• 제목/요약/키워드: Mental health-care

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정신보건센터 재활프로그램 참여.비참여 만성정신장애인의 자가관리 및 가족부담감 비교 연구 (A Comparative Study on Self-care of the Chronically Mentally Disabled Participating and Those not Participating in Rehabilitation Programs in Mental Health Centers and Their Families' Feeling of Burden)

  • 백영숙;정안순
    • 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.

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기관별 입원/입소 노인의 인지.행동장애 및 정신건강 문제에 관한 조사연구 -노인 장기 요양 대상자의 입소기관별 적격성(eligibility) 여부를 중심으로- (Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings-)

  • 김현실;정영미;이홍자
    • 대한간호학회지
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    • 제39권5호
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    • pp.741-750
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    • 2009
  • Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

간호대학생의 건강증진행위와 정신적 웰빙 (Health Promotion Behavior and Mental Well-Being in Nursing Students)

  • 이경민;안은선;전원희
    • 가정간호학회지
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    • 제25권3호
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    • pp.164-172
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    • 2018
  • Purpose: The purpose of this study was to investigate levels of health promotion behavior and mental well-being and to analyze the factors affecting mental well-being in nursing students. Methods: A total of 164 nursing students participated in the study. Data were analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS 25.0 software. Results: The mean scores for health promotion behavior and mental well-being were found to be above and below average, respectively. There were significant mean differences in health promotion behavior and mental well-being according to satisfaction with major and perceived physical health status. Health promotion behavior positively correlated with mental well-being. The significant predictors of mental well-being included self-actualization, stress management, and exercise of health promotion behavior. The regression model explained 49.1% of mental well-being. Conclusion: Improving self-actualization capability and stress management skills and developing a habit of regular exercise will increase mental well-being among nursing students.

노인 요양시설의 위계적 공간구성에 관한 연구 (A Study on the Hierarchical Space Organization of Elderly Care Facilities)

  • 권순정
    • 한국실내디자인학회논문집
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    • 제34호
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    • pp.96-105
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    • 2002
  • Elderly care services are health, mental health, social health, and residential services provided to temporarily or chronically disabled older persons over an extended period of time with a goal of enabling them to function as independently as possible. And elderly care facilities such as nursing homes are places in which elderly care services have to be delivered effectively. It is, therefore, desirable to compose the space of elderly care facilities to meet the mental and physical abilities of frail elder people. This study has proposed the hierarchical space organization of elderly care facilities with an aim to fulfill the goals of them. Frail older people in hierarchically designed homes are anticipated to use the inner and outer spaces of care facilities as independently as possible in accordance with their physical and mental abilities.

대학생의 우울증에 관한 연구 -우울 측정 척도를 이용한- (The Depression Scales and The College Students' Health Care)

  • 이광혜
    • 지역사회간호학회지
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    • 제8권1호
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    • pp.144-154
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    • 1997
  • This study is planned to gather necessary data for setting up a system on students' health care in the university. In order to obtain statistical data on the students' health care problems especially in 'depression' among the mental health problems of the students, 'The Beck Depression Inventory' by A. T. Beck and 'Zung's Self-Rating Depression Scale' by W. W. K. Zung were used for gathering numerical data of scale of depression. It is evident that we have to prepare for further medical examination and health care educations for several students. For these students, it is clear that they have problems not only in mental health but also in physical health. I have screened out the high scored students for comparison and analysis. And it disclosed that we have to build up a periodical and continuous 'Health Screening System' utilizing Health Questionnaire for both physical and mental aspects, which will bring up us the very exact result to pick out any person who has healthy problem among the enormous number of the students with handy, convenient and effective procedures but with the least expense and effort. Also it is my firm confidence that this system will be applicable for primary health care control of mass population in local community or any organization.

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고령자의 감성 만족과 정신건강을 위한 스마트폰 응용 기술 (Application Technologies of Smart Phone for Emotional Satisfaction and Mental Health-care of the Elderly)

  • 조면균;김식
    • 대한임베디드공학회논문지
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    • 제8권1호
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    • pp.31-42
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    • 2013
  • Considerations of how to facilitate aging-in-place(AIP) are becoming increasingly pertinent as care-givers are overwhelmed by an aging population. Aging friendly home-care services combined with IT can satisfy the needs of the elderly suffer from chronic diseases such as depression and dementia. Therefore, we propose future smart phone services and application technologies which can estimate emotional states of the aged and respond to the desire to be happy with mental health, connectedness and consolation from peoples. Firstly, we introduce depression measurement techniques to estimate the severity of depression using multiple sensors. At second, the emotional responding services are categorized to four parts and the details are described. Lastly, we propose the process to implement emotional communication and the application techniques(services) to fulfill the emotional satisfaction and mental healthcare for AIP using smart phone as a mediator.

