• Perspectives in Nursing Science
• /
• 제17권1호
• /
• pp.40-48
• /
• 2020

Purpose: This study aimed to describe the empowerment experience of mentally ill persons providing peer support. Methods: Three peer supporters were recruited. A small group interview was conducted with peer supporters in November 2018. The transcribed data were analyzed using a qualitative case study. Results: Three primary themes and seven sub-themes emerged as follows. The first theme is "Personal empowerment," including 1) Remove the sense of helplessness, 2) Be confident, and 3) Establish self-identity. The second theme is "interpersonal empowerment", including 1) Breaking out of isolation and taking an interest in peers, and 2) Assert opinion to family. The last theme was "political empowerment", including 1) Want to legalize "peer support program", and 2) Move to promote "peer support program". Conclusion: Through the activities of peer support, mentally ill persons have diverse empowerment experiences. The results of this study indicated that legislation of the peer support program is necessary to improve their empowerment experience. And it calls for study focusing on the effectiveness and necessity of peer support programs.

• 한국보건간호학회지
• /
• 제29권3호
• /
• pp.594-607
• /
• 2015

Purpose: The purpose of this study was to test the effectiveness of a weight reduction program on the body weight, BMI, self-esteem, and self-efficacy of chronic mentally ill persons. Methods: A nonequivalent control group pre-posttest design was employed. Participants were 46 chronic mentally ill persons who agreed to participate in this study, and were assigned to an experimental group (n=23) and a control group (n=23). The weight reduction program was modified by the author, based on the Wellness program (Lilly Pharmaceutical Company, 2003), Lee (2007) and Kim (2013). Data analysis with frequency, ${\chi}^2$-test, Fisher's exact test, and t-test was performed using SPSS/Win 18.0 version. Results: The results showed a significant decrease in body weight and BMI and an increase in self-esteem in the experimental group compared to the control group. Conclusion: The weight reduction program had a positive effect on body weight, BMI, and self-esteem. Evaluation of drug compliance and vocational rehabilitation is recommended for long term effect of the program and conduct of further studies will be required for use of various resources for self-efficacy for inclusion in drug education in a program for improved health outcome.

• 대한간호학회지
• /
• 제42권2호
• /
• pp.226-235
• /
• 2012

Purpose: The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons. Methods: Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi's framework. Results: Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were 'Incapable of struggling against unfair treatment', 'Living as an outsider', 'Being constrained by oneself', 'Being in suspense over disclosure of oneself'. Conclusion: The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

• 재활간호학회지
• /
• 제15권2호
• /
• pp.91-99
• /
• 2012

Purpose: The purpose of this study was to identify the frequency and status of mentally ill patients who registered in a community health center (CHC) but they could not be accessed. Methods: A total of 233 mentally ill individuals who were registered to a CHC in B Metropolitan City participated in this survey. Data were collected from December 1 to 31, 2010 and analyzed. Results: There were 140 (60.1%) community dwelling mentally ill patients who had been registered to that CHC but were not accessible. The major reasons of this inaccessibility were patients' rejection to be accessed (27.1%) and the wrong or missing address in hospital's discharge note (22.9%). The nursing problems of the subjects were rejection of medication (93.4%); poor personal hygiene (85.8%); violence including harassment of family member(s), assault, property destruction, threat with weapon (38.7%); and so on. Among 159 cases of referrals and requests for help immediate action with patient's compliance were only 8.8%. Conclusion: The findings show that mentally ill patients who had registered to the CHC but were not able to be accessed failed to be managed properly. This would become risk factors of social problems which threat to the community as well as individuals. Thus, we need to prepare programs for this population to make them take medicine at a minimum.

• 한국사회복지학
• /
• 제63권1호
• /
• pp.5-28
• /
• 2011

본 연구는 정신장애인의 정신질환 발병 이후 생애경험을 '생애사적 진행과정구조'에 주목하여 재구성함으로써 발병이후 위기의 진행과 전환의 과정을 이해하고자 한다. 정신장애인 5명이 연구에 참여했으며, 수집된 자료는 Sch$\ddot{u}$tze의 생애사적 이야기식 인터뷰(narrative interview)분석에 의하여 이루어졌고 위기 상황의 전환을 중심으로 '발병과 혼란단계'와 '집중적 치료 재활단계로' 나누어 재구성하였다. 전자는 '질환에 압도당함, 고통스런 삶의 반복과 감내, 가족으로부터의 분리', 후자는 '정신보건법 제정과 지역사회정신보건서비스의 확대, 사회적 역할변화를 통한 자신의 재발견, 생애사적 잠재성을 깨닫게 해준 중요한 타인, 지역사회통합의 장애물 경험, 가족관계의 재통합, 발병이전의 삶에 대한 고찰을 통한 질병경험의 재해석, 미래에 대한 기대'라는 주제로 분석했다. 그리고 두 단계를 전체적으로 비교분석하였다.

