. Most of the students reported that they obtained AIDS information from media devices such as TV and newspaper. To the questions designed to examine attitude towards AIDS patients, the students showed a tendency to view AIDS patients as responsible for their own illness (85.6%). Interestingly, they showed sympathy to their imaginary friends and relatives suffering from AIDS (78.4%-90.2%). Eighty percercent of the respondents felt that they personally were not at risk. The study findings suggest a need for the development of AIDS educational programs for college students.

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정신건강에 대한 교사와 일반인의 태도 조사연구 (A Comparative Study of Attitude of Teachers and General Public Toward Mental Health)

  • 유숙자
    • 대한간호학회지
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    • 제6권1호
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    • pp.1-11
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    • 1976
  • In an attempt to recognize attitudes of teachers and general public toward mental health, III teachers of middle and high school and 130 general public were selected for this study from September 6, 1975 to October 18, 1975. Date were collected through "Mental Health Questionnaire"designed by Nounally. Results of the study were as follows : 1. The selected teacher group and general public group revealed almost similar altitudes toward psychotic patients, that is, positive aspects for employment problems and relationship toward other persons. 2. Both teacher group and general public group revealed the same attitudes toward neurotic patients, felt relatively more reliance on them, and showed much more positive attitudes toward neurotic patients than psychotic patients. 3. Both groups indicated that, for the security of mental health, It is best way to show him the right path and make sure that he follows it. As to mental health, most of the selective subjects consulted with psychiatrist about the problems and obtained the information through books. 4. Both teacher group and general public group identified mental illness being equal in seriousness to alcoholism or cardiac disease. In case of a close relative living in their home having mental disease, most of them responded to be glad to help him. 5. Both teacher group and general public group revealed intensively negative attitudes toward mental hospital in order of despair. danger, and filth, while positive attitudes toward psychiatrist.

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만성질환자의 병원간호사에 대한 인식 (Chronically Ill Patients' Perception of Hospital Nurses)

  • 이병숙;이미애;어용숙
    • 대한간호학회지
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    • 제48권3호
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    • pp.311-322
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    • 2018
  • Purpose: The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses. Methods: Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004). Results: Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were "person giving comfort and support by caring", "person facilitating the process of healing", and "person taking the initiative in power relations". Two themes involved positive experiences of patients and the other included negative ones. Conclusion: The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.

Effects of a Psychiatric Nursing Clinical Practice Program Using Situation-Oriented Case-Based Learning: A Qualitative Study

  • Lee, Sowon;Kim, Boyoung
    • International Journal of Advanced Culture Technology
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    • 제10권3호
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    • pp.210-219
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    • 2022
  • Psychiatric nursing is a specialty where nursing students experience many difficulties in applying what they have learned in theory to clinical practice. Therefore, a situation-oriented case-based strategy is required to help them overcome the limitations of psychiatric nursing clinical practice and reduce their burden. This study aimed to measure the effectiveness of a psychiatric nursing clinical practice program using situation-oriented case-based learning. Participants comprised 63 nursing students in psychiatric nursing classes. The students were asked to create a scenario of interaction between a nurse and patient based on a case study. Empathy, therapeutic communication ability, and attitudes toward mental illnesses were measured. We analyzed the effectiveness of the program by comparing changes in the nursing students' empathy, therapeutic communication ability, and attitude toward mental illness after the program. The participants showed significant increases in empathy and therapeutic communication abilities. However, there were no significant changes in attitudes toward mental illnesses. Based on the results of this study, it is expected that situation-based learning will be effective for students who have difficulties in certain aspects, such as COVID-19, or where there are limited clinical practice opportunities, such as psychiatric nursing.

청소년기 여학생들의 자살에 대한 태도 및 자아상에 관한 연구 - 실업계 ${\cdot}$ 인문계 여고생을 중심으로 - (A STUDY ABOUT SUICIDAL ATTITUDE AND SELF-IMAGE IN ADOLESCENT SCHOOL GIRLS - FOCUSED ON INDUSTRIAL AND CULTURAL WOMEN'S HIGH SCHOOL FACTION -)

  • 김봉준;장동원;김준형
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제10권2호
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    • pp.220-235
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    • 1999
  • 목 적:실업계 ${\cdot}$ 인문계 여고생들의 자살태도, 자아상, 불안과 우울 정도를 평가를 해보고, 자살태도와 불안, 우울, 자아상 사이에서의 비교연구를 하였다. 방 법:정신사회적 환경에서 차이가 있을 것으로 추정되는 실업계 여고생 161명과, 인문계 여고생 165명(총 326명)이 본 연구에 참가하였다. 자살에 대한 태도를 평가하기 위해서 Suicide Opinion Questionnaire(SOQ)가 시행되어졌고, 불안, 우울과 자아상을 알아보기 위해서 Zung' Self-rating Anxiety Scale(ZAS), K-Beck Depression Inventory(KBDI), Offer's Self Image Questionnaire(OSIQ)가 각각 본 연구에서 실행되어졌다. 결 과:1) 표본에서 추출된 326명의 SOQ검사결과를 가지고 요인분석을 시행한 결과, 5개의 요인이 추출되었는데, 각 요인은 윤리, 종교, 정신장애, 허용도, 복수에 관한 요인들이었으며, 이중 복수에 관한 요인에서 양군간에 통계적으로 유의한 차이가 있었다. 2) SOQ에서는 복수요인에서 양군간에 유의한 차이가 있었고, 실업계 여학생에서 그 경향성이 더 높았으며, OSIQ에서는 가족관계 요인과 상위적응 요인에서 양군간에 유의한 차이가 있었는데, 인문계 여학생에서 상대적으로 그 경향성이 더 두드러지는 양상을 보여 주었다. ZAS와 KBDI의 경우에서는 양군간에 통계학적인 유의성을 찾을수가 없었다. 3) SOQ, OSIQ, ZAS, KBDI간의 상관분석에서 유의한 상관성을 보이는 요인은, SOQ의 윤리 요인과 OSIQ의 신체 및 자기상, 감정기조, 외계의 극복 요인이 역상관성을 보였고, SOQ의 정신장애 요인과 OSIQ의 신체 및 자기상, 내적 가치관이 역상관성을 보였고, 정신병리 요인과 비례적인 상관성을 보였다. SOQ의 정신장애 요인과 ZAS, KBDI가 역상관성을 보였고, 허용도 요인과 ZAS와 KBDI가 비례적인 상관성을 보였다. 결 론:본 연구에서 실업계 ${\cdot}$ 인문계 여학생들은 대체적으로 자살을 윤리적으로 죄악시하고 정신장애로 보는 경향이 있었고, 실업계 여학생들은 복수의 경향성이 상대적으로 두드러지는 양상을 보여주었다. 그러나, 신경정신과적 병력이 있거나 자살사고를 가지고 있는 경우에 있어서는 자살에 대해서 보다 더 수용적인 태도를 보여주었다. ZAS와 KBDI가 유의하게 높은 경우에 있어서도 자살에 대해서 보다 더 허용적인 태도를 보여 주었는데, 이는 상황대처 수단으로서 자살이 시도될수 있는 여지를 남겨둔다고 볼수 있겠다.

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