• Title/Summary/Keyword: Mental Health Problem

검색결과 322건 처리시간 0.164초

교정공무원의 정신건강 관리와 예방 (Correctional Officer's Mental Health Management and Promotion)

  • 임혁;이효영;김혜숙
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.1-13
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    • 2013
  • This study is proposed to suggest the preventing methods for correctional officer's mental health problems. For this purpose, Delphi method was used and the study panel was composed of finally 10 people. Total Delphi process was performed for 4 times and six qualified researchers & skilled correctional officers participated in developing Delphi questionnaires. As the main results, major correctional officer's mental health problems are PTSD(post traumatic stress disorder), job stress, suicide witnessing, stress from violent accidents, and anger by related with their own work. All of these problems must need to be managed. Besides, the most effective preventing method for correctional officer's mental health problem is providing regular counsels & treatments with a psychiatrist or the fully qualified experts. The mental health promotion strategies for correctional officers must be settled for providing appropriate mental health services to them.

학생정신건강검진 시범운영사업에 따른 추진방안 (Mental Health Screening in Schools)

  • 김현정;김윤영;이혜숙;현미나;남동현;김상원;안동현
    • 한국학교보건학회지
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    • 제22권1호
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    • pp.33-48
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    • 2009
  • Purpose: The purpose of the study was to find the strategies of mental health screening in school. Based on the literature review, we discuss the importance of screening students in schools for mental health problems. Methods: Data from the 2008 Korean Mental Health Screening in Schools(2008-KMHSS) are used to estimate the outline of this screening. We administered the questionnaire for satisfaction of 2008-KMHSS for students(N=1,280), parents(N=2,672), school nurses(N=75), teachers(N=685), district personnels(N=6), and mental health center staffs(N=37). Also we interviewed a part of them by telephone and e-mail. And we reviewed the tools and methods for screening students for emotional/behavioral problems. Results: Mental health screening in schools is a very important, yet worrisome, agenda that is in its very early stages. From the 2008 Korean Mental Health Screening in Schools, 9,588 students(12.9%) needed more evaluation in the first stage. Of these, 6,910(72.1%) completed the second stage screening. In this sample, 1,975(28.6%) utilized the mental health services in school or community. 38.3% of students and 43.7% of their parents notified the 2008-KMHSS. But only 12.1% of students and 10.9% of their parents dissatisfied with the screening. 9.9% of teachers and 22.7% of school nurses dissatisfied with the screening. Among them the school nurses were mostly dissatisfied, and they complained work burden from KMHSS. Mental health center staffs complained similar issues. The Children's Problem-behavior Screening Questionnaire(CPSQ) and Adolescents' Mental-health & Problem-behavior Screening Questionnaire(AMPQ) were compatible to screen students in schools for mental health problems in first stage. Conclusion: Mental health screening in schools needs careful planning and implementation. For successful mental health screening in schools, several elements need to be considered: careful planning, collaboration, staff training, and integrative mental health programs and services in community or schools.

경마장 이용객의 도박중독 관련요인 (Factors Influencing Problem and Pathological Gambling in Participants of Horse Race Gambling)

  • 현미열;조옥희
    • 대한간호학회지
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    • 제42권4호
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    • pp.589-598
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    • 2012
  • Purpose: The purpose of this study was to examine risk factors for pathological gambling of horse race participants. Methods: The participants, 508 horse race gamblers, completed the DSM-IV criteria of pathological gambling, Alcohol Use Disorders Identification Test (AUDIT-K) and Symptom Checklist-47-Revision (SCL-47-R). Data were analyzed using t-test, $x^2$-test, Fisher's exact test, and logistic regression analyses. Behaviors related to horse racing, alcohol abuse, and mental health were analyzed between problem or pathological gamblers compared to recreational gamblers. Results: The prevalence rates of recreational, problem, and pathological gambling were 36.6%, 39.4%, and 24.0%, respectively. Frequency of gambling (${\geq}4/day$), frequency of racetrack visiting (${\geq}3/month$), accompaniment (alone), and mental health (SCL-47-R scores) were all associated with increased risks of problem and pathological gambling. Expenditure on betting (${\geq}200,000$ won/day) and alcohol abuse (AUDIT-K 8-20 scores) group members had higher levels of gambling pathology than recreational gamblers. Conclusion: Problem and pathological gambling are highly associated with alcohol abuse and mental health disorders, suggesting that clinicians should carefully evaluate this population.

