• 제목/요약/키워드: Psychosocial rehabilitation

검색결과 88건 처리시간 0.019초

정신사회재활서비스가 정신장애인의 자기효능감에 미치는 영향 (The Effects of Psychosocial Rehabilitation Programs on the Levels of Self-Efficacy for Mentally Disabled Persons)

  • 박현숙;배성우;김이영
    • 대한간호학회지
    • /
    • 제38권5호
    • /
    • pp.704-711
    • /
    • 2008
  • Purpose: This study investigated the effects of psychosocial rehabilitation programs provided by a psychosocial rehabilitation center on the levels of self-efficacy for mentally disabled persons. We followed the study subjects for 2 yr in order to examine whether the psychosocial rehabilitation programs had a positive impact on their levels of self-efficacy. Methods: There were 18 subjects in the experimental group and they received all the psychosocial rehabilitation services available at the psychosocial rehabilitation center for 2 yr. In the comparison group, there were 17 participants who voluntarily refused to participate in the psychosocial rehabilitation programs. Results: The results indicated that the psychosocial rehabilitation programs were effective in increasing the levels of the self-efficacy total score and specific self-efficacy score. Conclusion: The overall study results indicated that psychosocial rehabilitation programs provided by a psychosocial rehabilitation center had a positive impact on increasing the levels of self-efficacy for mentally disabled persons.

만성정신질환자의 정신사회재활모형 구축 (Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness)

  • 김현숙
    • 대한간호학회지
    • /
    • 제37권4호
    • /
    • pp.490-500
    • /
    • 2007
  • Purpose: The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically. Method: Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL. Result: 1) The fitness indices of the model were $X^2=133.77$ (df=48, p=.00), GFI=0.93, AGFI=0.87, RMR=2.32, NNFI=0.95 and NFI=0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors. Conclusion: This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

우울증 환자를 위한 정신사회 재활치료 (Psychosocial Rehabilitation of Chronic Depression)

  • 황태연
    • 생물정신의학
    • /
    • 제6권1호
    • /
    • pp.30-33
    • /
    • 1999
  • While depression is certainly a prevalent disorder, it is often severe and debilitating and does not always have the good prognosis we have been led to expect. Social approaches to affective disorders have not been subjected to the same level of scrutiny as the interventions used in the management of schizophrenia. Psychosocial Rehabilitation is now at a critical stage. Psychoeducation, social skill training, cognitive remediation, family education, vocational rehabilitation and case management programs are essential for the rehabilitation of chronic depression.

  • PDF

정신재활서비스가 정신장애인 자립생활 역량에 미치는 영향 (An Influence of Psychosocial Rehabilitation Services to Independent Living Competency of People with Mental Illness)

  • 전재현
    • 한국융합학회논문지
    • /
    • 제11권1호
    • /
    • pp.293-299
    • /
    • 2020
  • 본 연구의 목적은 정신재활서비스가 정신장애인의 자립생활 역량에 어떤 영향을 미치는지 검증하는데 있다. 연구대상은 독립주거 거주기간과 정신재활시설 이용기간이 3개월 이상인 정신장애인들이며, 전국 총 42개 기관의 이용자 231명에게 설문조사를 실시하여 자료를 수집한 뒤 위계적 회귀분석을 수행하였다. 연구결과, 정신장애인들이 이용한 정신재활서비스 이용종류 수가 많고, 정신재활서비스에 대한 도움 만족도가 클수록, 자립생활 교육을 받은 경우 정신장애인의 자립생활 역량이 향상되었다. 이는 지역사회중심의 통합적인 정신재활서비스가 정신장애인 자립생활 역량 강화에 기여하는 효과를 가짐을 의미한다. 연구결과를 바탕으로 정신장애인의 자립생활 역량을 향상하기 위한 통합적인 정신재활서비스의 발전방안을 제안하였다.

