• 제목/요약/키워드: Psychiatric

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산업장 근로자의 직업성 스트레스와 정신건강에 관한 연구 (Research on work stress and mental health status of the industrial workers)

  • 차봉석;장세진;이명근;박종구
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.90-101
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    • 1989
  • Recently concerns on work stress and mental health status of industrial workers were increased. The purpose of this study was to investigate the work stress measured by PSI (psychiatric symptom index) according to socio-demographic variables. The study population was consisted with two types of group; manual and clerical workers. The major findings of this study were as follows; Mean scores of psychiatric symptom in manual workers were higher in female, youth, educated, unmarried and divorced, noisy condition, that in clerical workers was higher in aged. Mean scores of psychiatric symptom were highly affected by degree of work autonomy, self-esteem, and self-efficacy in both groups. The higher the work autonomy, self-esteem, and self-efficacy, the lower the mean scores of work stress it showed. Psychiatric symptom index was explained with the work autonomy, self-esteem, self-efficacy through multiple stepwise regression. The annual admission rates were high in highly ranked groups on each psychiatric symptom dimension.

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한국어판 비정신과 간호사의 행동건강간호역량 측정도구의 신뢰도 및 타당도 (Validity and Reliability of a Korean Version of Behavior Health Care Competency on Non-psychiatric Nurse)

  • 한정원;우희영
    • 한국산학기술학회논문지
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    • 제17권4호
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    • pp.426-432
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    • 2016
  • 본 연구는 Rutledge와 그의 동료들이 개발한 Behavior Health Care Competency (BHCC) 도구를 한국어로 번역 및 수정하여 도구의 타당도와 신뢰도를 검증하는 방법론적 연구이다. 서울 소재의 4개의 상급병원에서 근무하는 간호사들을 230명을 대상으로 하여 내용 타당도, 구성 타당도 및 신뢰도 검증을 실시하였다. 최종적으로 4요인과 총 16개 문항으로 분석되었으며, 신뢰도와 타당도가 높은 도구임이 검증되었다. 본 연구는 한국의 비정신과 간호사들의 정신간호와 관련된 행동건강간호역량을 측정할 수 있는 도구를 마련하여 비정신과 병동의 간호사들도 대상자들의 신체적인 문제뿐만 아니라 잠재적인 정신과적 문제를 효율적으로 관리하기 위한 기초자료를 제공했다는데 의의가 있다.

지방의료원 정신건강의학과 운영 및 병동 환경에 관한 연구 (A Study on the Operation and Ward Environment of Psychiatry in Regional Public Hospitals)

  • 문하늬;여정;윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제26권1호
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    • pp.39-49
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    • 2020
  • Purpose : The purpose of this study is to investigate the current status of operation and ward environment of psychiatry in regional public hospitals. Methods: The method of this study utilized legal system and statistical data analysis, and drawing analysis of psychiatric ward. Results: In addition to treatment, psychiatric wards require additional space for special purposes such as psychological stability, social rehabilitation, and psychotherapy and so on. The room should improve the quality of the environment, taking into account the patient's psychological state, privacy, safety, amenity and hygiene. In addition, various types of room are needed to ensure sufficient area per bed. Implications: Psychiatric wards should be provided with a preference for psychological consideration of patients. The result of this study would be useful as a reference to plan psychiatric wards.

정신과 병동 간호사의 긍정심리자본, 공감능력, 스트레스 대처방식이 공감피로에 미치는 영향 (The Influence of Psychiatric Nurses' Positive Psychological Capital, Empathy Ability and Stress Coping Style on Their Compassion Fatigue)

  • 배은녀;이용미
    • 한국직업건강간호학회지
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    • 제32권1호
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    • pp.30-38
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    • 2023
  • Purpose: This study aimed to investigate the effect of positive psychological capital, empathy ability, and stress coping style on psychiatric ward nurses' compassion fatigue. Methods: Data were collected using structured questionnaires for 140 psychiatric ward nurses. The data were analyzed using t-test, one-way ANOVA, and hierarchical regression. Results: The variable predictors of compassion fatigue were as follows: positive psychological capital (β=-.35, p<.001), empathy ability (β=.32, p<.001), and passive coping (β=.25, p=.004). These factors explained 27% of compassion fatigue, and psychological capital was found to have the greatest influence among these variables. Conclusion: Positive psychological capital, empathy ability, and passive coping are important factors influencing nurses' compassion fatigue in psychiatric wards. It is necessary to develop interventions and appropriate coping styles that strengthen positive psychological capital to prevent and reduce nurses' compassion fatigue in psychiatric wards. In addition, it is necessary to identify the required level of empathy ability to maintain a therapeutic relationship.

