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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 : 23권 3호 (2014)

심리적 외상경험자의 해리 관련요인에 대한 판별분석

공성숙 ( Seong Sook Kong ) , 배재현 ( Jae Hyun Bae )
4,000
초록보기
Purpose: The purpose of the study was to identify the discriminating power of dissociation as defined by depression, obsession, and Minnesota Multiphasic Personality Inventory(MMPI; psychopathology) in patients with psychological trauma. Methods: Participants were patients (N=114) from "S" clinic for psychological trauma. Data were collected from April to June 2014 through semi-structured interviews and self-reports using a modified Lifetime Incidence of Traumatic Events, Dissociative Experience Scale (DES), Beck Depression Inventory-2, Maudsley Obsessional Compulsive Inventory, and MMPI-2. Results: Participants were grouped in to two groups depending on DES scores; dissociative (n=15) and non-dissociative (n=99). Depression, F-scale (infrequency), Ma (Hypomania), and Hs (Hypochondriasis) scale of MMPI correctly discriminated 86.8% of the sample. There were also significant differences in Obsession, K-scale (korrection), D (Depression), Hy (Hysteria), Pd (Psychopathic Deviate), Pa (Paranoia), Pt (Psychasthenia), Sc (Schizophrenia), Si (Social Introversion) scales of MMPI between two groups, but they were not significant discriminant factors. Conclusion: Future interventions for patients with high levels of dissociation and psychological trauma should focus on the prevention of suicide and chronic dissociation by assessing depression-related factors; suicidal behavior, impulsivity, aggression, and alexithymia. Therapists should also interpret patients’ MMPI profiles carefully, especially in the presence of an extremely elevated F-scale.
4,000
초록보기
Purpose: This study was done to investigate the relation between psychiatric nurse image, job satisfaction and assertiveness of psychiatric mental health nurses. Methods: The participants for this study were 159 psychiatric nurses in G-city and J-province. The instruments were the Psychiatric Nurses Image Scale, Job Satisfaction Scale, and Assertiveness Scale. Collected data were analyzed using mean, t-test, ANOVA, and Pearson`` correlation coefficients with the SPSS/WIN 20.0 program. Results: Mean scores for psychiatric nurse image, job satisfaction, and assertiveness, were 3.9±0.5 and 3.3±0.4 and 93.5±12.0 respectively. Significant positive correlations were found between psychiatric nurse image and job satisfaction (r=.51, p<.001), and assertiveness (r=.25, p=.002). Conclusion: The result indicate that nurses with higher levels of psychiatric nurses image disposition exhibit positive job satisfaction, and assertiveness. Therefore it would be helpful to provide intervention programs to improve the psychiatric nurse image, job satisfaction, and assertiveness of psychiatric nurses.

조현병 환자의 삶의 질 예측모형 구축

유소연 ( So Yeon Yoo )
4,700
초록보기
Purpose: In this study an exploration was done of the quality of lives of patients with schizophrenia in South Korea and factors related to quality of life, and to develop a model that predicts the quality of their lives. Methods: The participants were 225 patients with schizophrenia, aged 18 and above, residing in Seoul and Gyeonggi-Province. Collected data was analyzed using SAS 9.3 and AMOS 18.0. Results: Social support and psychological well-being were the two factors that most affected the quality of life in patients with schizophrenia. Symptoms, empowerment, and internalized stigma were not found to influence the quality of the patients`` lives. However, symptoms, social support, empowerment, internalized stigma affected the patients`` psychological well-being, and psychological well-being was identified as an influential variable for quality of life in patients with schizophrenia. Therefore, symptoms, social support, empowerment, and internalized stigma are influential to the patients`` quality of lives through psychological well-being. Conclusion: These results suggest that the quality of life in patients with schizophrenia should be examined through the variable of psychological well-being as many variables related to the patients`` quality of life affect psychological well-being.

