만성정신분열병 환자를 위한 회복지향의 통합재활프로그램의 효과

봉은주(Eun-ju Bong),시영화(Youn-Hwa Si),박명숙(Myung-Sook Park),배경희(Kyung-Hee Bae),정미진(Mi-Jin Jung),양미화(Mi-Hwa Yang),김송자(Song-Ja Kim) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.1

본 연구는 회복지향의 통합재활프로그램이 만성정신분열병 환자의 증상, 인지?사회적 기능, 재활동기, 정신건강회복수준에 미치는 효과를 검증하고자 시도되었다. 이 프로그램은 인지분화, 정서관리, 직업재활, 가족교육으로 구성된 4개의 소프로그램과 함께 동기강화프로그램이 포함되어 있다. 연구대상은 지방소재의 일개 국립병원에 입원한 정신신분열증 환자로, 실험군 18명과 대조군 16명으로 구성된 비동등성 대조군 전후시차 설계를 사용하였다. 수집된 자료는 SPSS 12.0을 이용하여 통계 분석하였다. 프로그램의 효과를 검증한 결과, 인지?사회적 기능에 별다른 효과를 나타내지 못했으나, 재활동기수준(유지단계에서 p=.027)과 정신건강회복수준(p=.039)에서만 실험군과 대조군에서 유의한 차이를 나타내어 제한적인 효과를 나타내었다. 입원세팅에서 단기간의 회복지향의 통합재활프로그램은 증상감소나 기능향상보다는 재활 동기나 정신건강회복수준을 향상시키는데 보다 효과적으로 활용될 수 있는 가능성이 있는 것으로 보인다. 임상세팅에서 보다 회복지향적인 서비스를 제공하기 위한 노력이 필요하다. This study was to assess the effects of a recovery oriented integrated rehabilitation program on cognitive?social function, rehabilitation motivation, and mental health recovery. This program is involved motivation enhancement program with 4 subprograms composed of cognitive rehabilitation, emotion management, vocational rehabilitation, family education program. The subjects were 34 patirents with schizophrenia who had been hospitalized at National Mental Hospital on local area. The study was a non-equivalent control group non-synchronized design with two groups, an experimental group(18 patients) and a control group(16 patients). The collected data were analyzed using SPSS 12. 0. The results of the data show that there was not a significant increase in the symptom, cognitive and social function. But there was a significant increase in readiness of rehabilitation(maintenance, p=.027) and mental health recovery (p=.039). Short term recovery oriented integrated rehabilitation programs in inpatient settings are more available for motivation of rehabilitation and mental health recovery than symptom reduction or functional improvement. Therefore there should be more efforts to create more recovery oriented service provision in clinical settings.

정신질환자가 지각하는 정신건강증진기관의 회복지향성과 정신건강회복간의 관계: 치료자 회복증진관계능력의 매개효과

봉은주(Eun Ju Bong),박명희(Myung Hee Park) 대한스트레스학회 2021 스트레스硏究 Vol.29 No.1

본 연구는 정신질환자가 지각하는 정신건강증진기관의 회복지향성, 치료자의 회복증진관계능력 및 정신건강회복의 정도를 파악하고, 회복지향성과 정신건강회복 간의 관계에서 치료자의 회복증진관계능력의 매개효과를 검증하기 위한 서술적 조사연구이다. 본 연구의 대상자는 G시의 정신건강증진기관에서 정신건강서비스를 제공받고 있는 정신질환자 225명으로, 2019년 1월 10일부터 2월 22일까지 자기보고식 설문지를 이용하여 수집하여 SPSS 22.0으로 통계 분석하였다. 정신건강증진기관의 회복지향성과 정신건강회복과의 관계에서 회복증진관계능력의 매개효과를 검증한 결과, 정신건강증진기관의 회복지향성은 치료자의 회복증진관계능력을 부분 매개하여 정신건강회복에 영향을 미치는 것으로 나타났다. 본 연구결과에 기초하여 정신질환을 경험하고 있는 대상자의 정신건강회복을 향상시키기 위해서는 정신건강증진기관의 회복지향 서비스를 제공하기 위한 조직적인 노력과 치료자의 회복증진관계능력을 향상시키기 위한 훈련이 필요할 것으로 보인다. Background: The purpose of this study was to examine the recovery orientation of mental health facilities, mental health recovery, and the mediating effects of recovery promotion relationship competence of provider between the recovery orientation of mental health facilities and mental health recovery in individuals with mental Illness. Methods: This study was conducted using a descriptive survey design. The participants were 225 individuals with mental illness using mental health facilities in Gwangju City. Data were collected from January 10 to February 22, 2019, using self-report questionnaires and were analyzed using descriptive statistics, Pearson’s correlation coefficient, hierarchical multiple regression, and Sobel test with SPSS 22.0. Results: The findings of this study showed that the recovery promotion relationship competence of provider partially mediated the relationship between the recovery orientation of mental health facilities and mental health recovery. Conclusions: To promote mental health recovery for individuals with mental illness, organizational efforts to provide recovery-oriented services and training to improve recovery promotion relationship competence of provider are needed.

