정신분열병 환자 가족을 위한 한 정신교육적 가족치료 모형의 효과

이영호,심주철,이상경,서영수,김용관,김규수,김영훈 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

연구목적 : 본 교실에서 정신분열병 환자 가족을 대상으로 시행 중인 장기 정신교육적 가족치료모형을 소개하고, 이모형이 가족의 대처방식과 우울증상, 환자가 자각하는 가족의 정서적 지지와 우울증상, 재입원율 및 사회재활상태에 미치는 영향을 평가하였다. 방 법 : 연구대상은 DSM-IV 진단기준에 의해 정신분열병으로 진단받고 외래 통원치료를 받고 있는 환자와 그 보호자였다. 교육군은 전체 19회 교육 중 최소 ⅔이상 참여한 11명의 환자와 가족이었고 비교육군은 부산소재의 종합병원에서 가족교육을 받지 않고 통원치료만을 받았던 11명의 환자와 가족이었다. 정신교육적 가족치료 모형의 효과는 가족의 대처방식과 우울증상, 환자가 자각하는 가족의 정서적 지지와 우울증상, 재입원율, 사호재활 실태로 나누어 평가했다. 평가도구는 The Ways of Coping Checklist의 국내번안용, Family Emotional Support Questionnaire for Transaction. Beck Depression Inventory를 이용했다. 재입원율 및 사회재활 실태에 대한 평가는 환자 및 가족과의 면담을 통해 조사했다. 결 과 : 본 연구의 정신교육적 가족치료 모형 실시 후 가족의 대처방식 중 적극적 대처는 교육군운 의미있게 증가한 반면 비교육군에서는 변화가 없었다. 소극적 대처 교육군은 의미있게 감소했으나 비교육군에서는 변화가 없었다. 가족치료모형 실시 전 가족들은 양군 모두 심한 우울증상을 갖고 있었다. 가족치료모형 실시 후 가족의 우울증상은 교육군에서 감소, 비교육군은 증가를 보였으나 통계적 유의성은 없었다. 환자가 지각하는 가족의 정서적 지지 평가척도점수는 교육군은 의미있는 증가를 보였으나 비교육군에서는 변화가 없었다. 환자의 우울증상의 교육군에서는 현저한 감소를 보인 반면 비교육군은 상반되게 증가했다. 가족의 적극적 대처가 환자가 자각하는 정서적 지지의 증가 및 우울증상 감소와 의미있는 상관관계를 나타냈다. 또한 교육군의 환자들이 비교육군의 환자들보다 장기가족교육 종료시점과 9개월 경과 후의 추적 평가에서 재입원율이 현저히 낮았고, 사회재활상태도 좋았다. 결 론 : 본 연구에서 실시된 장기 가족교육모형은 가족의 대처방식을 향상시키고, 우울증상의 감소를 가져오며, 환자가 자각하는 가족의 정서적 지지 향상 및 우울증상의 호전을 가져오고, 재입원율의 저하 및 사회재활의 향상을 보이는 것으로 나타났다. Objectives : This study was performed to introduce a psychoeducational family therapy model for the families of schizophrenic patient and to investigate the effect of this model on the changes in coping style and depressive symptoms of the family members, and in perception of emotional support by families and depressive symptoms of patients. Methods : Subjects were schizophrenic out-patients, who fufilled DSM-IV diagnostic criteria, and their families. The members of "education group" were 11 families and patients who participated in more than two thirds of 19 sessions of the program. The members of "non-education group" were 11 families and patients who had no experience of family education and were treated in a general hospital in Pusan. Clinical ratings were performed using by The Ways of Coping Checklist, Family Emotional Support Questionnaire for Transactions, and Beck Depression Inventory. Results : Coping style was changed positively, in education group but not in non-education group. The depressive symptoms of families were decreased in educated group and increased in non-educated group, although there were no statistical significance. In education group, patients felt much better emotional support by their families than patients in non-education group did. At the same time, their depressive symptoms were significantly reduced. The patients from education group were on more successful rehabilitation than those from non-education group were. Conclusion : Our results suggest that this psychoeducational family therapy model would be helpful to induce the positive changes in coping styles and reduce the depressive symptoms of family members, and it could also induce the reduction of depressive symptoms of schizophrenic patients and help their rehabilitation.

중국의 대외경제 개방정책의 사상의 고찰

심영수 순천향대학교 사회과학연구소 1996 순천향 사회과학연구 Vol.2 No.1

This study aims to trace the historical background of Chinese foreign economic open policy. For this aim, I explain the steps of the open policy, the ideological struggle for the overall policy of reform, the freedom of ideology. Meanwhile, this study is to search out the reality that china should keep on unfolding the open policy, fore the more help korean enterprises to invest on china. For this goodsm this study consists of four chapters; introduction, the background of open policy, the freedom of ideology, the summery and conclusion.

기관지 천식과 기관지 확장증

심영수 대한가정의학회 1985 Korean Journal of Family Medicine Vol.6 No.12

문화대혁명이 중국경제에 미친 영향

심영수 순천향대학교 사회과학연구소 1995 순천향 사회과학연구 Vol.1 No.2

This study aims to find out the influence of the Cultural Revolution on China economy. For this aim. I explain the commencement of the Cultural Revolution in the sides of China and world and trace the cause, the background and the influence in China economy in the Revolution. Meanwhile, this study is to search the justification of open policy adopted by Chinese government, one of the important policies after the establishment of China and trace the reason why the failure of the Revolution caused China to fail in Construction Socialism. For these results, this study consists of five chapters; introduction, the cause of the Cultural Revolution, the causes of the background, the Revolution influence on china Economy and the conclusion.

