중복장애

현명선 대한간호학회정신간호학회 1998 정신간호학회지 Vol.7 No.1

In recent years patients with dual diagnosis have increased in America. 'Dual diagnosis' or dual disorder are terms that have been used to indicate the coexistence of a mental health disorder and substance use disorder. Patients with mental disorder are vulnerable to risk for substance use disorders, patients with substance use disorders are also vulnerable to risk for mental disorders. Even though there have been few people treated for dual diagnosis in Korea, there is need for concern about this diagnosis because a dual diagnosis makes the individual more incapicitated. In Korea, several research papers have identified that personality disorders or depression coexisting with alcoholism. There are several possible relationships between substance abuse and psychiatric disorders. Substance abuse may induce, worsen, or diminish psychiatric symptoms, complicating the diagnostic process. Sometimes, the symptoms of coexisting psychiatric disorder may be misinterpreted as poor or incomplete recovery from drug addiction. In addition, psychiatric disorders may interfere with the patients' ability and motivation to participate in addiction treatment. This article provided an overview of characteristics and assessment based on a biopsychosocial model. Indeed, the treatments for dual diagnosis are very complex and difficult and the prognosis for this disorder is very poor. In this article, pharmacologic and psychosocial treatment model also is provided. Finally, it is suggested that nurses who meet patients with mental disorders or substance use disorders can have an important role in detecting or preventing the occurrence of dual diagnosis.

정신장애인의 동료지원활동 경험에 대한 근거이론적 접근

현명선,남경아,김현례,김수영 한국간호과학회 2020 한국간호과학회 학술대회 Vol.2020 No.10

전문적 지지 모임이 정신분열증 환자 가족의 자기효능감과 부담감에 미치는 영향

현명선,김혜용,윤선희,이현아,추자희 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

일 대학의 간호교육목표 달성도 평가를 위한 간호실무능력 평가도구 개발

현명선,유문숙,송미숙,박진,Hyun, Myung Sun,Yoo, Moon Sook,Song, Mi Sook,Park, Jin 한국가정간호학회 2015 가정간호학회지 Vol.22 No.2

Purpose: The study was conducted to develop the Nursing Practice Capacity scale for evaluating achievement of education objectives among students in nursing school. Methods: This was a methodological study. The scale development process included generation of initial items, verification of content validity, selections of secondary items, preliminary study, and extraction of final items. The participants were five graduates 1 to 4 years after graduation (for the preliminary study) and 125 graduates 1 to 4 years after graduation from the nursing school at A University, South Korea. Item analysis, criterion validity, and internal consistency were used to analyze the data. Results: Twenty-six items were selected for the final scale. The scores on the scale were significantly correlated with the Nursing Competency Scale(r=.62, p<.001) and Nursing Performance Scale(r=.63, p<.001). Chronbach's alpha coefficient for the 26 items was .87. Conclusion: The Nursing Practice Capacity scale for evaluating achievement of nursing education objectives has good validity and reliability. The measurement scale can be useful for evaluating the nursing practice capacity of nurses as well as measuring the extent to which graduates have achieved the established education objectives in the education fields.

청소년의 성적 발달과 문제행동 및 우울과의 관계 연구 : 서울의 일 개교 남자 중학생을 중심으로 Focused on male middle school students

현명선 대한간호학회정신간호학회 2000 정신간호학회지 Vol.9 No.4

This study was designed to examine the relationship between adolescents' sexual development and problem behavior and depression. The subjects for this study were 199 students at middle school in Seoul. The data were collected during the period form April 14, 2000 to April 17, 2000, and were obtained by use of questionnaires. The instruments used for this study were for sexual development genital development and pubic hair growth divided by Tanner(1996), and for the depression, the Beck Depression Inventory developed by Beck(1978). The data was analyzed by use of descriptive statistics, Pearson Correlation Coefficient, t-test, and ANOVA using the SPSS-Win program. The results of this study are as follows : 1. The mean stages of the sexual development were 2.84±1.27(genital development) and 2.77±.90(pubic development). The mean score of the problem behavior was 56.71±10.43, depression 26.81±5.95. 2, The result of this study of the relationship between sexual development and problem behaviors indicated a no significant correlation between genital development and problem behavior(r=-.122. P=.122). However, there was a significant negative correlation between sexual development and social withdrawal behavior(r=-.186, P=.016). 3. There a significant correlation between problem behavior and depression(r=.626, P=.000). 4. The stage of the genital and pevic hair development (t=17.06, P=.000, t=29.40, P=.000) was significantly different according to grade. Also, The levels of the problem behavior and depression (t=-2.48, P=.014, t=-3.17, P=.002) was significantly different according to grade. 5. The levels of the problem behavior (F=6.29, P=.002) and depression (F=6.61, P=.002) was significantly different according to school scores. And the level of depression was significantly different according to socioeconimic status perceived by subjects (F=4.51, P=.002). In conclusion, this study showed a deep relationship between sexual development and social withdrawal problem behavior; the lower the sexual development, the higher the social withdrawal problem behavior. Therefore, the level of the sexual development for the adolescents should be considered in school and the other field. And the depressive mood of delinquent adolescents should be managed.

