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지역사회 정신보건 재활간호 사업이 만성정신질환자의 자기돌봄 활동에 미치는 영향
유숙자,이광자,애정희,차진경 대한간호학회정신간호학회 1997 정신간호학회지 Vol.6 No.2
This study was carried out in order to know the level of self-care behavior of chronic mental patients who live in their community and take whether the programme is able to affect on the self-care behavior, after mental health nursing progrmme. The period of the study is from August in 1996 to August in 1997. The object of the study is 26 mental disorder patients who have been cared by Seung Buk Gu public health center participated in this study. The tool of this study was selected 46 questions which are adequate to mental disorder patients and was developed a self-care measurement and references by Sook-Ja Yoo(1991). The community mental health nursing rehabilitation programme has centered on the Seung Buk Gu public health center that a nurses for mental health rehabilitation and mental health nursing scholars forcused on mental disorder patients at their home. The programme required a client's meeting 5 times a week and family counsellor once a week. The client's meeting involved daily life training, occupational therapy, working therapy, music therapy, art therapy, group therapy, recration and exercise. The family counsellor involved recognizing of family's need, symptoms and medicine management for their patient's and support of families and patients. At the begining of the programme, the level of self-care behavior of the mental disorder patients had been taken. After 6 months, the level of self-care behavior had been taken. Also after the 6 month's progrmme, the level of self-care behavior was taken again. The level of self-care behavior of the patients presented that fields of dressing, safety, individual hygiene and eating had no problem to the patients, however the patients have difficulty in the field of leisure life and social life. Therefore it is known that the level of self-care behavior in mental disorder patients is more less in the community than at home for leisure life and social life. After programme, the change of self-care behavior was shown differenty the mean value 2.48 at the first period and 2.75(t=-3.24, p=.003) at the second period. The second of self-care behavior was measured and the third of self-care behavior was measured at the 6 months after. The second and third measurement were not shown differently but was shown a few addition. The first and third measurement were shown differently(t=-4.11, p=.000). Finally, a comparison of the relationship of at the first, second and third self-care behavior degree(M=2.92) was shown differently(F=5.346, p=.007), especially the third measurement was shown as expressed "I do frequently" on all scope except leisure life, household affairs life and social application scope. Conclusively, the community mental health nursing rehabilitation programme had effect on self-care behavior of the chronic mental disorder patients and further programme will be consider on liesure lfie.
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전정자,김애경,최상옥,애정희,최미경,장선아 한국간호과학회 2003 Journal of Korean Academy of Nursing Vol.33 No.1
Purpose: The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea. Method: Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses. Result: Factor analysis identified eight factors-"maintaining a clean air way", "taking medication", "support from family", "preventing infection", "managing symptoms", "breathing exercising", and "taking in nutrition". The internal consistency of the total scale was Cronbach's α=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services. Conclusion: The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education
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