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노춘희,김경애,이승부,김수지 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4
The purpose of this study is to explore the attitudes toward the mentally ill of Chosunjok in Yanbian and to compare with the attitudes toward of mentally ill of Korean residents. CAMI(community attitudes toward the mentally ill) questionnaire was applied to 447 residents in Yanbian. The results revealed the following. 1) The residents who had religion had more social restrictiveness and negative tendency toward mentally ill than the people who has not the religion. The married people showed more negative tendency in authoritarianism attitude than the single. The higher educational level of residents, the less authoritative and the more sympathetic and positive toward community mental health ideology. Health professionals (nurse, doctor, pharmacist) were more positive in all four attitudes than non-health professionals. The residents who have ever experienced to contact the patients were more negative in social restrictiveness. 2) As for comparison of the Korean. Yanbian Chosunjok has more negative and restrictive on social life of the patients in community, otherwise they are more sympathetic attitudes to the patients and they have more positive community mental health ideology. These findings suggest that the persons without religion, low educational level, the married, the jobless person, and non health professionals need special attention to have got more positive attitudes which will play an important role for accomplishing community mental health services. The results that showed in comparison to Korean means, even thought the roots of the two residents is the same as a Han Min Jok, the attitudes toward mentally ill are different. which have to focus the cross-cultural point of view in promoting the positive attitudes on the mentally ills. The further studies on the Yanbian Chosunjok's mental health needs to be investigated for developing community mental health services. As a minority of Chinese society, Chosunjok set a good example to accomplish high level economic growth and public health policy. The primitive concepts still remain in the society. but solid family system and abundant primary public health network will play a important role in Yanbian community mental health.
직업재활 프로그램에 참여하는 만성 정신질환자의 일상적 스트레스와 대처양식
노춘희 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4
The purpose of this study is to investigate the daily life stress and coping strategies of chronic mentally ill. The subiects were 235 chronic mentally ill who were enrolled in the vacational program of the community mental health center in various nationwide settinss. Data collection was done using DSI and F-COPES inventory are carried out from 2000 Aug, to 2001 Feb. Data was analyzed by SAS-Win. The results revealed the following: 1. The higher score items of daily life stiess were' exposed to feared situation or object' 'someone spoiled your completed task', the lower were 'spoke or performed in public' 'interrupted while talking''bad weather'. 2. The coping strategies often utilized by these chronic mentally ill were 'mobilizing to acquire and accept help'. 'reframing', 'seeking spiritual support' which are considered active coping strategy. 3. Daily life stress showed significant difference by psychiatric diagnosis(F=6.333, p=.000), an coping strategy showed significant difference by religion(F=8.619, p=.000), and psychiatric diagnosis(F=2.139, p=.000). 4. According to the factr analysis of DSI, four factors were identified - unfair treatment, limited capability, embarrassing situation, oppressing feeling. 5. Daily stress had no significant correlation with coping strategy. These findings suggest that chronic mentally ill need special attention to reduce their high stress and to learn more positive - active coping strategies. Community mental health centers and mental health professionals need to develop for stress management along with social support networks.