• 디지털융복합연구
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• 제16권11호
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• pp.605-611
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• 2018

본 연구는 회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향을 살펴보고 나아가 회복지향실천의 각 하위영역 중 어떠한 요인이 정신과적 증상에 영향을 미치는지 탐색함으로써 지역사회 정신보건기관의 회복지향실천 적용을 위한 실천적 의의를 제시하는데 그 목적이 있다. 이를 위해 전국 정신장애인 사회복귀시설을 이용하는 정신장애인 378명을 대상으로 설문조사를 실시하였으며, 상관관계분석 및 위계적 회귀분석을 실시하였다. 연구결과, 연령과 유병기간을 포함한 회복지향실천의 5개 하위요인 중 '삶의 목표', '관여', '치료대안의 다양성'이 정신장애인들의 증상을 완화시키는 것으로 확인되었다. 이러한 연구결과를 바탕으로 국내 정신보건기관이 회복지향실천의 가치와 요소를 반영하여 정신장애인의 회복을 촉진시킬 수 있도록 정신의학 및 사회복지학의 융복합적 의의를 제시하였다.

• 한국사회복지학
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• 제60권4호
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• pp.231-251
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• 2008

본 연구는 성인당뇨병 환자들을 대상으로 의료급여수급여부에 따라 건강수준 및 질병관리 장애요인에 차이가 나타나는지를 분석하고 질병관리 장애요인이 건강수준에 미치는 영향을 살펴보았다. 자료수집은 서울의 종합병원 당뇨병클리닉 및 지역사회 복지기관에서 편의표집한 55세이상 성인당뇨병 환자 144명을 대상으로 조사를 실시하였다. 분석결과, 의료급여환자가 건강보험환자에 비하여 건강수준이 더 나쁘다고 인식하고 있었으며, 질병관리 장애요인을 더 많이 경험하고 있는 것으로 나타났다. 건강보험환자와 의료급여환자간 건강수준의 차이는 인구학적 요인 및 질병관련 특성들을 통제한 이후에도 유의하였다.

• 대한조현병학회지
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• 제24권2호
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• pp.45-51
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• 2021

The coronavirus disease 2019 (COVID-19) pandemic has drastically impacted our society and health care system. People with schizophrenia are more vulnerable to this burden of illness and related societal changes. In addition, they are more susceptible to the transmission of COVID-19 and have a significantly higher mortality rate compared to the general population. In a recent study, vaccinated patients with schizophrenia showed a greatly decreased mortality level similar to that of the general population. However, patients with schizophrenia were less likely to be vaccinated. Mental health professionals should provide them with appropriate information on prevention strategies against COVID-19 and vaccination. Long-lasting social distancing and social disconnection can make people with schizophrenia more vulnerable to loneliness and depression. Furthermore, patients with schizophrenia may face challenges continuing psychiatric treatment due to the COVID-19 pandemic. Social support and suitable mental health services using novel technologies should be developed and provided to patients with schizophrenia.

• 대한치과의사협회지
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• 제49권12호
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• pp.749-757
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• 2011

In the welfare law for the disabled in Korea, the disabled is defined as "the persons sho have significant limitations of daily or social life due to physical or mental disabilities over a long period." The number of registered domestic disabled person in 2008 survey was approximately 2.1 million. 90% of the disabled was caused by the aposteriori illness or accidents. So, in this aging society, the number of people with disabilities will increase even more. In general, people with physical and mental disabilities tend to have more oral diseases, but, are difficult to get treated. Therefore, a thorough oral care through individualized prevention is more important than ever. In this article, we review the oral care methods in dental office and home and in the hospital for the elderly and finally focus on a denture care method. According to this article, the dental professionals can be able to select and apply the oral care method in agreement with the characteristics of the disabilities. Particularly, it is important to prevent the aspiration pneumonia in the elderly in hospital.

• 디지털융복합연구
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• 제16권11호
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• pp.521-533
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• 2018

본 연구의 목적은 조현병을 가진 사람의 삶의 경험에 내재되어 있는 의미와 본질이 무엇인지를 이해하는 것이었다. 이를 위하여 현상학적 연구방법으로 접근하였으며, 연구참여자들은 조현병으로 진단을 받은 지 5년이 경과하고 20세 이상인 성인 10명이었다. 연구결과, 4개의 본질주제인 '내 인생의 나락, 정신질환', '어쩔 수 없는 받아들임과 내려놓음', '어둠속에서도 나를 일으킴', '평범한 일상 살아가기'를 발견하였다. 조현병은 연구참여자들을 상처와 고통 속의 삶으로 내던지는 특별한 굴레였지만 그럼에도 불구하고 이들의 일상은 자신의 감정과 욕구를 바탕으로 유지되고 있었다. 본 연구를 통해 조현병을 가진 사람은 병리적 결과물인 '환자'가 아니라 한 명의 '인간'이라는 관점에서 이해하고 접근해야 한다는 의미를 확인하였다.

