• Journal of Korean Academy of Nursing
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• v.42 no.7
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• pp.1062-1069
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• 2012

Purpose: Meager research has been carried out to determine the effectiveness of the token economy among patients behaving violently in mental hospitals. The purpose of this study was to examine the effectiveness of the Short-Term Token Economy (STTE) on violent behavior among chronic psychiatric in-patients. Methods: A nonequivalent control group design method was utilized. Participants in an experimental group (n=22) and control group (n=22) took part in this study from January to April, 2008. Observation on aggressive behavior among male in-patients in one hospital as a baseline was made during the week before the behavior modification program and measurement of aggressive behavior was done using the Overt Aggression Scale (OAS), which includes verbal attacks, property damage and physical attacks. Results: The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the eight-week behavior modification program utilizing STTE. Conclusion: The results of the study indicate that STTE is effective in reducing the incidence of aggressive behavior among male in-patients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among in-patients in hospitals.

• International Journal of Advanced Culture Technology
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• v.8 no.3
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• pp.140-147
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• 2020

The purpose of this study is to improve the empathy, communication efficacy, and communication skills of nursing students through a psychiatric nursing practice program using storytelling by allowing the students to immerse in the narratives and identify themselves with the main characters with mental illness. This study is a single group pretest-posttest design that applied psychological nursing practice using storytelling to 46 nursing students from a local university in Korea and evaluated its effectiveness. Data analysis was performed by a paired t-test to compare the effects of the participants' empathy, communication self-efficacy, and therapeutic communication ability using SPSS 21.0 program. The results showed that psychiatric nursing practice using storytelling had an effect on the empathy (t=3.565, p=.001) and communication self-efficacy (t=2.320, p=.025) of nursing students. Based on these results, psychiatric and mental health clinical practice curriculums should be developed to improve nursing students' understanding of mental disorders and develop their communication ability with patients.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.21
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• pp.9549-9553
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• 2014

Background: Cancer affects patients in many ways including physical, social, emotional, psychological and economic and restricts the functional lives. Psychiatric problems seen among cancer patients may increase the suicide probability and patients perceive suicide as a peaceful death type. The aim of this study was to examine the correlation between functional life and suicide probability among cancer patients. Materials and Methods: This study was conducted with 105 cancer patients as descriptive. The Functional Living Index_Cancer (FLIC)," suicide probability scale" (SPS) and personal information form were used as data collecting tools. Data were evaluated by descriptive analysis, and Pearson's correlation. Results: It was determined that 34.3% of patients thought of suicide. Significant negative correlation was found between functional life and suicide probability (r=-.641, p=0.000), increase being evident in those with poor functional life. Conclusions: It is recommended that cancer patients should be supported for improving their functional lives with help in coping processes for illness and treatment symptoms. Evaluation of the patient mental status to prevent the suicide among this group is an important role for nurses.

• Journal of Korean Biological Nursing Science
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• v.16 no.2
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• pp.150-156
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• 2014

Purpose: This study was intended to measure the knowledge and attitudes of nurses working in a psychiatric ward regarding the subject of pain. Methods: In this descriptive study, data were collected in psychiatric wards(or hospitals) located in the Kyungnam and Kyungpook area from December 2013 to January 2014, using a modified version of the McCaffrey and Pasero Clinical Manual Survey Regarding Pain. The content of the survey follows a logical progression from common pain management problems through mechanisms of pain, assessment and pharmacology. Results: The average score of knowledge regarding pain was roughly $21.59{\pm}2.93$ among the 181 participants. The nurses selected Tylenol as the preferred choice (81.2%). Seventy-one percent of respondents didn't use Pain Intensity Instruments during the pain assessment. The subjects preferred the Numerical Rating Scale rather than Visual Analogue Scales. Pharmacology questions were the least likely to be answered correctly. No specific correlations were found between score and demographic variables of age and experience. No specific correlation between score and educational level was noted. Conclusion: Nurses require ongoing education on pain management, particularly regarding pharmaceutical agents.

• Journal of the Korean Society of Clothing and Textiles
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• v.24 no.7
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• pp.1088-1099
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• 2000

The purpose of this study was to investigate the effect on self-esteem and emotion of an improved self-appearance image among the female psychiatric patients, and the therapeutic effect of fashion therapy. The treatment intervention was provided for 37 psychiatric patients and the data of 17 participants was analyzed. The results were as follows: 1. The actual self-appearance image improved overall and all factors. Their expectation for the‘attractive’image was heightened. Their self-esteem was improved and negative emotions were reduced overall and depression. 2. The changes of the actual self-appearance had a positive correlation with self-esteem. and a negative correlation with negative emotion overall, especially anxiety, depression. Improvement of ‘attractive’image had the most correlation. 3. The changes of the ideal self-appearance image didn't have the correlation with self-esteem, but negative correlation with emotions overall and anxiety, depression and hostility. 4. The change in the incongruity of their ideal and actual self-appearance image overall had a negative correlation with the change of self-esteem and positive correlation with negative emotion, especially depression and hostility.

