• 한국병원경영학회지
• /
• 제23권2호
• /
• pp.28-41
• /
• 2018

Purpose: This study purposed to analyze the spatial accessibility of mental health institutions in Ganwon-Do using Geographic Information System and to suggest policy implications. Methodology: Network analysis was applied to assess the spatial accessibility of mental health institutions in Gangwon-Do. To perform the network analysis, network data set was built using administrative district map, road network, address of mental health institutions in Gangwon-Do. After building network data set, Two network analysis methods, 1) Service area analysis, 2) Origin Destination cost matrix were applied. Service area analysis calculated accessive areas that were within specified time. And using Origin Destination cost matrix, travel time and road travel distance were calculated between centroids of Eup, Myeon, Dong and the nearest mental health institutions. Result: After the service area analysis, it is estimated that 19.63% of the total areas in Gangwon-Do takes more than 60 minutes to get to clinic institutions. For hospital institutions, 23.08% of the total areas takes more than 60 minutes to get there. And 59.96% of Gangwon-do takes more than 30 minutes to get to general hospitals. The result of Origin-Destination cost matrix showed that most Eup Myeon Dong in Gangwon-Do was connected to the institutions in Wonju-si, Chuncheon-si, Gangneung-si. And it showed that there were large regional variation in time and distance to reach the institutions. Implication: Results showed that there were regional variations of spatial accessibility to the mental health institutions in Gangwon-Do. To solve this problem, Several policy interventions could be applied such as mental health resources allocation plan, telemedicine, providing more closely coordinated services between mental health institutions and community mental health centers to enhance the accessibility.

• 보건행정학회지
• /
• 제9권3호
• /
• pp.149-169
• /
• 1999

A purpose of this study is to understand Platonic View of Health in $\boxDr$Politeia$\boxUl$. Though Plato was not so much a doctor as a philosopher. he had health care of children at heart. He mapped out an ideal type of nation in $\ulcorner$Politeia$\lrcorner$. and he founded a Akademeia in order to realize his dreams. In his course of education. he put emphasis on the problem of health. He extended poetry education for mental health and physical education for physical health. He placed high value on mental health above physical health. and poetry education corresponds to our reading education of today. He perceived that reading had a considerable influence on mental health promotion. According to his assertion, life style, too. had something to do with health condition. To lead a simple. temperate life makes one' health promote, on the other hand, to lead a complicated, intemperate life makes one' health injure. Morever, he approved of a eugenic marriage and the law of jungle. If one is unable to take care of one' health oneself. he would rather die than live. We cannot accept this proposal by general consent. but we cannot be too careful of our health. We can draw out a philosophy of health from Platonic View of Health. For example. the importance of health education. the preference of mental health. the influence of reading education. and responsibility for self-care, etc. We need to establish a philosophy of health scientifically by lasting study of records.

• 한국산학기술학회논문지
• /
• 제20권4호
• /
• pp.160-168
• /
• 2019

본 연구는 청소년의 정신건강 특성이 문제음주에 미치는 영향을 파악하여 청소년의 문제음주 예방을 위한 간호중재 및 교육의 방향을 제시하고자 수행되었다. 연구방법으로는 2017년 청소년건강행태온라인 조사의 원시자료를 이용한 이차분석 연구로, 본 연구에서는 연구주제의 특성 상 음주경험이 전무한 청소년은 제외한 후 9,597명이 최종분석에 사용되었다. 자료 분석은 SPSS Win 23.0 프로그램을 이용하여 빈도분석, ${\chi}^2$-test, 로지스틱회귀분석을 실시하였다. 연구결과 일반적 특성에서는 학교, 주관적 학업성적, 거주형태, 아버지의 학력, 경제 상태가 문제음주에 영향을 미치는 요인으로 나타났고 정신건강 특성에서는 우울감 경험(95% CI:1.578~1.930, p<.001), 주관적 행복감(95% CI:1.039~1.491, p=.002), 자살생각의 유무(95% CI:1.110~1.426, p<.001), 주관적 수면충족(95% CI:1.085~1.399, p=.001)이 청소년의 문제음주에 영향을 미치는 주요 요인으로 나타났다. 따라서 청소년을 대상으로 하는 문제음주 예방 교육이나 간호중재 프로그램을 진행 할 때 대상자의 정신 건강 특성을 고려하여 전문가의 심도 있는 상담을 받을 수 있도록 제공하는 방법이 필요하다. 본 연구의 제한점을 보완하여 문제음주에 대한 추세를 살펴보거나 청소년의 특성을 깊이 파악하기 위해 심층 면접을 통한 질적 연구를 시행하면 임상에서 나 지역사회에서 청소년 문제음주 대상자들을 중재하는데 있어 간호사의 역량을 발휘하는데 좋은 지침이 될 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제22권4호
• /
• pp.271-286
• /
• 2011

Objectives : The purposes of this study were to develop a mental health screening questionnaire and the practical intervention programs or guidelines which can be used in middle and high schools by students and teachers. Methods : The Adolescent Mental health & Problem behavior Screening Questionnaire II (AMPQ-II) was developed and was tested for reliability and validity using nationwide data from 2,180 middle and high school students and 2,145 teachers. Results : The AMPQ-II was measured by both students and teachers. The correlation coefficient of the test-retest test was 0.567 and internal consistency was high (Cronbach's alpha=0.878). Five factors such as worry and thought, mood and suicide, academic and Internet-related problems, peer problems, and rule violations were proposed. We also developed a practical guideline and manuals which can be easily used by secondary school teachers to screen for and manage mental health problems at school. Conclusion : The AMPQ-II can be a useful and reliable tool to screen for mental health problems in middle and high schools in South Korea.

