글로버메뉴 바로가기 본문 바로가기 하단메뉴 바로가기

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 : 27권 3호 (2018)

간호사의 도덕적 민감성의 관련 요인

엄소희 ( Eom Sohee ) , 김석선 ( Kim Suk-sun )
4,000
초록보기
Purpose: The purposes of this study were to examine the associations among moral reasoning, empathy, communication self-efficacy, and moral sensitivity and to determine predictors of nurses’ moral sensitivity. Methods: Data were collected from 194 nurses in the Republic of Korea. Structured questionnaires consisted of the Moral Sensitivity Questionnaire, Defining Issues Test, Jefferson Scale of Empathy, and Counseling Self-Estimate Inventory. The collected data were analyzed using t-tests, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical regression analysis using SPSS ver. 21. Results: Nurses’ moral sensitivities were significantly associated with frequency of ethical education, empathy, and communication self-efficacy. In hierarchical multiple regression models, the significant factors of nurses’ moral sensitivity were age (β=.21, p=.044), the frequency of experience in ethics education (β=.18, p=.007), empathy (β=.32, p<.001), and communication self-efficacy (β=.25, p=.001), which explained 33.2% of the variance in nurses’ moral sensitivity. Conclusion: Our study findings show that nurses’ moral sensitivity could be enhanced by more frequent ethics education programs. In addition, nursing ethics education might be developed to include potential strategies to improve empathy and self-efficacy in communication for high levels of moral sensitivity in nurses.

암 환자의 수술 전 불확실성, 삶의 의미 및 불안

윤경미 ( Youn Kyungmi ) , 이종은 ( Lee Jongeun )
4,000
초록보기
Purpose: The purpose of this study was to investigate relationships among uncertainty, meaning of life, and anxiety in preoperative cancer patients. Methods: Study participants were 90 adult patients with thyroid, breast, gastric, or colorectal cancer who were admitted to the general surgery ward and daily operation center in a university-affiliated hospital. Data were collected using Mishel’s Uncertainty in Illness Scale, Meaning in Life Questionnaire, and State-Trait Anxiety Inventory. Data were analyzed using t-tests, one-way ANOVAs, Pearson’s correlation coefficient, and a multivariate linear regression analysis (backward stepwise) with SPSS version 24. Results: Anxiety showed a positive correlation with uncertainty in illness (r=.59, p<.001) and a negative correlation with meaning of life (r=-.49, p<.001), and uncertainty had a negative correlation with meaning of life (r=-53, p<.001). The regression model explained 40.0% variance of preoperative cancer patients’ anxiety (F=20.55, p<.001). Significant factors were uncertainty (β=.43, p<.001), meaning of life (β=-.20, p<.001), and low income level (β=.18, p<.001). Conclusion: Our study’s findings show that cancer patients’ anxiety can be reduced within 24 hours before surgery through psychological nursing interventions aimed at reducing uncertainty and improving the meaning of life.

알코올중독자의 직업생활 적응과정

조명숙 ( Cho Myeong-suk ) , 안효자 ( An Hyo-ja )
4,600
초록보기
Purpose: This purpose of study was to describe the adaptation process in the workplace in Korean adults with alcohol use disorder. Methods: Twelve participants were recruited at hospital outpatients, Alcoholic Anonymous, and addiction treatment centers from October 2016 to January 2017. Inclusion criteria were Korean adults aged 18 and older who were diagnosed with alcohol use disorder and had a job for at least one year. Data were analyzed using Strauss and Corbin’s grounded theory method. Results: From open coding, 74 final concepts, 18 sub-categories, and 10 categories were identified. Results showed that the central phenomenon was ‘struggling to stand confidently’. The core categories were ‘withstanding life by embracing reality as an addict’, and the adaptation process appeared ‘selection stage’, ‘determination stage’, and ‘management stage’. The adaptation process of Korean adults with alcohol use disorder in the workplace was compared to ‘pearl in oyster’, which can be a process of breaking through pain. Conclusion: Our study findings provide an in-depth understanding of the experiences of an alcoholic’s job life. Mental health nurses need to be actively involved in developing vocational rehabilitation programs for addicts.

