• Title/Summary/Keyword: Mental patients

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Public Attention to Crime of Schizophrenia and Its Correlation with Use of Mental Health Services in Patients with Schizophrenia (조현병 환자의 범죄에 대한 대중의 관심과 조현병 환자의 정신의료서비스 이용과의 상관관계)

  • Park, Hyunwoo;Lee, Yu-Sang;Lee, Sang Yup;Lee, Seungyeoun;Hong, Kyung Sue;Koike, Shinsuke;Kwon, Jun Soo
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.34-41
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    • 2019
  • Objectives: This study was performed to examine the effects of the public attention to 'crime of schizophrenia' on the use of mental health services in patients with schizophrenia using big data analysis. Methods: Data on the frequency of internet searches for 'crime of schizophrenia' and the patterns of mental health service utilization by patients with schizophrenia spectrum disorders by month were collected from Naver big data and the Health Insurance Review and Assessment Services in Korea, respectively. Their correlations in the same and following month for lagged effect were examined. Results: The number of outpatients correlated negatively with public attention to 'crime of schizophrenia' in the same month. The lagged relationship between public attention and the number of admissions in psychiatric wards was also found. In terms of sex differences, the use of outpatient services among female patients correlated negatively with public attention in the same month while the number of male patients' admissions in both same and following month correlated positively with public attention. Conclusion: These findings suggested that public attention to 'crime of schizophrenia' could negatively affect illness behavior in patients with schizophrenia.

The Effects of Mental Health and Family Problem Solving Communication on Cancer Adjustment of Women with Cancer in Nursing Hospital (요양병원 여성 암 환자의 정신건강, 가족문제해결 의사소통이 암 적응에 미치는 영향)

  • Lim, Sunyoung;Ma, Ryewon;Park, Hyesun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.29-39
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    • 2020
  • Purpose : This study investigated the relationship among adjustment of cancer, mental health, and family problem solving communication of women with cancer. The purpose of this study was to determine how to improve the adjustment of cancer of women and improve women's mental health to form family problem solving communication. Methods : This correlational study was conducted among 101 women with cancer living in the Seoul region. Data collection occurred from August 1, 2018, to August 23. The data are reported as means and standard deviations and were analyzed with t tests, ANOVA, and Pearson's correlation regression using SPSS version 21.0. Results : The results of this study showed that adjustment to cancer significantly correlated with the education level of the participants (F=3.27, p<.05) and self-help group participation (F=3.156, p<.05). In this study, the mental health of female cancer patients significantly affected their adjustment to cancer (F=13.13, p<.001). These results explained 19.7% of the variance (F=13.13, p<.001) in mental health and adjustment to cancer in female cancer patients. Conclusion : In this study, mental health was significantly affected adjustment to cancer. The results suggest that adjustment to cancer can be promoted through the development and application of a nursing intervention program considering the mental health of female cancer patients. In addition, further research is required to identify the factors in consideration of various variables in addition to the sociodemographic and disease-related variables that may affect the adjustment to cancer of female cancer patients in nursing hospitals.

The Effect of Mental Practice on Gait and Quality of Life in Stroke Patients (상상훈련이 뇌졸중 환자의 보행 및 삶의 질에 미치는 영향)

  • Kim, Jin-Seop
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.271-277
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    • 2012
  • The aim of this study was to evaluate the effects of mental practice to improve on gait and quality of life in stroke patients. Participants were randomly allocated to two groups: experimental(n=10) and control (n=10). Both groups received neural development treatment training for 6 sessions 1 hour per week during 6 weeks. Experimental group practiced additional mental practice for 3 session 10 minutes per week 6 weeks. Results were evaluated by spatial-temporal parameter, 10m walk test, and quality of life. There were significantly increased by mental practice in outcomes of the gait performance from the gait velocity, cadence, double support, single support, 10m walk test. There were significantly increased by mental practice in outcomes of stroke impact scale from the strength, social participants, and stroke recovery. In conclusion, the mental practice improves gait performance and quality of life in stroke patients. The results suggest that mental practice training is feasible and suitable to stroke patients.

Predictors for Aggressive Behavior of Patients with Mental Illness in a Closed Psychiatric Ward using Zero-Inflated Poisson Regression: A Retrospective Study (영과잉포아송회귀분석을 활용한 안정병동에 입원한 정신질환자의 공격행동 예측요인)

  • Kim, Jung Ho;Shin, Sung Hee
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.160-169
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    • 2022
  • Purpose: This study was conducted to identify predictors related to aggressive behavior of patients with mental illness admitted to a closed psychiatric ward. Methods: This study adopted a retrospective design which analyzed the hospital medical records of 363 patients with mental illness admitted to the psychiatric closed ward of a university hospital in Seoul, Korea. The collected data were analyzed using SPSS IBM 20.0 and STATA 12.0 SE. ZIP (Zero-Inflated Poisson) and count data analysis were used for the factor influencing the occurrence and frequency of aggressive behavior. Results: The results of ZIP model showed that the factors influencing non-probability of aggressive behavior were anxiety, non-adherence, and frustration. In addition, the factors influencing frequency of aggressive behavior were bipolar disorder and personality disorder trait. Conclusion: We found that bipolar disorder, frustration, and non-adherence are more likely to increase the likelihood of aggressive behavior in patients with mental illness. In particular, patients diagnosed with bipolar disorder were 1.95 times more likely to engage in repetitive aggressive behavior compared to those without a diagnose. However, since the results were different form previous studies, further studies on the traits of anxiety and personality disorders are needed.

Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit

  • Jung, Mi Hyun;Park, Myung-Hee;Kim, Su-Jeong;Ra, Jeong Ran
    • Journal of Hospice and Palliative Care
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    • v.24 no.2
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    • pp.116-129
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    • 2021
  • Purpose: The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium. Methods: Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed. Results: The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium. Conclusion: Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.

The Effectiveness on Prevention of Rehospitalization with Long-Term Psychosocial Interventions for Patients with Major Psychiatric Disorders (주요정신질환 환자에 대한 장기 정신사회적 중재의 재입원 예방에 대한 효과)

  • Jeong, Jae Hoon;Kang, Min Jeong;Kwon, Min Young;Lee, Sang Min;Lee, Kyu Young
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.66-73
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    • 2019
  • Objectives: This study aimed to elucidate the effectiveness of long-term psychosocial intervention in reducing the disabling period of patients with major psychiatric disorders by their rehospitalization rate. Methods: Of the 210 patients with major psychiatric disorders received psychosocial interventions in a Mental Health and Welfare Center, 192 patients (147 with schizophrenia spectrum disorders, 45 with mood disorders) who received interventions more than 6 months were selected. Review of case management records was conducted to obtain information. Results: The number and length of hospitalization and the hospital days per year significantly decreased after psychosocial intervention. Additional analysis of 102 patients followed up for more than 5 years suggested that the effectiveness of the intervention persisted for a sufficient period. However, no significant difference was observed in the number of rehospitalization in 45 patients with mood disorders, though the length of hospitalization significantly decreased. In addition, the hospital days per year of 21 patients with mood disorder followed up for more than 5 years also showed no significant decrease. Conclusion: Long-term psychosocial intervention had a significant effect on reducing the number and length of hospitalization for patients with major psychiatric disorder and the effectiveness maintained for more than 5 years.

Effects of a Recreation Therapy Program on Mental Health and Heart Rate Variability in Burn Rehabilitation Patients (치료레크리에이션 프로그램이 화상재활환자의 정신건강 상태와 심박동 변이에 미치는 효과)

  • Kil, Myung-Sook;Lee, Mi-Hwa;Lee, Yong-Mi
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.179-187
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    • 2015
  • Purpose: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. Methods: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. Results: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). Conclusion: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).

Clinical Feasibility of Mental Practice for Gait Ability Improvement of Parkinson Disease Patients: ABA Single Subject Design

  • Song, Hyun Seung;Kim, Jin Young
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.398-402
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    • 2014
  • Purpose: This study was carried out in order to verify actual applicability of mental practice in the clinical field by applying it to Parkinson disease patients. Methods: : The number of subjects was three and they were aged between 65 and 69. One year or longer period has passed since they were diagnosed with Parkinson disease. The baseline A consisted of three sessions. After the baseline period, the researcher applied mental practice to the subjects once per day, for 20 minutes per each time, for 10 sessions. The no-intervention withdrawal phase was composed of three sessions. Outcome measures 10 meter walking test(10MWT), timed up and go (TUG) test, 8-figure walk test (8FWT). Results: All results indicated that 10 MWT, TUG, F8WT was improved when compared mental practice(B) to pre base line(A). base line(A) after mental practice intervention(B) was also sustained. Conclusion: As a result of the mental practice, we can know that it helps straight gait, dynamic balance, curved gait to improve.

Stigma of Families with Mental Illnesses Patients (정신질환자 가족의 오명)

  • Bae, Sun-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.213-220
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    • 2013
  • The purpose of this study was to search stigma experiences of family members who take care of their mental illness patients. Participants consist of three parents, one child, one brother of mental illness patient. The period to collect data was from June to October 2010. We collected the data through depth interview with participants and observance of them. The data was analyzed using phenomenal analysis suggested by Giorgi. As a result, meaningful technologies abstracted from original data were 217, and based on these we induced 26 themes by grouping them with more abstract and integrated language and seven central meanings were induced herein again. Seven central meanings are about stigma of family members of mental illness patients and they are as follows: 'Improper dealing, loss of relationship with surrounding persons, oneself cannot be revealed, conflict with others, unbearable sympathy, incapacity of oneself, buck-passing of oneself'. This study could be a scientific base data to the development of efficient nursing intervention and to understand the pains of mental illness patients and their family members who inevitably have to be separated from the society by recognizing the meaning of stigma to them.

DENTAL AND OPHTHALMOLOGICAL TREATMENT UNDER THE GENERAL ANESTHESIA OF THE PATIENT WITH MENTAL RETARDATION (정신지체 환자의 전신마취 하 치과치료 및 안과 협진)

  • Kim, Su-Youn;Lee, Keung-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.2 no.2
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    • pp.153-155
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    • 2006
  • Many patients with mental retardation need extensive dental treatment because they have much difficulty in maintaining their oral hygiene. However, because they are not cooperative and not manageable, they require physical restraints, drug induced sedation or general anesthesia. General anesthesia is useful in control of the patients who cannot be treated in other ways. Additionally, general anesthesia provides more safe environment for medically compromised patients. And medical treatment can be provided simultaneously under general anesthesia. Furthermore, almost all treatment can be provided without visiting several times. This case reports of periodontal, restorative and ophthalmological treatment of patient with mental retardation under general anesthesia.

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