물류표준화를 위한 파렛트(Pallet) 정합성 연구 I

심영수,주염 순천향대학교 사회과학연구소 2006 순천향 사회과학연구 Vol.12 No.2

Since 1978 the township-village enterprises have become the bases of nation's agriculture in China. After reforming and opening economy policy they had been developed more quickly and actively . And they had made a primary role in the developing of the township. Therefore it is very important to cultivate the township-village enterprises. But now it is becoming difficulty owing to so many problems's appearing such as lack of funds , revaluation, rising of the pay, lack of skilled workers and so on. So it is necessary tu restructure. Also they have to manage on scientific lines according to the supporting of the government. In this study will suggest the present condition of the township-village enterprises and consider the solution of the questions.

貨換 信用狀 去來의 原則에 關한 硏究

沈榮洙 순천향대학교 1991 논문집 Vol.14 No.1

The purpose of this study is to analyze the nature of letter of credit in the practical and legal aspect, and to explore the problems arising from using letter of credit in the international transations. For this aim, the applicable laws of the letter of credit in the custom of main countries, and also the legal theories be analyzed and examined, in comparison with each law. Accordingly, the study on the customs and laws of letter of credit will show the legal status, rights, and obligations of every party in the transation with letter of credit. This dissertation consists of five parts involving introduction and conclusion. The contents are as follows: first part is introduction of this dissertation, second part the autonomy of the credit, third part the doctrine of strict performance, fourth part the transaction with documents, fifth part the conclusion. After I studied the subjects of this dissertation, that is to say, the nature of letter of credit, I have come to the conclusion as follows: First, The core of credit transation is the performance to pay to the setter by opening bank, therefore, in this study the formation and termination of obligation to pay is studied prior to define the principle of performance to pay. Also the major obligor's right and responsibility will be investigated and also disputes in relation to payment will be specified theoretically. As the validity of credit will commence after when letter of credit opened and advised to the beneficiary, the formation of obligation will effect at the same time. The termination of credit will be closed respectively after when the credit expired, all the parties concerned agree to cancel the credit or the amount of credit paid by opening or nominating bank. In case of nominating bank negotiate the documents tendered by beneficiary, the credit will not be expired at the time of negotiation but the credit will be expired when the reimbursement be executed by opening bank. The governing law applicable to the contract of sale, the underlying contract of the credit, is the law of conducting place but to the credit is the law of the place of nomination bank except freely negotiable credit that will be governed by the law of the place of opening bank. Second, opening bank has no right to Claim agaist beneficiary for the breach of contract though beneficiary will not effect shipment. Under this circumstance it is regarded that there is no legal relationship between opening bank and beneficiary. The applicant is not regarded as one of the party concerned whose agreement are necessary for amendment or cancel the credit because the applicant is a third party as far as the credit transation. The applicant must assume obligations to pay to opening bank against exchange of documents but not to the beneficiary directly. The applicant will assume full responsibility to pay agaist such documents if he ratify irregular documents tendered by beneficiary. Third, the confirming bank will assume obligations to pay against regular documents to the beneficiary and will lose the right to claim refund when payment effected by confirming bank as like opening bank. The confirming bank should not nominate itself as a nominating bank as far as the opening bank will not authorize it because nomination is opening bank's exclusive authority. The nominating bank will be participated in the credit transation according to opening bank's reguest or authorization or will be participated based on beneficiary's request under freely negotiable credit. In the later case, the bank is non-nominating bank as an agent of beneficiary and this bank will not be protected as a bona fide holder. such nomination will be executed under the opening bank's authorization but sometimes advising bank nominate itself without opening bank's consent. This type of nomination will be accepted tolerantly by opening bank but the party concerned to bo careful it because opening bank may change their attitude without notice when problems occured in relation to the nomination. In spite of opening bank's authorization, the nominating bank has the right to refuse to act as nominating bank and then the party concerned can not claim to the bank for their refusal. There are some practice to release nomination that nominating bank release if requested by beneficiary or sometimes the nominating bank release by itself though no one requested for release. This kind of release is a risky practice because opening bank frequently may not agreed with such release. finally, The buyer needs to restrain to pay or to use the credit if there is fraud in opening the credit or in documents that tendered by benoficiary. But in this case such attempt will not be supported by the court due to the abstract and independence principle of the credit. So that applicant to be obtain an order of execution from the court if he want to restrain the payment.

결핵? PPd에 반응하는 단세포군항체의 생산 및 그 특성에 관한 연구

심영수 서울大學校 醫科大學 結核硏究所 1987 結核硏究所 硏究報告 Vol.1 No.1

호흡기 감염증에서 Roxythromycin과 Cefaclor의 임상효과에 대한 비교 연구

심영수,김영환 최신의학사 1992 最新醫學 Vol.35 No.4

폐암 환자 기관지 분비액내 Alkaline phosphatase에 대한연구

심영수 최신의학사 1983 最新醫學 Vol.26 No.2

중국의 대약진운동이 실패한 원인 : 경제적인 측면을 중심으로

심영수 순천향대학교 사회과학연구소 1995 순천향 사회과학연구 Vol.1 No.1

This study aims to trace the causes of the Great Leap Forward's failure in china. For this aim, I explain the commencement of the Great Leap Forward in the sides of China and world and find out the measures, the organizations and the course of development in the Movement. Meanwhile, this study is to search the justification of open policy adopted by Chinese government, one of the important policies after the establishment of china and trace the reason wht the failure of the Movement caused China to fail in construction Socialism. For these results, this study consists of five chapters; introduction, the cause of the Great Leap Forward, the development of the Great Leap Forward, the Great Leap Forward influence on China Economy, conclusion.