• 제목/요약/키워드: Psychiatric mental health nursing

검색결과 104건 처리시간 0.02초

Does the Impairment of Functional Life Increase the Probability of Suicide in Cancer Patients?

  • Tanriverdi, Derya;Cuhadar, Dondu;Ciftci, Serpil
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9549-9553
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    • 2014
  • Background: Cancer affects patients in many ways including physical, social, emotional, psychological and economic and restricts the functional lives. Psychiatric problems seen among cancer patients may increase the suicide probability and patients perceive suicide as a peaceful death type. The aim of this study was to examine the correlation between functional life and suicide probability among cancer patients. Materials and Methods: This study was conducted with 105 cancer patients as descriptive. The Functional Living Index_Cancer (FLIC)," suicide probability scale" (SPS) and personal information form were used as data collecting tools. Data were evaluated by descriptive analysis, and Pearson's correlation. Results: It was determined that 34.3% of patients thought of suicide. Significant negative correlation was found between functional life and suicide probability (r=-.641, p=0.000), increase being evident in those with poor functional life. Conclusions: It is recommended that cancer patients should be supported for improving their functional lives with help in coping processes for illness and treatment symptoms. Evaluation of the patient mental status to prevent the suicide among this group is an important role for nurses.

정신질환자를 위한 대사증후군 통합건강관리 프로그램 개발 및 평가 (Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome)

  • 곽윤복;김지영
    • 대한간호학회지
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    • 제52권3호
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    • pp.261-277
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    • 2022
  • Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods: A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann-Whitney U test, ANCOVA, and Ranked ANCOVA. Results: The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, ηp2 = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group. Conclusion: The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.

통합활동프로그램이 취약계층 여성독거노인의 자기효능감과 우울에 미치는 효과 (Effects of an Integrated Activity Program on the Self-Efficacy and Depression of Underprivileged Elderly Women Living Alone)

  • 오명수;김희숙
    • 한국보건간호학회지
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    • 제33권2호
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    • pp.258-269
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    • 2019
  • Purpose: This study examined the effects of an integrated activity program on the self-efficacy and depression of underprivileged elderly women living alone. Methods: The participants recruited were fifty underprivileged elderly women living alone in D city. Data were collected from September 1 to October 1, 2015. To test the effects of the integrated activity program, the participants were divided into two matched groups, an experimental group (N=25) and control group (N=25). The data were analyzed with a ${\chi}^2-test$, Fisher's exact probability test, and t-test using the SPSS/WIN 12.0 program. Results: After attending the integrated activity program, significant differences between the experimental group and control group were found for self-efficacy (t=9.19, p<.001) and depression (t=-18.31, p<.001). Conclusion: The results indicate that the integrated activity program enhances self-efficacy and reduces depression in underprivileged elderly women living alone. Therefore, this program is a good strategy that community mental health nurses can use to improve the mental health of underprivileged elderly women living alone.

대학간호교육목표의 시안개발 (Development of the Tentative Educational Objectives for the Nursing College)

  • 이화자
    • 한국간호교육학회지
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    • 제1권1호
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    • pp.32-45
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    • 1995
  • This thesis is a study to develop the tentative objectives and present the professional and courses for the nursing college. The conclusions conducted by the purpose of this study are as follows. First, on the basis of the concepts of the nursing and the view-points of nursing education, the tentative goals for the nursing education are set up as follows. 1. To understand human being's life, dignity and their physical, mental, and social aspects. 2. To understand the basic concepts and the principles of human sciences, social sciences, natural sciences, and medical sciences. To apply their knowledges to nursing practices. 3. To diagnose and assess the problems of individual, family and community in terms of nursing practice. To develop the ability of planning, negotiation, management, and evaluation for the nursing education. 4. To develop appropriate knowlege, attitudes, and skills to promote the clients' health and treat their illness. 5. To accomplish all tasks effectively as a trained and qualified professional nurse through the endless studies. Second, the nursing areas and courses for the nursing college in terms of validity, Importance, continuity, relationship, utility and appropriateness are listed as follows. 1. Fundamental courses of the nursing. (1) General courses communication human development, behavior science, biochemistry, microbiology, pharmacology (2) Medical courses physiology, anatomy, pathology 2. Basic courses in nursing (1) General nursing fundamental nursing, introduction of nursing, nursing history, nursing process, health education, health assessment, philosophy of nursing, nursing psychology (2) Maternal-Child nursing child-health nursing, child-disease nursing, adolescent nursing, obstetric nursing, post-partum nursing, gyneco-pathy nursing (3) Adult nursing adult health nursing, adult disease nursing I(fluid & electrotonic, shock, anoxia disorder), adult disease nursing II(nutrition-excretion disorder, sexual dysfunction), adult disease nursing III(sense-, control-, activity-, sleep disorder), adult disease nursing IV(operation, rehabilitation, emergency), gerontological nursing (4) Psychiatric nursing child-adolescent psychiatric nursing, adult psychiatric nursing, gerontological psychiatric nursing, spiritual nursing (5) Community health nursing community nursing, school nursing, industrial nursing, family nursing, nursing epidemiology 3. Nursing management and research skills (1) Nursing management nursing administration, nursing ethics, laws related to nursing (2) Research skills nursing statistics, nursing research methodology Finally, the principles of the statement of the specific objectives are the followings : 1. To state the specific objectives on the basis of the syllabus of each courses. 2. To match a content with a verb or gerund as the basic form of objectives. 3. To control the level of the objectives according to the rule 'the higher the level of a content, the lower the level of a verb or a gerund'. This rule applies in the reverse, as well. 4. To decide the number of the objectives in each course on the basis of the numbers of the syllabus and the level of its comprehensiveness, 5. To correct, supplement or eliminate the stated objectives by a professional or professional groups in that area.

