• 지역사회간호학회지
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• 제26권2호
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• pp.69-78
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• 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.

• 한국콘텐츠학회논문지
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• 제22권4호
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• pp.1-12
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• 2022

20세기 초부터 대안적 심리치료의 관심과 발전과 더불어 예술치료의 영역도 발전, 확장되어 가고 있다. 특히 근래 들어 기술의 발전과 코로나 사태(Covid 19 Pandemic)가 불러온 언택트(Untact) 시대는 디지털 예술치료 콘텐츠에 대한 개발을 가속화 하고 있다. 그 중 가상현실(Virtual Reality)에 대한 높은 관심은 전통적 예술치료를 넘어서는 새로운 매체의 치료적 효과성에 대한 기대와 의문을 동시에 불러오고 있다. 이 연구에서는 통합 미술치료이론인 ETC(Expressive Therapies Continumm)의 개념 틀과 치료적 구성요소에 기반한 체계적 문헌분석을 통해 가상현실 미술치료(VRAT:Virtual Reality Art Therapy) 콘텐츠의 치료적 요인의 특성을 알아보고자 하였다. 연구결과로는 VRAT 콘텐츠는 사용자의 동적, 지각적, 인지적 요인을 촉발하는 좌반구 대상의 치료적 요인이 주로 나타났고 감각적, 정서적, 상징적 요소에 치중된 우반구 대상의 치료적 요인은 상대적으로 드물게 나타났다. 그 이유로는 VRAT 매체의 특성 및 기술적 한계 외에도 실험적 단계의 특성상 치료사의 적극적 개입과 장기적 세션 구성의 부재, 사용자들의 VRAT 에 대한 두려움과 서툼, 낯섦 등에 기인한 것으로 보인다. 연구의 한계로는 적은 수의 분석 대상 문헌과 미술치료라고 하기엔 미비한 현 VRAT 의 형식이며 본 연구의 결과로서 도출된 VRAT 콘텐츠 매체와 환경에 기인한 치료 요인의 특징과 가능성이 향후 VRAT 콘텐츠의 적절한 개발에 유용하게 쓰이길 기대한다.

• 대한간호학회지
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• 제46권4호
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• pp.475-489
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• 2016

Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.