• Title/Summary/Keyword: Psychiatric factors

Search Result 360, Processing Time 0.026 seconds

Effect of the Fashion Therapy for the Psychiatric Patients(Part I) (정신장애자를 대상으로 한 의상치료 효과(제1보))

  • 신현영;이인자
    • Journal of the Korean Society of Clothing and Textiles
    • /
    • v.24 no.7
    • /
    • pp.1088-1099
    • /
    • 2000
  • The purpose of this study was to investigate the effect on self-esteem and emotion of an improved self-appearance image among the female psychiatric patients, and the therapeutic effect of fashion therapy. The treatment intervention was provided for 37 psychiatric patients and the data of 17 participants was analyzed. The results were as follows: 1. The actual self-appearance image improved overall and all factors. Their expectation for the‘attractive’image was heightened. Their self-esteem was improved and negative emotions were reduced overall and depression. 2. The changes of the actual self-appearance had a positive correlation with self-esteem. and a negative correlation with negative emotion overall, especially anxiety, depression. Improvement of ‘attractive’image had the most correlation. 3. The changes of the ideal self-appearance image didn't have the correlation with self-esteem, but negative correlation with emotions overall and anxiety, depression and hostility. 4. The change in the incongruity of their ideal and actual self-appearance image overall had a negative correlation with the change of self-esteem and positive correlation with negative emotion, especially depression and hostility.

  • PDF

Contributing Factors for the Registration Rates within Emergency Department Based Post-suicidal Care Program (자살시도 후 생존 퇴원한 환자에서 지역정신건강센터 등록 요인 분석 - 응급실 기반 자살시도자 관리시스템 자료 중심으로 -)

  • Kim, Dong-Ki;Chun, Byeong Jo;Moon, Jong Mi;Cho, Yong Soo;Bae, Kyung-Yeol;Kim, Hyun Jung;Kim, Mi Jin
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.14 no.1
    • /
    • pp.54-59
    • /
    • 2016
  • Purpose: This study was conducted to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). Methods: This prospective observational study was conducted between January and September 2015 at the academic ED in the tertiary urban hospital. The variables examined included gender, age, address, type of insurance, history of previous psychiatric disease, suicide methods, number of previous attempts, CES-D (The Center for Epidemiologic Studies-Depression Scale), and disposition at ED. Univariate and multivariate logistic regression analysis were conducted to identify factors affecting the registration rate for the community-based post suicidal care program. Results: Overall, 331 suicides were investigated, 61 (18.4%) of which were registered in the post-suicide care program. Factors such as a intervention by psychiatric physician (OR: 3.287, 95%; CI: 1.207-9.624) and levels of depression by CES-D score of 16-24 (OR: 3.635; CI: 1.055-12.526) were significantly correlated with registration for the program. Conclusion: The registration rate for the community-based post suicidal care program was influenced by frequent intervention by a psychiatric physician and levels of depression by CES-D score of 16-24.

  • PDF

Factors influencing repeated suicide attempts among suicide attempters who visited the emergency room due to acute drug intoxication: a retrospective study (급성약물중독으로 응급의료센터를 내원한 자살시도자의 자살 재시도 영향요인: 후향적 연구)

  • In Ah Yun;Mi Yang Jeon
    • Journal of Korean Biological Nursing Science
    • /
    • v.26 no.3
    • /
    • pp.228-239
    • /
    • 2024
  • Purpose: This retrospective study was conducted to identify factors associated with repeated suicide attempts by analyzing the electronic medical records of suicide attempters who visited emergency medical centers due to drug intoxication. Methods: Data from January 1, 2020 to December 31, 2021 were collected for this study and analyzed using SPSS/WIN 25.0. Results: In this study, the factors affecting repeated suicide attempts among individuals who visited the emergency medical center due to acute drug intoxication were the presence or absence of psychiatric diseases, the season of drug intoxication, and age. In order to identify the factors affecting repeated suicide attempts in those who presented with acute drug intoxication, logistic regression analysis was performed by inputting psychiatric diseases, season of drug intoxication, and age, all of which exhibited significant differences between those who did and did not attempt suicide again. The presence of psychiatric diseases (odds ratio [OR] = 1.99, 95% confidence interval [CI] = 1.04~3.80), intoxication occurring in the fall (vs. spring; OR = 3.35, 95% CI = 1.28~8.75), and age ≥ 65 (vs. those under the age of 18; OR = 12.96, 95% CI = 2.02~83.17). The regression model was found to be statistically significant (F = 30.01, p < .001), and the coefficient of determination of Cox and Snell, which represents the explanatory power of the model, was 12.0%. Conclusion: This study suggests that to prevent repeated suicide attempts, it is necessary to develop a tool to evaluate the risk of suicide, use it to evaluate the risk of suicide, and then manage individuals accordingly.

