• 한국콘텐츠학회논문지
• /
• 제16권11호
• /
• pp.346-357
• /
• 2016

본 연구는 정신요양시설 종사자가 강점관점을 반영한 사례관리를 실천할 수 있도록 사례관리 교육 프로그램을 개발하고 그 효과성을 분석하는 데 목적이 있다. 사례관리 교육 프로그램은 권한강화를 기반으로한 강점관점 사례관리모델을 토대로 개발되었다. 연구 참여자는 서울 경기 지역 소재 정신요양시설 2곳의 종사자 30명으로 기관별 15명이 할당되어 프로그램의 효과성이 검증되었다, 교육 프로그램은 월1회, 3시간씩 총 13회기에 걸쳐 실시되었으며, 사례관리 교육의 효과성을 검증하기 위한 측정도구는 클라이언트에 대한 인식(사회적 거리감, 정신장애인에 대한 태도)과 종사자의 역량(소진, 임파워먼트)이 사용되었으며, 자료분석은 기술통계, t-test를 사용하였다. 연구결과 첫째, 클라이언트에 대한 인식 관련하여 사례관리 교육에 참여한 정신요양시설 종사자의 클라이언트와의 사회적 거리감이 줄어들었고, 클라이언트에 대한 태도가 향상되었다. 둘째, 정신요양시설 종사자 역량과 관련하여 소진이 감소되었으며, 임파워먼트가 향상된 것이 검증되었다. 본 연구 결과를 토대로 정신요양시설 종사자를 위한 사례관리교육 프로그램의 개발과 효과성 연구에 대한 후속 과제를 제시하였다.

• 중환자간호학회지
• /
• 제17권1호
• /
• pp.30-43
• /
• 2024

Purpose : Post-intensive care syndrome (PICS) is characterized by a constellation of mental health, physical, and cognitive impairments, and is recognized as a long-term sequela among survivors of intensive care units (ICUs). The objective of this study was to explore the impact of intensive care experience (ICE) on the development of PICS in individuals surviving critical care. Methods : This secondary analysis utilized data derived from a prospective, multicenter cohort study of ICU survivors. The cohort comprised 143 survivors who were enrolled between July and August 2019. The original study's participants completed the Korean version of the ICE questionnaire (K-ICEQ) within one week following discharge from the ICU. Of these, 82 individuals completed the PICS questionnaire (PICSQ) three months subsequent to discharge from hospital. The influence of ICE on the manifestation of PICS was examined through Partial Least Squares-Structural Equation Modeling (PLS-SEM). Result : The R² values of the final model ranged from 0.35 to 0.51, while the Q² values were all greater than 0, indicating adequacy for prediction of PICS. Notable pathways in the relationship between the four ICE dimensions and the three PICS domains included significant associations from 'ICE-awareness of surroundings' to 'PICS-cognitive', from 'ICE-recall of experience' to 'PICS-cognitive', and from 'ICE-frightening experiences' to 'PICS-mental health'. Analysis found no significant moderating effects of age or disease severity on these relationships. Additionally, gender differences were identified in the significant pathways within the model. Conclusion : Adverse ICU experiences may detrimentally impact the cognitive and mental health domains of PICS following discharge. In order to improve long-term outcomes of individuals who survive critical care, it is imperative to develop nursing interventions aimed at enhancing the ICU experience for patients.

• 한국컴퓨터정보학회논문지
• /
• 제24권3호
• /
• pp.167-174
• /
• 2019

It is a descriptive study for the relationship between appearance management behaviors and mental health of some female college students. We analyzes 433 self-administered questionnaires from March to June 2017 for female students who enrolled in three-year colleges in Seoul and Gyeonggi province, South Korea. The conclusion is as follows. We used IBM SPSS Statistics 22.0(SPSS Inc., Chicago, IL, USA) for the analysis by person's characteristics, t-test and one way ANOVA, multiple regression analyses. The second-year grade shows higher points than the first-year grade in appearance management behaviors and mental health level(p<0.001, p<0.05). In addition, when students has the higher level of the household as the humanities students, they have higher level of mental health level(p<0.001). The most influential factors affecting the mental health level of female college students are domestic economic level and cosmetic management behavioral factors. The level of mental health was higher in the middle and upper group of the domestic economic level. When they do more cosmetic management behavior, they have lower the mental health level. In conclusion, it is deemed necessary for students to attend intensive and sufficient counseling with an academic advisor. The continuous attention through school counseling management services depending on grade, domestic economy level, and cosmetic management behavior is necessary in order to enhance the level of mental health for female students. In addition to that, the college needs to develop individual customized psychology counseling and educational programs through U-mental healthcare service in order to lessen the great pressure of sensitive information and provide mental consultation. The college needs to consider students' characteristics and needs from the results of this study. It is considered that a smart mental healthcare program will be needed to identify mental health of the individual through the systematic approach.