정신과 외래 환자가 지각하는 낙인과 자기효능감 및 삶의 만족도에 관한 연구 (Self-perceived Stigma, Self-efficacy and Quality of Life in Psychiatric Outpatients)

  • 성기혜
    • 임상간호연구
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    • 제15권2호
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    • pp.127-138
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    • 2009
  • Purpose: The purpose of this study was to explore self-reported perceived stigma, self-efficacy, and quality of life among psychiatric outpatients Methods: In the present study, researchers analyzed the survey responses of 195 patients recruited in the S hospital psychiatry outpatient clinic. The measurement tools used in this study were the "Devaluation & Discrimination" scale to determine perceptions of stigmatization, general and social efficacy scales to measure self-efficacy, and the "General Well-Being Index" to measure quality of life in psychiatric outpatient. Statistical analysis included means with standard deviation, t-test, ANOVA and Pearson correlation coefficients to identify relationships between the variables. Results: There was a significant difference in self-perceived stigma and quality of life in psychiatric outpatients (r=-.233, p=.001) and a negative correlation between self-efficacy and quality of life (r=-.424, p=.000). Correlation analysis results support the hypothesis that higher self-perceived stigma scores were related to reduced quality of life among patients with schizophrenia (r=-.231, p=.021), while there was a positive correlation between self-perceived stigma scores and self-efficacy scores among patients with bipolar disorder (r=.362, p=.013). Conclusion: The findings suggest that nursing imtervention strategies should include education programs to reduce stigmatization and enhance self-efficacy and quality of life among patients with chronic psychiatric illnesses.

정신과간호 실습에 대한 간호 학생들의 태도 조사연구 (A Study of the Attitudes of Nursing Students toward Their Clinical Affiliation in a Mental Hospital)

  • 김소야자
    • 대한간호학회지
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    • 제3권3호
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    • pp.15-26
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    • 1973
  • (Directed by Professor Hong, Shin Yong) Today, over seventy five Percent of the schools of nursing in Korea Provide a psychiatric experience in the basic curriculum. The psychiatric presents numerous major problems of adjustment to the student. The importance of positive attitudes toward the nursing care of psychiatric patients is recognized by the nursing profession. The purpose of this study was to determine the expressed attitudes of fifty-three nursing students toward their psychiatric affiliation. An attempt, also, was made to determine what implications these attitudes revealed relative to future program planning for students during the psychiatric nursing affiliation. A questionnaire, a Korean translation of the "psychiatric Nursing Attitude Questionnaire" by Milder Elizabeth Fletcher, was administered to fifty-three nursing students from three schools of nursing in Seoul, Who had completed a four-week psychiatric affiliation in a large mental hospital during Mar. 19, 1973 to May 19, 1973. The questionnaire of 100 statements was administered in the following way: (1) Part 1, Preconceptions. was. given in individual conferences with each subject, during the first few days of their affiliation, and again during the final week of the affiliation. The responses to Part Ⅰ were oral. (2) Part Ⅱ , Expectations, Part Ⅱ, Personal Relations, Part Ⅳ, Personal Feelings, and Part V , Attitudes and Activities of Patients were given to all of the subjects in a group meeting during the second week of the affiliation, and again. during the fourth week at the termination of the affiliation. Responses to Parts B, B, n, and f, wire written. Each of the 100 statements of the questionnaire was considered to be either Positive or Negative. A favorable response was assigned the Positive value of land an unfavorable response was assigned the Negative value of O. The coefficient of correlation was computed between the two sets of scores for the fifty-three nursing students., The mean score, the standard deviation, and the differences in the means on each of the five parts of the questionnaire were computed and the relationships calculated by a t-test. The results. of the study were as follows: 1. There was no significant correlation between the two sets of scores for the fifty-three nursing students during the four-week psychiatric affiliation. (r=573) 2. There was no significant difference in the mean scores between the first and final tests for any of the five parts of the questionnaire. 3. The Part.1, Preconceptions, data indicated nursing students enter the psychiatric affiliation with certain attitudes and preconceptions toward tile psychiatric affiliation which affect their psychiatric nursing experience, 4. The Part Ⅰ, Expectations, data indicated inappropriate expectations of students related to lack of experience, Lack of pre-psychiatric affiliation orientation, lack of social understanding, and feelings of insecurity. 5. The Part Ⅲ, Personal relations, data indicated some students have negative attitudes in personal relations with normal people in respect to psychological security and social responsibilities. 6. The Part Ⅳ, Personal feelings, data indicated nursing students have psychological insecurity & inappropriateness. 7. The Part Ⅴ, Attitudes and activities of patients, data indicated nursing students have negative attitudes of fear and frustration due to the psychotic behavior of certain patients in certain situations. 8. The data indicated preconceptions are predominate in unfavorable attitudes of students toward psychiatric nursing affiliation. Further researches indicated in the following areas: 1. Because of the limited number of students in this study, similar studies should be performed with larger groups for further validation of the results. 2. Because of the findings concerning the influence of the opinions of people in close contact with the students, similar studies of the attitudes of the staff in nursing schools, attitudes of graduate nurses and attitudes of the public should be done to determine weakness and strengths of present programs.

