• 제목/요약/키워드: Mental health service

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중국의 정신의료시설 및 지원체계에 관한 법제도 연구 (A Study on the Regulation for Mental Healthcare Facility and Delivery System in China)

  • 고문매;윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권1호
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    • pp.7-14
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    • 2018
  • Purpose: This study analyzes mental healthcare delivery services and types of facilities, the status of installation and operation, and planning standard. The purpose of the study is to propose a basic data for the performance of related research and work tasks, along with an understanding of the Chinese mental healthcare facility type and support system. Furthermore, it will show a lack of current function management as the changes of mental health concept and demand for services increases, and it is intended to provide implications for the construction of mental health facilities. Methods: This study was conducted by a research on law and regulation of China's mental healthcare delivery service system and mental healthcare facility. The analyzed data are the national standard GB, the optional national standard GB/T, the building construction standard JGJ, and the report issued by the Health Planning and Development Committee. Results: At present mental healthcare facility construction in China is in the period of rapid development and it exposes the layout of medical facilities, which is not currently reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of mental healthcare service. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese Mental healthcare system and facilities, and can promote construction of Chinese mental healthcare facility theory in perfect condition.

결혼상태가 우울 및 자살생각에 미치는 영향 - 연령별 성별 차이를 중심으로 - (Impact of Marital Status on Depression and Suicidal Ideation Among Korean Adults - Focused on the Difference by Age and Sex -)

  • 전경숙;이효영
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.179-190
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    • 2011
  • This study examined the association between marital status and mental health(depression, and suicidal ideation) of Korean adults by age and sex, using 2005 Korean National Health and Nutrition Examination Survey data. Differences of marital status in depression and suicidal ideation were assessed by age and sex-specific prevalence according to each stage of the life course. Our results indicated that adults who divorced, separated, and widowed had significantly higher risk of poor mental health than married adults. Men with no spouse at the stage of middle and older aged are reported higher in depressive symptom than married men. For the suicidal ideation, men with no spouse had higher risk of suicidal ideation through all stage of life course. Women were more likely to report depressive symptom and suicidal ideation than men through all stage of life course. But we could not found the mental health advantage of marriage among Korean women through all stage of life course. Based on findings, the study clearly indicate that the implication of marriage on mental health could be different for adults of different age group and sex.

일 도시 중학생을 위한 학교정신보건사업 모형 - 광주광역시 남구효사랑 청소년정신보건센터 - (Model of School Mental Health Program for Middle School Students in a City : Center for the Hyosarang Adolescent Mental Health, Namgu, Gwangju City)

  • 이정숙;김수진;박영석
    • 한국학교보건학회지
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    • 제17권2호
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    • pp.47-61
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    • 2004
  • Purpose: The goal of this paper is to offer practical suggestions for developing, implementing, and maintaining a successful school mental health program based on the model of a school mental health program for middle school students at the Namgu Hyosarang adolescent Mental Health Center. The model will be divided into six areas and the challenges and future direction of this program: creative approach to funding, creative staffing, education, training, needs assessment & resource mapping, collaboration and partnerships in a school mental health program, and developing an outcome evaluation research. Method: This is a descriptive study of the school mental health program model for middle school students of Namgu Hyosarang Adolescent Mental Health Center implemented over a four year period. Conclusion: Within this paper, a blueprint that can guide the development and implementation of school mental health programs has been offered. The actual application of this model will vary depending on the structure and goals of individual programs and schools. This model of our center has been identified as an effective school mental health program and the actual application program in regular learning times to middle school students. Establishing guidelines about the types of activities necessary for the successful implementation and sustainability of a school mental health program constitutes the first step in standardizing this process, and the school mental health movement continues to receive national recognition as a viable services delivery model for adolescents in need of mental health services. The recommendations outlined indicate that a school mental health program is more effective and necessary than the clinical service of a psychiatric hospital for adolescents' emotional/behavioral problems.

