• 한국융합학회논문지
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• 제9권4호
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• pp.251-259
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• 2018

본 연구의 목적은 정신건강전문요원의 직무소진 및 정서노동과 정신건강의 관계에서 회복탄력성의 조절효과를 검증하는 것이다. 2014년 국립정신보건교육 연구센터의 학술용역연구에서 수집된 정신건강전문요원(간호, 사회복지, 임상심리의 3개 직역 각 1 2급 자격자) 1,020명의 자료를 분석한 결과, 직무소진과 정서노동 모두 정신건강과 유의한 부적 상관을 보였지만 회복탄력성의 조절효과 분석에서는 직무소진에서만 유의한 결과를 보였다. 따라서 정신건강 종사자들이 직무소진으로 인한 정신건강이 저하될 위험성을 회복탄력성이 완충시켜 줄 수 있음이 시사되었다. 본 연구는 정신건강 서비스 대상자들의 정신건강 뿐만 아니라 정신건강 서비스 제공자인 정신건전문요원들의 정신건강에도 동시에 주의를 기울여야 함을 강조하는 연구로서 정신건강 서비스에 관한 연구가 양측 모두에서 융합적으로 이루어져야 함을 보여준다. 본 연구결과를 바탕으로 정신건강전문요원을 비롯한 정신건강 분야 종사자들의 정신건강 관리에 관한 방안 등이 추가로 논의되었다.

• 동의신경정신과학회지
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• 제29권3호
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• pp.135-144
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• 2018

Objectives: The purpose of this study was to analyze the medical cost for patients with vertigo and to examine associations between chronic vertigo and mental disorder using 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS). Methods: We analyzed sociodemographic characteristics, medical cost and medical care use pattern for vertigo patients. We used hierarchical multiple logistic regression analysis to examine odds ratio between chronic vertigo and mental disorder. Results: A total of 46,502 people and 118,504 claims data were identified for vertigo cases. Characteristics of vertigo patients have significant differences on proportion of female patients (68.36%), patients' average age (54.98) and proportion of medical assistance (5.76%) compared with non-vertigo patients. Results revealed that Korean medicine are one of frequent methods among total treatments for vertigo patients. Total days of medical care and total costs are 2.78 days and 111,362 won, respectively, and days for outpatients in Korean medical care (mean: 2.26 days) are more than those (mean: 5.05 days) in Western medical care. There is significant difference relative to sex between acute vertigo and chronic vertigo. The odds ratio between chronic vertigo and mental disorder is estimated as 1.34, that means risk of becoming chronic is 34% higher for vertigo patients with mental disorder. Conclusions: This study assessed socio-demographic characteristics, medical care use and expenses related to vertigo, and estimated associations between chronic vertigo and mental disorder. Findings provide a basis for economic evaluation studies on vertigo patients and development of clinical practice guidelines for vertigo patients with mental disorder.

• 대한조현병학회지
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• 제20권2호
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• pp.55-60
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• 2017

Objectives : Severe mental illness is a major risk factor for suicide. This study aimed to identify characteristics of patients who died by suicide among subjects who had been received service from a community mental health center. Methods : We searched individuals who had committed suicide in Gwangju Bukgu Community Mental Health Center since 2006. Sociodemographic and clinical data were gathered from medical records and their case managers and they were compared with those of general members in the center. Characteristics of schizophrenia patients who died by suicide were particularly summarized. Results : Twelve person committed suicide between 2006 and 2016. The characteristics of those who died by suicide were male (67%), diagnosis of schizophrenia (75%), aged below 50 (83%), unemployed (92%), past history of psychiatric hospitalization (100%), recent admission within 3 months (67%), past history of suicidal attempt (78%), family history of schizophrenia (58%), poor adherence to medication (58%), and use of daily rehabilitation program (42%). Ten out of twelve (83%) showed warning sign for suicide. All identified method of suicide in patients with schizophrenia was jumping from high building. Many patients with schizophrenia, who committed suicide, suffered from comorbid depressive symptoms (67%) and auditory hallucination (78%). Conclusion : Case managers should pay attention to and carefully manage individuals who showed suicidal warning, particularly with risk factors for suicide, such as unemployment, admission state or recent discharge from psychiatric hospital, poor adherence to medication, family history of schizophrenia, and a history of suicidal attempt.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.353-361
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• 2020

