• The Korean Journal of Rehabilitation Nursing
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• v.15 no.2
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• pp.91-99
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• 2012

Purpose: The purpose of this study was to identify the frequency and status of mentally ill patients who registered in a community health center (CHC) but they could not be accessed. Methods: A total of 233 mentally ill individuals who were registered to a CHC in B Metropolitan City participated in this survey. Data were collected from December 1 to 31, 2010 and analyzed. Results: There were 140 (60.1%) community dwelling mentally ill patients who had been registered to that CHC but were not accessible. The major reasons of this inaccessibility were patients' rejection to be accessed (27.1%) and the wrong or missing address in hospital's discharge note (22.9%). The nursing problems of the subjects were rejection of medication (93.4%); poor personal hygiene (85.8%); violence including harassment of family member(s), assault, property destruction, threat with weapon (38.7%); and so on. Among 159 cases of referrals and requests for help immediate action with patient's compliance were only 8.8%. Conclusion: The findings show that mentally ill patients who had registered to the CHC but were not able to be accessed failed to be managed properly. This would become risk factors of social problems which threat to the community as well as individuals. Thus, we need to prepare programs for this population to make them take medicine at a minimum.

• Journal of Preventive Medicine and Public Health
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• v.32 no.3
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• pp.400-414
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• 1999

Objectives: This is a descriptive study which was carried out to identify characteristics of the chronic mentally ill and their families in a rural area and the influencing factors on family burden. Methods : Data was collected for seven months beginning April 1, 1998 by questionnaire from chronic mentally ill patients and their families in two towns and seven townships of the rural areas of Kyonggi Province. In additional to the mental diagnosis of the mentally ill patients, family burden was measured by interviewing the other family members using the questionnaire developed by Pai & Kapur (1981). Of those interviewed, 103 patients were selected for final analysis. Results : Of 103 mentally ill patients, 36.1% of the subjects were not under treatment. In particular, of 29 patients with schizophrenia, 48.3% of the subjects had stopped taking medication and 6.9% of the subjects had never been treated. According to the results of a specialized examination by a psychologist, 81% of patients were in need of Hospitalization. Most primary caregivers were parents. Of the 101 primary caregivers in the study, 39.6% were over 65 years old. In case of death of the primary caregiver, 50.5% of these 101 mentally ill patients would not have anyone to care for them. Of the various kinds of family burden, primary caregivers most often reported psychological stress. Overall, the families of dementia and schizophrenia patients complained of the most family burden. Through univariative analysis, the variables of sex, education and current treatment type of the patients, the relationship with the patient and marital status of the primary caregiver and the number of people living together in the household showed significant correlation with the family burden of schizophrenia patients. Univariative analysis also showed that there were a number of variables which were correlated to the family burden in mentally retarded patients. Concerning the need for mental health services, the most common requests were for entitlement to disability benefits and housing programs. Conclusions: Community mental health services in rural areas must be developed, planned and executed in consideration of the local situation. In particular, the development of various family support programs is needed in order to mitigate emotional, mental and economic burdens and carry out a positive role to care for and rehabilitate patients.

• Journal of Korean Academy of Nursing
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• v.30 no.1
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• pp.202-212
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• 2000

The purpose of this study was to identify the relationship between the burden of family with the mentally ill and professional needs. Data collection period was from June 29, 1998 to July 30, 1998. The subjects for the study was 134 family members of psychiatric in-patients and out-patients in Taejon and Chungnam. The questionnaire developed by OK-KYUNG YANG to measure the family burden and professional needs was used for this study. The tools used for this study were composed of General characteristics(30 items), family burden(43 items), professional needs(26 items). The data was analyzed by using on SPSSWIN program and included percentage, mean, S.D., t-test, ANOVA and Pearson correlation coefficient. The results of the analysis were as follows; The mean score of family burden was 134.26, which is higer than the mean score of the instrument. The mean score of professional need, the family caregiver who supporting of mentally ill patients, was .48 which is lower than the mean score of the instrument. Family burden was statistically correlated with professional needs(${\gamma}$=.6139, P<.001). There were statistically differences in family burden for respondent's relation, location of living, most care money giver, substant care money giver. There were statistically significant difference in professional need for family age, marriage status, substant care money giver, information status. The conclusion that can be drawn from this study is that addressing professional needs would contribute to reduce burden of the family caregivers with mentally ill. Therefore, Nursing interventions are needed to reduce family burden.

• Journal of the Korea Convergence Society
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• v.11 no.4
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• pp.265-275
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• 2020

This narrative inquiry examines the experience of mentally ill patients who used the psychiatric day hospital care service. The researchers in this inquiry conducted in-depth interviews three times with four patients who used day hospital care and data was also collected from additional conversations when patients were on outpatient visit after being discharged from the day hospital. The inquiry uses the narrative research method to describe the experience of using day hospital services as follows; a springboard to reconnect to the world, a place to be empowered and set the mind at ease, and a guide to direction in life. This inquiry is meaningful in that it deals with the in-depth stories of the mentally ill patients who experienced the day hospital care. Based on the results of the inquiry, the following policy suggestions are made; institutional support for reducing social isolation of psychiatric patients, activation of various support systems and further program development.