• 지역사회간호학회지
• /
• 제31권3호
• /
• pp.234-243
• /
• 2020

Purpose: This study is aimed to identify the health-related quality of life for children with a mentally ill parent. Methods: The 13 participants were school-aged children whose parents were registered at the D Regional Mental Health Welfare Center. Data were collected using one-on-one interview with illustration cards and analyzed by content analysis. Results: The participants were living a difficult life in anxiety amid a reversal of parent-child role, such as doing housework and taking care of their parents. The study revealed a love-hate family relationship that the participants wanted parental recognition and attention but they were frustrated by insufficient parental care and sibling conflict. Nevertheless, they only had each other themselves to trust and rely on. Their mixed health awareness and negative emotions were influenced by parents. Some of participants were exposed to dangerous environment such as domestic violence, and they need support system for help in difficult situations. Sometimes they felt happy by satisfying physiological, social, and self-esteem needs. They also showed a positive potential that they were matured more than peers through the experience of overcoming difficulties. Conclusion: Not only were there not enough attention and support for the children with mentally ill people, but they were also exposed to an environment that threatens their physical or mental health. Therefore, to improve their health-related quality of life, there should be some integrated support of the community health system to cope with the challenges they face.

• Perspectives in Nursing Science
• /
• 제9권1호
• /
• pp.16-23
• /
• 2012

Purpose: The purpose of this study was to examine the effects of a program for rights advocacy on the level of human rights perception and self-esteem for those who are mentally ill. Methods: A quasi-experimental study using a nonequivalent control group pre-post test design was used. The data were collected from January 20 to March. 17, 2010. Forty one (23 in the experimental group and 19 in the control group) individuals participated in this study. The program was developed based on the education program for human rights developed by the Gyeonggi-do community mental health center in 2009. The program consisted of 8 sessions lasting 8 weeks. Results: There were no statistically significant differences in the demographic variables or the outcome variables between the two groups before the intervention. The level of human rights perception and self-esteem increased after the program in the experimental group but not significantly (t=1.87, p=.07; t=0.88, p=.384). Conclusion: Despite the fact that the program was not effective in increasing the level of human rights perception and self-esteem, the study was timely in that it suggests directions for those who develop rights advocacy programs for the mentally ill.

• 한국사회복지학
• /
• 제61권3호
• /
• pp.103-127
• /
• 2009

사례관리의 수행요소가 지역거주 정신장애인의 삶의 질에 미치는 영향이 소비자 만족도에 의해 어떻게 매개되는지를 분석하였다. 분석대상은 지역사회정신보건서비스 기관 중 사례관리를 수행하는 18개 기관과, 이 기관의 서비스를 이용하는 381명의 정신장애인이다. 설문조사를 실시하였으며, 클라이언트 수준과 기관 수준의 자료를 동시에 고려하는 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 주요한 연구 결과는 실무자의 담당 사례량이 삶의 질에 직접적 영향을 주었다. 사례관리팀 접근은 소비자 만족도에 직접적 영향을 미친 반면, 소비자 만족도를 매개하여 삶의 질에 이르는 간접적 영향은 미미하였다. 적절한 사례량의 확보 및 사례관리자 확대, 팀접근의 유용성에 대한 실천적 함의를 제안하였다.

• 한국콘텐츠학회논문지
• /
• 제14권2호
• /
• pp.270-282
• /
• 2014

정신건강 토탈케어 바우처 기관의 사례관리자와 이용자를 대상으로 사례관리 수행요소가 정신질환자의 삶의 질에 미치는 영향을 분석하였다. 클라이언트 요인, 사례관리자 요인, 서비스 전달 요인과 기관요인을 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 본 연구는 국내최초로 사례관리자의 사회복지경력과 사례관리 개입범위가 정신질환자의 삶의 질에 유의미한 영향력이 있다는 것을 검증하였고, 담당 사례수가 1인당 20케이스 이하일 경우 삶의 질에 영향을 미치지 않는 것을 확인하였다. 연구를 통해 사례관리자의 사회복지경력, 담당 사례수, 지역사회환경체계 개입범위의 유용성에 대한 실천적 함의를 제안하였다.

• 대한간호학회지
• /
• 제38권4호
• /
• pp.533-540
• /
• 2008

Purpose: This study was designed to examine the effects of a weight control program on body weight and the sense of efficacy for control of dietary behavior in psychiatric inpatients. Methods: A quasi-experimental design was used. Data were collected from March 1 to September 30, 2007. Female mentally ill patients in closing psychiatry ward of H University Hospital participated in the study (16 persons in the experimental group and 13 in the control group). Results: The weight control program including diet therapy, exercise, education and behavior modification therapy decreased the rate of weight gain in female mentally ill patients taking atypical anti psychotics, and effectively increased a sense of efficacy for control of dietary behavior. Conclusion: Weight control program had a positive effect as a nursing intervention to decrease obesity and to increase the sense of efficacy for control of dietary behavior of psychiatric inpatients in psychiatric inpatients.