• 제목/요약/키워드: Mental factor

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정신과환자의 입원진료서비스에 대한 보호자의 만족도가 병원재이용에 미치는 영향 (Influences of Satisfaction of Mental Disease Patient's Protector about Medical Service on Utilizing Hospital)

  • 최외경;류규수;김문주
    • 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.

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소방공무원에서 정신 건강 증진 프로그램의 효과 (The Effect of Mental Health Improvement Programs for Firefighters)

  • 김재준;최태영;김소연;박주현
    • 대한불안의학회지
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    • 제13권1호
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    • pp.17-24
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    • 2017
  • Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

스마트폰중독 위험군 대학생의 대인관계문제, 스트레스 대처방식, 정신건강의 구조모형분석 (A study on the Structural Equation Modeling of Interpersonal problem, Stress coping strategy, Mental health of University students at risk of Smartphone addiction)

  • 이유리;박정숙
    • 한국융합학회논문지
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    • 제10권2호
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    • pp.293-299
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    • 2019
  • 본 연구의 목적은 구조방정식모형을 활용하여 스마트폰중독 위험군 대학생의 대인관계문제, 스트레스대처방식, 정신건강의 관계를 분석하는 것이다. 연구 결과, 대인관계문제는 정신건강의 심각성을 악화시키는 직접적 영향력을 미치는 것으로 나타났다. 스트레스대처전략은 대인관계문제와 정신건강 사이의 영향관계에서 부분 매개효과를 갖는 것으로 나타났고, 소극적 대처는 위험요인, 적극적 대처는 보호요인으로 분석되었다. 이러한 결과를 바탕으로 스마트폰중독 위험군 대학생의 정신건강 증진을 위한 다양한 실천적 정책적 개입전략을 제시하였다.

한국형 실천관계 척도 정신장애인 용 개발 연구 (Development and Validation Study of the Korean Version of Working Relationship Scale)

  • 권자영
    • 한국사회복지학
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    • 제65권3호
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    • pp.239-263
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    • 2013
  • 본 연구는 정신장애인과 사례관리자간의 '실천관계(Working Relationship)'를 측정하는 한국형 실천관계 척도 정신장애인 용의 개발 및 타당화를 위해 진행되었다. 척도개발을 위해 첫째, 문헌연구와 정신장애인을 대상으로 3회의 포커스면접을 통해 실천관계척도의 예비문항을 구성하였다. 둘째, 정신장애인과 정신보건사회복지전공 사회복지학과 교수 2인 및 1급 정신보건사회복지사인 실무자 2인의 검토를 통해 최종 예비문항을 선정하였다. 셋째, 최종 선정된 예비문항을 569명의 정신장애인 대상의 실증조사연구를 통해 척도의 신뢰도와 타당도를 검증하였다. 수집된 자료를 무선 분할하여 먼저 탐색적 요인분석(exploratory factor analysis)을 실시한 결과, 3개의 요인구조를 확인하였다. 요인 1은 사례관리자의 전문적 실천과 관련된 '전문가 기여', 요인 2는 '부정적인 실천관계', 요인 3은 사례관리자와 정신장애인간의 친밀감을 나타내는 '정서적 유대'로 나타났다. 나머지 표본을 가지고 확인적 요인분석(confirmatory factor analysis)을 실시한 결과 모델의 적합도는 우수한 것으로 나타났다. 이러한 연구결과를 바탕으로 최종 33문항의 한국형 실천관계 척도 정신장애인 용을 개발 제시하였으며, 본 연구의 사회복지적 함의를 논하였다.

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지역사회 정신장애인의 전반적 사회기능과 정신건강 회복 간의 관계에서 희망과 치료적 관계의 매개효과 (Mediating Effects of Hope and Therapeutic Relationship in the Relation between General Social Functions and Mental Health Recovery of Community People with Mental Illness)

  • 신선화;황정희
    • 지역사회간호학회지
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    • 제30권1호
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    • pp.69-78
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    • 2019
  • Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

조현병의 질환단계에 따른 자살경향성과 정신병리의 관계 (Suicidality and Related Psychopathology across Different Stages of Schizophrenia)

  • 조유원;박경우;이동균;이형래;김철응;류승형
    • 대한조현병학회지
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    • 제23권1호
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    • pp.8-14
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    • 2020
  • Objectives: This study aimed to investigate suicidal behaviors and the related psychopathology across the different stages of schizophrenia. Methods: We recruited 131 patients with schizophrenia and categorized them into two groups, according to the duration of illness (DI) as follows: ≤10 years (n=39) and >10 years (n=92). Psychopathology and suicidality were assessed using the 18-item Brief Psychiatric Rating Scale (BPRS-18) and the suicidality module from the Mini-International Neuropsychiatric Interview, respectively. Results: One-quarter of the patients with a DI ≤10 years and nearly one-sixth of the patients with a DI >10 years experienced suicidal behaviors in the previous month. Suicidality scores were significantly associated with the "affect" factor scores of the BPRS-18 in patients with a DI ≤10 years (β=0.55, p=0.003) and with the "resistance" factor scores in patients with a DI of >10 years (β=0.29, p=0.006). Conclusion: The present study demonstrated that psychopathological factors were differentially associated with suicidality in patients with schizophrenia according to the illness stage. Our findings suggest that for effective suicide prevention, different approaches are required for the management of each stage of schizophrenia.