본 연구는 예비유아교사의 스마트폰 중독경향성 수준을 알아보고 그 수준에 따른 성인애착, 정신건강, 회복탄력성의 차이를 알아보았다. 또한 성인애착, 정신건강, 회복탄력성이 스마트폰 중독경향성에 미치는 영향을 분석하였다. 이를 위하여 서울과 경기도 지역 예비유아교사 283명을 대상으로 조사하였다. 연구도구는 성인용 스마트폰 중독 자가진단 척도, 친밀관계 경험척도 개정판(ECR-R), 성인용 정신건강문제 진단 척도, 회복탄력성 척도를 사용하였다. 자료분석은 spss21를 사용하여 기술통계, t 검증, 상관분석과 위계적 회귀분석을 실시하였다. 주요 연구결과는 다음과 같다. 첫째, 예비유아교사의 스마트폰 중독경향성 일반사용자군은 228명(81%)이며, 위험사용자군은 55명(19%)으로 나타났다. 둘째, 예비유아교사의 스마트폰 중독경향성에 따른 성인애착, 정신건강, 회복탄력성이 유의한 차이가 있었다. 셋째, 스마트폰 중독경향성과 성인애착 중 불안애착과 정신건강은 정적 상관, 회복탄력성의 통제성, 긍정성은 부적상관이 나타났다. 넷째, 성인애착, 정신건강, 회복탄력성이 스마트폰 중독경향성에 영향을 미치는 것으로 나타났다. 본 연구는 예비유아교사의 스마트폰 중독을 예방할 수 있는 방안을 모색하고, 예비유아교사를 위한 올바른 스마트폰 사용에 대한 교육을 제공할 수 있다는 점에서 교육적 의의가 있다.

• 대한불안의학회지
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• 제13권2호
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• pp.108-114
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• 2017

Objective : A pilot project entitled '50s mental health screening project' was conducted in Seoul. As a part of this project, we conducted surveys to obtain the opinions of psychiatrists regarding mental health screenings. Methods : A questionnaire was mailed to members registered with the Korean Neuropsychiatric Association, which enquired about the '50s mental health screening project'. Results: A majority (90.9%) of the subjects agreed on the purpose and implementation of the project. However, there were fewer individuals that actually showed the intent to participate (65.8%). The mean age of the group with the intention to participate was higher compared to the group with no intention to participate. The factors that negatively affected the intent to participate included prejudice and discrimination against psychiatry (3.795), low health insurance reimbursement (3.784), and inconvenience of reporting to public health centers (3.664). The most appropriate method that scored the highest for screening mental health was face-to-face consultation with a psychiatrist (3.889). Most of the participants agreed on the method of a self-reported survey along with an interview of psychiatrist (84.9%). Conclusion : Subjects were concerned about prejudice and discrimination against psychiatry, low health insurance reimbursement, and inconvenience of reporting to public health centers. These problems need to be supplemented. Face-to-face consultation with a psychiatrist may be considered an appropriate method for future mental health screening.

• 보건의료산업학회지
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• 제9권4호
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• pp.79-90
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• 2015

Objectives : The aim of this study was to investigate the effect of musculoskeletal symptoms and job stress on the fatigability of 268 dental health care workers in Busan. Methods : A structured, self-administered questionnaire was given from Oct 1 through Oct 10, 2015. The collected data were analyzed with the SPSS 18.0 program. Results : The results were as follows. First, for musculoskeletal symptoms, job stress and fatigability, the highest scores were for low back pain (3.23), business stress (2.95) and physical fatigability (3.32), respectively. Second, physical fatigability increased with increasing myofascial pain syndrome, low back pain and business stress. Mental fatigability increased with increasing business stress, human relationships and social activities and decreasing age. Conclusions : Taking the above into consideration, this thesis suggests that there is definite influence from musculoskeletal symptoms and job stress factors on physical and mental fatigability.