청소년의 성적 발달과 신체상, 문제행동 및 우울과의 관계 연구 : 경기도 지역의 중학생을 중심으로 Focused on middle school students in Kyungki-Do

현명선,남경아,공성숙 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4

This study was designed to examine the relationship between adolescents' sexual developmen, and body image, problem behavior and depression. The subjects for this study were 444 students at middle school in Kyung Ki Do. The data were collected during the period from May to November, 2000, and were obtained by use of questionnaires. The instruments used for this study were for sexual development divided by Tanner(1962), for the body image, the Body Cathexis Scale by Secord & Jourard(1953), for the problem behavior, the Child Problem Behavior list developed by Hong Kyung Ja(1986), and for the depression, the Beck Depression Inventory developed by Beck(1978). The data were analyzed by use of descriptive statistics, Pearson Correlation Coefficient, t-test, and ANOVA using the SPSS-Win program. The results of this study are as follows: 1. The mean stages of the sexual development were 2.99(genital development) and 2.76(pelvic development). The mean score of the body image was 3.32, problem behavior 1.35, and depression 26.81±5.95. 2. As for the male student, there was a significant positive correlation(r=.244, p=.001) between genital development and body image. As for the female student, there was a significant negative correlation(r=-.198, p=.009) between pelvic hair development and body image and as significant positive correlation(r=.273, p=.000) between pelvic hair development and problem behavior. 3. As for the female student, there was a significant positive correlation between sexual development and depression(r=.234, p=.001 : r=.294, p=.000). 4. For the both of male and female student, body image was negatively correlated to the problem behavior(r=-.211, p=.005 : r=-.2.99, p=.000), and depression(r=-.321, p=.000 : r=-.342, p=.000) and the problem behavior was positively correlated to the depression(r=.665, p=.000 : r=.781, p=.000). 5. The stage of the genital development(t=-3.70, p=.000) and body image(t=3.49, p=.001) was significantly different according to sex. 6. The level of the problem behavior was significantly different according to family economic status(F=5.71, p=.004), school scores(F=12.81, p=.000), and BMI(F=2.83, P=.039). In conclusion, this study showed different relationships between sexual development and body image. problem behavior according to sex. And the level of the sexual development for the male and female adolescents should be considered in school and the other field. And the depressive mood of delinquent adolescents should also be managed. Research examining the difference in psychological, affective characteristics, and coping strategies according sex is need in order to enhance their health.

고등학생을 위한 긍정심리학 기반 정신건강증진 프로그램의 효과

현명선,윤미경,채선미,오희영,정선미 한국아동간호학회 2020 Child Health Nursing Research Vol.26 No.2

Purpose: The purpose of this study was to investigate the effects of a positive psychology-based mental health promotion program for high school students. Methods: This study used a randomized control group pretest-posttest design. A total of 47 high school students participated from two high schools in Gyeonggi Province. They were randomly assigned to an experimental group (n=24), which participated in the 8-session program, or to a control group (n=23). Psychological well-being, depression, and self-esteem were measured. Results: A significant difference in psychological well-being was observed between the two groups after the program. However, there were no significant between-group differences in depression or self-esteem. Conclusion: The positive psychology-based mental program was effective at increasing psychological well-being in adolescents, especially high school students. This study suggests that a school curriculum could incorporate positive psychology-based mental programs for high school students to promote their mental health.

간호대학생의 정신건강에 영향을 미치는 요인: 생태학적 접근을 중심으로

현명선,유문숙,임지영,박지은,서은지 한국가정간호학회 2017 가정간호학회지 Vol.24 No.3

Purpose: This study investigated the factors influencing mental health among university students based on ecological perspectives. Method: The subjects for this study were 416 students in two colleges in K province. The instruments used for measurement were: Symptom Checklist (Derogatis, 1977), Ego Resilience Scale (Block & Block, 1980), Perceived Stress Inventory (Cohen, Kamarck, & Mermelstein, 1983), and Social Support Scale (Park, 2002). The data was analyzed using the IBM SPSS program. Result: Ego resilience and perceived stress as intrapersonal factors and friends’ support as interpersonal factor were the significant predictors of mental health. It was showed that these factors explained 47% of mental health. Conclusion: This study suggests that the factors influencing mental health are both intrapersonal and interpersonal factors. Thus, the findings of this study provide the basic data to develop a program for mental health of university students based on ecological perspectives.

간호교육목표 달성도 평가를 위한 간호실무능력 평가

현명선 한국간호교육학회 2017 한국간호교육학회 학술대회 Vol.2017 No.5

간호학생의 정신 간호학 실습 경험

현명선,서미아 대한간호학회정신간호학회 2000 정신간호학회지 Vol.9 No.1

The purpose of this study was to explore nursing students' experiences of clinical practicum in psychiatric settings. Total 6 senior students who were in baccalaureate nursing program were participated in this study who completed 6-week psychiatric practicum. The study was performed from October, 1998 to December, 1999. Individual In-depth interviews were used as a data collection method. The data were analyzed by content analysis using Strauss-Corbin's method. Nineteen concepts were identified in the analysis. In this study, it was found that they had different experiences before, during, and after the clinical practicum. Before the clinical practicum, it was found they had expectation about psychiatry, curiosity to psychiatric patients, and fears about relationship. During the clinical practicum, they had different experiences by focusing on psychiatric nursing, patients, self, nurses, other medical members. And then, finishing the clinical practicum, they could accept the psychiatric patients as the person and solve the fears about psychiatric patients. The findings of this study may assist nursing educators to understand their students' experiences and will provide nursing educators and students with framework for the direction in their clinical practicum.