서울시 지역주민의 알코올장애와 스트레스, 정신건강 및 자살 (Alcohol Use Disorder, Stress, Mental Health and Suicide among Seoul Citizens)

  • 손애리;;홍인옥;김태경;류은정;오경재
    • 보건교육건강증진학회지
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    • 제26권4호
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    • pp.71-81
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    • 2009
  • Objectives: This study furthers the currents understanding of alcohol use disorders, stress, mental health status and suicide among Seoul citizens. This study is to identify differences according to socio-demographic variables and variables which affect stress, mental status and suicide for developing mental health programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and psychosocial wellbeing index-short form (PWI-SF) was utilized. Results: Three findings in this study were discussed: (1) The prevalence of problem drinking and alcohol dependence and AUDIT score were significantly higher among male, younger age, and high level of education and income; (2) AUDIT score were related with stress, all 9 symptoms of SCL-R and suicide plan; (3) Problem drinkers were more likely to have 2.5 times of anxiety, 3.0 times of hostility, and 2.4 times psychoticism than non alcohol problem drinkers. Alcohol dependence drinkers were more likely to have 1.9 times of high risk group of stress, 4.1 times of obsessive-compulsive, 4.7 times of anxiety, 5.5 times of hostility, and 2.3 times psychoticism than non alcohol dependence drinkers. Conclusion: The findings suggest that the future intervention of Mental Health programs should be carefully designed and tailored by socio-demographic variables.

자살예방을 위한 통합적 접근의 필요성 (The Need of Integrated Approach for Suicide Prevention)

  • 박은철
    • 보건행정학회지
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    • 제29권1호
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    • pp.1-3
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    • 2019
  • Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.

간호대학생의 음주실태, 음주거부 자기효능감과 정신건강: 정상음주군과 문제음주군 비교 (A Comparison of Drinking Refusal Self-efficacy and Mental Health between Two Groups of Korean Nursing Students)

  • 박형숙;조묘헌;조규영;김동희
    • 한국간호교육학회지
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    • 제17권1호
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    • pp.110-119
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    • 2011
  • Purpose: This study was conducted to identify the consumption of alcohol as well as to compare drinking refusal self-efficacy and mental health between an average drinking group and a problem drinking group of Korean nursing students. Methods: A questionnaire using the Alcohol Use Disorders Identification Test (AUDIT) measuring drinking refusal self-efficacy and mental health was given to 938 students of two universities in Gyeongsangnam-do. Results: Among the respondents 381 (40.6%) were problem drinkers. The score of alcohol consumption in the AUDIT were 3.38 for the average group and 12.50 for the problem drinking group. There were significant differences between the average group and problem drinking group in age, living place, smoking, parent's drinking, age of the first drink and reasons for first drink. Participants of the average group had significantly higher drinking refusal self-efficacy than the problem drinking group. Regarding mental health, there were differences between the two groups in attempted suicide. The risk factors significantly associated with problem drinking were living place, smoking and reasons for the initial drink. Conclusion: These results provide guidance for developing strategies, such as an educational program, to promote safe alcohol consumption in nursing students.

청소년의 심리건강 영향요인: 음주의 매개효과 (Factors Affecting the Mental Health of Adolescents : Mediating Effects of Alcohol Drinking)

  • 손민성;김미선;윤기찬;최만규
    • 한국콘텐츠학회논문지
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    • 제13권2호
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    • pp.359-369
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    • 2013
  • 이 연구는 청소년들의 우울, 스트레스 등 심리건강 폐해의 심각성을 인지하고 이에 영향을 미칠 것으로 예상되는 사회적 지지의 효과를 분석하였다. 가족, 학교, 친구관계 등의 사회적 지지와 청소년의 심리건강간의 구조적인 관계를 검증하고자 하였으며, 이 과정에서 문제음주의 매개효과를 확인하고자 하였다. 연구 자료는 제주도를 제외한 전 지역의 청소년을 모집단으로 하여 2010년 한국청소년정책연구원에서 시행한 "2010한국청소년건강실태조사"의 원자료에서 연구에 적합한 청소년 942명을 최종 연구대상자로 선정하였다. 연구결과, 가족 구성원의 바람직한 기능과 역할은 청소년의 심리건강을 증진시키는 효과가 있었다. 반면, 올바른 역할을 하지 못하는 가족은 청소년에게 문제음주를 유발시켜 우울, 스트레스, 분노 등 청소년의 심리건강에 부정적인 영향을 미쳤다. 또한 음주나 흡연을 하는 친구가 많을수록 문제음주를 유발해 심리건강을 악화시키는 것으로 확인되었다. 이 연구결과 생애주기적 관점에서 신체적, 정신적으로 외부 변화에 민감한 청소년들의 심리건강을 증진시키기 위해 가족, 친구관계 등 사회적 지지 시스템을 구축하는 것이 중요하다고 하겠다.

