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정신장애인의 GAF척도에 따른 정신건강에 미치는 요인에 관한 연구
오평자(Pyeong-Ja Oh) 한국보건복지학회 2008 보건과 복지 Vol.10 No.-
Objectives. The purpose of this study is to identify mental patients' level through an analysis of relationship between mental factor and human-socialisticcharacteristic by GAF Scale. Methods. Studies conducted so far on mental disorder were reviewed and, based on such review, realistic measures were suggested in respect of mental health. For this purpose, questionnaires were prepared in line with the conceptual model set forth for the study and distributed to patients hospitalized in psycho-neuro clinics in J-provincial area. Data had been collected from December 1, 2007 to July 30, 2008 in reference to clinical charts and interviews made usually on the day of discharge. SPSS/WIN program was employed to process the collected data by means of such statistical techniques as frequency, percentage, t-test, and ANOVA. Result. (1) From the analysis into GAF scales by diagnosis, all of factors turned out to have statistical significance. High significance was found for schizophrenia at the scales below 60 but for affective, personality and mental disorders at the scales exceeding 60. (2) The analysis into areas of physical health by GAF scales couldn't confirm statistical significance for all factors except sleeping state. No disorder was felt at the scale 60 or higher while sleeping but serious level of sleep disturbance seemed to be experienced under 60. Benign symptoms such as auditory and visual hallucinations, ataraxia and insensibility were cited for reasons of sleep interruption by serious mental patients with GAF scales rated below 60. (3) The analysis into social relationship by GAF scales witnessed that support from peers had significant difference. From the analysis, it was found that men tal patients with scales higher than 60 were supported or aided by peers while those with scales below 60 were given least support or aid from their acquaintances. (4) With regard to analysis of GAF scales in the area of environment, it was found that little difficulties were experienced by patients with higher scales than 60 in using means of transportation but those with GAF scales below 60 bore serious hardship when using transportation. Conclusions. The third preventive measures applied to help mental patients adapt to society shall be planned to meet the requirements of their family members in connection with treatment and nursing of patients in hospitals, as well as admittance into and discharge from them since such measures can be easily and effectively carried out at home thanks to affirmative, receptive and less cost-bearing environment created by family members. In case of patients with serious mental disorder below 60 of GAF scales (category Ⅲ or below of mental disorder), long-term or frequent hospitalization used to lead their families to an immeasurable extent of economic burden. As a political measure to reduce such heavy burden on the government level, the Ministry of Health and Welfare is expected to fund the budget to alleviate medical expenses of mental disorder who have suffered from mental disorder for longer than 5 years at certain degree of disease as has been done for registration of patients with cancer or incurable disease.
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감정근로와 소진증상 및 자아통제력의 조절효과에 관한 연구
오평자(Oh Pyeong Ja) 한국산업경제학회 2015 산업경제연구 Vol.28 No.3
병원 의료산업은 새로운 정책, 치료기법, 관련 기술의 발전뿐만 아니라 인구 · 사회적 특성변화와 의료시장 개방 등과 같은 환경적 압력에 직면해 있다. 본 연구는 병원 간호사를 대상으로 감정근로가 소진현상에 미치는 영향과, 개인의 자아통제력에 대한 조절변수의 영향 검증을 목적으로 한다. 연구결과 병원간호사의 감정근로의 수준이 높게 나타났으며, 상황요인에 따라서는 병원에서 원하는 표현규칙, 즉 감정근로의 지각수준은 다르게 나타났다. 또한 간호사들의 감정근로 영향을 측정하는데 탈 인격화, 정서적 고갈 및 성취감 저하의 순으로 모델에 대한 설명력은 증가하지만, 소진증상을 유발하는 주 요인은 내적 행동보다는 외적 행동인 것으로 나타났다. 마지막으로 병원간호사의 감정근로와 소진증상에서 자아통제력의 조절효과는 인정되고 있으며, 외적 행동이 내면 행동에 비해 조절효과에 대한 영향력은 높게 분석되었다. 특히 외적 행동에 따른 정서적 고갈에 대한 조절효과가 가장 높게 분석되었고. 감정근로는 병원의 질적 경쟁력을 결정하는 중요한 요인이므로 환자와 관련한 직무배치, 환경을 배려한 사회적 지원 등과 더불어 상황에 따른 자기관찰 및 분석능력 등을 통해 감정통제를 위한 자기관리 능력을 향상시킬 수 있는 프로그램의 도입이 시급히 요구된다. 연구결과를 바탕으로 시사점과 연구의 한계점 및 향후 연구방향을 제시하였다. This study purpose was the effect of predisposing factors of emotional labor and emotional labor that hospital nurses experience from their work on the burnout is closely analyzed. Also, this study considered the fact that even if the emotional labors might realize their emotional labor, the degree will be different depend on the level of self-monitoring. At this point, researcher analyzed how the control factors which regulate the relationship between factors affect employees" burnout. Because if the level of individual worker"s self-monitoring ability, the level of emotional labor decreases and organizational achievement and individual health improves. Accordingly, this study provides useful data which can be used for framing a policy to minimize the risk which are caused by the both of individuals" and hospital emotional labor. The purpose of this study is to contribute to reach the goal of hospital efficiently by having company"s competency through keeping the emotion workers healthy and ensuring the hospital service satisfaction of customers.
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심근경색증 환자를 위한 1:1 교육프로그램 적용이 자가 간호에 미치는 효과
오평자(Pyeong-Ja Oh) 한국보건복지학회 2013 보건과 복지 Vol.15 No.-
Purpose: This study was to evaluate the self-care in the application of face to face education program for myocardial infarction patients and to provide basic data for developing the educational programs. Methods: The subjects were 50 Myocardial Infarction patients aged between 40 and 80 who were hospitalized or in outpatient settings. The data were collected from Jan. 1, to Mar. 31, 2012 using a survey technique. The data were analyzed with descriptive statistics, t-test, with SPSS program. Results: The highest score of cardiac rehabilitation knowledge was "diet" and the lowest score was "drugs". The highest score of educational need was "diet" and the lowest score was "daily living and exercise". The score of cardiac rehabilitation knowledge was significantly different with education, economic status and occupation. The subjects" educational need was significantly different with having family history, regular exercise, the duration of a disease, the frequency of hospitalization, age and information. Drinking and srress are not significantly correlated Conclusion: There is a positive effect for the myocardial infarction patients. The results suggest for an appropriate educational program development and further research studies on this topic.
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