• 제목/요약/키워드: mental illness

검색결과 423건 처리시간 0.026초

정신질환의 회복[Recovery] 개념분석 (Recovery of People Living with Mental Illness: A Concept Analysis)

  • 여기동;송근숙;이미형
    • 가정간호학회지
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    • 제19권1호
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    • pp.46-54
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    • 2012
  • Purpose: The purpose of this study is to analyze the concept of recovery in relation to those living with mental illness and provide a better understanding to the definition, perspectives, and paradigm of recovery in phenomenon, as a conceptual knowledge. Methods: A literature review was conducted to define the concept of recovery from a mental illness by using key words, "recovery", "mental health and illness", "concept analysis" and "recovery-oriented nursing", and searching the Cumulative Index to Nursing and Allied Health Literature, PubMed, Cochrane library and RISS4U database. Concept analysis of recovery was done, by using the Walker and Avant's framework of concept analysis. Results: Attributes of recovery for those living with mental illness included regain, life reconstruction, hope, adjustment, and health. Antecedents of recovery from mental illness included instilling hope, recovery vision, belief, peer support, recovery-oriented services, empowerment, personal accountability, education, human rights and culture. The consequences, as meanings of recovery included self-esteem, hopeful life, positive adjustment, and healthy life. Conclusion: Concept of recovery is important for a nurse to understand when caring for a person living with mental illness. This concept of recovery from mental illness may apply to future studies to develop a recovery-oriented nursing intervention.

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지역사회 지도자의 정신질환에 대한 태도- 일 지역사회 정신건강관리 모형개발을 위한 기초조사 - (The Attitudes of Community Leaders Toward Mental Illness)

  • 노춘희
    • 대한간호학회지
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    • 제28권4호
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    • pp.881-892
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    • 1998
  • This study attempts to identify attitudes of community leaders toward mental illness in order to obtain useful information concerning the planning of community mental health services. The community sample consists of 50 community leaders including, civil servants, doctors, herb doctors, school nurses, counselors, village leaders, pharmacists, and pastors. Individuals were asked to give demographic data, their personal attitudes toward mental illness' etiology & prognosis, and toward neighbors who are psychiatric patients. The interview with open questions was used to collect data. According to the study community leaders 82% believed that mental illness could be treated, 66% believed that mental illness was caused by genetic factors and environmental stress, and 76% had negative impressions about mentally ill people such as fear, seclusion, asylum, also crime. Only 28% of mentally ill people were accepted as neighbors in community. 52% of community leaders rejected opening of mental hospital, and thought that the Chunchon community needed facilities such as group homes, or day care centers (30%), however, 34% of the leaders they didn't recognize community mental health. These findings suggest that mental health professionals need to pay special attention to change the attitude of Chunchon community leaders and mental health institutions need to a develop mental health education program for community leaders.

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TV 다큐멘터리가 생성한 정신장애 담론 : 구별짓기의 완성 (The Discourse associated with mental illness on TV documentaries : The Completion of Distinction)

  • 장혜경;우아영
    • 사회복지연구
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    • 제42권1호
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    • pp.179-217
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    • 2011
  • 본 연구는 TV시사다큐멘터리가 정신장애와 정신장애인에 대해 어떤 담론을 생산하고 있는지를 알아보고 있다. 담론은 현실을 규정하고 해석하여 현실을 재구성하는 힘을 가지므로, 다큐멘터리가 생성하는 정신장애담론은 언어표현의 방식과 내용을 통해 지배담론의 형상과 지배담론이 현실을 어떻게 재구성하는지를 포착할 수 있는 중요한 단서가 된다. 이를 위해 공중파 방송사들의 시사다큐멘터리 중 정신장애를 다루고 있는 프로그램 4개를 Fairclough의 비판적 담론분석방법으로 분석하였다. 분석 결과, TV 다큐멘터리가 생성하고 있는 정신장애 담론은 '구별짓기의 완성' 이었다. 텍스트 수준에서 구별의 이유를, 담론적 실천에서는 구별의 주체와 방법을, 사회적 실천에서는 구별짓기의 일상화를 보여주고 있었다. 다큐멘터리의 정신장애 담론은 정신장애인에 대한 관습적이고 통념적 담론을 반복적으로 재생산하고 정신장애인을 담론생산의 장으로부터 배제하면서 그들의 주체적 위치를 상실시킨다. 정신장애에 대한 지배담론의 구조와 질서를 전복할 수 있는 대안담론은 정신장애인들이 담론생산의 주체 위치를 회복할 때 가능해 질 수 있는 것이다. 또한 연구자와 실천가들도 지배담론의 효과에 민감하며 대안담론의 생산에 적극적으로 가담할 때 대안담론 구성의 가능성을 열 수 있을 것이다.