만성적인 신체질환을 가진 환자의 우울 감소를 위한 전화기반 인지행동치료의 효과: 메타분석

박수인 ( Park Suin ) , 김연지 ( Kim Yonji ) , 오의금 ( Oh Eui Geum )
4,800
초록보기
Purpose: This study was a systematic review and meta-analysis of randomized controlled trials of telephone-delivered cognitive behavioral therapy (T-CBT) among patients with chronic physical health conditions and has been conducted to evaluate its effectiveness on depression. Methods: A literature search was conducted of electronic databases published from the journal inception to December 2017. Thirteen of 1,609 studies met the inclusion criteria. Selected studies were rated for quality assessment by two independent reviewers using Cochrane’s collaboration tool. Results: Meta-analysis showed that T-CBT significantly reduces depression. The effect size of T-CBT was small (d=-0.20, 95% CI: -0.29~-0.10, Z=4.09, p<.001) and showed low heterogeneity (I2=0.0%). The effect of T-CBT at the 12-month follow-up was not sustained (d=-0.19, 95% CI:-0.42~0.03, Z=1.66, p=.10). Conclusion: The current findings indicate that T-CBT for patients with chronic physical health conditions has a significant post-treatment effect on depression. T-CBT can be a useful intervention reducing barriers to treatment and improving depression in patients with chronic physical health conditions.
4,700
초록보기
Purpose: The purpose of this study was to test the effectiveness of a post-traumatic stress disorder management program in reducing firefighters’ post-traumatic stress and depression. Methods: This study employed a nonequivalent control group design using pretest and posttest measurements. Sampling was conducted with a convenient method. 44 firefighters (experimental group=22, control group=22) who were at high risk of post-traumatic stress disorder (PTSD) and depression were selected from 1,337 firefighters working in fire stations in multiple sites. Data were collected between August and October 2016. The post-traumatic stress disorder management program was provided to the experimental group for 8 weeks. Data were analyzed using descriptive statistics and chi-squared and independent t-tests. Results: Compared with the control group, participants in the experimental group showed significantly decreased scores for PTSD (t=-3.34, p=.002) and depression (t=-2.09, p=.043). Conclusion: Our study findings show that firefighters’ PTSD and depression can be systematically managed. Clinical practice should strengthen the ability to cope with PTSD by relieving the psychological trauma of firefighters who experience repeated traumatic events.
4,700
초록보기
Purpose: The study’s aim was to describe the experience of motivational interviewing (MI) training for parents with adolescents. Methods: Focus group interviews were carried out with 12 mothers in 3 groups who participated in the MI training. The study had a qualitative descriptive design, and qualitative content analysis was used. Results: Data analysis was separated into 4 domains: acceptance, relational skills, self-reflection, and rebuilding relationships. Seven categories and 11 subcategories included (1) enhancing acceptance and empathy, (2) recognizing the importance of the MI spirit and applying core skills, (3) improving self-expression and self-control of negative emotions and behavior, (4) recognizing self-problems, and (5) true communication and recovery of trust. Conclusion: Through MI training, participants have experienced not only the enhancement of their communication skills but also personal modifications (in self-acceptance, self-reflection, and self-control) and positive interpersonal relationships (rebuilding relationships). In addition, participants have realized the importance of listening and reflection in such experiences. Reflection training has provided participants meaningful experiences. Our key insight from these findings is that skill is not most important in communication training. MI elements such as acceptance, collaboration, and a respectful attitude are more likely to be used than conventional communication skills.
4,000
초록보기
Purpose: The purposes of this study were to understand (1) emotional expression of older adults with dementia and (2) communication between long-term care workers and older adults with dementia. Methods: Ten long-term care workers who provided care services for older adults with dementia in long-term care were interviewed. Qualitative content analysis was conducted to reveal themes and subthemes. Results: Participants stated that they tried to learn emotional expressions in older adults with dementia, but it was difficult due to emotional fluctuation in older adults with dementia. Care workers attempted to interact with older adults with dementia using verbal and non-verbal communication skills. They stated difficulties in verbal communication with older adults with dementia. In addition, care workers improved their tailored communication skills with the accumulation of care experience and noticed their care service value. Conclusion: It is meaningful to understand long-term care workers’ perceptions of emotional expression and communication among older adults with dementia in long-term care. Well-organized communication protocols should be provided for long-term care workers to enhance emotion-oriented and person-centered care services based on the needs and preferences of older adults with dementia.

