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      • 장병들의 정신건강 증진을 위한 군 정신보건 조직 네트워크 모형 개발

        이연미 ( Yeon Me Lee ),안은경 ( Eun Gyung Ann ),현혜순 ( Hye Soon Hyun ) 국군의무사령부 2009 대한군진의학학술지 Vol.40 No.1

        objective: Mental health problem is one of the major and rising issues in military. Considering Republic of Korea's compulsory military service system and the stressful living condition of soldiers, the soldiers are put at great risk of developing mental health problems. Despite the increasing need for mental health service in military personnel, the military mental health system does not seem to deliver required service effectively. Thus, this study aimed 1)to analyse the military mental health service and identify problems with the service, 2)to develop a network model for the military mental health service, and 3)to propose strategies to facilitate the mental health service network. Method: This descriptive study drew on a consultation with 33 mental health providers including psychiatrists, psych/mental health nurse officers, and military basic-human-right counsellors(MBHRC). Based on the interview with several mental health providers and exclusive literature review regarding mental health service networking, a survey questionnaire was developed and distributed to the subjects. The questionnaire consisted of ten items related to demographic data and six open-end question to investigate the status of military mental health service, mental health workforce, perception about the collaboration and cooperation among each party, difficulties they're facing, and etc. 33 out of 43 were returned and the return rate was 76.6%. Demographic data of the subjects were analyzed with SPSS WIN 12.0 and the answers for open question were proceed with content analysis. Results: Psychiatrists and Psych/mental health nurse officers in military hospitals, Psychiatrists and Public health & health promotion nurse officers in division health care units, and MBHRC were identified as major mental health service provider. The obstacles to providing effective mental health services included a shortage of professional mental health workforce, conflicts with leaderships, and the lack of understanding and sharing information among the service providing parties. Consisting of military hospital, division medical unit, and MBHRC's office, the proposed mental health service network emphasize soldiers' need and collaboration and cooperation among each party. We recommend several strategies to facilitate the network including training and continuing education for service provider, developing and utilizing mental health promotion programs, promoting teamwork of network components, determining assessment tools and documentation forms to maximize the efficacy of the network, including the performance of each service network into unit evaluation criteria, and utilizing mental healthcare resources in civilian sectors.

      • 해외파병 부대원들의 기능 상태에 영향을 미치는 요인

        이연미 ( Yeon-mi Lee ),박동언 ( Dong-earn Park ),권명옥 ( Myoung-ok Kwon ),양지인 ( Ji-in Yang ),안은경 ( Eun-gyung Ann ),지지은 ( Ji-eun Ji ) 국군의무사령부 2011 대한군진의학학술지 Vol.42 No.1

        Objectives: This study was conducted to investigate the influencing factors on the functional status of the soldiers of the troops dispatched overseas. Methods: The participants were 286 military soldiers in the troops dispatched overseas. The data was collected from May, 3 to 13, 2010 by using self-report questionnaires. The instruments used were somatic symptom scale in SCL-90-R, Spielberger state-trait anxiety inventory, CES-DC(center for epidemiological studies-depression scale), family function scale, social support scale, traumatic event scale, post traumatic growth scale, posttraumatic stress disorder scale, resilience scale. The data was analyzed by using the SPSS/Win 12.0 program. Results: The functional status of the dispatched overseas soldiers negatively correlated to anxiety, while it positively correlated to family function and social support. Anxiety, family function, and social support accounted for 44.2% of the variance in the functional status of the soldiers of the troops dispatched overseas. Conclusions: The influencing factors on the functional status of the soldiers of the troops dispatched overseas were anxiety, family function, and social support. Programs which focus on anxiety management and relaxation techniques, and family or peer support systems should be developed and provided.

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