정신질환 회복에 대한 환자와 가족의 인식: "함께하는 지속적이고 꾸준한 변화" (Patients' and Family Caregivers' Perception on Recovery from Mental Illness: "An Ongoing and Steady Change Together")

  • 남경아;진주혜
    • 가정간호학회지
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    • 제27권3호
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    • pp.344-355
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    • 2020
  • Purpose: Recovery has a growing influence on policy for individuals with mental illness and their families. This study was designed to examine the meaning of recovery from the perspectives of community-dwelling patients with mental illness and their families. Methods: Using a descriptive qualitative approach, in-depth, face-to-face interviews were conducted on 24 adults (14 patients with mental illness and 10 family members). All interviews were audiotaped, transcribed and analyzed using thematic analysis. Results: The findings showed that recovery for the patients with mental illness suggested gradual changes by individual will and self-awareness, the relationship with both their family and self-help group, and the support of a therapeutic environment. Seven primary themes emerged from the analysis: improving insight on illness, strong will toward hope, discovering changed myself, helping each other together, gradual influence of positivity, being oriented to a therapeutic setting, and recognizing of home as a calm place. Conclusion: The findings of this study revealed that based on the conceptual elements of recovery of the patients with mental illness and their families, we expect to improve the systematic, comprehensive, and quality mental health services.

정신장애인의 스트레스와 생활만족도와의 관계에서 주관적 건강수준의 매개효과 (Mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness)

  • 이진향
    • 보건교육건강증진학회지
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    • 제32권1호
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    • pp.23-32
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    • 2015
  • Objectives: The main objectives of this research is to reveal the mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness. Methods: This study used the data from 2011 Disabled survey by Ministry of health and welfare. The study subjects were 98,801 persons with mental illness. Mediating effects of subjective health rate was analyzed using regression analysis and sobel test. Results: The stress was negatively correlated with the subjective health rates and life satisfaction. And the subjective health rates was positively correlated with life satisfaction. Second, the subjective health rates worked as partial mediators on the relationship between stress and life satisfaction of the persons with mental illness. The implication and limitations of this study were discussed, and suggestions for further study were proposed. Conclusion: This study highlights that the mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness. Health and welfare policy encouraging subjective health rates and reducing level of the stress to improve life satisfaction of the persons with mental illness should be considered.

정신보건법상 정신질환자의 입원제도에 관한 고찰 : 보호의무자에 의한 입원을 중심으로 (A Study of Mental Illness Patient Hospitalization System of Mental Health Law : To center the Hospitalization for Legal Guardians)

  • 이선희
    • 대한통합의학회지
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    • 제2권4호
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    • pp.29-40
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    • 2014
  • Purpose : Analyze the types of hospitalization for mental illness of mental health law, and the contents of hospitalization for legal guardians. Method : Review the previous studies from the provisions and academia of the current legislation such as the Mental Health law and the Habeas Corpus law conducting research. Result : Mental health law and habeas corpus law appears the problem in terms of current legislation. The problem of the scope and priorities of legal guardians, and the period of hospitalization, and economic issues appear in the mental health laws. Conclusion : must a lively discussion for the development of hospitalization for legal guardians. also necessary to switch the social awareness for mental illness patient.

