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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 : 24권 4호 (2015)

만성 조현병, 우울증, 조울병 환자의 자살사고 관련요인

김미영 ( Mi Young Kim ) , 하수정 ( Su Jung Ha ) , 전성숙 ( Seong Sook Jun )
4,000
초록보기
Purpose: The purpose of this study was to determine the factors that affect suicidal ideation in patients with chronic mental illnesses, such as schizophrenia, depressive disorder, and bipolar disorder. Methods: The research participants were 160 patients with mental illnesses residing in B City and G Province. They responded to questionnaires about their suicidal ideation, self-esteem, depression, family support, social support, and internalized stigma of mental illness. The collected data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and STEPWISE multiple regression with the SPSS/WIN 18.0 program. Results: History of self-esteem, Depression, Social support, Psychiatric diagnosis of MDD and suicide attempt showed an explanatory power for 64% of suicidal ideation in patients with chronic mental illnesses. Conclusion: Specialized health and medical service personnel providing services to patients with chronic mental illnesses must determine the risk factors and protective factors for suicidal ideation associated with each illness, and establish a more individualized and systemized case management system based on customized approach.
4,000
초록보기
Purpose: This study was conducted to investigate the effects of ego-resilience and work environment on job satisfaction in psychiatric nurses. Methods: The participants were 170 nurses from M, W, and S mental hospitals in J province. Data were collected from March 1 to April 30, 2015, and analyzed using SPSS/WIN 21.0. Results: The mean score for ego-resilience was 36.7±4.25, for work environment, 30.9±3.57, and for job satisfaction, 56.86±6.88. Ego-resilience showed positive correlations with work environment (r=.195, p=.011) and job satisfaction (r=.252, p=.001). Work environment showed a positive correlation with job satisfaction (r=.513, p<.001). Significant factors that influenced job satisfaction were ego-resilience, work environment, marital status, religion and type of duty. These variables explained 33.4% of job satisfaction. Conclusion: These findings indicate that an ego-resilience and work environment enhancement programs should be developed to increase job satisfaction in psychiatric nurses. There is also a need for further studies to examine effects of developed programs.

간호대학생의 성역할정체감 유형 탐색: Q 방법론적 접근

박은아 ( Euna Park ) , 고성희 ( Sung Hee Ko )
4,000
초록보기
Purpose: This study was done to identify types and characteristics of gender role identity from the perspectives of nursing students who experience challenges and maladjustments that are distinct from students in other departments because nursing students have a curriculum that includes both academic courses and clinical practice. Methods: Q Methodology was used to examine differences in the meaning of gender role identity among individual students. Data from 40 women nursing students, using 40 Q samples representing masculinity and femininity, were collected and analyzed. Results: The participants’ responses were classified into three types: ``Affectionate-sensitive type`` represented by those who share traditional Korean feminine characteristics and are delicately sensitive. ``Affectionate-assertive type`` represented by those who have strong characteristics of warm leaders, and are responsive and confident. ``Sensitive-expressive type`` represented by those who are excellent in communication and have high empathic ability. Conclusion: Nursing professors or counselors need to provide nursing students with guidance and counseling related to adaptation to school life, career exploration, and career choice based on the their type of gender role identity.
4,600
키워드보기
초록보기
Purpose: This study was done to verify effects of a positive psychotherapy program on depression, self-esteem, and hope in patients with major depressive disorders. Methods: A nonequivalent control group pre-post design was used. Participants were 53 people (control group=27 and experimental group=26) who were diagnosed with a major depressive disorder and received psychiatric outpatient treatment. The data were collected from July 1 to December 30, 2013. The experimental group received the positive psychotherapy program 8 times over 8 weeks. Data analysis was conducted using x2-test, Fisher``s exact test and t-test. Results: As the result of the intervention, depression (p<.001), self-esteem (p<.001) and hope (p<.001) improved significantly in the experimental group compared to the control group. Conclusion: The results suggest that the positive psychotherapy program can be widely utilized as one of the nursing intervention programs for depressive patients.
4,000
초록보기
Purpose: The purposes of the study were to investigate childhood traumatic experiences and social support that might influence dissociative symptoms in Marine soldiers. Methods: A cross-sectional study design was used with participants who were soldiers (n=122) assigned to one Marine corps in Ganghwa Island in the study. Data were collected on September 2015 through self-report using the Childhood Trauma Questionnaire, Social Provisions Scale (SPS), and Dissociative Experience Scale. Descriptive analysis, t-test, ANOVA, Pearson``s correlation coefficients and stepwise multiple regression were performed. Results: A total of 11.5% self-reported experiencing over three types of trauma; emotional neglect 34.4%, physical neglect 32.8%, emotional abuse 11.5%, physical abuse 11.5%, and sexual abuse 9.8%. For all subscales of the SPS, means of item were as high as three out of four points. A total of 9.0% were likely to be dissociative disorder. Sexual abuse, attachment, and opportunity for nurturance were found to be significant factors influencing dissociative symptoms. Conclusion: Future military enlistment in Marines should include assessment of childhood trauma and dissociation to identify maladaptive soldiers. Because soldiers who experienced childhood sexual abuse are likely to show dissociative symptoms, military nurses should assess their social support and try to enhance attachment in order to prevent dissociative symptoms.