여성의 정신장애와 홧병에 관한 문헌연구 (The Literary Study on The Women's Mental Health and Hwabyung in Korean Society)

  • 신혜숙;이옥자
    • 동서간호학연구지
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    • 제3권1호
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    • pp.68-82
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    • 1998
  • This study attempted to develop fundamental data of nursing intervention for Women's health improvement through literature review related to women's health. Women's health problems are focused in nursing because the quality of women's health influences on public health directly and indirectly. Especially women experience more stressors and mental disorders than men. This paper reviewed rationale of mental problems to understand Women's mental problems through various research paper analysis. As a result, it was found that women's mental problems as well as the health were affected by various factors and were connected with social, cultural elements closely. This result means that women are affected by social, economical, psychological states from gender unequality in this society. So to solve the women's mental problems, women have to be considered as human beings, women, mothers with multiple roles. And like Hwabyung, one of the women's mental problems related to Korean traditional culture, nursing needs to be done to solve the problem through cultural approach. To do this, nursing has to research negative effect as well as positive effect on women's mental health by modern culture which includes "Han" and traditional family culture. The multidisplinary, interdisplinary communication is important to develop nursing intervention and nursing must build a pertinent Korean women's mental health research system to improve a sociopolitical environment.

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양호교생(養護敎生) 현장실습(現場實習)을 통(通)한 연구(硏究) (A Study of Nursing Student Teacher for School Nurse in the Field Practice)

  • 이인규
    • 한국보건간호학회지
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    • 제3권2호
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    • pp.109-132
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    • 1989
  • I studied the problems of the field practice of nursing student teacher for school nurse from March, 1986 to April, 1989 at several primary schools of Wonju City. The Significant problems on the field practice and the results of questionnaire research were summarized as follows: 1. Suggestion of educational goal(both physical and mental aspect rather than only physical aspect as concept of health and disease changes. 2. A need of change in educational organization of school nurse: unify the two educational organization (junior college of 3yrs and college of 4yrs) by raisin g junior college to regular college status of 4yrs_ 3. Experience of questionnaire research for health problem in field practice(such as questionnaire research for detection of the problem of emotion and physical and mental status and a case report of effective training method of teeth brushing in children). 4. The improvement of school facilities for better child health education by the educational practice in primary school. 5. The educational goals for new roles of school nurse: 1) Role in exact recognizing the school health problem. 2) Role in dealing with mental problem. 3) Role in organized activity. 6. Improvement of educational act for activating teachers' role.

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C. M. I에 의한 대학 교직원들의 신체적, 정신적 건강문제 호소에 관한 연구 - 일개 대학교를 주심으로 - (A Study on the Complaints of Physical and Mental Health Problem of University Professors and Officials by C. M. I.)

  • 이인숙
    • 한국보건간호학회지
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    • 제10권1호
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    • pp.80-94
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    • 1996
  • This study was to investigated the complaints of physical and mental health problem of professors and officials in H University of Seoul and collected during the period from April 25 to May 31. 1995. The complaints of physical and mental health problem were measured by Cornell Medical Index. The results of this study are as follows: 1. Among the items of physical health problem. respondents showed the highest rate of complaints related to fatigability. and among the items of mental health problem. respondents showed the highest rate of complaints related to inadequacy. 2. Females showed significantly higher rates of complaints related to the musculoskeletal system(p<0.001), fatigability(p<.001). habits(p<.01), inadequacy(p<.05). and tension(p<.001) compared with those of males. Twenties showed significantly higher rates of complaints related to the digestive system(p<.01) compared with those of other age groups. Singles showed significantly higher rates of complaints related to the digestive system(p<.05). inadequacy(p<.01) and depression(p<.001) compared with those of marries. Officals showed significantly higher rates of complaints related to the cardiovascular system(p<.01). digestive system(p<.05), musculoskeletal system(p<.05), and tension(p<. 05) compared with those of professors. Resondents who have irregular eating habits showed significantly higher rates of complaints related to the digestive system(p<.01), musculoskeletal system(p<.05). habits(p<.05). and depression(p<.001) compared with those of respondents who have regular eating habits. Respondents who usually sleep below 6 hours a day showed significantly higher rates of complaints related to the cardiovascular system(p<.01). digestive system(p<.05). musculoskeletal system(p<.01). fatigability(p<.05). habits(p<.01). and tension(p<.05) compared with those of respondents who sleep above 6 hours.

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