• 대한간호
• /
• 제21권4호통권117호
• /
• pp.65-79
• /
• 1982

Some report presented to nowadays college students were likely to have psychiatric problem mort and more because their many .other- environmental condition and they were greatly obstructed in mental health condition. Therefore this study was attempted com

• 부모자녀건강학회지
• /
• 제17권1호
• /
• pp.1-7
• /
• 2014

Purpose: The research was to identify menstrual regularity & mental health-related factors on unmarried women of childbearing age and provide a raw material in terms of setting up health policy. Methods: The KNHANE V-3 (The Fifth Korea National Health and Nutrition Examination Survey) was used and implemented through spss 18.0. Results: In general characteristics, there wasn't any remarkable difference between 20s and 30s. Looking further Mental health-related factors, stress was higher in 30s (p=.010). In 30s of irregularity mensutration women, it was accounted for 12.5% over than 3months experienced. General characteristics varied by menstrual regularity were age (p=.044), education level (p=.035) and in terms of mental health-related factors, they were stress (p=.044), sleeping time (p=.039). Multiple regression analysis was carried out to identify how influential these factors are on menstrual regularity. As a result, age, education level, sleeping time & stress was the most influence factors. Conclusion: The research had some limitations to specify and approach the feature of target in depth through KNHANE V-3. Thus, if the basic analysis regarding the menstrual problem in relation to local society was conducted on the basis of the result of research, it could help developing the promotion of health program and make the application easier.

• Safety and Health at Work
• /
• 제10권3호
• /
• pp.384-388
• /
• 2019

The horse stable hand workers are one of the most important occupations in horse-racing industry. However, suicide problem of the horse stable hand workers in Korea has raised the necessity of new study on how these workers experience mental health problems such as occupational stress and depression in organizational situation. Therefore, this study investigated the occupational stress and depression level of the horse stable hand workers and identified the structural relationship in the horse-racing industry through a detailed interview. A total of 207 horse stable hand workers participated in this study, and occupational stress and depression level were surveyed using the Korean Occupational Stress Scale (KOSS) and Korean version of the Center for Epidemiologic Studies-Depression Scale (CES-D). The results of this study showed that the occupational stress level of horse stable hand workers was higher than the median of Korean population. The significant difference in occupational stress among the detail job grade was also identified. In addition, 34% of the horse stable hand workers showed high risk of depression, and job demand, organizational system, and inappropriate compensation as the subfactors of occupational stress were showed to mainly affect depression. Although there are some limitations according to the field survey, this study also has significant meaning in that it identifies the relationship between the occupational characteristics of the horse stable hand workers and the mental health. It will be necessary to study the diverse organizational situation and individual mental health for new occupations.

• 한국간호교육학회지
• /
• 제29권1호
• /
• pp.31-60
• /
• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• 대한간호학회지
• /
• 제39권5호
• /
• pp.700-708
• /
• 2009

Purpose: This study was done to test the validity and reliability of the Adolescent Mental Problem Questionnaire (AMPQ) for Korean high school students. Methods: The AMPQ was designed to assess adolescents', mental health status and problem behavior (Ahn, 2006). A methodological study design was used with exploratory factor analysis, Pearson's correlation coefficients, and a fitness of the modified model for validity. Also, Cronbach's alpha coefficients and alternative-form method for reliability were used. AMPQ was tested with a sample of 36,313 high school students. The participants consisted of 18,701 males and 17,612 females. Results: Seven factors were extracted through factor analysis: 'Psychiatric problems', 'Delinquency', 'Academic troubles', 'Family problems', 'Hazardous behavior', 'Harmful circumstance', 'Eating problems'. These factors explained 51.1% of the total variance. The fitness of the modified model was good ($X^2$=38,413.76, Goodness of Fit Index [GFI]=.94, Adjusted Goodness of Fit Index [AGFI]=.93, Comparative Fit Index [CFI]=.95, Root Mean Square Error of Approximation [RMSEA]=.05), and concurrent validity with Korea-Youth Self-Report [K-YSR] was .63. Cronbach's alpha coefficient of the 31 items was .85. Conclusion: The results of present study suggest that the modified AMPQ instrument may be useful for efficiently assessing mental health status and problem behavior in late adolescent, high school students.

• 문화기술의 융합
• /
• 제9권6호
• /
• pp.801-805
• /
• 2023

우리나라는 출산율 감소로 인한 인구 절벽 현상으로 병역자원이 계속 줄어들고 있다. 군 병력의 감소에도 불구하고 장병들의 정신건강 악화로 인해 발생하는 사고는 오히려 증가하고 있다. 장병들의 정신건강은 개인의 문제이기도 하지만, 부대에도 큰 영향을 미칠 수 있다. 개인의 정신건강 악화로 인해 자살, 이혼, 군무이탈 등의 사고는 부대의 전투력 발휘 제한과 사기 저하로 이어지기 때문이다. 현재 국내·외 학계에서는 웨어러블 기기를 이용한 정신건강 관리 방안이 연구되고 있다. 우리 군 역시 이를 활용하여 장병의 정신건강 상태를 객관적으로 측정하고, 축적된 빅데이터를 활용하여 다양한 상황을 예측, 조치할 수 있는 장병 정신건강 관리의 보조도구로 활용할 수 있다. 이에 본 연구에서는 웨어러블 기기를 활용한 군 장병의 정신건강 관리 방안을 제안하고 후속 연구가 원활하게 이루어져 우리 장병들의 정신건강이 향상되길 기대한다.