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정신과 환자 퇴원시 가족들이 느끼는 불안에 관한 연구 (A Study of Anxiety of Families of Psychiatric Patients at Discharge)

  • 김기숙
    • 대한간호학회지
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    • 제7권2호
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    • pp.31-42
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    • 1977
  • This study investigated the anxiety of families of psychiatric patients at discharge. The purpose was to contribute to the improvement of psychiatric nursing care, rehabilitation and social adjustment of psychiatric patients and community mental health. The objectives of this study were to identify the acceptance of the psychiatric nurse by the families, their anxiety at the time of discharge, whether any help was wanted to reduce anxiety, the attitude toward the patient after discharge and feelings about the patients. The population studied consisted of 180 family members of patients from 10 mental hospitals (including local clinic) in Seoul and Kyung- Ki province, from March I to April 30, 1977. The date were collected by an interview schedule, and compared and analysed by Computer usings х$^2$- test. Results were as follows : 1. Many of the families(83.6%) expressed a acceptance of psychiatric nurse. 2. A little more than half of the families(51.1%) expressed happiness but a largo portion (38.9%) had "anxious" feelings at discharge. 3. Almost all families(92.6%) wanted a physician′s help to reduce discharge anxiety. Younger families tended to want the physician′s help more. 4. Many of the families(83.1%) wanted a nurse′s help. Families of parents patients admitted for the 1 st time wanted the nurse′s help more. 5. Comparing the feelings at a previous discharge with the present discharge, 49.1% of the family expressed greater happiness at tile latter than the former. 6. More than half the families responded positively toward the patient. Unmarried family members responded more positively than married Families of 1 st admission patients responded more positively than families of readmission patients. 7. Many families(78.8%)had positively feelings toward the patients. More negative responses came from women than from men, from lower education levels, lower incomes and readmission patients.

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정신질환자 가족들의 정신질환에 관한 태도 조사연구 (A Study on the Family Attitude toward Mental Illness)

  • 조영숙
    • 대한간호학회지
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    • 제11권1호
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    • pp.7-17
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    • 1981
  • The purpose of this study is to investigate the relationship between family attitude about mental illness and their general characteristics. The subjects for this study were a sample of 120 families selected from psychiatric ward of one university hospital, which is one national hospital in Seoul. Data was collected from July 1th to August 10th in 3980 used by Opinion about Mental Illness Scale (O.M.I.). The materials were analized by S.P.S.S. program. The findings of the study were as follows: A. Families' attitude toward mental illness shown ay this study was more negative compared to those of Korea1 nursing professorss, nurses and nursing students. B. Variables which influence families' attitude about mental illness: 1. There is no significant between general characteristics and authoritarianism. (p> 0.05) 2. Benevolence (Factor B) was found to be significantly related to such variables as religion, eucation levels, existence of mental patient in their an intimate friends. (P < 0.01) Families' attitude about benevolence was mere positive in families who have not relegion or having christion beliefs: haying the higher education levels; not having a mental patient in their an intimate friends. 3. Mental health ideology (Factor C) was found to be significantly related to variable experience of mental illness. (P < 0.01). families' attitude about mental health ideology was more positive in families who had experience of mental illness. 4. Social Restrictiveness (Factor D) was found to be significantly related to variable relationship between families and patients(P<0.01). An intimate friend's attitude about mental health Ideology was mon positive than that of parent and couple. 5. Interpersonal Etiology (Factor E) was found to be significantly related to variable religion (P < 0.05). Families' attitude about interpersonal etiology was more positive in families who have relegion.

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농촌거주 일본인 결혼이주여성의 지역사회 적응과정에 대한 문화기술 (Ethnography on the Adaptation Processes of Japanese Marriage Immigrant Women to Community in Rural Areas)

  • 안효자
    • 정신간호학회지
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    • 제27권4호
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    • pp.394-405
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    • 2018
  • Purpose: The purpose of this study was to identify and describe cultural meanings for married Japanese immigrant women in rural Korean communities. Methods: The informants were 10 women in rural areas. Data were collected from August 2017 to June 2018 through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Results: The meanings of adaptation were classified into five cultural domains: Practicing the doctrine, accepting the difference, redemption, true home, and confronting reality. The subthemes according to meanings of adaptation were comprised of international marriage with a sense of calling, bearing with sense of duty, and making a living substantively. The subthemes in this study reflect the process of adaptation. The cultural themes in the process of adaptation were overcoming differences and conflicts between Korea and Japan to achieve true family. Conclusion: The adaptation processes of married Japanese immigrant women included making their living reality known and recognizing the times when exchanges between Koreans and Japanese cannot exist within a hostile composition.

