• 한국사회복지학
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• 제68권4호
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• pp.75-96
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• 2016

본 연구는 접촉이론에 근거하여 정신장애인과의 다양한 접촉경험을 통한 친숙함이 두려움을 감소시키고, 돕고자 하는 의향을 증가시켜 차별을 의미 있게 감소시킬 수 있다는 가설을 설정하였다. 전국에서 표집된 성인 922명을 대상으로 조현병, 우울증, 알코올중독의 모의 사례 중 1사례를 무작위로 제시하였다. 가설검증을 위해, 제시된 해당사례에 대한 친숙함이 두려움(경로 1)과 도움의향(경로 2)을 매개로 차별에 대한 예측력을 Baron과 Kenny의 분석법을 활용하여 분석하였다. 연구결과 조현병의 경우, 경로 1과 경로 2 모두 지지되어 조현병 사례에 대한 친숙함은 두려움을 감소시키고, 도움의향을 증가시켜 차별을 의미 있게 감소시키는 것으로 나타났다. 우울증의 경우, 경로 2만 지지되어 우울증 사례에 대한 친숙함은 도움의향을 증가시켜 차별을 의미 있게 감소시키는 것으로 나타났다. 그러나 알코올중독의 경우 친숙함이 차별을 의미 있게 예측하지 못해 정서의 매개효과 뿐만 아니라 직접 효과도 없는 것으로 나타났다. 이러한 결과를 바탕으로 연구자들은 정신장애 유형별로 반낙인 전략이 달라져야 함을 주장하였다.

• 대한간호학회지
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• 제47권5호
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• pp.624-637
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• 2017

Purpose: This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. Methods: The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the final hypothetical model were as follows: ${\chi}^2/df=2.51$, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support. Conclusion: It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.

• Tuberculosis and Respiratory Diseases
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• 제86권2호
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• pp.82-93
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• 2023

Tuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, the long duration of TB treatment raised the issue of non-adherence. Non-adherence to TB therapy could negatively affect clinical and public health outcomes. Thus, directly observed therapy (DOT) has been introduced as a standard strategy to improve anti-TB medication adherence. Nonetheless, the DOT approach has been criticized due to inconvenience, stigma, reduced economic productivity, and reduced quality of life, which ultimately could complicate adherence issues. Apart from that, its effectiveness in improving anti-TB adherence is debatable. Therefore, digital technology could be an essential tool to enhance the implementation of DOT. Incorporating the health belief model (HBM) into digital technology can further increase its effectiveness in changing behavior and improving medication adherence. This article aimed to review the latest evidence regarding TB medication non-adherence, its associated factors, DOT's efficacy and its alternatives, and the use of digital technology and HBM in improving medication adherence. This paper used the narrative review methodology to analyze related articles to address the study objectives. Conventional DOT has several disadvantages in TB management. Integrating HBM in digital technology development is potentially effective in improving medication adherence. Digital technology provides an opportunity to improve medication adherence to overcome various issues related to DOT implementation.