여성중심의 재발예방 프로그램이 여성알코올중독자의 금주 자기효능감과 우울에 미치는 효과

봉은주 ( Eun Ju Bong ),이정숙 ( Chung Sook Lee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1

Purpose: This study was done to assess effects of women focused relapse prevention program on abstinence self-efficacy and depression in alcoholic women. Methods: This study was a non-equivalent control group non-synchronized design with two groups, an experimental group (13 patients) and a control group (16 patients). The instruments were the Situational Confidence Questionnaire (SCQ-39) and the Beck depression Inventory (BOI). Data collection was done between July and December, 2008, during which a pre-test, the total of 8 group sessions for four weeks, and a post-test were given to alcoholic women who were admitted to K hospital in U city and D hospital in G city. The collected data were analyzed using descriptive statistics, Fisher`s exact test, Mann-Whitney U test and ANCOVA with SPSS/WIN program. Results: The scores for abstinence self-efficacy were significantly higher and for depression lower, for the experimental group after the women focused relapse prevention program. Conclusion: This study shows that the women focused relapse prevention program can be applied as an effective nursing intervention by clinical nurses.

대학생의 인터넷중독과 성인아이 성향, 정신건강과의 관계

봉은주(Bong, Eun-Ju),하윤주(Ha, Yun-Ju) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.10

본 연구는 대학생들의 인터넷중독과 성인아이 성향, 정신건강과의 관계를 파악하기 위해 시행하였다. 자료수 집은 2012년 11월 5일부터 11월 30일까지 G시에 있는 502명의 대학생들에게 실시하였고, SPSS/WIN 18.0을 이용하 여 자료를 분석하였다. 연구결과, 인터넷중독은 성인아이 성향(r=.395, p<.001)과 정신건강((r=.479, p<.001)에서 모두 유의한 양의 상관관계를 나타냈고, 성인아이 성향은 정신건강(r=.432, p<.001)과 유의한 양의 상관관계를 나타냈다. 또 한 일반적 특성, 인터넷중독과 성인아이 성향은 대학생들의 정신건강에 대해 42%의 설명력이 있는 것으로 나타났다. 따라서 대학생들의 인터넷중독을 감소시키고 정신건강을 향상시키기 위해서는 성인아이 성향을 함께 고려한 간호중 재 프로그램을 개발할 필요가 있다. This study was conducted to identify the relationship between internet addiction and adult children propensity, mental health in college students. Data were collected from 502 college students in G city, from November 5 to November 30, 2012 and analyzed using the SPSS/WIN 18.0 program. Internet addiction was a significantly positive correlation between adult children propensity(r=.395, p<.001) and mental health(r=.479, p<.001). Adult children propensity was a significantly positive correlation with mental health(r=.432, p<.001). Also, General characteristics, internet addiction and adult children propensity accounted for 42% of the variance in mental health among college students. The implication of the results is need to consider adult children propensity to reduce internet addiction and improve mental health in college students.

