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논문검색은 역시 페이퍼서치

정신간호학회지검색

Journal of Korean Academy of Psychiatric Mental Health Nursing


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 1225-8482
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 21권 1호 (2012)

노인의 연령별 우울정도와 영향요인: 전기노인과 후기노인의 비교

임경춘 ( Kyung Choon Lim ) , 김선호 ( Seon Ho Kim )
4,000
키워드보기
초록보기
Purpose: This study was conducted to investigate the prevalence and correlates of depression among community-dwelling older adults (young-old vs old-old) in Korea. Methods: Data on 11,250 older adults aged 65 or above, from the 2008 National Elderly Survey, were analyzed. Results: Prevalence rate for depression was greater in old-old people (47.2%) than young-old people (24.7%). The logistic regression analysis revealed that gender, education, socioeconomic status (SES), living place, spouse, regular exercise, perceived health status, number of chronic disease, activity of daily living (ADL), instrumental activity of daily living (IADL), and cognitive function were significantly associated with depression in the young-old. However, in old-old people, education, SES, living status, religion, regular exercise, perceived health status, number of chronic disease, pain, ADL, IADL, and cognitive function were associated with depression. Conclusion: The findings indicate that there are age differences in prevalence and correlates of depression in older Koreans. Therefore, age differences should be considered in studying and developing interventions for depression in older adults.

청소년의 인간관계가 자살위험성에 미치는 영향

김희숙 ( Hee Sook Kim ) , 박완주 ( Wan Ju Park ) , 박경란 ( Gyeong Ran Park ) , 김미향 ( Mi Hyang Kim )
4,000
키워드보기
초록보기
Purpose: This study was done to identify predictive factors influencing suicide probability in Korean adolescents. Methods: Participants in the study were 575 adolescents from 17 schools with quota sampling by each region in D city. The data were collected from October to November, 2010 using self-report questionnaires about interpersonal relationships and suicide probability (SPS) and analyzed using descriptive statistics, one-way ANOVA with Scheffe of Post Hoc, Pearson`s correlation coefficients, and stepwise multiple regression analysis with SPSS/WIN 16.0 program. Results: Suicide probability showed a significantly negative correlation for interpersonal relations with parents, friends and teachers. Interpersonal relationship with parents (p<.001) explained 32% of suicide probability, compared to relationships with peers or teachers, which together was accounted for 46% of the variance. Conclusion: The findings suggest that interpersonal relationships with parents should be considered when adolescents suffer from suicidal thinking. Various effective strategies to improve relationships with parents are important to reduce suicide in adolescents.

정신과 입원 환자의 자살 위험성 사정도구의 신뢰도, 타당도 검증

신희연 ( Hee Yeon Shin ) , 신이수 ( Yi Soo Shin ) , 주정혜 ( Jung Hye Ju ) , 장향순 ( Hyang Sun Jang ) , 홍진영 ( Jin Young Hong ) , 전홍진 ( Hong Jin Jeon ) , 유범희 ( Bum Hee Yu )
4,000
초록보기
Purpose: Assessment of suicide risk is a critical task for nurses, especially for nurses working with psychiatric inpatients. The purpose of this study was to verify the reliability and validity of the Nurses` Global Assessment of Suicide Risk (NGASR) for psychiatric inpatients. Methods: This study was methodological study. A scale composed of 15 items was used with 106 psychiatric inpatients in open and closed psychiatric units of a tertiary hospital. Cohen`s kappa coefficient, Intraclass correlation, factor analysis and Jonckheere-Terpstra Test for Ordered Alternatives were used for statistic analysis. Results: Main results were as follows; Reliability of the scale was supported with a total intraclass correlation coefficient of .890 (range from .722 to 1.000). In investigating construct validity, 15 items loaded on six factors which explained 63.4% of total variance. Also the Jonckheere- Terpstra test revealed a significant trend in the order of median scores of NGASR across the three groups of Evaluation of Suicide Risk (ESR). These results supported the criterion-related validity of the scale. Conclusion: The findings in this study indicate that this scale is reliable and valid in assessing suicide risk of psychiatric inpatients. Therefore it is an appropriate scale to assess suicide risk for psychiatric inpatients.

Q방법론을 이용한 정신질환자의 신체억제대 경험 유형

고희성 ( Hee Sung Ko ) , 하양숙 ( Yang Sook Hah )
4,600
초록보기
Purpose: The purpose of this study was to identify the patterns of physical restraint experience in mentally ill persons. Methods: Q-methodology, an approach designed to discover patterns in various subjective experiences, was used. Twenty-two participants classified 36 selected Q-statements on a nine-point scale to create a normal distribution. The collected data were analyzed using the PC Quanl Program. Results: Five types of physical restraint experience in mentally ill persons were identified by the participants. Type I Emotional reaction-explosive anger, Type II Emotional reaction-internalized anger, Type III Rational reaction-rejection, Type IV Rational reactionacceptance, Type V Rational reaction-trust. Conclusion: The results of this study provide an understanding that different types of reactions to physical restraint experience exist and that each type has certain characteristics, which suggest a need to develop interventions specifically designed for each type of physical restraint experience.