정신질환자 가족들의 정신질환에 관한 태도 조사연구 (A Study on the Family Attitude toward Mental Illness)

  • 조영숙
    • 대한간호학회지
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    • 제11권1호
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    • pp.7-17
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    • 1981
  • The purpose of this study is to investigate the relationship between family attitude about mental illness and their general characteristics. The subjects for this study were a sample of 120 families selected from psychiatric ward of one university hospital, which is one national hospital in Seoul. Data was collected from July 1th to August 10th in 3980 used by Opinion about Mental Illness Scale (O.M.I.). The materials were analized by S.P.S.S. program. The findings of the study were as follows: A. Families' attitude toward mental illness shown ay this study was more negative compared to those of Korea1 nursing professorss, nurses and nursing students. B. Variables which influence families' attitude about mental illness: 1. There is no significant between general characteristics and authoritarianism. (p> 0.05) 2. Benevolence (Factor B) was found to be significantly related to such variables as religion, eucation levels, existence of mental patient in their an intimate friends. (P < 0.01) Families' attitude about benevolence was mere positive in families who have not relegion or having christion beliefs: haying the higher education levels; not having a mental patient in their an intimate friends. 3. Mental health ideology (Factor C) was found to be significantly related to variable experience of mental illness. (P < 0.01). families' attitude about mental health ideology was more positive in families who had experience of mental illness. 4. Social Restrictiveness (Factor D) was found to be significantly related to variable relationship between families and patients(P<0.01). An intimate friend's attitude about mental health Ideology was mon positive than that of parent and couple. 5. Interpersonal Etiology (Factor E) was found to be significantly related to variable religion (P < 0.05). Families' attitude about interpersonal etiology was more positive in families who have relegion.

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지역사회 정신건강복지센터를 이용하는 만성정신질환자의 비만 관련요인 (Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers)

  • 박은숙;이은현
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.76-86
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    • 2018
  • Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

A Study of Mental Health Literacy Among North Korean Refugees in South Korea

  • Noh, Jin-Won;Kwon, Young Dae;Yu, Shieun;Park, Hyunchun;Woo, Jong-Min
    • Journal of Preventive Medicine and Public Health
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    • 제48권1호
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    • pp.62-71
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    • 2015
  • Objectives: This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

일개 도시 간호대학생의 자아존중감, 공감능력이 정신질환에 대한 태도에 미치는 융복합적 영향 (Convergent Influence of Self-esteem and Empathy Ability on Attitude toward Mental Illness of Nursing College Students in a City)

  • 하태희
    • 디지털융복합연구
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    • 제18권5호
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    • pp.357-365
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    • 2020
  • 본 연구는 간호대학생의 자아존중감과 공감능력이 정신질환에 대한 태도에 미치는 영향을 파악하는 것을 목적으로 시도되었다. 연구대상은 일개 대학의 간호대학생 256명이었으며, 자료수집 기간은 2019년 8월 29일부터 9월 9일까지 시행되었다. 자료 분석은 IBM SPSS 25.0 프로그램을 사용하였다. 본 연구결과는 다음과 같다. 1) 대상자의 일반적 특성에 따른 정신질환에 대한 태도는 학년, 전공만족도, 정신건강시설 봉사 경험 여부에 따라 유의한 차이가 있었다. 2) 대상자의 정신질환에 대한 태도는 자아존중감, 인지공감능력, 정서공감능력과 각각 양의 상관관계가 있었다. 3) 대상자의 정신질환에 대한 태도에 영향을 미치는 요인으로는 학년과 인지공감능력으로 이들 요인들은 정신질환에 대한 태도를 23% 설명하였다. 본 연구를 통하여 간호대학생의 정신질환에 대한 태도에 영향을 주는 요인으로서 인지적 공감능력을 확인할 수 있었다.