정신사회재활서비스가 정신장애인의 삶의 질에 미치는 효과의 10년간 종단적 검증 (Ten-year Longitudinal Examination of the Effects of Psychosocial Rehabilitation Services on the Quality of Life for the Mentally Ill)

  • 배성우;박병선;김이영
    • 한국사회복지학
    • /
    • 제68권3호
    • /
    • pp.127-147
    • /
    • 2016
  • 본 연구는 사회복귀시설의 정신사회재활서비스가 정신장애인의 삶의 질에 미치는 효과를 10년에 걸쳐 추적 조사하여 검증하는 것을 목적으로 한다. 이를 위하여 대구지역의 1개 사회복귀시설에 등록한 정신장애인들을 대상으로 유사실험설계를 활용하여 자료를 수집하였다. 실험집단은 시설의 서비스를 이용하는 정신장애인 23명으로 구성하였으며, 비교집단은 시설에 등록되어 있으나 자발적인 의사로 서비스를 이용하지 않는 정신장애인 23명으로 구성되었다. 초기측정 후 매 1년 간격으로 10년 동안 총 11회에 걸쳐 반복측정을 실시하였다. 수집된 자료는 위계적 선형모형(HLM)기법을 적용하여 분석하였다. 주요 결과는 다음과 같다. 첫째, 정신사회재활서비스는 정신장애인의 삶의 질을 높이는데 효과가 있었다. 둘째, 정신사회재활서비스의 효과성은 10년 동안 지속되고 있음을 확인할 수 있었다. 셋째, 연구기간 동안 정신장애인의 삶의 질은 볼록포물선의 궤적을 나타내며 변화하고 있음을 검증하였다. 이상의 결과를 종합하면, 사회복귀시설에서 제공한 다양한 정신사회재활서비스는 정신장애인들의 삶의 질 향상에 긍정적인 영향을 미칠 뿐 아니라 그 영향력이 10년 이상 장기적으로 지속되었다. 마지막으로 논의와 함의를 제시하였다.

  • PDF

암생존자의 재활을 위한 국내 프로그램 고찰 (Review of Rehabilitation Programs for Cancer survivors)

  • 한종희
    • 한국산학기술학회논문지
    • /
    • 제17권12호
    • /
    • pp.307-315
    • /
    • 2016
  • 의료 기술의 발달은 암 환자의 생존율을 크게 향상시켰으며, 암치료는 종료되었지만 암생존자들은 지속되는 신체적, 심리적, 사회적 문제로 고통 받고 있다. 따라서 암생존자들이 경험하는 문제에 총체적으로 접근하기 위해서는 다양한 통합 재활프로그램이 개발되어야 한다. 본 연구는 암생존자를 위한 재활 프로그램의 내용 및 구성을 확인하고 재활의 효과를 분석하여 향후 통합재활프로그램 개발의 자료로 사용하고자 한다. 문헌검토를 통해 검색된 13개의 연구 논문을 고찰한 결과 암생존자를 위한 재활 프로그램은 운동, 심리사회적, 통합 프로그램으로 분류되었으며, 운동 프로그램은 신체 기능 향상과 피로, 이차암 또는 암 재발과 관련된 호르몬의 변화를 통해 재활의 효과를 측정하였다. 심리사회 프로그램은 삶의 질, 우울, 불안 등과 같은 정서의 변화, 긍정적 자기 변화를 표현하는 외상 후 성장으로 효과를 측정하였고 긍정적인 결과를 보여주었다. 통합재활프로그램은 신체적, 심리사회적 측면을 모두 향상시켰다. 향후 암생존자를 위한 재활 프로그램은 신체적, 심리사회적 측면뿐만 아니라 직업 재활 측면까지 고려되어야 하며 암생존자의 다양성에 맞추어 프로그램을 탄력적으로 적용할 수 있도록 구성되어야 한다.

뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성 연구 (The Correlation Between Psychosocial factors and Therapeutic Flow in Stroke Patients)

  • 김지훈;김환;박준우
    • 디지털융복합연구
    • /
    • 제15권5호
    • /
    • pp.253-262
    • /
    • 2017
  • 본 연구는 뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성을 알아보고, 치료적 몰입에 영향을 미치는 요인을 파악하기 위하여 실시하였다. 총 15개 기관에서 뇌졸중 환자 168명을 대상으로 우울, 스트레스, 자기효능감, 재활동기와 치료적 몰입을 평가하였다. 결과로 뇌졸중 환자의 치료적 몰입은 우울(r=-.349, p<.001), 스트레스(r=-.290, p<.001)와 음의 상관관계를 나타내었으며, 자기효능감(r=.528, p<.001)과 재활동기(r=.186, p<.05)간에는 양의 상관관계를 나타내었다. 최종적으로 치료적 몰입에 영향을 미치는 요인을 알아본 결과, 자기효능감(${\beta}=.443$, p<.001)과 우울(${\beta}=-.155$, p<.05)로 분석되었다. 이상의 결과를 통하여 뇌졸중 환자의 치료적 몰입과 심리사회적 요인은 유의한 관계가 있다고 확인된바, 향후 이에 대한 연구가 지속적으로 필요할 것이다.