보건진료소를 이용하는 농촌노인의 상실감과 자살생각과의 관계: 우울의 매개효과

봉은주(Bong, Eun Ju) 한국농촌의학 지역보건학회 2020 농촌의학·지역보건 Vol.45 No.1

본 연구는 지역사회 보건진료소를 이용하는 농촌노인의 상실감과 자살생각과의 관계에서 우울의 매개효과를 확인하기 위한 서술적 조사연구이다. 연구대상자는 전남지역 보건진료소의 건강증진프로그램을 3년 이상 꾸준히 이용하고 이는 65세 이상의 노인으로 총 345명으로, 자료분석은 SPSS 21.0을 이용하여, 기술통계, 상관분석, 위계적 회귀분석, Sobel test 방법으로 분석하였다. 본 연구결과, 지역사회 보건진료소를 이용하는 노인의 상실감과 우울 및 자살생각은 모두 정적상관을 나타내었다. 또한 지역사회 보건진료소를 이용하는 노인의 상실감과 자살생각과의 관계에서 우울의 부분매개효과가 있음을 확인하였다. 본 연구결과에 근거하여 지역사회 노인의 자살생각을 감소시키기 위해서는 보건진료소를 이용하는 노인들의 상실감과 우울을 감소시킬 수 있는 중재방안이 필요할 것으로 보인다. 이에 본 연구자는 보건진료소에서 제공하고 있는 건강증진프로그램과 함께 우울을 감소시킬 수 있는 정신건강프로그램을 결합하여 확장시키는 것이 바람직할 것으로 사료된다. Purpose: The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post’s Services. Methods: This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post’s Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson"s correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. Results: There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders. Conclusions: Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post’s Services.

간호대학생의 생활스트레스가 우울과 스마트폰 중독에 미치는 영향

봉은주(Eun-Ju Bong),김윤경(Yun-Kyoung Kim) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.7

본 연구는 간호대학생의 생활스트레스가 우울과 스마트폰 중독에 미치는 영향을 파악하고, 경험회피의 매개효과를 확인하기 위한 서술적 조사연구이다. 본 연구는 전남지역 소재의 일개 대학교에 1-2학년에 재학 중인 총 283명 간호대학생을 대상으로, 2015년 9월 1일부터 15일까지 자기보고식 설문지로 조사하였다. 자료 분석은 SPSS 21.0을 이용하여, 기술통계, 상관분석, 위계적 회귀분석, Sobel test 방법으로 분석하였다. 본 연구결과, 간호대학생의 생활스트레스는 경험회피, 우울, 스마트폰 중독과 정적 상관관계를 나타내었고, 경험회피는 우울과 스마트폰 중독 사이에서, 우울은 스마트폰 중독과 모두 정적 상관을 나타내었다. 또한 간호대학생의 생활스트레스와 우울 사이에 경험회피가 부분 매개효과가 있는 것으로 나타났고, 생활스트레스와 스마트폰 중독 사이에서도 경험회피의 부분 매개효과가 있음을 확인하였다. 이는 경험회피가 간호대학생의 우울이나 스마트폰 중독과 같은 정신건강문제를 발생시키는데 핵심기제임을 의미한다. 본 연구결과에 근거하여, 간호대학생들의 우울과 스마트폰 중독과 같은 정신건강문제를 예방하기 위해서는 대학생활 동안 경험하는 생활스트레스와 경험회피 정도를 우선적으로 확인하고, 경험회피를 감소시킬 수 있는 중재 프로그램을 개발하여 제공하는 것이 필요할 것으로 보인다. The purpose of this study was to examine the mediating effects of experiential avoidance onthe relationships betweenlife stress,depression and smartphone addiction in nursing college students. This study was conducted using a descriptive survey design. Participants were 283 nursing college students attending freshmen and sophomore yearsat one university in Jeollanam-do. Data were collected from September 1 to 15, 2015 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson"s correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. There were significant positive correlations between life stress, depression, smartphone addiction and experiential avoidance. Experiential avoidance partially mediated the relationship between life stress anddepression of nursing students.Additionally, experiential avoidance partially mediated the relationship between their life stress and smartphone addiction. The results show that experiential avoidance plays a key role in psychopathology and grows with depression and smartphone addiction. Based on the present findings, nursing interventions should be developed to decrease experiential avoidance, with additional consideration towards the relationship between life stress and experiential avoidance, in order to prevent depression and smartphone addiction among nursing college students

아동기 외상경험과 부모의 문제음주가 대학생의 문제음주에 미치는 영향: 경험회피의 매개효과

이은숙 ( Eun Sook Lee ),봉은주 ( Eun Ju Bong ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2015 정신간호학회지 Vol.24 No.3

Purpose: The purpose of this study was to examine the mediating effects of experiential avoidance on the impact of childhood trauma and parent problem drinking on problem drinking of the university student children of theses parents. Methods: This study was conducted using a descriptive survey design. Participants were 250 university students from four universities in Gwangju city, Jeollanam-do, Jeollabuk-do, and Gyongsangnam-do. Data were collected from March 2 to March 31 2015 using self-report questionnaires. Data were analyzed using SPSS 19.0. Results: There were significant positive correlations between childhood trauma, parent problem drinking, experiential avoidance and university students’ problem drinking. It was found that experiential avoidance partially mediated the relationship between parent problem drinking and university students’ problem drinking. Also, it was found that experiential avoidance fully mediated the relationship between childhood trauma and university students’ problem drinking. Conclusion: Based on the present findings, nursing interventions should be developed to decrease experiential avoidance, with additional consideration of childhood trauma and parent problem drinking, in order to prevent problem drinking among university students.