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정신과 환자 자녀의 우울, 불안, 자기 개념 그리고 가정환경의 특성에 대한 연구 (IMPACT OF PARENTAL PSYCHIATRIC DISORDER ON OFFSPRING'S DEPRESSION, ANXIETY, SELF CONCEPT AND PERCEPTION OF FAMILIAL RELATIONSHIP)

  • 이정법;조수철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제9권1호
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    • pp.54-66
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    • 1998
  • 본 연구의 목적은 정신과 환자의 자녀가 정상인의 자녀와 비교하여 불안, 우울 등의 정신병리와 자기 개념, 가정환경에 대한 인식에 있어서 차이가 있는지를 알아봄으로써 부모의 정신병리가 자녀에게 어떤 영향을 주는가를 밝히기 위함이다. 아울러 환자집단 내에서 환자의 성별에 따라, 환자의 발병 당시의 자녀의 나이에 따라, 환자 진단에 따라 자녀의 불안, 우울 등의 정신병리와 자기 개념, 가정환경에 대한 인식에서 차이가 있는가를 알아보고자 하였다. 1997년 6월부터 1998년 4월까지 서울, 경기지역의 신경정신과 성인 외래 환자 39명을 대상으로 하여 이들의 자녀 중 초등학교 4학년부터 고등학교 3학년까지의 남녀 학생 52명에게 한국형 소아 상태-특성불안척도, 한국형 소아 우울 척도, 한국형 소아자기개념척도, 한국형 가정환경척도를 작성하도록 하고 이를 동 수의 정상인 자녀와 비교하였다. 그리고 환자의 자녀 내에서는 환자가 남자인지 혹은 여자인지, 환자의 발병 연령이 자녀가 3세 이전이었는지 이후였는지, 환자의 진단이 어떤 것인지에 따라 척도들을 비교하였다. 결과는 다음과 같다. 1) 정신과 환자의 자녀들이 정상인의 자녀들과 비교하여 가정환경척도 중 표현력 척도에서 유의하게 낮은점수를 보였고 상태 불안 척도에서는 유의하게 높은 점수를 보였다(p<0.05). 그러나 소아 자기개념척도의 지적 및 학업 상태 소척도와 인기도 소척도에서는 오히려 환자의 자녀가 정상인의 자녀보다 유의미하게 높은 점수를 보였다(p<0.05). 2) 환자군 내에서 환자의 남녀 성별에 따른 자녀의 척도들의 차이는 없었다. 3) 환자군 내에서 환자가 자녀 나이 3세 이전에 발병한 경우가 3세 이후에 발병한 경우보다 가정환경척도 중 조절성 소척도 점수는 유의하게 낮고 특성불안척도는 유의하게 높았다(p<0.05). 4) 환자군 내에서 환자의 진단(정신분열병 범주 장애-정동장애-신경증)에 따른 자녀의 척도들의 차이는 없었다. 자기 보고식 설문으로 측정한 우울, 불안 등의 정신병리는 환자의 자녀와 정상인의 자녀간 유의미한 차이를 보이지 않았다. 환자의 진단이나 남녀 성별의 차이 역시 자녀에게 영향을 주지 않는 것으로 밝혀졌으나 자녀가 3세 이전에 부모가 정신질환에 이환 될 경우에는 자녀의 특성불안이 높은 경향을 보였다. 향후 고위험군 자녀의 발달학적 측면에서 영향을 주는 요인을 밝히는 연구를 위해서는 자녀의 자기보고 이외에도 부모, 선생님 등의 관찰과의 일치도에 대한 조사, 직접적인 면담 등이 필요할 것으로 보이며 통제된 환경에서의 전향적 연구가 필요할 것이다.