• 의학교육논단
• /
• 제24권3호
• /
• pp.180-192
• /
• 2022

Research suggests that medical students frequently experience mental health problems such as stress, burnout, and depression, which may, in turn, affect suicidal ideation and behaviors. Since mental health problems profoundly impact academic achievement and professionalism, it is vital to understand factors influencing students' mental health and identify strategies to provide the necessary support. Some relevant influencing factors range from the personal level, including gender, personality traits, perfectionism, and social support, to the environmental level, including the grading system, educational phases, exposure to patients' death, mistreatment, and culture of medicine. In this regard, a comprehensive mental health support system that encompasses environmental interventions, as well as personal-level support, is needed. Simultaneously, proactive approaches that address the improvement of self-care and alleviation of systemic burdens are essential, together with the predominant reactive approaches focusing on problems and deficits. Altogether, we proposed a framework for enhancing mental health constructed by four categories (personal-reactive, environmental-reactive, personal-proactive, environmental-proactive) based on the intervention level and goal of support. All four categories have important implications, and one cannot replace the other, but expanding environmental-proactive support will allow more students to learn how to pursue health independently. We expect that this comprehensive framework for enhancing mental health could expand support systems for medical students' personal and professional development.

• 대한간호학회지
• /
• 제28권4호
• /
• pp.881-892
• /
• 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.

• 한국직업건강간호학회지
• /
• 제29권1호
• /
• pp.88-96
• /
• 2020

Purpose: This study aimed to identify the mental fitness, perspective taking, attitude toward the elderly, and quantitative encephalogram among caregivers. Methods: In this mixed method research, 14 female caregivers at an elderly care facility in Y city were participated from December 1st to December 31st, 2019. Structured questionnaires were applied to measure general characteristics, mental fitness, perspective taking, and attitude toward the elderly. Brain waves were measured by quantitative encephalogram in the prefrontal lobe. High frequency and high level of care tasks were analyzed using content analysis. Results: According to analysis of brain waves, caregivers experienced high level of physical strain & stress and psychological distraction & stress. Mental fitness (p<.05) and perspective taking (p<.001) were associated with attitude toward the elderly. Moreover, physical strain & stress was associated with psychological distraction & stress (p<.05, p<.001). High frequency and high level tasks were excretion and position change & movement care related tasks, respectively. Conclusion: These findings should be consider as an evidence for supporting care tasks based on concrete and objective understanding of caregivers using self-reported index as well as neurophysiological indicators including brain waves.

• 한국학교ㆍ지역보건교육학회지
• /
• 제13권3호
• /
• pp.13-31
• /
• 2012

Purpose: This study was on the structural analysis of the covariant amount in order to evaluate the suitability of the structural models which can explain and predict the mental health of children on the basis of Bronfenbrenner's ecological theory. Methods: A questionnaire was used to survey 269 children from dysfunctional families out of 5th and 6th grade students from 30 elementary schools in one city and 6 counties, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7 programs. Results: The variable which had influence on the self-esteem was the social support. The variable which had influence on the positive reaction under stress was the stress. The variables which had influence on the negative reaction under stress were stress, and self esteem. The variables which had influence on the mental health were the self-esteem and the negative reaction under stress. The main variables to influence the mental health of children from dysfunctional families turned out to be the self-esteem and the negative reaction under stress to the mental health. Conclusion: Evaluating the suitability of the models, I presented the bases on the practical nursing business. They showed the right directions to the mental health care of children from dysfunctional families.

• 보건의료산업학회지
• /
• 제11권3호
• /
• pp.115-127
• /
• 2017

Objectives : To determine the relationship between of subjective recognition of social class and mental health. Method: The participants were adults with mental health experience over the age of 20 from the Korea Health Panel in 2013 (n=5,126). Methods : Data were analyzed using SPSS Statistics 22.0 The chi-square test and logistic regression analysis used to verify the relationship between subjective recognition of social class and mental health. Results : Lower subjective recognition of social class was associated with experience of depression and suicidal ideation. Other factors associated with depression experience were subjective health status, gender, age, marital status, type of medical care, disability, subjective health status, current smoking and frequency of drinking. Experience of suicidal ideation was, by contrast, associated with subjective health status, age, marital status, economic activity, private insurance, subjective health status and frequency of drinking. Conclusions : Health policies and institutions must be established to optimize health and preventive medicine approaches, especially or mental health as well as the provision of services.

• 대한간호
• /
• 제18권1호통권99호
• /
• pp.16-20
• /
• 1979

• 한국응용과학기술학회지
• /
• 제41권2호
• /
• pp.498-507
• /
• 2024

In the field of mental health care, long-term healing programs have gained widespread recognition for their effectiveness in promoting well-being. However, the efficacy of shorter-term interventions, such as 1-night 2-day programs, remains relatively understudied. The primary objective of this initiative is twofold: firstly, to enhance the overall well-being and resilience of participants, and secondly, to investigate the program's potential to ameliorate specific mental health indicators. These indicators include physical stress levels, autonomic nervous system health, brain activity, brain stress, and concentration. A 1-night 2-day mental health healing program was implemented for 560 civil servants from Jeollanam-do (mean age 47.87 yrs). The focus was on measuring changes through baseline assessments before participation and post-program assessments upon completion. Measurements included physical stress index, autonomic nervous system health, brain activity level, brain stress, and brain concentration. There was a significant decrease in physical stress, as well as a significant decrease in autonomic nervous system health (p<0.05). Although there was no significant difference in brain activity level, there was a tendency for brain activity level to stabilize in the high-frequency range. Additionally, a significant decrease in stress levels and an improvement in concentration were observed. Incorporating 1-night 2-day relaxation programs into our daily lives offers a holistic approach to caring for both our physical and mental health, providing essential moments of rejuvenation and self-care that contribute to overall well-being and fulfillment.