A Study for a Community-based Mental Health Model for House Bound Long-term Mentally Disabled - focusing on the community residents of the Taegu-Kyungpuk area -

  • Lee, Kyunghee
    • 대한간호학회지
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    • 제29권5호
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    • pp.1155-1166
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    • 1999
  • The purpose of this study was to investigate the residents' opinions about community mental health in the Taegu-Kyungpuk area for the future development of a community mental health program and model appropriate for Korea, The subjects were 152 residents in the Taegu - Kyungpuk area. In July 1999, the data was collected using a convenience sample technique. Mental health status was significantly different for the level of occupational advantage(x$^2$=15.684, p<.05) and physical health(x$^2$=39.262, p<.000). Factor structure for mental health problems with the percentage of variance was as follows. optimistic view(27.518), dark view(10.758), mastery(6.200), discomfiture(6.101) and life style(5.641). Most of the respondents(92.1%) took the mental health problems seriously. The serious aspects of the mental health problem were found to be epilepsy, mental retardation, neurosis and schizophrenia respectively. Concerning about the view of community mental health, most of the respondents answered that the a C.M.H.C. was ‘useful and urgent’ concerning the need for C.M.H,(77.6%). They answered positively on the utilization of C.M.H.C(75.7% ) and preferred the separately new community mental heath center. A psychiatrist was preferred as the key person in charge(44.1%). If community mental health centers were established in a community health center, they answered that the expected major problem would be quality control of care(44.7%). They preferred the psychiatrist's office as the recommended agency for the insane(44.7%). Opinions of the asylum system were found very negative in respect to psychiatric therapy and humanitarianism. The results of this study will help establish a relevant model for this community as the primary site for a community-based mental health model.

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Improving Work Functioning and Mental Health of Health Care Employees Using an E-Mental Health Approach to Workers' Health Surveillance: Pretest-Posttest Study

  • Ketelaar, Sarah M.;Nieuwenhuijsen, Karen;Bolier, Linda;Smeets, Odile;Sluiter, Judith K.
    • Safety and Health at Work
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    • 제5권4호
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    • pp.216-221
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    • 2014
  • Background: Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group of a previous randomized controlled trial with high dropout and low compliance to the intervention, we studied the pre- and posteffects of the EMH approach in a larger group of participants. Methods: We applied a pretest-posttest study design. The WHS consisted of online screening on impaired work functioning and mental health followed by online automatically generated personalized feedback, online tailored advice, and access to self-help EMH interventions. The effects on work functioning, stress, and work-related fatigue after 3 months were analyzed using paired t tests and effect sizes. Results: One hundred and twenty-eight nurses and allied health professionals participated at pretest as well as posttest. Significant improvements were found on work functioning (p = 0.01) and work-related fatigue (p < 0.01). Work functioning had relevantly improved in 30% of participants. A small meaningful effect on stress was found (Cohen d = .23) in the participants who had logged onto an EMH intervention (20%, n = 26). Conclusion: The EMH approach to WHS improves the work functioning and mental health of nurses and allied health professionals. However, because we found small effects and participation in the offered EMH interventions was low, there is ample room for improvement.

대사증후군이 있는 당뇨병 환자의 지각된 스트레스에 따른 정신건강과 자가당뇨관리 (Mental Health and Self-care Activities according to Perceived Stress Level in Type 2 Diabetic Patients with Metabolic Syndrome)

  • 김춘자
    • 성인간호학회지
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    • 제22권1호
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    • pp.51-59
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    • 2010
  • Purpose: This study was to identify the mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome. Methods: The descriptive survey design was conducted using a convenient sample. One hundred and fifty-two diabetic participants with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, Students' t-test, and ANOVA with SPSS/WIN 12.0. Results: The high, moderate, and low stress groups according to perceived stress score consisted of 30.9%, 38.2%, and 30.9%, respectively. Differences of mental health and total self-care activities among the three groups were statistically significant. Depression (F=46.73, p<.001), trait anger (F=5.75, p<.01), and anger expression-in (F=4.60, p<.01) of participants in the high stress group were higher than other groups, whereas the total of self-care activities (F=2.85, p<.05) and exercise (F=3.49, p<.05) were lower than other groups. Conclusion: This study concluded that type 2 diabetic patients with metabolic syndrome with a high stress level were low in self-care activities along with elevated depression and anger.

우리나라 정신요양시설 종사자의 직무 만족도에 관한 연구 (The Study on Job Satisfaction of the Employee in the Long-term Mental Health Care Facilities)

  • 채은희;이효영
    • 한국보건간호학회지
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    • 제18권1호
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    • pp.27-38
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    • 2004
  • The purpose of this study was to improve job satisfaction and welfare of the employees in the long-term mental health care facilities. This study was conducted to examine the job satisfaction of 102 employees in the long-term mental health care facilities. Data were collected through education programmes held in Seoul National Hospital at June, 1. The job satisfaction of employees is $2.60\pm0.40$ in total average score. The job satisfaction in the physical environment item is the highest score, $2.76\pm0.62$. The peer relation item value is the lowest, $2.00\pm0.45$. 2. In the case of consideration of job satisfaction by general characteristics, there was no differences in job satisfaction. According to the job satisfaction by types of licences, by the director's efforts, there was significant differences. Comparing to other employees, the employees who doesn't have any licence were more satisfied. Also the director's efforts was significant variable to improve job satisfaction. 3. The total satisfaction level was influenced by the variables of working condition (0.738), welfare (0.728), allowance(0.714), pride(0.701). The total satisfaction level showed positive correlation of this variables. 2002. The questionnaires included items about general character. facility character. and job satisfaction items of employees. The results of this study were summarized as follows.

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