Prevalence of chronic pain and contributing factors: a cross-sectional population-based study among 2,379 Iranian adolescents

  • Maryam Shaygan;Azita Jaberi;Marziehsadat Razavizadegan;Zainab Shayegan
    • The Korean Journal of Pain
    • /
    • v.36 no.2
    • /
    • pp.230-241
    • /
    • 2023
  • Background: This study aimed to determine the prevalence of chronic pain and its contributing factors among teenagers aged 12-21 years in Shiraz, Iran. Methods: This cross-sectional study was conducted on adolescents aged 12-21 years. Demographic variables of the adolescents and their parents as well as the pain characteristics were assessed. Descriptive statistics, multinomial logistic regression, and regression models were used to describe the characteristics of the pain and its predictive factors. Results: The prevalence of chronic pain was 23.7%. The results revealed no significant difference between the male and female participants regarding the pain characteristics, except for the home medications used for pain relief. The results of a chi-square test showed that the mother's pain, education, and occupation, and the father's education were associated significantly with chronic pain in adolescents (P < 0.05). Multinomial logistic regression also showed the mother's history of pain played a significant role in the incidence of adolescents' chronic pain. Conclusions: The prevalence of chronic pain was relatively high in these adolescents. The results also provided basic and essential information about the contributing factors in this area. However, consideration of factors such as anxiety, depression, school problems, sleep, and physical activity are suggested in future longitudinal studies.

Effects of Nurses' Attitudes toward Mental Illness Patient, Psychiatric Nursing Competency and Nursing Work Stress on Burnout of Nurses in General Ward (정신질환자에 대한 태도, 정신간호역량, 정신질환자 간호업무 스트레스가 일반 병동간호사의 소진에 미치는 영향)

  • Lee, Sunmi;Yun, Jung Sook;Shin, Sung Hee
    • Journal of East-West Nursing Research
    • /
    • v.28 no.1
    • /
    • pp.31-40
    • /
    • 2022
  • Purpose: The purpose of this study was to identify factors affecting burnout of nurses caring for people with mental illness in general hospital wards. Methods: This study conducted a survey targeting 186 nurses in general wards with more than one year of clinical experience working at three general hospitals in Seoul, Korea. The collected data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with SPSS 21.0. Results: The factors influencing burnout were nursing work stress (β=.30, p<.001), attitude towards people with mental illness (β=-.25, p<.001), religion (β=-.21, p=.001), psychiatric nursing competency (β=-.16, p=.016), experience of nursing for people with mental illness (β=.14, p=.023), and gender (β=.14, p=.026), explaining 33.5% of the total variance (F=16.53, p<.001). Conclusion: The findings suggest that it is necessary to develop and apply an education program to lower nurses' work stress, to create positive attitude towards people with mental illness, and to enhance psychiatric nursing competency for prevention and mitigation of burnout of nurses caring for people with mental illness.

Influencing Factor of Nursing Students' Communication Competence and Practice Stress on Practice Satisfaction in Psychiatric Nursing Practice (정신간호학실습교육에서 간호학생의 의사소통능력과 실습스트레스가 실습만족도에 미치는 영향요인)

  • Mi Ja Kim;Hyun Joo Oh
    • Journal of Practical Engineering Education
    • /
    • v.15 no.1
    • /
    • pp.63-72
    • /
    • 2023
  • The aim of this study was to identify the influencing factors of nursing student' communication competence and practice stress on practice satisfaction in psychiatric nursing practice. The subjects of the study were 237 fourth-year nursing students. For data analysis, descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were performed using the SPSS/WIN 24.0 program. As a result of the study, communication competence was positively related with practice satisfaction, and practice stress were negatively related with practice satisfaction. In regression analysis, Role model, communication competence, major satisfaction, and associated education were confirmed as the predictive factors of psychiatric nursing practice satisfaction. It is required to develop teaching and learning methods to increase student satisfaction in psychiatric nursing practice.

A Study of the Anxiety Levels of Hospitalized Psychiatric Patients in Terms of Length of Hospitalization (정신과 입원환자의 입원기간에 따른 불안정도에 관한 연구)

  • 김윤희
    • Journal of Korean Academy of Nursing
    • /
    • v.11 no.1
    • /
    • pp.45-63
    • /
    • 1981
  • This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

  • PDF

Managerial Factors Affecting the Community Spirit and Participation of Medical and Psychiatric Social Workers (보건의료영역 사회복지사의 전문직 공동체의식과 참여의식에 대해 조직 관리적 요인이 미치는 영향)

  • Kim, Dong Won;Cho, Nam-Shin
    • Korea Journal of Hospital Management
    • /
    • v.18 no.2
    • /
    • pp.104-126
    • /
    • 2013
  • The goal of the study is to find what managerial characteristics affect the community spirit and participation of medical and psychiatric social workers. To do this, managerial characteristics were divided into organizational structure and culture as well as job satisfaction. As a result of an empirical study, while Herzberg's motivators or mental rewards, such as autonomy, sense of accomplishment, and sense of respect, improved the levels of community spirit and participation, Herzberg's hygiene factors or economic rewards did not have any relationship with them statistically. This means that mental rewards equivalent to those of other professions in hospitals will improve the professional identity and activities of social workers, who are working with diverse professions in hospitals. On the other hand, organizational structure and culture were not significant statistically.