• Journal of Korean Academy of Nursing
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• v.7 no.1
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• pp.20-29
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• 1977

The purpose of the present research is to evaluate the therapeutic ingredients-empathy, warmth, and intimacy - as perceived by patient in the relationship with nurses during his hospitalization. "Relationship Questionnaire"developed by C. B. Truax during 1963 was administered from September 1976 to December 1976 to a sampling of 61 discharged patients, 20 were received by mail questionnaire, 19 were successfully interviewed by their doctor at a regular psychotherapy meeting, 22 were contacted by nurses or psychiatric residents at discharge day. Findings showed that 1) the total mean score of therapeutic ingredients of nurses was 9. 54 ; 2)the total mean score of empathy, warmth and intimacy was 10. 10, 9.57, and 9.00 : 3) there was the significant relationship between therapeutic ingredients and other variables-sex, education, number of admission, helpfulness ratings of admission and, present health condition- : 4) there was no significant. relationship between therapeutic ingredients as patient′s perception and age, duration of admission, or motivation of admission, or follow - up rare ; 5) there was no relationship among empathy, warmth and intimacy ; 6) tile ranking of the important psychiatric personnel who were marked as the helper at the treatment and understanding for patient′s recovery, was psychiatric doctor and nurse and then nurse student and then nurse aid.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.30 no.3
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• pp.127-131
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• 2019

Many neurologic disorders manifest as psychiatric symptoms. Anti-N-Methyl-D-Aspartate (NMDA) receptor encephalitis is an autoimmune disease of the brain characterized by numerous neurological and psychiatric features. Despite being rare, its prevalence is rapidly increasing and early management is critical in ensuring successful and sustainable recovery. Therefore, the illness should be considered as a differential diagnosis when clinically assessing patients. This report presents a case of a female child who was hospitalized for acute psychiatric manifestations, which was later confirmed as anti-NMDA receptor encephalitis. She recovered relatively successfully after combined neurological and psychiatric treatment. This report provides information on the clinical course of early onset anti-NMDA receptor encephalitis, including treatment strategy and prognosis.

• Journal of Digital Convergence
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• v.16 no.5
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• pp.329-340
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• 2018

The purpose of this study was to compare emotional intelligence, facilitative communication ability and communication conflict among psychiatric nurse and clinical nurse to improve nurse's emotional intelligence and facilitative communication ability in each clinical field, it was attempted to provide basic data to search for alternatives to reduce communication conflict. Data were analyzed using ANCOVA with SPSS/WIN 20. Finally, emotional intelligence, facilitative communication ability and communication conflicts in clinical nurses higher than psychiatric nurses. These results indicate that need to develope a variety of clinical programs to promote facilitative communication ability and to enhance emotional intelligence of psychiatric nurses and to reduce communication conflicts of clinical nurses.

• Journal of The Korean Society of Clinical Toxicology
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• v.14 no.2
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• pp.100-106
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• 2016

Purpose: Beta blocker (BB) has been prescribed for anxiety and panic disorder. Patients intoxicated by psychiatric drugs have often been exposed to BB. Moreover, BB overdose has adverse effects including cardiovascular effects, which can be life-threatening. This study was conducted to identify the characteristics of BB intoxication with psychiatric drugs and the adverse effects on the cardiovascular system. Methods: A single center, retrospective study was performed from January 2010 to December 2015. A total of 4,192 patients visited the emergency department (ED) with intoxication, and 69 with BB intoxication were enrolled. Results: Overall, 64 patients (92.8%) of enrolled patients were intoxicated with drugs prescribed for the purpose of psychiatric disorders. Propranolol was the most common BB (62 cases, 96.2%), and the median dose was 140.0 mg (25%-75% 80.0-260.0). Twenty-four patients (37.5%) had experienced cardiovascular events, and these patients tended to have decreased mentality, hypotension and coingestion with quetiapine. An initial mean arterial pressure (MAP) below 65 mmHg (odds ratio 10.069, 95% confidence interval 1.572-64.481, p=0.015) was identified as a factor of cardiovascular event upon multiple logistic regression analysis. Conclusion: Initial MAP below 65 mmHg was a factor of cardiovascular adverse effect in patients of BB intoxication with psychiatric drugs.

• Journal of Korean society of Dental Hygiene
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• v.14 no.3
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• pp.353-362
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• 2014

Objectives : The purpose of the study is to investigate the xerostomia in the chronic severe psychiatric patients in Korea because there were few reports on xerostomia in the psychiatric patients. Methods : The subjects were 61 psychiatric patients in the mental hospital by convenience cluster sampling. A self-reported symptom questionnaire was filled out by the three researchers on the basis of medical records by the informed consent. The stimulated salivary flow rate of the patients was measured by saliva sampling. Results : The subjects consisted of 45.9% of male and 54.1% of female. High school graduation accounted for 40.0% and 20.0% did not attend the school. The majority of the patients were medicaid recipients. Schizophrenia accounted for 86.9% and most patients were long term care recipients. A total of 68.9% of the patients suffered from salivary dysfunction. The medication in schizophrenia seemed to decrease the stimulated salivary flow rate and made the patients difficult in chewing and swallowing due to xerostomia and low saliva secretion(p<0.05). Conclusions : Medication in schizophrenic patients caused the salivary dysfunction. So the collaboration between the psychiatry doctors and dental hygienists is very important to improve the salivary secretion in the schizophrenic patients. The continuous and long term care of the xerostomia will help the patients maintain the good oral hygiene.