정신질환자 부모를 둔 학령기 아동을 위한 회복탄력성 증진 프로그램의 개발과 적용

임숙빈(Im Sookbin),허명륜(Heo Myoung Lyun) 학습자중심교과교육학회 2019 학습자중심교과교육연구 Vol.19 No.24

본 연구는 취약한 환경에 놓인 정신질환자 자녀의 내적 힘인 회복탄력성 증진을 위한 코칭 프로그램을 개발하고 그 효과를 평가하기 위해 시도되었다. 대상자는 정신질환자 부모를 둔 학령기 아동 8명이었고, 프로그램은 매회 2시간씩 총 12회기로 구성되었으며, 프로그램 운영을 위한 세부 지침을 매뉴얼로 개발하였다. 프로그램을 2017년 12월부터 2018년 2월까지 적용하였고, 그 효과를 양적, 질적방법으로 평가하였다. 아동의 회복탄력성과 행복감을 자가보고형 질문지를 이용해 프로그램 전후에 측정하였고, 비모수 통계인 Wilcoxon Sign-Rank test를 이용하여 분석하였으며, 연구자가 매회기 작성한 아동의 행동관찰일지를 함께 분석하였다. 그 결과 아동의 행복감은 상승하였고, 회복탄력성은 통계적으로 유의한 변화를 보이지 않았다. 그러나 행동관찰일지 분석 결과 프로그램 중반 이후 변화가 나타나기 시작해서 또래와 어울리는 즐거움을 표현하고, 어른과 신뢰관계를 맺는 행동을 보임에 따라 향상된 자신감을 나타내고 가족이나 외부 환경에 대해 긍정적 태도를 보이는 것을 확인할 수 있었다. 따라서 본 프로그램은 정신질환자 부모를 둔 아동의 회복탄력성과 행복감을 증진 시키는데 효과가 있다고 볼 수 있다. 그러나 대상자 모집이 용이하지 않으므로 대상자 범주를 지역사회 취약계층 아동으로 확대하고, 프로그램의 반복 운영을 통해 결과를 재확인하여 확대 발전시켜 나갈 것을 제언한다. This study developed a coaching program to improve the resilience of children with mentally ill parents. The subjects were eight elementary school students and the study consisted of a single-group pre-post experimental design. The program constructed activities based on a component of resilience, and resources like people and goods for operation. The program had 12 sessions from December 2017-February 2018. The program’s effects were measured through self-report questionnaires for children’s resilience and happiness. The analysis used the Wilcoxon Sign-Rank test. Additionally, a mixed method of projective picture test and participant observation was conducted. Statistically, children’s happiness increased, and resilience did not change significantly. However, from the behavior observation and picture analysis of the children, it was confirmed that self-confidence and attitude toward the family and the external environment were improved through improvement of peer relationships and the formation of relationships based on trust with adults. This program is effective in improving the resilience and happiness of children with mental illness. Therefore, it is recommended that the program should be repeatedly operated to expand and develop it further for vulnerable children in the community.

품행장애 십대 딸을 가진 어머니의 양육체험: Parse의 연구방법 적용

강균영 ( Kang Gyun Young ),임숙빈 ( Im Sookbin ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2017 정신간호학회지 Vol.26 No.1

Purpose: The aimof this study was to identify the parenting experience of mothers who have teenage girls with conduct disorders and to identify the meaning and structure of their experiences. Methods: This study was a qualitative research based on Parse`s researchmethod. Participants were 9mothers who had a daughter diagnosed with conduct disorder at a community hospital in the central region of South Korea. Results: The core concept on the parenting experiences of mothers of teenage girls with conduct disorder were survival against a violent environment, a sense of guilt related to the conduct disorder, confusion and frustration concerning mother`s role, and hope for the future. The experiences of thesemothers can be defined as the process of human becoming with powering and transforming while connecting-separating and enabling-limiting with valuing. Conclusion: This research is expected to contribute to understanding ofmothers` suffering and struggling and be useful in developing nursing care for clients with conduct disorder and their mothers.

체조활동기반 간호중재가 만성정신질환자의 스트레스, 비만, 정신건강자신감에 미치는 효과

김희정 ( Kim Hee Jeong ),임숙빈 ( Im Sookbin ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2021 정신간호학회지 Vol.30 No.1

Purpose: This quasi-experimental study aimed to investigate the effects of gymnastics-based nursing intervention on stress, obesity, and mental health confidence in patients with chronic mental illness. Methods: The study utilized the non-equivalent control group pretest-posttest design and recruited sixty patients with chronic mental illness who were registered at one of the two mental rehabilitation centers in D metropolitan city. Data were collected from May 2017 to August 2017. The experimental intervention was a gymnastics-based program developed by the main investigator based on Bandura’s self-efficacy theory. The program was administered twice a week for a total of 16 sessions. Results: This study showed that subjective stress responses (z=-3.47, p=.001), physiological stress responses (z=-2.90, p=.004), body weight (F=3.55, p=.032), abdominal circumference (t=-2.19, p=.032), and optimism in the mental health confidence domain (t=2.27, p=.027) were significantly different in the experimental group and control group. But, results showed that body fat percentage (F=0.91, p=.406) was not significantly different in the experimental group and control group. Conclusion: The gymnastics-based nursing intervention was effective in reducing stress, body weight, and abdominal circumference, and improving optimism in the mental health confidence domain in patients with chronic mental illness.