뇌졸중 환자를 위한 팀접근 재활프로그램의 효과 (The Effect of a Multidisciplinary Team Approach on the Rehabilitation of Stroke Survivors)

  • 조복희
    • 재활간호학회지
    • /
    • 제6권2호
    • /
    • pp.137-151
    • /
    • 2003
  • The purpose of this study was to develop a multidisciplinary team approach program for stroke survivors, and to identify its effects on their rehabilitation. The team was composed of 7 members: a rehabilitation nurse, a physician, a physical therapist, an occupational therapist, a therapeutic recreational therapist, a nutritionist, and a researcher. A quasi-experimental study was performed with 36 subjects: 18 in the experimental group and 18 in the control group, using a noneqivalent control group pretest-posttest design. The experimental group participated 4 times in rehabilitation programsfocused on information and emotional support provided by the rehabilation team-and received telephone counseling from the researcher. The control group did not receive any treatment. The selection criteria for the subjects in this study were: (a) patients who were diagnosed as having had an ischemic stroke within the last year, (b) patients free of any communication disorder, (c) and those having a primary caregiver who could assist in filling out the form assessing the level of ADL. The data were collected from patients who had been discharged from a tertiary hospital, between October 1st, 1999 and September 30th, 2000. The data were analysed by $X^2$ test, Fisher's exact test, ANCOVA, Wilcoxon's rank sum test, and Wilcoxon's signed rank test using an SAS program. The results were as follows: 1. In terms of physical variables (blood pressure, grasp power, and ADL) 1) There was a significant difference in blood pressure between the two groups (systolic pressure P= .012, diastolic pressure P= .050). 2) There was also a significant difference in grasp power between the two groups (affected side : P= .012, unaffected side : P= .010). 3) There was no significant change in the level of ADL between the two groups. 2. In terms of psychosocial variables (depression, self-efficacy, self-esteem, and social activities) 1) There were no significant differences between the two groups. However, all four psychosocial variables showed a tendency to improve in the experimental group, while only two variables (depression and self-efficacy) showed a simalar tendency in the control group. 2) The level of social activities in the control group decreased significantly after a month (P= .050). 3. The level of life satisfaction improved in both groups, but no significant difference was found. Stroke has high recurrence rate and requires considerable follow-up care. The program used in this study was developed and designed for stimulting the rehabilitation process of stroke survivors. Through the program period of one month (meetings were held weekly), a positive effect was detected in physical variables, although the psychosocial variables did not improve significantly. In retrospect, a one month period may not be an adequate length of time to improve the psychosocial variables, as the stroke survivors were complicated cases, and most of them were elderly. Further research is therefore recommended by increasing the length of program, so that its effect can be more noticeable.

  • PDF

통합건강관리 프로그램이 지역사회 정신장애인의 신체적, 정신사회적, 영적 건강에 미치는 효과 (The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community)

  • 정광하;진영란
    • 지역사회간호학회지
    • /
    • 제26권2호
    • /
    • pp.69-78
    • /
    • 2015
  • Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

Study of Mental Disorder Schizophrenia, based on Big Data

  • Hye-Sun Lee
    • International Journal of Advanced Culture Technology
    • /
    • 제11권4호
    • /
    • pp.279-285
    • /
    • 2023
  • This study provides academic implications by considering trends of domestic research regarding therapy for Mental disorder schizophrenia and psychosocial. For the analysis of this study, text mining with the use of R program and social network analysis method have been used and 65 papers have been collected The result of this study is as follows. First, collected data were visualized through analysis of keywords by using word cloud method. Second, keywords such as intervention, schizophrenia, research, patients, program, effect, society, mind, ability, function were recorded with highest frequency resulted from keyword frequency analysis. Third, LDA (latent Dirichlet allocation) topic modeling result showed that classified into 3 keywords: patient, subjects, intervention of psychosocial, efficacy of interventions. Fourth, the social network analysis results derived connectivity, closeness centrality, betweennes centrality. In conclusion, this study presents significant results as it provided basic rehabilitation data for schizophrenia and psychosocial therapy through new research methods by analyzing with big data method by proposing the results through visualization from seeking research trends of schizophrenia and psychosocial therapy through text mining and social network analysis.