• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.37-45
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• 2013

Purpose: With the rapid development of technology and individual life styles, Korea faces ever-increasing mental diseases caused by divorce, suicide, alcohol, drug addiction, and internet addiction. To reflect this, the quantitative expansion of mental health centers that make up is time. The purpose of this study is to understand the current situation of standard mental health centers by analysing Seoul's cases of mental health. First, this study presents the direction of mental health policy through specific examples about the function of public and private sectors. Second, advantages and disadvantages of the facilities will be delineated through in-depth comparisons and analyses, ultimately providing architectural quidelines for establishing future standard mental health center. Methods: Data were collected through literature research, field surveys, and expert interviews to standard mental health centers in Seoul. In the field investigation, we collected various data(architectural plan, dimension, photos) by visiting standard mental health centers. Data were analysed by content analysis. Results: The result of this study can be summarized into three points. The first one is that Mental health environment changing role of the mental health center is derived the spatial variations. The second one is that Standard Mental Health Center is divided into four sectors. Implications: It is necessary to give and architectural suggestion of mental health center in response to the proposal of the system.

• 대한간호학회지
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• 제45권6호
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• pp.868-878
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• 2015

Purpose: The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues. Methods: Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?" Results: The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.' Conclusion: The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권1호
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• pp.45-55
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• 2014

Purpose: The purpose of this study is to provide data on the basis for architectural planning of floor plan type and spatial composition by analysing standard mental health centers in Seoul. Methods: Data were collected through literature research, field surveys, and expert interviews to 22 standard mental health centers in Seoul. Results: The results of this study could be summarized as follows; Firstly, Mental Health Center is divided into five types according to the location. Location types of mental health center were 'Director type', 'Health center connection type', 'Public facilities connection type', 'Complex center connection type' and 'Commercial Facilities connection type'. Secondly, Depending on the type of management a mental health center is divided into two types. Types are 'Complex type' and 'Independent type'. Average area of 'Complex type' is $192.99m^2$ and 'Independent type' is $266.87m^2$. This difference affects the various spaces. Implications: It is necessary to give and architectural suggestion of mental health center in response to the proposal of the system.

• 지역사회간호학회지
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• 제29권1호
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• pp.76-86
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• 2018

Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

• 한국직업건강간호학회지
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• 제21권2호
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• pp.108-115
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• 2012

Purpose: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. Methods: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. Results: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (${\beta}$=.46, p<.001), self-esteem (${\beta}$=.35, p<.001), leadership (${\beta}$= .27, p<.001), career as a PCMHNP (${\beta}$=-.12, p<.007), job-related characteristics (${\beta}$=.11, p<.24), and career as a nurse in community mental health center (${\beta}$=.09. p<.045). These factors explained 70.3% of the total variance. Conclusion: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.275-285
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• 2019

본 연구의 목적은 우리나라 지역사회 공무원의 정신건강지식 및 정신건강사업에 대한 인식을 알아보기 위해 시행된 서술적 조사연구이다. 조사대상자는 강원도 3개 군에 근무하는 공무원 273명을 대상으로 시행하였으며, 구조화된 설문지를 통해 2018년 7월 1일부터 8월 15일까지 자료를 수집하였다. 자료 분석은 SPSS 22.0 프로그램을 이용하였다. 연구결과 공무원의 정신건강지식은 101.45점(범위 35-160)이었다. 정신건강지식정도는 직업, 정신건강 교육 유무, 정신건강 치료경험 유무, 가족의 정신건강 치료경험 유무에서 통계적으로 유의한 차이가 있었다. 정신건강사업에 대한 인식으로 정신건강복지센터에 대해 알고 있는지에 대해 응답자의 39.9%가 이름정도만 알고 있다고 응답하였으며, 확대해야 할 정신건강서비스는 우울 등 조기발견 서비스가 35.9%로 가장 많았다. 정신건강사업으로 인한 지역사회의 변화에 대해 약간 좋아지고 있다는 응답자가 44.7%로 가장 많았다. 조사대상자들의 정신건강복지센터에 대한 인식과 정신건강 지식 점수와의 관계를 분석한 결과 정신건강지식점수에 따라 정신건강복지센터에 대한 사전지식 유무와 정신건강 관리를 위한 정부의 관리투자에 관한 문항은 통계적으로 유의한 것으로 나타났으므로(p=.012) 지역사회 공무원들의 정신건강지식을 향상시키기 위해 정신건강간호사를 활용한 교육 프로그램의 개발을 제안한다.