조현병 환자와 정신과 간호사가 인지하는 환자의 입원 스트레스

김병준(ByungJun Kim),임숙빈(Sookbin Im) 대한스트레스학회 2017 스트레스硏究 Vol.25 No.3

이 연구는 조현병 환자가 지각하는 입원 스트레스와 이에 대한 간호사의 인식을 비교하는 것으로 조현병 환자 66명과 간호사 80명에게 자가보고형 질문지로 자료를 수집하고 분석하였다. 그 결과 환자가 지각하는 입원 스트레스는 1.56±0.56점으로 약간에서 보통 느끼는 수준 사이에 있었고, 간호사가 인지하는 환자의 스트레스는 2.05±0.42점으로 그 차이가 유의하였다. 6개의 하위요인 중 기본 욕구의 침해를 제외한 5개의 하위요인에서 간호사가 인지하는 스트레스가 환자가 지각하는 스트레스보다 유의하게 높았으며 환자와 간호사 모두 부당한 인권침해를 가장 큰 스트레스 요인으로 응답하였다. 환자들의 입원 스트레스는 매우 큰 편차로 개인차를 드러내고 있기에 간호사는 환자가 지각하는 내용이나 수준에 초점을 두어 개별화된 스트레스 관리 방안을 모색해야 하겠다. Background: This study aimed to compare schizophrenic patients’ and nurses’ perceptions of the stress felt by patients during hospitalization, and to present baseline data on patient-centered nursing. Methods: The subjects were 66 schizophrenic patients and 80 nurses in 11 psychiatric wards in the Chungcheong and Gwangju area. Data were collected using self-report questionnaires and analyzed by descriptive statistics. Results: The results showed that the level of the patients’ perceived stress was between mild and moderate level (1.56±.56), whereas the level of the nurses’ estimation of patients" stress (2.05±.42) was higher than patients" perception. The level of the nurses’ perception of the patients’ stress was significantly higher than that of the patients’ perceived stress in terms of a life with no future, a sense of alienation from family, infringement of basic needs, and the inconvenience of collective life, and very wide variations were found. And both the patients and the nurses reported unfair human rights violation as the greatest stressor. Conclusions: Psychiatric nurses should provide patients with individualized stress management strategies that focus on stressors and the level of stress perceived by each patient.

정신약물 복용과 관련된 국내 간호연구의 고찰

이종은(Lee, Jongeun),배정이(Bae, Jeongyee),임숙빈(Im, Sookbin) 한국보건간호학회 2013 韓國保健看護學會誌 Vol.27 No.2

Purpose: This study critically reviewed nursing research psychotropic drugs that has been published in Korean journals. Another aim of this study was to identify trends in nursing research on psychotropic drugs and make suggestions for further study in Korea. Methods:Data were collected from degree theses and original articles on psychotropic drugs published in Korean journals from 1992 to 2013. Thirty-four articles were analyzed of which at least one nursing author participated in the study. Search keywords were “psychotropic drug” and “mentally ill patient & medication”. Results: For the research design, quasi-experimental study was 58.8%, descriptive study was 17.7%, descriptive correlational study was 8.8%, qualitative study was 8.8% and model development research was 5.9%. Variables measured were knowledge of medication & symptom management, knowledge of disease, side effects, drug attitude, medication pattern, diet & activity, quality of life, and self-care. Conclusion: Despite recent increased interest in psychiatric medication, research on psychotropic drugs remains very limited, particularly regarding findings from a nurse’s perspective. More research project should be designed to develop programs for the treatment of side effects from a nursing view-point.

신규 간호사의 관계지향(Reinforcement of Resilience and Relation) 프로그램 개발

이미영 ( Lee Miyoung ),전미경 ( Jeon Mi-kyeong ),이미경 ( Lee Mi-kyoung ),임숙빈 ( Im Sookbin ),변은경 ( Byun Eun Kyung ),정은자 ( Chung Eunja ) 병원간호사회 2020 임상간호연구 Vol.26 No.2

Purpose: The purpose of this study was to develop a program for reinforcing the resilience of new nurses and relation-oriented organizational culture. Methods: An Intervention Research (IR) model was used to develop a program. Literature review, focus group interviews with nurses and need surveys were conducted from August to December 2018. Based on the results of the investigation, the researcher developed the content of a program. The program was revised by nurse managers for the content validation. Results: According to the results of the need surveys, 58.8% of the participants thought relation-oriented culture was the most ideal, and 61.8% of the participants wanted to participate in a program for organizational culture improvement. In the focus group interview, not only new nurses but also wards and nursing organizations should be a target subject of the program. Reinforcement of resilience and relation (3R) program was developed as a one-year course, which includes a ‘mentor-mentee’ program and a ‘thanks’ program. Conclusion: It would contribute to improving the resilience of new nurses and creating a relation-oriented organizational culture by 3R program. The 3R program could play a role as expanded program from an existing pragmatic short-term training program for improving the competencies or communication skills of new nurses.