• 제목/요약/키워드: Mental Illness

검색결과 423건 처리시간 0.035초

비정신과 간호원의 정신질환 및 정신질환자에 대한 태도 조사 연구 (A Study of the Attitudes of Nonpsychiatric Registered Nurses towards Mental illness and Mental Patients)

  • 박예숙
    • 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.

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정신과 근무 간호원의 정신질환 및 정신질환자에 대한 태도 연구 (A Study of the Attitudes of Psychiatric Registred Nurses towards Mental illness and Mental Patients)

  • 김향미
    • 대한간호학회지
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    • 제12권1호
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    • pp.13-24
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    • 1982
  • The main purpose of this study was to investigate attitudes toward mental illness and the mentally ill of psychiatric nurses in Korea and to identify the relationships between the nurses' attitudes and demographic variables. Subjects in this study were 122 psychiatricnurses and 111non-psychiatric nurses in active service at 12 hospitals in Seoul. The insrtument used for measuring attitudes was a questionaire developed by Cohen and Struening (1962) referred to as the“Opinions about Mental illness(OMI) Scale”made up to 51 Likert-type items. The findings of this study indicated hatnurses showed negative attitudetoward mental illness and the mentally ill: Very high on social restrictiveness (factor D), low on Mental Health Ideology (factor C), and Interpersonal Etiology (factor E). Since the high score on Factor A, B and the low score on Factor B, C, E reflect a negative altitudes toward mental illness, this study population related extremely negative attitudes compared to any other surveys. And of the demographic variables that related to their attitudes the education degree and the kind of the hospital in active service showed very significant differences. On the basis of the investigation the findings indicated the followings; 1) Althohg attitudes toward mental illness and the mentally ill of psychiatric nurses were not significant differences from non-psychatric nurses, there was a trend that attitudes of psychaitric nurses did show more negative responses rather than those of non-psychiatric nurses. 2) Demographic variables that relate to their attitudes on the OMI scale were the education degree of the respondent and the kind of their hospital in active service. 3) About attitudes toward mental illness and the mentally ill baccalaureate nursesshowed more positive attitudes in Factor A (Authoritarianism), Factor C (Mental Health Ideology) and Factor D (Social Restrictiveness) than diploma program murses. 4) Nurses in active Service in the private hospital revealed more positive attitudes(A,B,C,D) except Factor (E) than those in the national or public hospital. 5) The ages, duration of work, wanted or unwantedG roup of psychiatric ward and satisfactory level of psychiatric nursing service were non-significant.

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의미간호요법이 정신질환자의 생의 목적과 의미발견 및 희망에 미치는 효과-의미간호요법 프로그램의 개발과 적용에 관한 연구- (An Effect of Nursing -Logotherapy on Purpose in Life and Finding Meaning, and Hope of the Patients of Mental illness)

  • 이정지
    • 대한간호학회지
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    • 제27권4호
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    • pp.727-739
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    • 1997
  • The purpose of this study was to present an effective nursing intervention for helping the patients of mental illness by determining the effect of nursing-logotherapy on purpose in life and finding meaning, and hope of the patients of mental illness by developing and applicating program of nursing-logotherapy The data was collected from March to September in 1995, and its subjects were the patients of mental illness who was appropriate to the standard of this study among the patients of mental illness who hospitalized into Neuro-Psychiatric ward of M. and B. hospital located in Pusan area. They were all 60 subjects, thirty of them for an experimental group and the rest for a control group. The research design was an equivalent control group pre-test and post-test design as an quasi-experimental research and the conceptual frame- work was an interpersonal model. The data analysis was computerized by using SP-SS/PC$^{+}$ and hypothesis testing was done with 2-way ANCOVA and simple correlation. Results were summarized as follows : 1. There were significant changes of purpose in life and finding meaning in an experimental group be-fore and after treatment and a control group be-fore and after. 2. There were significant changes of hope in an experimental group before and after treatment and a control group before and after. 3. The positive correlation between purpose in life and finding meaning and hope of the patients of mental illness were observed. Consequently, nursing-logotherapy could significantly increase the purpose in life and finding mean-ing, and of hope, so it could be said an effective nursing intervention for helping the healing of the patients of mental illness.s.