• Journal of Korean Public Health Nursing
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• v.15 no.1
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• pp.56-72
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• 2001

Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

• Journal of Korean Academy of Nursing
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• v.3 no.3
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• pp.62-72
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• 1973

THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

• Korean Journal of Social Welfare
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• v.46
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• pp.210-235
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• 2001

This study purposed to standardize the Korean versions of the General Health Questionnaire, especially KGHQ-20 and KGHQ-30, through the evaluation of their reliability and validity. The two KGHQs, along with several other scales that measure psychological symptoms, were administered to 916 students and 102 chronically mentally ill patients at mental health hospitals in Korea. Both of the KGHQs were found to have high reliability based on test-retest correlation coefficients, internal consistency (Chronbach's ${\alpha}$) as scales, and item-total correlations for most of the items. The two KGHQ scores were shown to have high validity based on three methods of analysis; first, both KGHQ scores had highly significant correlations with most of other measures for psychopathology, such as SCL-90, CES-D, SDS, BAI, STAI; second, there were significant differences of the two KGHQ scores between the group of mentally healthy students and the group of chronically mentally ill patients; the validity of the KGHQ-30 was also derived from high sensitivity and specificity, which helped identify the best cut-off points: 15/16 for the KGHQ-30. The cut-off point for the KGHQ-20 was determined at 12/13 based on the mean scores and standard deviations of other scales as well as of the KGHQ-20.

• Korean Journal of Social Welfare
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• v.37
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• pp.217-239
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• 1999

The main premise of this study is that a successful treatment and rehabilitation of the mentally ill depends on an active. coping of their family members, who are the primary care-takers of the patients, even if families are confronting many difficulties because of caring their patients. Accordingly, this study aims to find out which factors are related to families active coping with the mentally ill. This study is conducted the survey with 191 family members of the mentally ills in order to discover: 1) what kinds of relations do exist between sociodemographic factors of the respondents, care-burden toward the mentally ill, and social supports, and the active coping, and 2) in what extent do these related factors affect on the active coping. The major findings of the study are: 1) gender and educational background of the respondents are positively related to the active coping; 2) regarding care-burden felt by the respondents, there is statistically significant positive relationship between - the respondents' burden due to a lack of social and institutional support and their active coping; 3) considering the relationship with social support, there is highly positive relationship between decision. emotional. material supports and the active coping; 4) using a multiple regression, respondents' sociodemographic background, care-burden, social support affect significantly on the active coping by 26.2% of explanatory power; and 5) using a step-wise multiple regression, the most powerful influenced factors on active coping are emotional support, burden due to a lack of social and institutional support, and educational background of the respondents. In conclusion, this study recommends clinicians to use an educational and support model for the families. All these efforts will contribute to enhance active coping of the families with the mentally ill.

• Journal of Korean Academy of Nursing
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• v.12 no.1
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• pp.13-24
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• 1982

The main purpose of this study was to investigate attitudes toward mental illness and the mentally ill of psychiatric nurses in Korea and to identify the relationships between the nurses' attitudes and demographic variables. Subjects in this study were 122 psychiatricnurses and 111non-psychiatric nurses in active service at 12 hospitals in Seoul. The insrtument used for measuring attitudes was a questionaire developed by Cohen and Struening (1962) referred to as the“Opinions about Mental illness(OMI) Scale”made up to 51 Likert-type items. The findings of this study indicated hatnurses showed negative attitudetoward mental illness and the mentally ill: Very high on social restrictiveness (factor D), low on Mental Health Ideology (factor C), and Interpersonal Etiology (factor E). Since the high score on Factor A, B and the low score on Factor B, C, E reflect a negative altitudes toward mental illness, this study population related extremely negative attitudes compared to any other surveys. And of the demographic variables that related to their attitudes the education degree and the kind of the hospital in active service showed very significant differences. On the basis of the investigation the findings indicated the followings; 1) Althohg attitudes toward mental illness and the mentally ill of psychiatric nurses were not significant differences from non-psychatric nurses, there was a trend that attitudes of psychaitric nurses did show more negative responses rather than those of non-psychiatric nurses. 2) Demographic variables that relate to their attitudes on the OMI scale were the education degree of the respondent and the kind of their hospital in active service. 3) About attitudes toward mental illness and the mentally ill baccalaureate nursesshowed more positive attitudes in Factor A (Authoritarianism), Factor C (Mental Health Ideology) and Factor D (Social Restrictiveness) than diploma program murses. 4) Nurses in active Service in the private hospital revealed more positive attitudes(A,B,C,D) except Factor (E) than those in the national or public hospital. 5) The ages, duration of work, wanted or unwantedG roup of psychiatric ward and satisfactory level of psychiatric nursing service were non-significant.

• Journal of Korean Academy of Nursing
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• v.38 no.4
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• pp.533-540
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• 2008

Purpose: This study was designed to examine the effects of a weight control program on body weight and the sense of efficacy for control of dietary behavior in psychiatric inpatients. Methods: A quasi-experimental design was used. Data were collected from March 1 to September 30, 2007. Female mentally ill patients in closing psychiatry ward of H University Hospital participated in the study (16 persons in the experimental group and 13 in the control group). Results: The weight control program including diet therapy, exercise, education and behavior modification therapy decreased the rate of weight gain in female mentally ill patients taking atypical anti psychotics, and effectively increased a sense of efficacy for control of dietary behavior. Conclusion: Weight control program had a positive effect as a nursing intervention to decrease obesity and to increase the sense of efficacy for control of dietary behavior of psychiatric inpatients in psychiatric inpatients.