대구·경북 지역 119 구급대원의 코로나19 감염 관련 특성과 정신건강과의 관련성 (Covid-19 infection related to mental health among 119 paramedics in Daegu & Gyeongbuk)

  • 김예림;류소연
    • 한국응급구조학회지
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    • 제25권1호
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    • pp.85-103
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    • 2021
  • Purpose: This study measured the mental health levels of 119 paramedics, and identified the association of mental health levels with safety environments, personal protective equipment, and coronavirus risk awareness. Methods: A total of 119 out of 428 from Daegu and Gyeongbuk took part in this study. The statistical analysis methods were the t-test, ANOVA, Pearson's correlation analysis and multiple regression analysis. Results: In a multiple regression analysis, females (β=-.137, p=<.001) showed a higher relevance to negative mental health than males. The moderate satisfied (β=-.088, p=.014) and dissatisfied (β=-.147, p=.006) showed a higher relevance to negative mental health than higher satisfied. Moderate stress perception (β=-.199, p=<.001) and higher stress perception (β=-.414, p=<.001) showed a higher relevance to negative mental health than lower stress perception. Corona-virus risk awareness (β=-.050, p=.045) was related to negative mental health and safety environment (β=.136, p=<.001). Personal protective equipment (β=.147, p=<.001) were related to positive mental health. Conclusion: Conclusively, it is necessary to develop and implement high-quality intervention programs using significantly influencing variables to impact the mental health of 119 paramedics.

정신장애인의 정신건강증진센터 서비스 이용이 삶의 질에 미치는 영향 (Mental Disabilities Mental Health Center Services Impact on Quality of Life)

  • 김정숙;이선영;이경옥;김소영
    • 보건의료산업학회지
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    • 제7권2호
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    • pp.23-35
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    • 2013
  • A study of the factors influencing the quality of life and social support of people suffering with mental disabilities, who use mental health centers. The purpose of the study includes the general characteristics of subjects, characteristics of the mental health center, the mean score of social support and quality of life of people living with mental disabilities. The 132 questionnaires were administered by meeting directly with subjects and personal visits. 112 Questionnaires were returned(85% response rate). Data was collected from mentally disabled patients in Chungnam Mental Health Center. difference in quality of life by using t-test, one way ANOVA table, the relationship between social support, quality of life by pearson correlation coefficients, and relevant factors affecting quality of life by multiple regression with the SPSS 19.0 program. This study revealed that the group that participated regularly in the day time rehabilitation program showed better social support and positive attitude to a better quality of life than the other group that participated irregularly. This result is directly proportional to the participation frequency to the program during the recent 3-month duration. Another correlation with religion was found in the study due to the fact that a buddhist group showed positive significance in quality of life than non-religious groups. The results show positive correlation between the improvement of the quality of life of patients living with mental disabilities and the social support they receive.

건강정보이해능력·정신건강정보이해능력 국내연구경향분석 : 2007년-2017년 (Research Trend Analysis of Health and Mental Health Literacy in Korea : 2007-2017)

  • 백정원;이희윤;남희은
    • 보건의료산업학회지
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    • 제12권3호
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    • pp.95-106
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    • 2018
  • Objectives: The purpose of this study was to analyze the recent research trends in health and mental health literacy and suggest their implications for future research. Methods: Ninety six articles on the topics of health literacy and mental health literacy that were published in journals in Korea during the last 10 years analyzed. Results: The majority of articles were published in medical journals, whereas the articles published in social and natural sciences journals were conducted by multidisciplinary research teams and seemed to be increasing generally. The participants studied in the selected articles were mostly older adults followed by adults aged 18 and over, and other various groups including health professionals and immigrant groups. More than 97% of the articles used quantitative research methods. Conclusions: Health literacy mirrors other health inequalities. To increase the level of understanding of health information, studies should be conducted using various variables. It is also necessary to develop a community education program that can be implemented in the community. Futher, the results highlighted the importance of interdisciplinary research. It is hoped that this effort will help solve t health inequality.

