• 대한간호학회지
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• 제47권1호
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• pp.49-59
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• 2017

Purpose: The purpose of this study was to identify non-psychiatric nurses' difficulties in caring for patients with mental illness. Methods: Data were collected from eighteen general medical-surgical nurses working at a university hospital in Seoul, Korea. This study involved two focus group discussions and three in-depth individual interviews. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: General medical-surgical nurses experienced difficulties in 3 categories, 9 subcategories, 27 codes. The three categories were 'nurse' related factors, 'patient' related factors, 'resource' related factors. The nine categories were 'unpreparedness', 'nursing barriers due to stigma', 'undervaluing and avoidance of psychiatric nursing', 'eroding into the trap of a vicious cycle', 'facing unapproachable patients', 'dealing with unhelpful family members', 'burdening already overburdened staff', 'obstructive environment', and 'isolation of staff with heavy responsibilities'. Conclusion: The results of this study indicate the need to develop psychiatric mental health education programs for non-psychiatric nurses. Education about psychiatric mental health and support from institutions for non-psychiatric nurses can reduce their negative attitude toward psychiatric patients and difficulties in caring for psychiatric patients.

• 한국산학기술학회논문지
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• 제21권10호
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• pp.274-282
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• 2020

본 연구의 목적은 서울시 돌봄 서비스 노동자들의 직무스트레스와 정신건강 요인이 구강 증상에 미치는 영향에 대하여 살펴보고자 한다. 연구 방법은 돌봄 서비스 노동자 150명을 대상으로 7월 24일부터 8월 6일까지 설문조사를 시행하였다. 조사항목으로는 직무스트레스, 정신건강(신체증상, 불안, 불면), 주관적 구강 증상을 조사하였으며, 연구 결과 다음과 같다. 직무스트레스(p=0.001)는 구강 증상에 유의한 영향을 주는 것으로 나타났다. 또한, 신체증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001) 모두 구강 증상에 유의한 영향을 주는 것으로 나타났다. 위험 요인 중 신체 증상이 구강 증상에 가장 큰 영향을 미치는 것으로 나타났다. 또한 직무스트레스, 불안 증상, 불면 증상, 구강 증상의 상관성 결과, 직무스트레스가 증가할수록 신체 증상(p<0.001), 불안 증상(p<0.001), 불면 증상(p<0.001), 구강 증상(p<0.01)이 모두 증가하는 양의 상관성을 나타냈다. 돌봄 서비스 노동자들은 돌봄 대상자를 신체적·정신적으로 보살펴야 하는 업무를 수행하므로 육체적·심리적 노동력 소진이 크다. 자신의 건강과 구강건강 상태가 좋아야 업무수행력을 높일 수가 있기에 노동자들의 정신건강을 위한 제도적 확대 방안이 필요하며, 구강건강 증진을 위한 맞춤별 구강보건교육 프로그램 도입이 매우 필요하다고 사려된다.

• 시큐리티연구
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• 제2호
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• pp.211-226
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• 1999

Troublesome problems are being caused by hallucinogenic drugs which come not only from illegal narcotics but also from unprohibited general drug-kinds such as cough-remedy agents of textromerupan, namely, Lamina, Rubi-king and the likes. Abuse and misuse of narcotics permeated into and threatens mental health of socially-known peoples, actor, actress, talents and businessmen as well. This study especially dealt with problems related with Mesampetamin, Rurajaepam, Texstrometropan and Karisofrodol which affects mental behaviour, and considered counter-measures through analysis and developed appropriate system of goods circulation for guidance to be complied by the medicine professionalists. The guidance sought here is recommended to the government ministries for further enforcement of crack-down of the drug crimes. Arquesa in method is recommend as a method of identifying behaviors and facial expressions of abusers and misusers of narcotics at the spot in place. This study is directed to curtailing hallucinogenic drugs use for absolute preventive security by detecting out black dealers of narcotics supplying to the abusers and misusers. There is a need of special education program to cut off the flow of narcotics or drugs crimes into official security force as well as private security personnel. This study introduced a priority and emphasis of real augmentation to theory and practice of the modern scientific security which can protect the mental health of the guarded persons as well especially in the light of security safety curriculum at the school.

• 신경정신의학
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• 제57권2호
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• pp.190-208
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• 2018

Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

• 지역사회간호학회지
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• 제12권3호
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• pp.582-588
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• 2001

Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.

• Journal of Preventive Medicine and Public Health
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• 제32권3호
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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.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2016년도 춘계 종합학술대회 논문집
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• pp.391-392
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• 2016

In Japan, the children with problem behavior have been called the difficult children. However, the definitions of the difficult children in the medical, health, childcare and education are different. As a result, it is difficult to support for the needs of children. In addition, the difficult children have been influenced by the subjectivity of the teachers. IN-Child (Inclusive Needs Child) is defined by the result of this study. IN-Child means "Child in need of inclusive education by a team, including experts. It does not depend on intellectual and developmental delays due to physical, mental, home environment." We developed the IN-Child record that enables the educational diagnosis of IN-Child. IN-Child record was made to organize and analyze of the items by experts including 3 researchers and 2 teachers. As a result, it was classified into two domains of "cause" and "effect". The domain of "cause" is classified by two domains of "physical" and "mental". The domain of effect is classified by two domains of "daily living" and "learning".

• 한국간호교육학회지
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• 제12권2호
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• pp.280-286
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• 2006

Purpose: To test whether a hope carries the influence of pain to health related quality of life in patients with cancer. Method: 114 cancer patients recruited with. Data were collected through the Visual analog Scale, the Herth Hope Index, and the SF-36 Standard Korean Version. Results: The results showed that the measurement variables (pain, hope and health-related quality of life) were all significantly interrelated. The results of MedGraph revealed that the full mediation effect of hope in the relation between pain and mental component summary of quality of life was significant. Conclusion: These results imply that hope need to be considered in planning intervention programs for the enhancement of quality of life in patients with cancer.

• 한국학교보건학회지
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• 제18권1호
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• pp.1-14
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• 2005

Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through $\chi^2$-test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teachers. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC than those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

• 한국융합학회논문지
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• 제8권9호
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• pp.151-159
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• 2017

본 연구는 현재 군인들의 구강보건행태와 구강건강 삶의 질에 대한 관련성을 파악하고, 군인들을 대상으로 한 구강보건 교육을 실시함에 있어 근거 및 기초자료로 제공하고자 하였다. 총 400명의 서울 경기 지역의 군인을 대상으로 조사하여 361명의 수집된 데이터를 SPSS 19.0으로 통계 분석하였다. 그 결과, 군인들은 주관적 구강건강 상태는 보통이라고 느꼈으며, 구강보건 행동의 실천률은 높지 않았다. 주관적 구강건강 상태가 좋지 않다고 한사람은 구강건강관련 삶의 질이 좋지 않았다. 또한 군인들은 구강보건교육이 매우 필요하다고 느꼈으며, 주관적 구강건강 상태와 구강보건교육의 필요성은 정적인 상관관계가 있었다. 군인들의 신체적, 정신적, 사회적 건강이 구강건강과 연관되어 있으므로 군인들의 구강보건 교육은 정기적으로 이루어져야 할 것 으로 보이며, 본 연구 결과는 군인들의 구강 보건 교육의 기초자료로 사용될 수 있을 것으로 사료된다.