정신장애인의 회복측정도구 개발 (The Development of a Mental Disorder Recovery Scale)

  • 이정숙;이선영
    • 디지털융복합연구
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    • 제11권12호
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    • pp.639-647
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    • 2013
  • 이 연구는 정신장애인의 회복을 측정하는 도구를 개발하고 타당도와 신뢰도를 검정하는 방법론적 연구이다. 3회에 걸친 요인 분석 후 고유값이 1.0이상인 요인이 총 3개 추출되었고 설명력은 58.1%였으며 모든 항목이 공통성과 요인적재량의 기준에 적합하여 삭제되는 문항이 없어 최종 25개 문항이 선정되었다. 준거타당도 검정에서는 Pearson 상관계수는 .71로 유의하였으며(p<.01) 각 요인과도 유의하게 상관관계를 보였다(p<.01). 신뢰도 검정 결과 Cronbach's ${\alpha}$ 계수는 .95였으며 각 요인별 Cronbach's ${\alpha}$ 계수는 .87에서 .93까지 분포하였다. 본 연구를 통해 개발된 3개 요인 25개 문항의 정신장애인의 회복 측정도구는 타당도와 신뢰도가 모두 검정된 도구이므로 정신장애인을 대상으로 하는 실무 및 연구영역에서 활용하여 회복을 촉진하도록 하는데 도움이 될 수 있을 것이다.

인지지도 유사도와 정신적 작업부하와의 관계에 대한 연구 (The study of the relationship between the similarity of cognitive map and the mental workload)

  • 유승동;박범
    • 대한인간공학회지
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    • 제21권3호
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    • pp.47-58
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    • 2002
  • The similarity of shape of shape of interface between human cognitive map and real product is the important factor to determine the human performance. Nevertheless, the degree of similarity between these has not been defined quantitatively in recent studies. Therefore, in this study, the cognitive map and the mental workload were measured by SMM(Sketch Map Method) and RNASA-TLX(Revision of NASA-Task Load Index). And the numerical expression of the accuracy point was suggested for the quantitative calculation of relative positional similarity between cognitive map and real product. In the experiment, nine subjects were participated and two kinds of vehicles were used. Mental workload was mental workload was measured immediately after the road test. The result of analysis on the relationship between accuracy and mental workload shows that the negative correlation exists on each vehicle, and the lower score of mental workloads id measured on the vehicle that has the higher score of accuracy between two vehicles.

간호대학생의 정신건강에 관한 연구 (A Study on The Mental-Health in Nursing Students)

  • 정하윤;이경수
    • 한국임상보건과학회지
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    • 제3권3호
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    • pp.390-398
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    • 2015
  • Purpose. This study was to identify mental health in nursing students. Methods. Participants were 575 nursing students who studied in 3 nursing colleges in B city and Gyeongsangnam-do. The period of data collection was from October 21 to 30, 2013. The data ware analyzed by frequencies, t-test, one way ANOVA, and multiple regression analysis using the SPSS 19.0 program. Results. The results are as followed : First, the average of mental health was $1.77{\pm}0.58$ points. Second, mental health was significantly different according to age, housing style, pocket money, adaption of environment, health status, and grade point average. Third, the influencing factor in mental health of participants was age, pocket money, health status, and housing style, $R^2=.163$. Conclusions. Development of guidance program to improve mental health of nursing students in recommended.

간호대학생의 스트레스, 자아존중감, 정신건강에 관한 연구 (A Study on the Stress, Self-Esteem, and Mental-Health in Nursing Students)

  • 정하윤;권정옥
    • 보건의료산업학회지
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    • 제7권4호
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    • pp.191-204
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    • 2013
  • This study is intended to identify relationship between stress, self-esteem and mental health in nursing students. The data were collected from 448 nursing students using self-report questionnaire. The data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression using the SPSS 19.0 program. The result are as followed; First, the average of stress, self-esteem, and mental health was $1.25{\pm}0.55$, $3.33{\pm}0.42$, and $2.79{\pm}1.20$ point. Second, mental health was correlated with stress positively and self-esteem negatively. Third, the influencing factor in mental health of the participant were interpersonal relationship and clinical based stress, $R^2=.561$. Thus, development of guidance program to improve mental health of nursing students is recommended.