• 대한불안의학회지
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• 제18권2호
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• pp.80-91
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• 2022

Objective : Hospital workers' mental health has deteriorated because of the ongoing COVID-19 pandemic. The purpose of this study was to investigate the impact of the prolonged COVID-19 pandemic on the mental health of hospital workers and its determinants. Methods : Two surveys were conducted among employees working in a hospital that received COVID-19 patients from the early phase of the pandemic in South Korea. Data on demographics, perceived threat, workplace evaluation, resilience, and mental health status were collected using the Korean General Health Questionnaire-20 in the initial phase (February 2020) and during the third wave of COVID-19 (December 2020) for 467 and 545 workers, respectively. The mental health of hospital workers in the two phases was compared, and the risk and protective factors during the third wave were investigated. Results : The proportion of patients in the psychiatric high-risk group increased from 2.8% in the initial phase to 11.4% during the third wave. The perceived threat, workplace evaluation, and resilience of respondents deteriorated. Risk factors for mental health during the third wave included the perceived threat items of job stress, loss of control, and considering resignation. Protective factors included presence of children, workplace satisfaction, and hardiness in resilience. Conclusion : Hospital workers' mental health deteriorated as the pandemic progressed. General stress and tension such as job stress, loss of control, considering resignation rather than COVID-19-specific stress had negative effects on mental health of hospital workers. Therefore, care for work stress itself can be helpful to maintain the mental health of hospital workers. Also, governance to improve workplace satisfaction or hardiness in resilience can be a potential protective factor for hospital workers' mental health during the prolonged pandemic.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.159-170
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• 2009

The purpose of this study was to review national mental health policy goal in Korea and America, and to suggest strategies for advancing the national mental health policy in Korea. Objectives: First, the review of nation mental health policy in Korea. Second, the review of nation mental health policy in America. Third, the development of nation mental health plan in Korea. Methods: To achieve this objectives, review the books, journals, and national published papers and so on. Results: First, 15 goals are planned for mental health promotion in Korea Health Plan 2010. Second, 14 goals and multiple strategies are planned for mental health promotion in America Healthy People 2010. Third, 3 plans are suggested for mental health promotion in Korea. Conclusion: Mental Health is essential dimension in holistic health. And mental health promotion has been increasingly emphasized in national health plan. Therefore, effective nation mental health policy establishment would be needed continuously.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권1호
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• pp.14-25
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• 2018

Objectives: The aim of this study was to evaluate the effect of a school-based social skills training program on peer relationships in children and adolescents and to assess the plan for effective school-based mental health services. Methods: The Child and Adolescent Mental Health Promotion Team of Bugok National Hospital conducted 7-sessioned school-based social skills training for elementary and middle school students (n=90). Changes in peer relationships were evaluated before and after application of the program using a name generator question. Results: The social skills training program increased peer relations, indicating significant changes in social network indices. Conclusion: The social skills training program positively influenced peer relationships. The school-based social skills training program can be expected to have positive effects on school-based mental health services. Future investigation is needed to validate the long term effects of this program.

• 사회복지연구
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• 제37호
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• pp.369-397
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• 2008

본 연구는 정신장애인의 정신의료기관 입 퇴원 과정을 이해관계자들의 행위양상과 행위가 드러나는 맥락을 중심으로 분석함으로써, 국가관리의 문제점들을 노정하여 보다 실효성이 있는 정책대안을 구축하기 위한 기초자료를 제공하고자 한다. 연구의 참여자는 각 정신보건영역에 근무하는 사회복지사와 간호사 중 6명을 선정하고, 이들의 심층면접을 토대로 자료를 수집하고 분석하였다. 연구결과, 공공관리의 바깥에서 이루어지는 입원형태, 정신장애인 입원에 대한 국가관리의 공백, 정신의료기관의 입원치료에 대한 형식적 국가관리, 장기입원의 구조화, 공공퇴원관리체계의 무기력과 기능의 전치현상 등의 5개 주제가 발견되었다. 정신의료기관의 입 퇴원의 국가관리가 정신보건법상의 제도적 장치에도 불구하고 이를 다시 민간의료기관에 위탁 가능케 함으로써, 관리의 공백과 이 과정에서의 인권침해 현상이 나타나고 있었다. 또한 퇴원후 관리에서도 국가관리는 무기력함을 드러내고 있었으며, 이는 공공기관들의 기능전치현상이 한 원인으로 자리잡고 있었다. 이러한 연구결과를 토대로 하여, 우리나라 정신장애인의 입원과정, 퇴원과정에서의 인권침해를 방지하기 위한 법적 제도적 보완과 지역사회 지지기반 확충을 위한 적극적인 정책을 제언하였다.