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SMI군과 Non-SMI군의 사망원인 비교분석 : 일 장기요양기설 입소자를 대상으로 (The Causes of Death of the Institutionalized Population of Kkottongnae : Comparison between Severe Mental Illness Group(SMI) and Non-Severe Mental Illness Group(Non-SMI))

  • 문수진;김경훈;송지영;백종우
    • 생물정신의학
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    • 제16권3호
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    • pp.198-204
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    • 2009
  • Objectives : Schizophrenia and other psychiatric disorder are associated with an increased risk of premature death. For decades, there have been reports of shorter life expectancy among those with severe mental illness. The purpose of this study was to compare the risk of mortality among institutionalized population, treated for severe mental illness to control group who did not have severe mental illness. Methods : The medical records and the death certificates of 2,029 institutionalized population who had died from 1985 to 2003 in Kkottongnae were investigated. Results : The mean age of the death of severe mental illness(SMI) group(51.4${\pm}$15.3 years old) was lower than that of non-severe mental illness(non-SMI) group(65.0${\pm}$19.3 years old) and it was statistically significant(p<0.0001). The most causes of death among the SMI group were respiratory diseases(23.3%), infectious disease (13.0%) and digestive disease(12.3%). Also, we found that the death due to injuries of the SMI group(8.9%) were three times higher than that of non-SMI group(2.5%). The most causes of death among the non-SMI group were respiratory disease(26.3%), circulatory disease(26.2%) and neoplasm(10.8%). Conclusion : The SMI group demonstrated higher mortality rates compared with the rate in the non-SMI group. The finding suggests that careful intervention is needed not only for menal health but also physical health in long-term facilities.

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간호대학생의 의사소통능력, 자기성찰이 정신질환에 대한 태도에 미치는 영향 (Effect of Nursing Students' Abilities of Communication and Self-Reflection on Attitude toward Mental Illness)

  • 고예정;김신향;박시현
    • 디지털융복합연구
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    • 제19권9호
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    • pp.445-451
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    • 2021
  • 본 연구는 간호대학생의 의사소통능력과 자기성찰이 정신질환태도에 미치는 영향을 파악하기 위한 서술적 조사 연구이다. 본 연구결과에서 간호대학생의 의사소통능력, 자기성찰 및 정신질환태도는 유의한 정적인 상관관계를 보여 의사소통능력과 자기성찰 수준이 높을수록 정신질환에 대한 긍정적인 태도를 가지고 있는 것으로 나타났다. 의사소통능력과 자기성찰은 정신질환태도에 영향을 주는 주요요인이며 이에 대한 설명력은 49%였다. 본 연구 결과에 따라 간호대학생의 긍정적인 정신질환에 대한 태도를 강화하기 위해서는 간호학과 교육과정 안에서 의사소통능력과 자기성찰 수준을 향상시키는 교육을 지속하며 정신질환에 대한 태도를 향상시키기 위한 연계 교육 프로그램의 개발이 요구된다.

일부 외국인 근로자의 건강상태 및 의료이용에 관한 연구 (The Evaluation of the Health Status of Migrant Workers)

  • 김상순;김애련;김미한
    • 지역사회간호학회지
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    • 제8권1호
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    • pp.3-20
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    • 1997
  • The purpose of this study was to evaluate the physical and mental health status of foreign migrant workers in Korea, and to provide basic data for assessment of industrial Nurses, and to contribute to the improvement of their health status. There were 108 workers who participated in this study. They lived in Seoul and the capital region and the data were collected from 11th August to 23th, 1996. The C.M.I. was utilized for the study. The results obtained by this study were as follows: Digestive system and Inadequacy have the largest portion of the physical and mental illness respectively. With regard to physical and mental illness ac cording to the gender, the frequency of illness experienced by women was higher than men in Genitourinary system and Sensitivity. By ages, there were significant differences between those in their 20's and 30's and in their 40's, particularly Ears and Eyes system. There were significant differences in mental health illness according to educational levels. The middle school graduate group had more health ill ness than the group with higher than high school education in Anxiety. There were significant differences in the rate of job satisfaction. The dissatisfied group had more health illness in Eyes and Ears, Miscellaneous diseases, and Inadequacy. The lower the rate of working condition satisfaction, the higher the frequency rate of physical and mental health illness (Eyes and Ears, Musculoskeletal system, Nervous system, Frequency of illness, Habits, Total physical section, Inadequacy, Depression, Anxiety, Anger, Tension, Total mental section) By the accessibility of health services, the group who has respond to difficult had more health illness in Frequency of illness, Anxiety, Anger, Tension and Total mental section. There were significant differences in the reason of difficulty of health services use concerning Eyes and Ears and Miscellaneous diseases. The most important factor to explain the satisfaction of job and working condition was the satisfaction for supervisor.