정신간호 수가개발을 위한 간호행위 수행 분석

임숙빈 ( Sook Bin Im ) , 장화순 ( Wha Soon Chang ) , 고문희 ( Moon Hee Ko ) , 박영숙 ( Young Suk Park ) , 김은경 ( Eun Kyung Kim )
4,900
키워드보기
초록보기
Purpose: Purpose of this research was to identify nursing activities and the time required in the psychiatric ward to provide basic knowledge for development of cost of psychiatric nursing. Methods: In this research ``a list of psychiatric nursing activities`` was used to identify the issues. A list of psychiatric nursing activities was developed by a professional psychiatric nursing panel, and 138 nursing activities in 15 domains were identified. Results: The result of this research showed that the average number of work hours per duty was 515.1 minutes and the average number of minutes per patient per nurse while on duty was 35.7 minutes. Also the results showed that the nurses used the majority of their time in ``Nursing care and information management`` (528.0 minutes/day, 33.6%), followed by ``communication and coordination`` (209.2 minutes, 13.3%), ``safety care`` (185.3 minutes, 11.8%), and ``medication`` (120.9 minutes, 13.3%). Conclusion: The result of this research indicate that the number of nursing staff is insufficient for the performance of necessary therapeutic activities. Nursing practices such as counseling, activity therapy, and psychiatric treatment and specific therapy need to be developed and nursing care fees need to be included in psychiatric nursing fields.

The Adjusting Process of Foreign Wives Married to Korean Husbands

( Panuncio Rosel L ) , ( Jeong Yee Bae )
4,700
초록보기
Purpose: Purposes of this study were to explore the experiences of Filipinas living as foreign wives in Korea and to formulate a substantive theory that explains the basic social process of adjusting to life as a foreign wife in Korea. Methods: This descriptive qualitative study utilized the grounded theory design. In-depth, semi-structured, audio-taped interviews were conducted with 10 Filipino immigrant wives in Korea. Interview data were transcribed verbatim and analyzed using Strauss and Corbin`s constant comparative analysis. Results: Six main categories emerged: aspiring, confronting, suffering, coping, assimilating, and regretting. Fundamental to these was the core category of embracing a new life. A theoretical model showing the basic social processes of adjusting to life as a foreign wife in Korea was developed to reflect the inter-relationships among these categories. Extracts of the data were presented to illustrate the grounding of the theoretical model in the participants` accounts. Conclusion: The findings from this study provide an increase in the understanding of Filipino immigrant wives, which should help in designing effective coping strategies that consider the particular characteristics and problems of Filipino immigrant wives. Programs under existing policies need to undergo continuous improvement in order to increase the well-being of these immigrant wives.
4,700
초록보기
Purpose: The purpose of this study was to identify core competencies for community mental health nurses and investigate their perception of importance and need for training for each competency item. Methods: Sixty-five core competency items were drawn from a literature review and content validity analysis. A survey on importance and need for training for the 65 competency items was conducted with 99 community mental health nurses. Results: From 65 core competencies, 3 categories emerged: 1) Attitude: 9 items on values and attitudes, and 5 items on personal characteristics, 2) Knowledge: 15 items related to knowledge of signs, symptoms and maladaptive behaviors, 3) Skill: 36 items including skills of assessment, and medication management. Knowledge of signs, symptoms and maladaptive behaviors were the most important. Nine items on need for training in the attitude category were included in the upper 25% of the items. Some items show significant differences (p<.05) depending on the level of education, length of career year, and case loading. Conclusion: The results of this study suggest further research a) identifying core competency items from client and family members, b) introduce competencies that nurses can develop over time through an educational base as well as a multitude of experiences.

표준화 환자를 적용한 간호대학생의 정신간호학 실습교육 효과

박신영 ( Shin Young Park ) , 권영란 ( Young Ran Kweon )
4,000
초록보기
Purpose: This study was done to examine the effects of using standardized patients in psychiatric nursing practical training for nursing college students. Methods: This research design was a quasi-experimental pre-and- post-test control and experimental group methodological comparison study. Forty-four (Exp.=23, Cont.=21) nursing college students in G city participated in the study. The experimental group received psychiatric nursing practical training using standardized patients, and the control group received traditional practice. Data were collected between October 1 and 15. 2011 through self-report structured questionnaires and were analyzed with the Kolmogorov-Smirnov test, x2-test, Fisher`s exact test, and t-test using the SPSS/WIN 17.0 program. Results: After the treatment, there were significant differences in the level of motivation of transfer (t=1.71, p=.047), and learning self-efficacy (t=4.70, p<.001) between the experimental and control groups. The mean score per item for learning satisfaction was 4.28. Conclusion: The above findings indicate that psychiatric nursing practical training using standardized patients is a useful method for practical ability. Therefore, enhancement of performance ability related to practice can be done by developing psychiatric nursing practical training programs with various cases and content.
4,000
초록보기
Purpose: This study was done to assess effects of Assertive Community Treatment (ACT) in a community mental health center. Methods: This study was a non-equivalent control group design with two groups, each of 20 clients. The instruments were the Brief Psychiatric Rating Scale (BPRS), Global Assessment of Function (GAF), Satisfaction of Life, and the number and duration of admissions. Data collection was done in March, 2010 for the pre-test, and in March, 2011 for the post-test in the S community mental health center in Gyung-gi province. The collected data were analyzed using descriptive statistics, Fisher`s exact test, and Mann-Whitney U test with the SPSS/WIN program. Results: The experimental group showed significant differences in the duration of admission, GAF, and Satisfaction of Life,. but not on number of admissions and BPRS. Conclusion: The results of this study indicate that ACT can be applied as an effective case management model in Korea.
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