정신건강의학과 입원 환자를 위한 낙상 위험 사정도구 (Edmonson Psychiatric Fall Risk Assessment Tool)의 타당도 평가: 후향적 연구 (Validation of the Edmonson Psychiatric Fall Risk Assessment Tool for Psychiatric Inpatients: A Retrospective Study)

  • 김경영;손영선;이유지;김지은;김미경;이영희
    • 임상간호연구
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    • 제28권3호
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    • pp.270-276
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    • 2022
  • Purpose: The purpose of this study was to validate the Edmonson psychiatric fall risk assessment tool (EPFRAT) for psychiatric inpatients. Methods: Data from retrospective study were collected from 670 adult inpatients in two departments of mental health medicine of a tertiary general hospital by reviewing their electronic medical records. There were 41 patients who experienced falls and 629 patients who did not experience falls during the period from January to December 2019. Data were analyzed by sensitivity, specificity, positive predictive value, negative predictive value, and a receiver-operating characteristic curve (ROC) for validity assessment using the IBM SPSS/WIN 26.0 program. Results: Factors affecting falls were the participant's age, guardian's residence, high-risk determination at the time of admission, and comorbidity. At the 85 points where the point of sum of the sensitivity and specificity was largest, the sensitivity, specificity, positive predictive value, and negative predictive value of EPFRAT were 92.7%, 79.7%, 22.9%, and 99.4%, respectively. The area under the ROC to assess the overall validity of the tool was .92 (95% CI 0.89~0.94). Conclusion: The EPFRAT was proved to be valid and reasonable for predicting falls in psychiatric inpatients. Based on the results of this study, it could be used for the assessment of high-risk patients for falls in psychiatric units.

졸업을 앞둔 간호대학생의 정신간호사에 대한 진로선택 의도 영향요인 (Influencing Factors on Intention of Career Choice toward Mental Health Nurses among Senior Nursing Students)

  • 이진영;강문희
    • 산업융합연구
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    • 제21권2호
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    • pp.53-59
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    • 2023
  • 본 연구의 목적은 간호대학생을 대상으로 정신간호사에 대한 진로선택 의도에 영향을 미치는 요인을 파악하는 것이다. 연구설계는 서술적 조사연구이다. 연구의 대상은 D와 W 광역시 소재 5개 대학에 재학 중인 4학년 간호대학생 261명이다. 수집된 자료는 SPSS 26.0 프로그램을 이용하여 서술통계, t-test, Pearson correlation coefficient, multiple regression을 실시하였다. 회귀분석 결과, 연령 (𝛽=.13, p=.048), 정신간호학실습 만족도 (𝛽=.16, p=.035)는 대상자의 정신간호사에 대한 진로선택 의도에 대해 유의한 영향요인으로 나타났으며, 10.3%의 설명력을 보였다. 따라서 정신간호학 실습환경 개선과 실습지도 자의 역량 강화를 통해 간호대학생의 정신간호사에 대한 진로선택을 지지할 수 있을 것이다. 또한 정신간호사에 대한 진로선택에 영향을 미치는 다양한 변수를 파악할 수 있는 추후 연구가 필요하다.

한국어판 비정신과 간호사의 행동건강간호역량 측정도구의 신뢰도 및 타당도 (Validity and Reliability of a Korean Version of Behavior Health Care Competency on Non-psychiatric Nurse)

  • 한정원;우희영
    • 한국산학기술학회논문지
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    • 제17권4호
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    • pp.426-432
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    • 2016
  • 본 연구는 Rutledge와 그의 동료들이 개발한 Behavior Health Care Competency (BHCC) 도구를 한국어로 번역 및 수정하여 도구의 타당도와 신뢰도를 검증하는 방법론적 연구이다. 서울 소재의 4개의 상급병원에서 근무하는 간호사들을 230명을 대상으로 하여 내용 타당도, 구성 타당도 및 신뢰도 검증을 실시하였다. 최종적으로 4요인과 총 16개 문항으로 분석되었으며, 신뢰도와 타당도가 높은 도구임이 검증되었다. 본 연구는 한국의 비정신과 간호사들의 정신간호와 관련된 행동건강간호역량을 측정할 수 있는 도구를 마련하여 비정신과 병동의 간호사들도 대상자들의 신체적인 문제뿐만 아니라 잠재적인 정신과적 문제를 효율적으로 관리하기 위한 기초자료를 제공했다는데 의의가 있다.