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일 지역사회의 정신질환자와 정신건강사업에 대한 태도 연구 (Survey for Community Attitudes toward People with Mental Illness)

  • 현미열;양수;이경주
    • 대한간호학회지
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    • 제39권1호
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    • pp.84-94
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    • 2009
  • Purpose: This study was done to investigate community attitudes towards people with mental illness and to mental health services. Methods: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. Results: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of $93.38{\pm}17.29$. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. Conclusion: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.

일부 정신의료기관 정신질환자의 상태와 구강건강실태와의 관계 (The relationship between mental illness state and oral health management of mental patients in mental health care institutions)

  • 윤성욱;남인숙;전매숙
    • 한국치위생학회지
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    • 제14권4호
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    • pp.547-553
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    • 2014
  • Objectives : This research aims to analyze the relationship between the state of mental illness and oral health management of mental patients in mental health care institutions. Methods : The data were randomly selected from 474 patients in mental health care institutions. and analyzed by SPSS WIN 12.0 program. Results : Schizophrenia accounted for 79.5%(337 patients) ; alcohol dependency, 5.3%(25 patients) ; mental retardation, 2.7%(13 patients) ; mental development disorder, 3.0%(14 patients) ; mental delusion and dementia, 7.6%(36 patients). Those who were in 40s had the highest dental caries of 3.95 and the highest remaining teeth of 26.76 were shown in the 20s. The correlation between remaining teeth and mental retardation was the highest, measuring 22.38(p<.05). Those who were in 70s had the serious periodontal condition that accounted for 41.3%(12 patients)(p<.05). The correlation coefficient for all factors-dental caries, remaining teeth, need for scaling, and periodontal condition-between mental illness condition and oral health were all positive(p <.05). The regression analysis resulted in the formula Y(mental health condition)=2.999+0.166(dental aries)-0.028(remaining teeth). Conclusions : Those who had mental illness had very poor and serious dental caries and periodontal diseases, so it is necessary to manage the dental health care for the mentally ill patients.

취업정신장애인의 작업환경과 심리적 임파워먼트가 직무만족에 미치는 영향 (The Effects of Working Environments and Psychological Empowerment of the Employed People with Mental Illness on Job Satisfaction)

  • 최희철
    • 사회복지연구
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    • 제40권3호
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    • pp.267-297
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    • 2009
  • 본 연구의 목적은 취업정신장애인의 작업환경과 심리적 임파워먼트가 이들의 직무만족에 어떠한 영향을 미치고 있는지 파악하는데 있다. 이를 위해 경쟁고용 사업체에서 일하고 있는 취업정신장애인 326명을 대상으로 연구를 수행하였다. 연구결과, 심리적 임파워먼트, 상사의 지원, 참여적 풍토, 보상체계의 순으로 취업정신장애인의 직무만족을 가장 잘 예측하는 것으로 나타났다. 이 연구는 처음으로 정신장애인의 특성을 고려하여 심리적 작업환경을 다루었다는 점에 의의가 있다. 또한 심리적 임파워먼트 개념이 일반인근로자 뿐 아니라 정신장애인에게도 직무만족을 설명하는 가장 중요한 개념임을 실증적으로 제시하였다는 데에도 의미를 부여할 수 있다.

정신질환에 대한 일반인의 사회적 거리감에 영향을 미치는 요인 (Factors Affecting Social Distance toward Mental Illness: A Nationwide Telephone Survey in Korea)

  • 문상준;이진석;박수경;이선영;김윤;김용익;신영수
    • Journal of Preventive Medicine and Public Health
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    • 제41권6호
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    • pp.419-426
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    • 2008
  • Objective: The purpose of this study was to investigate impact of knowledge familiarity, and prejudice about mental illness as well as demographic factors on the social distance from mentally ill people, which is a proxy measure of discrimination. Method: To assess the impact of knowledge and familiarity, prejudice about mental illness and demographic factors on the social distance from mental illness, we conducted a telephone survey in South Korea with the responders being nationally representative people who were 18 years old or over (n=1040). Independent samples T-tests, one way ANOVA and linear regression analysis were performed to analyze the results of the survey. Result: The social distance from mental illness decreased as the knowledge and familiarity increased, but the social distance was increased as prejudice was increased. Prejudice had a greater impact on social distance than familiarity and knowledge. Females showed greater social distance than did males. A higher education level had a negative effect on social distance. Conclusion: to reduce the social distance from mentally ill people, efforts to increase the familiarity about mental illness as well as efforts to educate people about mental illness are important.