• 가정간호학회지
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• 제18권1호
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• pp.5-12
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• 2011

Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

• 한국보건간호학회지
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• 제15권2호
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• pp.351-362
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• 2001

This study was conducted to investigate and compare the degree of professional self -concept (PSC) of the psychiatric mental health nurse practitioners (PMHNP) in hospitals and public health centers and to identify the factors predicting PSC of them, in order to provide basic data for developing PSC increasing program PSC. The 355 PMHNP were sampled from the university or general hospitals. mental hospitals, community mental health centers and public health centers across the country. The scales used in this study were PSCNI by Arthur (1990), PSI by Heppner & Petersen (1982) and the Index of work satisfaction by Slavitt et al. (1978). The results of the study were as follows : 1. The average item score of PSCNI of PMHNP in hospitals was $2.83\pm0.27$, and that of PMHNP in public health centers was $2.76\pm0.28$. There was significantly different between two groups (p=0.0202) 2. A comparison of the scores for the dimensions of the PSCNI were as follows ; the mean item score of professional practice of nurses in hospital was $2.90\pm0.30$, and that in public health centers was $2.83\pm0.35$. There were significant differences between two groups in the scores of professional practices (p=0.0315), leadership (p=0.0071) and skills (p=0.0231). 3. There were significant differences between two groups according to education (p=0.0057) with no significant interaction effect of group and education. 4. Job satisfaction (JS) was the highest factor predicting PSC of PMHNP in hospitals $(34.5\%)$, and problem solving inventory score (PS) was the highest factor predicting PSC of PMHNP in public health centers $(33.6\%)$. JS and PS accounted for $42.6\%$ in PSC of PMHNP in hospitals. and PS, JS, age, marital status, religion, and career accounted for $57.6\%$ in PSC of PMHNP in public health centers. In the light of these results. to gam the professional self-concept. nurses should be educated continuously through role modeling in clinical nursing and research. Also, nurse educators and administrators need to develop programs and policies to increase professional self-concept of nurses, particularly of community PMHNP.

• 재활간호학회지
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• 제9권2호
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• pp.109-116
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• 2006

Purpose: This study is a descriptive research in which the pathological syndromes of the schizophrenic patients in the community mental health centers, the degrees of the insights, and the correlations between them were examined. Method: The subjects included 114 SPR pt. people who were enrolled in community mental health centers located in D City. The research was conducted during the period from Aug. 1st, 2002 to Jul. 30th, 2004. The instruments were PANSS developed by Kay(1987) and SUMD developed by Amador(1993). Results: Among the pathological syndromes, positives ones were $12.64{\pm}3.80$ on the average, negative ones were $32.00{\pm}5.36$, and general pathological syndromes were $30.50{\pm}6.24$. In the evaluation of the insights, the mean score was $11.81{\pm}5.09$. There were some significant correlations between positive syndromes and general pathological ones (r=.572, p=.000), and negative syndromes and general pathological ones(r=.262, p=.029), while there was no significant correlation between the insights and the sub-measures of general pathological syndromes. Conclusion: Therefore, the schizophrenic patients taking advantage of the community mental health centers have more negative syndromes than those in hospitalized, and rehabilitation programs are needed to help them continuously. And the further study of the correlations between the pathological syndromes and the degrees of the insights are required, and still, it should be analyzed what effects the insight acquirement brings about to the improvements of the pathological syndromes after the application of the insight-oriented programs.

• 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.