• 한국융합학회논문지
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• 제6권5호
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• pp.39-47
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• 2015

본 연구는 간호사의 직무 스트레스와 정신건강과의 관계를 파악하기 위한 서술적 조사연구이다. 연구대상은 C시에 소재한 2개 종합병원 간호사 291명으로 하였다. 연구대상자의 직무 스트레스, 정신건강, 일반적 특성을 조사하였고, 자료 수집은 2015년 4월 7일부터 4월 30일까지였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation 및 multiple regression analysis로 분석하였다. 연구결과 직무 스트레스는 61.96점, 정신건강은 92.45점으로 나타났다. 대상자의 직무 스트레스는 나이, 이직경험에 따라 유의한 차이가 있는 것으로 나타났다. 직무 스트레스는 정신건강과 유의한 양의 상관관계가 있는 것으로 나타났다(r=.233, p=.000). 본 연구는 간호사의 정신건강 관련 요인으로 직무 스트레스의 역할을 실증적으로 확인하였다는 점에서 의의를 찾을 수 있다. 따라서 융합시대에 맞게 급변하고 전문화 되고 있는 간호업무에서 간호사의 정신건강을 고려한 직무 스트레스 예방 및 중재를 위한 융합적 프로그램 개발에 기초자료를 제공하고자 한다.

• 정신간호학회지
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• 제27권4호
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• pp.415-426
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• 2018

Purpose: This study aimed to explore the essentials of psychiatric and mental health nursing by identifying the care experience of the psychiatric nurses. Methods: Eleven psychiatric nurses were recruited across five geographical areas in the Korea. Data were collected using semi-structured interviews from two focus groups, which were analyzed with an inductive content analysis. Results: Participants constructed two categories including 'nursing tasks for the client' and 'nursing tasks for the organization'. Subcategories of nursing tasks for the client are 'staying alert on crisis prevention', 'leading them to be real with eager and persistent will', 'nursing beyond role boundaries', 'tuning the needs of clients' family', 'taking journey with clients' personal life history', and 'doing invisible but recognizable nursing'. Subcategories of nursing tasks for the organization are 'working as a responsible team member', 'integrating team competencies at the center of team', and 'balancing protection and control'. Conclusion: Psychiatric nurses played professional and holistic care roles for the clients, and managerial roles for the organizations. This study provides essential data for defining psychiatric nursing and estimating the appropriate ratio of psychiatric nursing staffing.

• 보건의료산업학회지
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• 제8권2호
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• pp.209-220
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• 2014

The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.

• 한국노년학
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• 제40권4호
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• pp.577-598
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• 2020

돌봄의 사회화가 급속히 진행되는 가운데 사회적 고립과 우울 등이 심한 노인을 위한 지역사회 차원의 정신건강 개입의필요성이 증가하고 있다. 2020년 「노인맞춤돌봄서비스」 개편에 맞추어, 2014~19년 시범사업으로 진행하였던 '독거노인 사회관계 활성화사업'이 「노인맞춤돌봄서비스」 내 별도의 특화 사업으로 확대 개편되었다. 고위험 노인 대상 정신건강 지원 및 사례관리 서비스를제공하는 것을 기본 골격으로 하는 「특화서비스」는 노인돌봄과 정신건강 서비스가 만난 고위험 노인돌봄의 새로운 실천모델이라고할 수 있다. 본 논문의 목적은 「특화서비스」에 대한 이해를 높이고 이것의 개념적 틀을 명확히 하는 것이다. 국내·외 관련 문헌, 그리고 「특화서비스」의 전신인 '독거노인 사회관계 활성화 시범사업'에 대한 분석을 포함한 「특화서비스」 제도화 과정 고찰을 통해 「특화서비스」의 특성 및 개입의 구조와 내용을 살펴보았다. 마지막으로 제도 초반 현장에서 발생하는 몇 가지 상황을 중심으로 향후 「특화서비스」가 의도한 대로 잘 진행되기 위해 고려할 것에 대해 논의하였다.