지역사회에 있는 정신장애인의 희망과 회복: 치료자와의 치료적 관계의 매개효과

현명선 ( Myung Sun Hyun ) , 박은영 ( Eun Young Park ) , 김영희 ( Young Hee Kim ) , 김유라 ( Yu Ra Kim ) , 조명선 ( Myung Sun Cho )
4,000
초록보기
Purpose: This study was conducted to examine the association among therapeutic relationship with mental health professionals, hope, and recovery, and to explore the mediation of therapeutic relationship with mental health professionals in the relation between hope and recovery in South Korean patients with a mental illness. Methods: A cross-sectional study design was employed. Eligible participants were 99 people with a mental illness who were enrolled as members at two Community Mental Health Centers in Gyeonggi Province. Data were collected from October, 4 to 14, 2011. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple regression analysis. Results: Hope was positively correlated with recovery, and therapeutic relationship with mental health professionals was also positively associated with recovery. The mediating effect of therapeutic relationship with mental health professionals was found in the relation between hope and recovery. Conclusion: The results suggest that therapeutic relationship with mental health professionals plays an important role in promoting recovery of the patients with a mental illness. Therefore, mental health professionals should focus on developing a therapeutic relationship with their clients and also consider these recovery-related factors for persons who have a mental illness.

간호대학 여학생들의 휴학경험

신헌태 ( Heon Tae Shin ) , 안효자 ( Hyo Ja An )
4,600
초록보기
Purpose: This study was to identify the stop-out experiences of female nursing students. Stop-out is defined as the withdrawal temporarily from enrollment at a university. Methods: Data was collected through in-depth individual interviews from February 2013 to February 2014 (N=8) and analyzed with Colaizzi’s phenomenological methodology. The participants were interviewed once or twice, for 30minutes to 1hour per interview. Results: Five theme-clusters were identified from 14 themes. The theme-clusters were ``Craving for self-directed life``, ``Anxiety about leaving regular orbit``, ``Responsibility for selection of the stop-out``, ``Reinvention of self and nursing major``, and ``Making of mental power``. Conclusion: The results showed that the stop-out experience of female nursing students in this study has positive aspects in craving for self-directed life and challenges to live a new life. Therefore research is needed on various angles in studying stop-out experience as well as balance quantitative and qualitative research methods. Also it is suggested that continuous managements should be given to the students during stop-out period.
초록보기
Purpose: This study was to examine the effects of tailored drug-related side effects management program using video designed to help patients with schizophrenia with self-control ability of drug-related side effects, attitude, and adherence to medication. Methods: A non-equivalent control group, pretest-posttest design was used. The participants were 51 patients with schizophrenia, 26 in the experimental group and 25 in the control group. The tailored drug-related side effects management program using video was conducted for the experimental group twice a week for 60 minutes/session for 4 weeks. The self-control ability for drug-related side effects, attitude and adherence of medication were measured before and after the experiment. Data were analyzed by using IBM SPSS/WIN 20.0 program. Results: At follow-up, we found statistically significant increases in self-control ability for drug-related side effects, attitude and adherence of medication for the experimental group. Conclusion: The results of this study suggest that tailored drug-related side effects management program using video was to increase self-control ability for drug-related side effects, attitude and adherence of medication in patients with schizophrenia.

자살시도 여성의 고통 체험: Parse의 연구방법 적용

김상숙 ( Sang Sook Kim ) , 김수진 ( Soo Jin Kim )
4,700
초록보기
Purpose: This study was to use Parse’s research method to discover the structure of the lived experience of sufferings of women who have attempted suicide. Methods: This study was a qualitative research based on Parse``s research method. Participants were 7 women who had attempted suicide and who were hospitalized in a Mental Hospital and in the Suicide-Prevention Center of G City. Data were collected by dialogical engagement between participants and the researcher from November, 2011 to February, 2013, and were analyzed through the extraction- synthesis and heuristic interpretation processes. Results: Through the analyses, the structure was identified; The lived experience of suffering of women who have attempted suicide is the process that they ultimately found new meaning and value of life by speaking out their concealed pain through the intimate human contact with other people, although the women once decided to commit suicide to escape from extreme agony. Conclusion: This study results suggest, therefore, that the nurses working in this field should try wholeheartedly to understand the suffering and agony of women who have attempted suicide and to provide practical nursing to help them revitalize their lives.
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