• 제목/요약/키워드: Psychiatric Nursing

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정신과 병동 간호사의 외상 후 스트레스 영향요인 (Predictors of Posttraumatic Stress in Psychiatric Nurses)

  • 여현주
    • 한국직업건강간호학회지
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    • 제26권3호
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    • pp.125-132
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    • 2017
  • Purpose: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. Methods: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. Results: The mean score of posttraumatic stress was $20.75{\pm}16.59$ points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. Conclusion: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.

정신질환자의 자기주장훈련이 대인관계, 사회행동 및 정신증상에 미치는 효과 (Effects of Assertive Training on Interpersonal Relations, Social Behavior, and Psychiatric Symptoms in Patients with a Mental Disorder)

  • 한금선;임희수;양보겸;정혜경;서용진
    • 대한간호학회지
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    • 제35권5호
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    • pp.896-903
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    • 2005
  • Purpose: This study was designed to exam me the effects of an assertive training program on interpersonal relations, and psychiatric symptoms in patients with a mental disorder. Method: The study employed a quasi experimental design. The subjects included 44 patients with a mental disorder, 20 in the experimental group, and 24 in the control group. Data was collected using structured questionnaires over a 3 month period. Results: There were greater significant increases in scores of interpersonal relations and content of communication in the experimental group than the control group. Also, there was a greater significant decrease in the score of psychiatric symptoms in the experimental group than the control group. Conclusion: Assertive training has an effect on increasing content of communication and decreasing psychiatric symptoms.

정신과 병동 간호사의 폭력경험과 긍정심리자본이 소진에 미치는 영향 (The Influence of Violent Experiences and Positive Psychological Capital on Burnout of Psychiatric Ward Nurses)

  • 김진희
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.67-80
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    • 2019
  • Objectives: The purpose of this study was to identify the relationships among violent experiences, positive psychological capital, and burnout, as well as to clarify the factors that affect psychiatric ward nurses' burnout. Methods: A descriptive research design was used. Participants were 213 psychiatric ward nurses recruited from twelve psychiatric hospitals. A structured self-report questionnaire was used to measure the study variables, and data were analyzed with the SPSS 24.0 program using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analyses. Results: Burnout positively correlated with violent experiences (r=.14, p=.041), but negatively correlated with positive psychological capital (r=-.73, p<.001). Positive psychological capital was a significant variable for the burnout of psychiatric ward nurses (${\beta}=-.71$, p<.001). Conclusions: The study findings indicate a need to reinforce positive psychological capital for preventing and alleviating burnout of psychiatric ward nurses.

정신보건시설 종사자의 정신질환자에 대한 권리인식과 보장 (A Study of Mental Health Care Workers' Recognition and Guarantee for Psychiatric Patients' Rights)

  • 정춘화;고성희;김지영
    • 디지털융복합연구
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    • 제11권11호
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    • pp.455-462
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    • 2013
  • 본 연구의 목적은 정신질환자의 권리에 대한 정신보건시설 종사자의 인식정도와 실제 보장 정도를 확인하기 위한 서술적조사연구이다. 연구대상자는 정신보건시설 종사자 231명을 대상으로 하였고, 자료수집기간은 2007년 2월 10일부터 3월 5일까지였다. 본 연구의 결과는 정신보건시설 종사자의 정신질환자 권리 인식은 사전 동의, 치료받을 권리, 비밀보장, 기본적 권리, 일상생활 및 환경, 입원, 치료를 거부할 권리 순으로 나타났다. 실제적인 권리 보장정도는 사전 동의, 치료받을 권리, 비밀보장, 일상생활 및 환경, 기본적 권리, 치료를 거부할 권리, 입원 순이었다. 종사자의 특성에 따른 권리 인식정도는 최종학력, 종교, 월수입, 직종, 권리교육 참석경험 등에서, 권리 보장정도는 월수입, 근무기관, 정신보건과 현재기관 근무경력 등에서 차이가 있었다. 본 연구결과는 정신보건시설에서 정신질환자의 권리 향상을 위한 기초자료로 활용될 것이다.

응급실 내원 자살시도자의 정신과 진료 연계 관련 특성 (The Psychiatric Treatment Link Characteristics of Suicide Attempters Visiting Emergency Room)

  • 박한나;전성숙;변은경
    • 동서간호학연구지
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    • 제20권2호
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    • pp.93-102
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    • 2014
  • Purpose: This study aimed to investigate the characteristics of patients attempting suicide and to analyze treatment determination factors for patients with mental illness who go to an emergency center for treatment. Methods: Data collected from 117 suicide attempters who visited Busan Regional Emergency Medical Center were analyzed using frequency, percentage, ${\chi}^2$-test with SPSS/WIN 15.0. Results: Only 31 cases consulted with the psychiatric department; the other attempters' refused to consult (26.5%). Among the 31 attempters who consulted, 23 cases (74.2%) were suffering from depression. The most common reason (38.6%) suicidal attempters gave to refuse psychiatric treatment was "I'm not mad. I don't need the psychiatric treatment". Treatment determination factors for mental illness were religion (p<.001), past history (p=.017), financial satisfaction (p=.048), previous history of suicidal attempts (p=.006), sleep disturbance (p<.001), expression of suicide (p=.010), and type of leaving the emergency room (p=.020, p<.001). Conclusion: Results suggest that people frequently misunderstand psychiatric treatment which leads to their refusal to accept psychiatric treatment. Therefore hospitals need to develop standard guidelines and procedures for suicidal attempters with the collaboration of emergency and psychiatry departments. In addition, medical teams need to provide attempters appropriate information and encourage them to actively seek psychiatric treatment.