간호대학생의 셀프리더십, 학업적 자기효능감 및 교수-학생 상호작용이 자기주도학습에 미치는 영향

이은숙,봉은주,Lee, Eun Sook,Bong, Eun Ju 경희대학교 동서간호학연구소 2017 동서간호학연구지 Vol.23 No.2

Purpose: The purpose of this study is to investigate the influencing factors of self-leadership, academic self-efficacy and instructor-student interaction on self-directed learning in nursing college students. Methods: This study used a descriptive survey design. Participants were 190 nursing college students at three universities in Jeollanam-do and Gyeongsangnam-do. Data were collected from May 10 to June 12, 2016 using self-report questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression with SPSS 19.0. Results: The results showed that the self-leadership of the nursing students was 3.49, academic self-efficacy, 3.17, instructor-student interaction, 3.71, and self-directed learning, 3.43, respectively. Self-directed learning of nursing college students was positively associated with self-leadership(r=.65, p<.001), academic self-efficacy(r=.61, p<.001) and instructor-student interaction (r=.36, p<.001). 001). Self-leadership, academic self - efficacy, major satisfaction, GPA 4.0 or above explained 65% of the total variance in self-directed learning among nursing college students. Conclusions: The findings of this study indicated that nursing interventions for increasing self-leadership, academic self-efficacy and major satisfaction should be developed to improve self-directed learning of nursing students. Additional studies for changes in the overall teaching and learning environment to promote the self-directed learning environment in nursing education should be conducted.

대학생의 음주결과기대, 우울 및 자살생각이 문제음주에 미치는 영향

이은숙 ( Eun Sook Lee ),봉은주 ( Eun Ju Bong ) 경희대학교 동서의학연구소 2014 동서간호학연구지 Vol.20 No.2

Purpose: The purpose of this study was to examine the influence of alcohol outcome expectancy, depression and suicidal ideation on problematic drinking among college students. Methods: This study was conducted using a descriptive survey design. Participants were 205 college students from two universities in Jeollanamdo. Data were collected from March 10 to March 25 in 2014 using self-report questionnaires. Data were analyzed by t-test, ANOVA, Pearson correlation coefficient and multiple regression using SPSS 19.0. Results: Of the participants, 57.6% were in problem drinking group. There were significant positive correlations between alcohol outcome expectancy, depression and problematic drinking of college students. However, suicidal ideation was not correlated with problematic drinking. It was also found that alcohol outcome expectancy, low academic performance and depression influence on problem drinking of college students. These variables did not influence on suicidal ideation. Conclusion: Based on the findings, problem drinking prevention programs should be developed to decrease alcohol outcome expectancy and regulate negative emotions such as depression, in order to prevent problematic drinking among college students.

부모의 문제음주가 대학생 자녀의 문제음주에 미치는 영향

이은숙(Lee, Eun Sook),봉은주(Bong, Eun Ju) 한국간호교육학회 2014 한국간호교육학회지 Vol.20 No.3

Purpose: The purpose of this study was to examine the mediating effects of alcohol outcome expectancy and depression on the relation between parents problematic drinking and their collegiate childrens problematic drinking. Methods: This study was conducted using a descriptive survey design. Subjects were 342 university students from three universities in Gwangju city and Jeollanamdo. Data were collected from November to December 2013 using self-report questionnaires. Data were analyzed using SPSS 19.0. Results: Of the participants, 31.0% were in the adult children of alcoholics (ACOA) group. The ACOA group scored significantly higher on problem drinking, alcohol outcome expectancy, and depression measures than did the non-ACOA group. There were significant positive correlations between parent problematic drinking and university students’ alcohol outcome expectancy, depression and, problematic drinking. It was also found that alcohol outcome expectancy partially mediated the relationship between parent problematic drinking and their childrens problematic drinking. This was not found for depression. Conclusions: Based on the present findings, nursing interventions should be developed to decrease alcohol outcome expectancy, with additional consideration regarding depression, in order to prevent problematic drinking among ACOA.