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야간 조명 하 안대와 소등의 수면에 대한 효과 비교 (A Comparison of the Effects between Eye-Mask and Light-Off Conditions on Psychiatric Patient Sleep)

  • 신주용;임경옥;조성남;장소영;차승민;한송이;김무진
    • 수면정신생리
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    • 제28권1호
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    • pp.27-33
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    • 2021
  • 목 적 : 본 연구의 목적은 침실에서 야간 조명이 강제적으로 사용되는 교정기관 내 정신과적 입원 환자들에게 상업용 활동 추적기와 수면일지를 통해 안대 착용과 완전 소등이 수면 상태에 주는 효과들의 차이를 조사하는 것이다. 방 법 : 본 연구는 3일 연속 밤 동안 수행되었다. 국립법무병원에 입원된 29명의 정신질환자들에게 무작위 연구 번호가 배정되었으며, 첫 날에는 야간 조명 환경에서 평소처럼 취침했다. 29명 연구대상자들은 다른 날에는 야간 조명환경에서 안대를 착용한 채 취침하였으며, 또 다른 날에는 완전 소등 환경에서 안대 없이 취침하였다. 29명 연구대상자들은 상업용 활동 추적기를 착용하면서 취침하도록 요청되었으며, 다음 날 아침 수면일지를 작성하였다. 연구대상자들은 이러한 둘째 밤과 셋째 밤의 침실 조도 환경 변화를 무작위로 겪도록 배정되었다. 결 과 : 조명 하 수면 환경과 안대 착용 수면 환경 비교 시, 안대 착용 수면 환경에서 수면 후 각성 시간이 짧았고, 수면 만족도가 높았다(각각, Z = 3.66, p < 0.017 ; Z = 2.69, p < 0.017). 또한, 조명 하 수면 조건과 소등 하 수면 조건 비교 시, 소등 하 수면 조건에서 수면 후 각성 시간이 짧았고, 수면 효율, 수면 만족도가 높았다(각각, 31.14분 대 15.00분, Z = 2.40, p < 0.017 ; 79.40% 대 88.10%, Z = 3.02, p < 0.017 ; 2.97점 대 4.10점, Z = 3.88, p < 0.017). 그러나 안대 착용 수면과 소등 하 수면 비교에서는 유의미한 차이가 없었다. 결 론 : 본 연구 결과 정신질환자나 교정기관의 수용자에게 수면을 개선시키기 위해 완전 소등 또는 환경 개선이 불가능할 경우에는 안대 착용을 권장하는 것이 주관적인 수면의 질과 만족도를 높이는데 유용한 방법이 될 수도 있겠다.

정신질환자의 간호문제규명-부산시내 3개 신경정신과 병동을 중심으로- (Nursing Problems Finding of Neuro-Psychiatric Patients-Obtained through a Study on the Patients Hospitalized in 3 Neuro-Psychiatric Hospitals in Busan)

  • 김은자;김인순;김귀숙
    • 대한간호
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    • 제20권2호통권110호
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    • pp.62-74
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    • 1981
  • From July 1 to August 16, 1980 these writers conducted a study on the problems afflicting 93 patients suffering from neuropsychosis hospitalized in neuro-psychiatric wards of three hospitals in Busan and obtained the following findings with respect to the

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정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 -환자에 대한 평가와 이해 - (Therapeutic Approaches to the Patients Who Were Referred for Psychiatric Consultation from Medical Departments - Focused on Evaluation and Understanding -)

  • 이정호;이기철
    • 정신신체의학
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    • 제1권1호
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    • pp.75-80
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    • 1993
  • To understand and evaluate the patients who were referred for psychiatric consultation from medical departments, the authors reviewed the concept of disease, psychological reaction to disease, problems on psychiatric diagnosis and evaluation which were encountered at the medical ward. In addition, we reviewed what psychiatrists should do during consultation.

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