• 인간식물환경학회지
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• 제23권1호
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• pp.67-75
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• 2020

The purpose of this study was to develop an effective horticultural activity program for the vocational rehabilitation of people with mental disabilities. The subjects of this study were seven persons with mental disabilities in the vocational rehabilitation team of a public health center located in G city, Gyeongsangbuk-do. A total of 10 horticultural programs were held from October 10 to December 11, 2018. Five programs were selected among those that were easy for the persons with mental illness to handle and their preference was high. In each session, the same task was repeated 10 times and finally changes in hand functions and working speed were measured. As a result, the assembly task of the Purdue Pegboard test was 23.6 (SD = 10.5) before the program, 26.6 (SD = 11.5) after planting, 27.7 (SD = 12.2) after wrapping pots, and 28.0 (SD = 13.9) after making mini flower baskets, 26.9 (SD = 12.0) after wrapping a single flower, and 29.1 (SD = 11.9) after making corsages. There was a significant difference between the five programs (p = .016). As a result of measuring the time taken to produce the same 10 products, the average planting time was 9.9 (SD = 4.0) minutes in the first class and 6.0 (SD = 2.3) minutes in the second class (p = .018), and making mini flower baskets was reduced from 35.2 (SD = 10.1) minutes to 21.0 (SD = 7.7) minutes (p = .018), wrapping a single flower from 23.3 (SD = 7.9) minutes to 16.2 (SD = 7.3) minutes (p = .043), and making corsages from 53.6 (SD = 15.9) to 40.8 (SD = 16.8) minutes (p = .043). The working time was significantly shortened in the second class compared to the first class. The class for wrapping pots was shortened from 52.7 (SD = 11.7) to 49.6 (SD = 17.8) minutes, but there was no significant difference (p = .398).

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권1호
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• pp.35-43
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• 2014

Purpose: Globally, Paradigm and corresponding awareness of mental health and mental illness is changing. At this point, social policy and cultural consciousness must also be changed. Medical facilities to contain the recognition of the people of that period and the social, cultural background. Social situation changes, science has developed and facility changes. So, awareness of people for the facility also changes. Thus, this study consider the meaning and features of the facility with change of psychiatry and the concept of disease in each period. Finally, the purpose of this study is to analyze the development of Mental Healthcare Facilities before 19th Century. Methods: In this study, focusing on the literature study, it investigated the developmental process of mental healthcare facilities. Results: As the result of this study can be summarized as followings. In ancient times, facility for the harmony of body and mental appeared by means of supernaturalism and rationalism. In the middle ages, facility for restraint and control appeared by means of religious absolutism and mysticism. In the early modern period, facility for therapy appeared by means of humanism and enlightenment. Implications: Unlike other healthcare facilities, Mental healthcare facilities have a unique history. Based on the point of view of each period, it appears form and characteristics of mental healthcare facilities are different.

• 한국융합학회논문지
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• 제9권7호
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• pp.325-335
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• 2018

본 연구는 대상자의 스마트폰 활용에 대한 의지와 생각이 생활습관 개선에 어떠한 영향을 미치는가를 규명하기 위해 수행된 융합적 구조모형 연구이다. 연구방법은 2016년 6월부터 9월까지 남자 549명, 여자 357명을 대상으로 구조화된 자가보고식 설문지를 통해 자료 수집하였으며 SPSS 23.0과 AMOS 21.0을 사용하여 분석하였다. 연구결과, 본 연구에서 수정된 가설 모형의 적합도는 Q(${\chi}^2/df$)=3.241, AGFI=0.968, CFI=0.970, RMSEA=0.050(95% CI=0.035, 0.065), SRMR=0.048 이었다. 결과에 따르면, 스마트폰 활용에 대한 생각은 스마트폰 앱 활용 의지에 영향을 주는 것으로 나타났다. 또한 정신과 환자의 스마트폰 앱 활용 의지는 식습관과 생활습관 변화에 영향을 주는 것으로 밝혀졌다. 본 모형 구축 결과는 대사증후군이 있는 정신질환자에게 생활습관 개선 프로그램 적용 시 스마트폰 앱 등 다양한 전달체계를 활용하는 융합적 연구가 필요함을 제시한다.

• 대한간호학회지
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• 제53권1호
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• pp.69-86
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• 2023

Purpose: This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community. Methods: A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis. Results: A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11). Conclusion: These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권2호
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• pp.45-54
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• 2018

Purpose: China is increasingly paying more attention to mental illness as the number of people with mental illness increases rapidly. However, the design of a specialized psychiatric hospital is rarely studied. The purpose of this study is to analyze the spatial composition and the required area of psychiatric hospitals for the efficient design of psychiatric hospitals in China. In particular, we will analyze the space composition and present basic data for the future design of the Chinese psychiatric hospital space composition. Methods: This study examined the theories and related literature, and analyzed the plans of Chinese psychiatric hospital. Results: The results of the study are as follows. First, the spatial composition and area were analyzed. Second, the units of medical team, patient, supplies, and common area were analyzed by perspective of function, arrangement and composition. Third, based on the results of the analysis, considerations for the planning of Inpatient department were presented. Implications: This study will help improve the environment of Chinese psychiatric hospitals and provide basic data for the design of the Inpatient department of psychiatric hospital in China.