  • PDF

Prevalence of Emotional Distress and Related Factors of Orthopedic Surgical Patients in a Military Hospital : A Cross-sectional Feasibility Study (군 병원 정형외과계 입원환자의 정서문제 유병률과 관련 요인)

  • Oh, In Mok;Hong, Minseok;Lee, Soo Yeon;Yoon, Ga Hee;Lee, Ho;Kim, Myung Jin;Kim, Hyun Mi;Lee, Sang Don
    • Anxiety and mood
    • /
    • v.15 no.2
    • /
    • pp.115-121
    • /
    • 2019
  • Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student's t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46-168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals.

A Study of the Attitudes of Nonpsychiatric Registered Nurses towards Mental illness and Mental Patients (비정신과 간호원의 정신질환 및 정신질환자에 대한 태도 조사 연구)

  • 박예숙
    • Journal of Korean Academy of Nursing
    • /
    • v.3 no.2
    • /
    • pp.31-43
    • /
    • 1973
  • The trend in modern nursing is toward the performance of comprehensive nursing care. Psychiatric nursing emphasizes education which enables the nurse to understand the underlying difficulties being expressed through a wide range of emotions and through practice to be more adept in her selection of a manner of approach which best meets the needs of a given situation. Presently, in Korea, there is nothing in the literature regarding evaluation of the effect of psychiatric nursing education on the attitudes of nurses towards mental illness and mentally ill patients. This stud!1 was attempted in order to understand 1) some of the problems in psychiatric nursing education 2) some of tile factors which affect the attitudes of nurses towards mental illness and mental patients. A questionnaire, a Korean translation of the "Opinions about Mental illness Scale" by Cohen and Stranding, 1962, was administered to 188 nonpsychiatric registered nurses employed in Yonsei University Hospital (Y. Hospital) and Seoul National University Hospital (S. Hospital) located in the city of Seoul. All of the nurses were directly involved with adult patient care. They graduated from various nursing schools. The data was collected during the period of October 2 to October 16,1972. The age, educational background , marital status, type of previous psychiatric experience, experience as a graduate nurse and close personal relationship with someone who was a psychiatric patient were compared with the O.M.I. scores. The mean and standard errors for each of the comparison groups were computed and tile relationships calculated by a t-test. The results of the study are summarized as follow: 1. There is no significant difference between the age of the nurses and their attitudes toward mental illness and mental patients. 2. There is no significant difference between the. educational backgrounds of the nurses and their attitudes toward mental illness and mental patients. 3. There is a significant difference in the nurses ′student psychiatric nursing experience and their attitudes towards mental illness and mental patients for the nurses in 5. Hospital only. The nurses who had 3-4 week of student psychiatric nursing experience had a significantly higher mean score for Benevolence (factor B) than nurses whose student psychiatric experience had been less than 1 Ivcek (P<0.05). The nurses who had 1-2 weeks, 3-4 weeks and more than 4 weeks of student psychiatric nursing experience had significantly higher mean scores for Interpersonal Ethology (factor E) than nurses whose student psychiatric had been less than 1 week (p<0.05), 4. There is a significant difference in the nurses′student psychiatric nursing experience by types of institution and their attitudes towards mental illness and mental patients for S. Hospital nurses only. The nurses who had their student psychiatric nursing experience in the government psychiatric hospitals recorded significantly higher mean score for Authoritarianism (factor A) than nurses who had their. experience in private psychiatric hospitals (p<0.05). 5. There is no significant difference in the nurses′psychiatric nursing experience as a graduate nurse and their attitudes toward mental illness and mental patients. 6. There is no significant difference in the nature and variety of the nurses′experience as a graduate nurse and their attitude toward mental illness and mental patients. 7. There is no significant difference in the presence or absence of a close personal relationship with a mentally ill person and the nurses′attitude toward mental illness and mental patients. 8. There is no significant difference in the nurses′ marital status and their attitude toward mental illness and mental patients. 9. There is no significant difference between the nurses who were employed ill S. and Y. hospitals and their attitudes towards mental illness and mental patients. Major suggestion for further study was to have more larger and wider scale research for establishing of the reliability and validity of the Korean translation of the O.H.I. Scale.

  • PDF