대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

병식-지향 간호프로그램이 정신분열병 환자의 병식, 양성.음성증상, 우울에 미치는 효과

The Effects of an Insight-oriented Nursing Program on Schizophrenic Patients' Insight, Positive and Negative Syndromes, and Depression

  • An, Hyo-Ja (Dalseong-Gun Mental Health Center Daegu)
  • 발행 : 2007.06.30
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초록

Purpose: This study examined the effects of an insight-oriented nursing program on schizophrenic patients' insight, positive and negative syndromes, and depression. Method: A non-equivalent control group non-synchronized design was utilized. For this research, a total of 34 subjects were selected at a psychiatric hospital in Daegu during the period ranging from Oct. 1st, 2005 to Feb. 11th, 2006 (experimental group=17, control group=17). Result: After the treatment, between the experimental and control groups, there wasa significant difference in the level of SUMD(t=-4.52, p=.000) and positive syndrome(t=6.97, p=.013), but no significant difference in the negative syndrome(t=-1.81, p=.079) and depression(t=2.23, p=.145). Conclusion: The results of this study show that the insight-oriented nursing program works well for schizophrenic patients. Therefore, it is recommended that this program should be used in clinical practice as an effective nursing intervention for schizophrenic patients.

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참고문헌

  1. An, H. J. (2001). The effects of videotaped self-observation on the development of insight among schizophrenic clients. Unpublished master's thesis, Pusan National University, Pusan
  2. Amador, X. F., Strauss, D. H., Yale, S. A., Flaum, M. M., Endicott, J., & Gorman, J. M. (1993). Assessment of insight in psychosis. Am J Psychiatry, 150(6), 873-879 https://doi.org/10.1176/ajp.150.6.873
  3. Beck, A. T. (1967). Depression: Clinical, experimental and theoretical aspect. New York: Harper and Row
  4. Buckley, P. F., Hrouda, D. R., Friedman, L., Noffsinger, S. G., Resnick, P. J., & Camlin, S. (2004). Insight and its relationship to violent behavior in patients with schizophrenia. Am J Psychiatry, 161(9), 1712-1714 https://doi.org/10.1176/appi.ajp.161.9.1712
  5. Carroll, A., Fattah, S., Clyde, Z., Coffey, I., Owens, D. G., & Johnstone, E. C. (1999). Correlates of insight and insight change in schizophrenia. Schizophr Res, 35(3), 247-253 https://doi.org/10.1016/S0920-9964(98)00142-X
  6. Carroll, A., Pantelis, C., & Harvey, C. (2004). Insight and hopelessness in forensic patients with schizophrenia. Aust N Z J Psychiatry, 38(3), 169-173 https://doi.org/10.1111/j.1440-1614.2004.01315.x
  7. Choi, C. S., Woo, D. W., Choi, Y. H., Hahm, W., Lee, K. H., & Jang, M. H. (2001). Effects of brief symptom management module on inpatients with chronic schizophrenia: A preliminary study. J Korean Neuropsychiatr Assoc, 40(1), 72-80
  8. Chung, Y. C., Kim, J. H., Eun, H. B., & Hwang, I. K. (2001). Effect of cognitive-behavioral therapy on the delusion in schizophrenic patients. J Korean Neuropsychiatr Assoc, 40(1), 63-71
  9. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Association, Inc
  10. Davidoff, S. A., Forester, B. P., Ghaemi, S. N., & Bodkin, J. A.(1998). Effect of video self-observation on development of insight in psychotic disorder. J Ment Dis, 186(11), 697-700 https://doi.org/10.1097/00005053-199811000-00006
  11. Droulout, T., Liraud, F., & Verdoux, H. (2003). Relationships between insight and medication adherence in subjects with psychosis, Encephale, 29(5), 430-437
  12. Han, H. M., Yeom, T. J., Shin, Y. W., Kim, K. H., Yoon, D. K., Jung, K. J. (1986). The study of standard of beck depression inventory. J Korean Neuropsychiatr Assoc, 25(3), 487-500
  13. Jeon, K. S., & Lee, J. I. (1999). Effects of Psychoeducation on relapse of schizophrenic patients. J Korean Neuropsychiatr Assoc, 38(6), 1421-1431
  14. Kaplan, H. I., & Sadock, B. J. (1995). Typical signs and symptoms of psychiatric illness. In: Comprehensive textbook of psychiatry/VI, Baltimore; Williams & Wilkins Co, 535-544
  15. Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale(PANSS) for schizophrenia. Schizophr Bull, 13, 261-275 https://doi.org/10.1093/schbul/13.2.261
  16. Kim, H. Y. (2004). The lived experience of auditory hallucination of the persons with schizophrenia. Unpublished master's thesis, Chonnam National University, Gwangju
  17. Kingdon, D. G., & Turkington, D. (1994). Cognitive-bebavioral therapy of schizophrenia, the guilford press
  18. Lee, S. D., Jung, S. Y. (1998), Schizophrenic Cognitive-Bebavioral Therapy, Seoul: Hana Uihaksa
  19. Lee, J. S., Ahn, Y. M., Shin, H. K., An, S. K., Joo, Y. H., Kim, S. H., Yoon, D. J., Jho, K. H., Koo, Y. J., Lee, J. Y., Cho, I. H., Park, Y. H., Kim, K. S., & Kim, Y. S. (2001). Reliability and validity of the Korean version of the positive and negative syndrome Scale. J Korean Neuropsychiatri Assoc, 40(6), 1090-1105
  20. Mintz, A., Dobson, K., & Romney, D. (2003). Insight in schizophrenia: a meta-analysis. Schizophr Res, 61(1), 75-88 https://doi.org/10.1016/S0920-9964(02)00316-X
  21. Park, J. D., & Song, J. Y. (1997). Personality characteristics and insight acquisition in schizophrenia. J Korean Neuropsychiatri Assoc, 36(5), 804-811
  22. Rathod, S., Kingdon, D., Smith, P., & Turkington, D. (2005). Insight into schizophrenia: The effects of cognitive behavioural therapy on the components of insight and assoc with sociodemographics-data on a previously published randomised controlled trial. Schizophr Res, 74(2-3), July, 9-17
  23. Shad, M. U., Muddasani, S., Prasad, K., Sweeney, J. A., & Keshavan, M. S. (2004). Insight and prefrontal cortex in first-episode schizophrenia. Neuroimage, 22(3), 1315-1320 https://doi.org/10.1016/j.neuroimage.2004.03.016
  24. Suh, D. W., Lee, Y. M., Kim, Y., Im, J. K., & Kim, D. J. (1999). The mental health program of the nationwide mental health care facilities, and the survey on the inmates' mental health. Report of Ministry of Health and Welfare
  25. Suh, D. W., Cho, M. J., Kim, Y. H., Kim, J. H., Gwak, Y. S., Kim, G. G., Mun, Y. H., Bae, A., Yang, S., Cho, H. S., Lee, S. Y., Lee, G. Y., & Kim, D. H. (2005). Project report of central mental health care promoting corps. Report of Ministry of Health and Welfare
  26. Weiler, M. A., Fleisher, M. H., & McArthur, C. D. (2000). Insight and symptom change in schizophrenia and other disorders. Schizophr Res, 45(1-2), 29-36 https://doi.org/10.1016/S0920-9964(99)00169-3