• Journal of Acupuncture Research
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• 제21권5호
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• pp.227-239
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• 2004

Objectives : The purpose of this study was to assess the effect of acupuncture for reducing mental stress using power spectrum analysis of the heart rate variability. Methods : 5 healthy volunteers participated in this study. After instrumentation and 5-minute rest period, mental stress was provided for 5-minute. HRV was recorded before and after the mental stress. Acupuncture was put on the HT8, and needle was removed after 15min. Than 2nd mental stress was given for 5-minute with same method. For the control, same process was repeated to same subject except for acupuncture. Results : After mental stress, LF and LF/HF ratio is significantly increased. After acupuncture treatment, LF/HF ratio is significantly decreased, and LF do not significantly changed despite of mental stress. Conclusions : The result suggest that acupuncture treatment can regulate and prevent the alteration of autonomic nerve system due to mental stress.

• 대한임상약리학회:학술대회논문집
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• 대한임상약리학회 1992년도 정기총회 및 추계학술대회
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• pp.42-42
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• 1992

• Journal of Acupuncture Research
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• 제22권6호
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• pp.173-180
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• 2005

Objectives : The purpose of this study was to assess the effect auricular acupuncture for acute mental stress using power spectrum analysis of the heart rate variability(HRV). Methods : 10 healthy volunteers participated in this study. After 5 minute rest, the first mental stress was provided for 5 minute. And then subjects rested for 15 minute. The second mental stress was provided for 5 minute. The acupoint, Shin-Mun point of the ear was stimulated for 15 minute. HRV was recorded before and after the first and second mental stress, and after auricular acupuncture stimulation. Results : After mental stress, normalized LF and LF/HF ratio is significantly increased. Before and after simple rest, normalized LF and normalized HF is significantly changed, but LF and LF/HF ratio is not significantly changed. On the other hand, before and after auricular acupuncture treatment, normalized LF, normalized HF is significantly changed, and also LF and LF/HF ratio is significantly decreased. Conclusion : The result suggest that auricular acupuncture can decrease more significantly in cardiac sympathetic activity due to mental stress than simple rest.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제3권4호
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• pp.7-16
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• 1997

Mental hospital has been expanding its function to psychiatric treatment in the meaning of therapy. Therefore systematic research on thr mental hospital is urgent. This study aims to prepare the basic data which are needed on planning and designing the mental hospital with emphasis on the wards, which take the largest area ratio and play a principal role to psychiatric patients. The process of study is to 1) to survey facility of Mental hospital in Korea, 2) to analize charactor and behavior of psychiatric patients 3) to suggest element of ideal ward in general hospital.

• 한국병원경영학회지
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• 제5권2호
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• pp.100-119
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• 2000

This study was conducted to understand the influences or satisfaction of mental disease patient's carer about medical service on utilizing hospital, for 202 mental disease patients who are in 19 hospitals from March 2, to 31, 2000 with questionnaire. Factor for understanding satisfaction of patient's carer includes ability of medical professional, view of facility, kindness of steps, convenience of medical procedure, cleanness of environment and convenience of traffic. The data collected were analyzed by SPSS program and the results of this study are summarized as follows; 1. There are not significantly difference bet wren general character and whole satisfaction of patient's carer. 2. Each factor has the positive relation with whole satisfaction of patient's carer about medical service. 3. Whole satisfaction of patient's carer have the significant positive relation with utilizing hospital($\beta$=.527, p=.000), this means that the higher whole satisfaction of patient's carer, the higher their tendance of utilizing hospital. 4. Knowledge for mental disease of patient's carer appear the positive results in view of medical care. In conclusion, the policy has to be developed in order to prevent the stop of utilizing hospital of patient and their carer. But there is a limit to except mental disease patients in this study.

• 보건의료산업학회지
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• 제7권1호
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• pp.83-94
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• 2013

This study with emphasis on protecting human rights of people with mental disorder investigated human rights awareness among mental health workers and identify factors affecting their awareness. Questionnaires were sent out to employees working in mental health facilities in all parts of the country and of those 1094 were used to analyze. According to the analysis, employees' human rights awareness was ranked highest in the areas of occupational therapy and lowest in the areas of admission and discharge. Those who are women, aged between 30 and 40, highly educated, with long tenure, employed as social workers and working at rehabilitation programs presented high awareness of human rights so did employees with license in mental health and training experience in human rights. The result also presented negative correlation between employees' human rights awareness and their prejudice against people with mental disorder. Through this study, guidelines will be set up to help employees acknowledge the importance of human rights awareness and raise their awareness to promote and practice human rights of people with mental disorder.