대학생의 저수준 도박행동 구조분석

박현숙 ( Hyun Sook Park ) , 정선영 ( Sun Young Jung )
4,700
초록보기
Purpose: In this study the fitness of a path model was examined for relationships among loneliness, motives for gambling, gambling risk factor, self-efficacy to control gambling, and low level gambling behavior in college students. Methods: Participants were 410 college students selected from 4 universities and data collection was done between September 22 and October 24, 2014 using self-report questionnaires. Data were analyzed using IBM SPSS 19.0 and AMOS 20.0 programs. Results: Motives for gambling, self-efficacy to control gambling, directly affected college students’ low level gambling behavior, while loneliness, gambling risk factor, gambling motives affected it indirectly. This study also showed that the modified path model is efficient and appropriate to analyze college students’ low level gambling behavior. Conclusion: These results suggest that college students’ low level gambling behavior can be decreased by reducing loneliness, gambling motives, gambling risk factor and increasing self-efficacy to control gambling. Thus, in order to prevent college students’ low level gambling behavior, there is a need to design an intervention program which focuses on reducing loneliness, gambling motives, gambling risk factor, and on reinforcing self-efficacy to control gambling.

정신장애인의 직업재활 동기 개념분석

안은선 ( Eun Seon An ) , 서지민 ( Ji Min Seo )
4,600
초록보기
Purpose: This study was conducted to analyze and clarify the concept of ``motivation for vocational rehabilitation in persons with mental disabilities``. Methods: A hybrid model was used to analyze the concept of motivation for vocational rehabilitation in persons with mental disabilities. The model included a comprehensive literature review and field study. Field study was conducted through in-depth interviews with 5 persons with mental disabilities who had employment experience and participant observation in rehabilitation facilities. Results: The concept of motivation for vocational rehabilitation in persons with mental disabilities was found to be a complex phenomenon having meaning in two dimensions: Goal-oriented and cognitive dimensions. Five attributes and fourteen indicators were defined. Motivation for vocational rehabilitation in these persons was defined as a recognition of the need to get a job, and the willingness and confidence to get and keep a job in order to achieve normal life, happiness, economic stability, and their value. Conclusion: The findings from this study will contribute to the development of assessment tools and nursing interventions to reinforce the motivation for vocational rehabilitation in persons with mental disabilities.

재가노인의 자살사고 영향 요인

박영례 ( Young Rye Park ) , 위휘 ( Hwee Wee )
4,000
키워드보기
초록보기
Purpose: The aim of this study was to investigate factors affecting suicidal ideation in elders who lived in their own home. Methods: A correlative research design was used. Survey was conducted in Jeonbuk province in Korea. Data were collected from July 1 to 30, 2013. Descriptive statistics, Pearson correlation coefficients, and multiple regressions with SPSS 18.0 program were used for data analysis. Results: The major findings are summarized as follows: (1) Meaning in life had a positive relation to gratitude and a negative relation to depression and suicidal ideation. Gratitude had a negative relation to depression and suicidal ideation. Depression had a significantly positive relation to suicidal ideation. (2) The significant factors affecting suicidal ideation were depression, residential area, subjective economic level, and subjective health status which together explained 36% of the variance. The results indicate that depression was a significant factor associated with suicidal ideation among elders. Conclusion: In order to decrease suicidal ideation among elders, active intervention for depression is needed. Nurses should consider individual conditions of the client - residential area, subjective economic level, and subjective health status. Also nurses should consider mental, as well as physical health when caring for elders.
4,000
초록보기
Purpose: The purpose of this study was to test the effects of a forgiveness therapy program to improve self-esteem, anger and forgiveness in people who abuse alcohol. Methods: A non-equivalent control group pre-posttest design was employed. Participants were 38 people who abuse alcohol and who agreed to participate in this study. They were assigned to the experimental group in Alcoholics Anonymous meetings of J hospital(n=19) and the control group in Alcoholics Anonymous meetings of B hospital(n=19). The eight session program was provided once a week for 8 weeks. The data were analyzed using percentage, x2-test, Kolmogorov - Smirnov test, and t-test with SPSS 21.0 program. Results: The results showed significant decrease in state anger and increase in self-esteem and forgiveness in the experimental group compared to the control group. Conclusion: The findings show that forgiveness therapy program has a positive effect on self-esteem, anger, and forgiveness of people who abuse alcohol but further studies will be needed in order to determine the long term effects of an extended integrated program on rehabilitation of these people.

또래도우미훈련 프로그램이 특성화고등학교 여학생의 실존적 영적안녕감, 또래관계 및 우울에 미치는 효과

정현옥 ( Hyun Ok Jung ) , 송회옥 ( Hoy Ok Song ) , 김미향 ( Mi Hyang Kim ) , 김희숙 ( Hee Sook Kim )
4,000
초록보기
Purpose: The aim of this study was to investigate the effects of a peer helper training program on existential spiritual well-being, peer relationship, and depression for students attending a specialized girls vocational high school. Methods: The participants were forty-two students attending a specialized girls vocational high school in D city. Data were collected form october 23 to December 24, 2013. To test the effects of the peer helper training program, the participants were divided into two mached groups, an experimental group (21) and a control group (21). Data were analyzed using x2-test, Fisher exact probability test, and t-test with the SPSS/WIN 12.0 program. Results: After attending the peer helper training program, significant differences between the experimental group and the control group were found for existential spiritual well-being (t=3.35, p=.002) and peer relationship (t=2.29, p=.028). However, there was no significant differences in depression between the two groups. Conclusion: The results indicate that the peer helper training program enhances existential spiritual well-being and peer relationship for students attending a specialized girls vocational high school. Therefore, this program is a good strategy that teachers and community mental health nurses can use to increase existential spiritual well-being and peer relationship of these high school girls.
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