정신질환자 가족의 스트레스와 가족적응 간의 관계에서 낙인지각과 가족건강성의 매개효과

오미화 ( Oh Mi Hwa ) , 김지영 ( Kim Ji Young ) , 이명하 ( Lee Myung Ha )
4,000
초록보기
Purpose: The aim of this study was to identify the mediating effects of perceived stigma and family strength on the relationship between family stress and adaptation in family members of patients with mental illness. Methods: Participants were 189 primary family caregivers of persons with mental illness in G city, C, G, and J provinces. Data were collected from May to June 2018 using the FILE (Family Inventory of Life Events and Changes), K-ISMI (Korean Version of Internalized Stigma of Mental Illness Scale), FAS III (Family Adaptability Scale III), and KFSS-II (Korea Family Strengths Scale). Collected data were analyzed with t-tests, one-way ANOVAs with Scheffe' test, Pearson's correlation coefficients, and PROCESS macro mediation analysis. Mediators were tested by calculating bias-corrected 95% confidence intervals using bootstrapping with 5,000 resampling. Results: Family stress was directly associated with family adaptation. Family strengths had a partially mediating effect on the relationship between family stress and adaptation, but perceived stigma did not. Conclusion: Based on our study findings, developing a nursing intervention program focused on improving family strengths might be necessary to facilitate family members' successful adaptation to persons with mental illness.

입원한 조현병 환자의 삶의 질에 대한 심리적 유연성의 매개효과

박현숙 ( Park Hyun Sook ) , 이재운 ( Lee Jae Woon )
4,000
초록보기
Purpose: This study was conducted to explore psychological flexibility’s mediating effect on the relationship between symptoms, social functioning and quality of life among inpatients with schizophrenia. Methods: Participants were 190 inpatients with schizophrenia from five mental hospitals in three areas. Data were collected from self-report questionnaires administered from June to July 2018. Data were analyzed using Pearson’s correlation coefficients and the Baron and Kenny method with IBM SPSS 22.0. Results: Quality of life showed a positive correlation with psychological flexibility (r=.52, p<.001), but a negative correlation with symptoms (r=-.39, p<.001) and social functioning (r=-.42, p<.001). Psychological flexibility had a full mediating effect on the relationship between symptoms and quality of life. Psychological flexibility also showed partial mediating effects on social functioning and quality of life. Conclusion: The results suggest that psychological flexibility plays an important role in the quality of life of inpatients with schizophrenia. Therefore, mental health practitioners should focus on interventions to improve their social functioning and psychological flexibility to improve their quality of life.

간호대학생의 스마트폰 중독에서의 자기효능감과 자기통제력의 매개효과

이승현 ( Lee Seunghyun ) , 배정이 ( Bae Jeongyee )
4,000
초록보기
Purpose: The purposes of this study were to investigate the factor of smartphone addiction based on Agnew’s general strain theory and examine the mediating effects of self efficacy and self-control in the identified model of the nursing students. Methods: Study participants were 292 nursing students recruited from 3 universities. Self-reported data were collected in September 2015 from structured questionnaires. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, exploratory factor analyses, and structural equation modeling. Results: Self efficacy and self-control have a direct effect on smartphone addiction in the nursing students. The relationship between depression and smartphone addiction was fully mediated by self efficacy and self-control. However, the relationships of smartphone addiction shares with college adaptation and stress were partially mediated by depression, self efficacy, and self-control. Conclusion: Our study findings may be used as baseline information to develop preventive intervention programs for nursing students. Nursing educators and clinicians should encourage students’ self-control, improve self efficacy when dealing with those with smartphone addiction, emphasize adaptation to college, and help manage stress and depression.
1