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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베이비부머 세대 남성의 삶의 만족도에 관한 경로분석 (A Path Analysis on Life Satisfaction of Male Baby Boomers)

  • 장윤정;최연희;김나영
    • 보건의료산업학회지
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    • 제10권4호
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    • pp.167-178
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    • 2016
  • Objectives : The aim of this study was to identify significant paths that affect the life satisfaction of male baby boomers. Methods : Thus, 1,784 male baby boomers born between 1955 and 1963 were selected, among a total of 22,276 male baby boomers in the Gyungbuk region, who had participated in the 2011 Community Health Survey. Results : Through a path analysis, the following factors that affect life satisfaction were revealed in descending order: mental health (p<.001), income level (p<.001), educational level (p<.001), social support (p<.001), health promotion activities (p<.001), and physical illness (p<.001). The explanatory power of the variables for quality of life was 21%. Among the variables, mental health had the biggest impact. Conclusions : The findings indicate that increasing the life satisfaction of male baby boomers requires the following: alleviating their anxiety over retirement income by improving their welfare at a national level; creating an environment that can enhance their mental health and health promotion activities, and providing health education and health promotion programs to change their perceptions.

정신병원 입원 환자가 인지하는 의료서비스 품질이 만족도와 충성도에 미치는 영향 (The effect of mental hospital inpatient's perceived service quality on satisfaction and customer loyalty)

  • 정진홍;권호장;이상규
    • 한국병원경영학회지
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    • 제17권1호
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    • pp.23-42
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    • 2012
  • The purpose of this study is to identify the inpatient service quality at mental hospitals and to examine the effect of service quality on patient's overall satisfaction and customer loyalty. Data collection was done through conducting a survey of inpatients in three mental hospitals located in Chungnam, Korea using self administered questionnaire. The questionnaire included the modified version of 'service satisfaction scale for psychiatric patients' invented by Chul Kwon Kim and other members, which consists of five dimension of service quality: staff attitude, treatment quality, ward environment, access/cost and ward rule. Total 236 questionnaires were gathered and 219 were used for analysis. The data was analyzed by using version SAS9.2 and path analysis model was applied to test our hypothesis. As a result, the four factors of service (staff attitude, treatment quality, ward environment and ward rule) were extracted, which counted for 62.89% of the common variance. Moreover, Cronbach Alpha showed relatively high internal consistency of answer, all exceeding 0.6. According to the study, ward environment and treatment quality turned out to have direct influence on the patient's satisfaction. In addition, staff attitude and overall satisfaction directly influenced the customer loyalty while ward environment and ward rule indirectly had influence using overall satisfaction as a medium. In conclusion, in order to enhance the satisfaction and customer loyalty in mental hospitals, efforts in improving environmental service quality in particular is highly demanded.

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서울시 돌봄 서비스 노동자의 직무스트레스와 정신건강이 주관적 구강 증상에 미치는 영향 (The Effects of Job Stress and Mental Health of Care Service Workers on Self-diagnosed Oral Symptom in Seoul)

  • 홍민희;이정민;장기원
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.274-282
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    • 2020
  • 본 연구의 목적은 서울시 돌봄 서비스 노동자들의 직무스트레스와 정신건강 요인이 구강 증상에 미치는 영향에 대하여 살펴보고자 한다. 연구 방법은 돌봄 서비스 노동자 150명을 대상으로 7월 24일부터 8월 6일까지 설문조사를 시행하였다. 조사항목으로는 직무스트레스, 정신건강(신체증상, 불안, 불면), 주관적 구강 증상을 조사하였으며, 연구 결과 다음과 같다. 직무스트레스(p=0.001)는 구강 증상에 유의한 영향을 주는 것으로 나타났다. 또한, 신체증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001) 모두 구강 증상에 유의한 영향을 주는 것으로 나타났다. 위험 요인 중 신체 증상이 구강 증상에 가장 큰 영향을 미치는 것으로 나타났다. 또한 직무스트레스, 불안 증상, 불면 증상, 구강 증상의 상관성 결과, 직무스트레스가 증가할수록 신체 증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001), 구강 증상(p<0.01)이 모두 증가하는 양의 상관성을 나타냈다. 돌봄 서비스 노동자들은 돌봄 대상자를 신체적·정신적으로 보살펴야 하는 업무를 수행하므로 육체적·심리적 노동력 소진이 크다. 자신의 건강과 구강건강 상태가 좋아야 업무수행력을 높일 수가 있기에 노동자들의 정신건강을 위한 제도적 확대 방안이 필요하며, 구강건강 증진을 위한 맞춤별 구강보건교육 프로그램 도입이 매우 필요하다고 사려된다.