정신병동 입원환자가 지각한 간호사의 비언어적 커뮤니케이션과 간호서비스 만족도의 관계에서 신뢰감의 매개효과 (The Mediating Effect of Trustworthiness in the Relationship between Psychiatric Nurses' Nonverbal Communication and Clients' Satisfaction on the Nursing Services)

  • 위휘
    • 간호행정학회지
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    • 제15권3호
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    • pp.382-390
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    • 2009
  • Purpose: The purpose of this study was to determine whether nurses' nonverbal communication predict clients' service satisfaction and to investigate the mediating effects of their trustworthiness between nurses' nonverbal communication and clients' service satisfaction in psychiatric wards. Methods: A convenience sample of 206 psychiatric inpatients was obtained. Participants completed a demographic sheet and three study instruments. Results: There were statistically significant positive relationships between nurses' nonverbal communication, trustworthiness and clients' satisfaction. Trustworthiness was found to partially mediate the relationship between nonverbal communication and clients' satisfaction. Conclusion: Clients' perception of nurses' nonverbal communication, trustworthiness and satisfaction on the nursing services have a strong relationship. Findings contribute to a more comprehensive knowledge base regarding nursing services.

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집단음악요법이 조현병 환자의 정신증상 및 대인관계에 미치는 효과 (Effects of Group Music Therapy on Psychiatric Symptoms and Interpersonal Relationship in Patients with Schizophrenia)

  • 박영숙;권윤희
    • 재활간호학회지
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    • 제15권2호
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    • pp.126-132
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    • 2012
  • Purpose: This study was conducted to examine the effects of group music therapy on psychiatric symptoms and interpersonal relationship in patient with schizophrenia. Methods: This was a quasi-experimental study with nonequivalent control group pretest-posttest design. The subjects were 63 patients with schizophrenia at S psychiatric sanatorium in D city. Thirty two patients were assigned to experimental group and thirty one patients were assigned to control group. Data were collected from August 4 to September 25, 2011. The group music therapy was conducted for 60 minutes, 8 times per week for 4 weeks. Data were analyzed using descriptive statistics, $x^2$ test and t-test with SPSS/WIN 19.0 version. Results: Experimental group receiving group music therapy showed significant improvements of psychiatric symptoms and interpersonal relationship. Conclusion: The study results indicate that group music therapy is an effective intervention program in improving psychiatric symptoms and interpersonal relationship of patients with schizophrenia.

정신보건센터에 근무하는 정신보건간호사의 직무만족도 (Job Satisfaction of Psychiatric and Community Mental Health Nurses in Community Mental Health Centers)

  • 유광자;이경희
    • 한국직업건강간호학회지
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    • 제21권2호
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    • pp.108-115
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    • 2012
  • Purpose: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. Methods: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. Results: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (${\beta}$=.46, p<.001), self-esteem (${\beta}$=.35, p<.001), leadership (${\beta}$= .27, p<.001), career as a PCMHNP (${\beta}$=-.12, p<.007), job-related characteristics (${\beta}$=.11, p<.24), and career as a nurse in community mental health center (${\beta}$=.09. p<.045). These factors explained 70.3% of the total variance. Conclusion: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

체중조절 프로그램이 입원한 정신질환자의 체중과 식이행동 통제 효능감에 미치는 효과 (Effects of Weight Control Program on Body Weight and the Sense of Efficacy for Control of Dietary Behavior of Psychiatric Inpatients)

  • 홍미나;백금선;한용희;권명순
    • 대한간호학회지
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    • 제38권4호
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    • pp.533-540
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    • 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.

질환별 교육프로그램이 정신질환자의 질병인식 및 약물지식에 미치는 효과 (The Effect of Education Program by Illness on Perception of Illness and Knowledge of Medication in Psychiatric Inpatients)

  • 전원희;박정순;정안순
    • 동서간호학연구지
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    • 제17권2호
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    • pp.110-116
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    • 2011
  • Purpose: This study aimed to examine the effects of education program by illness on perception of illness and knowledge of medication in psychiatric inpatients. Methods: The research design was a non-equivalent and non-synchronized control group design. For this research, a total of 50 subjects was selected at a psychiatric unit of C university hospital in U-city. The experimental group consisted of 24 subjects and they received education program by illness 1 session per a week for 4 weeks. The remaining 26 subjects were assigned to the control group and they received standard services except the education program by illness. In data analysis, SPSS/WIN 15.0 program was used. Results: The experimental group significantly improved compared to the control group in perception of illness and knowledge of medication. Conclusion: This study results suggest that education program by illness could be effective to improve perception of illness and knowledge of medication in psychiatric inpatients.