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금연교육 프로그램이 정신과 환자의 흡연행위에 미치는 영향
하수경 외 국립서울병원 정신보건교육·연구센터 2008 정신건강정책포럼 Vol.2 No.1
• Background: Alcoholics or youths who have given up education are at self negligence state. Therefore, they often can't not quit smoking, even though, they know that smoking is bad for their health. We help smokers, who do not have strong will power, to successfully quit smoking by rendering nicotine substitution treatment or other medicinal therapies. However, the success is ultimately dependant upon the self will power of the smoker. In this study, we intend to assess the effect of self will power on the success of guitting, by formulating and applying quit smokingprogram for inpatients, who have weak will powers. • Method : First, we formulated a quit smoking training program that we will render to the inpatients in psychiatric department of the hospital. We formulated two different programs one for adults and the other for youths. 1 month long programs were given in 4 occasions, then we had the program participants answer questionnaires, which would let us compare and analyze the questions on will for quitting. We made necessary adjustment to our quit smoking training program based on the result of survey analysis and re applied new program. Then, we analyzed the effect of this program on the changes in smoking behaviors. • Results : 48% of the youths and 7% of the adults, who participated in our quit smoking training program, have successfully quit smoking. Also, every participant, with an exception of 7% of adults, have experienced reducing the number of cigarettes per day. • Conclusions : Quit smoking programs for patients who lacks strong self will power must be prepared. And this program should be operated under hospital system because the environment will reinforce the participant's will for quitting.
정신병원 유형별 간호조직문화 특성과 직무만족, 조직몰입 사이의 관련성 : 국립과 사립병원 비교연구
고경희 외 국립서울병원 정신보건교육·연구센터 2008 정신건강정책포럼 Vol.2 No.1
• Background : Nurses in mental hospital are play a important role in treating mental patients. Thus nursing organizational culture having a high influence on nurse job satisfaction and eventually organizational effectiveness. Although there has been a growing interest in the nurse organizational culture and organizational effectiveness , there was few research in healthcare organizations. The objective of this study is to explore the relationship between nurses' organizational culture and job satisfaction and organizational commitment. • Method : The study setting was two mental hospitals(one is public, the other is private) in Seoul and KyoungGi province. Data were collected by self-administered questionnaires. The study sample consisted of 322 hospital nurses. Among them, 169 samples are from national hospital and 153 ones are from private hospital. Multiple regression analysis was conducted to find the relationship of nurse's organizational culture, job satisfaction and organizational commitment. • Results : The major results of this study are as follows. Among the 7 characteristics of the nurse organization culture, the communication, motivation and leadership showed high correlation to job satisfaction and concentration of the work. • Conclusions : The nurse manager need to promote gradual change and to develop the guide for work and way to specialize and use them actively on the nurse organization.
성교육 프로그램이 청소년 성의식과 성태도에 미치는 효과 : 정신병원 청소년병동 입원환자를 대상으로
류미숙 외 국립서울병원 정신보건교육·연구센터 2008 정신건강정책포럼 Vol.2 No.1
• Purpose : Sexual Education Program on adolescence sexual health has been developed by researchers in accordance with the national education courses. However, there have been not the study which found the effects of this program on sexual consciousness and sexual attitudes of psychiatric in-patient adolescents. • Method : Non-equivalent control group pretest-posttest design was used. Twenty six adolescents participated in an experiment. National Seoul mental hospital in-patients were selected for a convenience sampling method and have been taught the sexual education program during six weeks. • Result : There were significant differences in the sexual consciousness(t:-2.835. p:0.009) and sexual attitudes(t:-1.826. p:0.008) after the sexual education program • Conclusion : Since the sexual education program can affirmative influence on the sexual consciousness and sexual attitudes of the adolescence, it is recommendable to perform the sexual education program suitable for every stage of growth and development.
정신질환자 인권증진을 위한 제도분석(1) : 강제 및 응급입원 제도
홍현숙 국립서울병원 정신보건교육·연구센터 2007 정신건강정책포럼 Vol.1 No.1
본 연구는 우리나라 정신질환자 인권증진을 위한 제도개선 및 방안을 마련하고자 수행되었으며, 인권 증진을 위한 국제적 흐름과 각국의 제도를 파악하며 우리나라 정신질환자 인권증진을 위한 제도개선에 대한 시사점을 찾고자 한다. 이에 본 고에서는 제도분석을 위한 첫 번째 단계로 각국의 강제 및 응급입원 제도를 소개하고자 한다.
미술치료 프로그램이 만성정신분열병 환자의 우울과 자아존중감에 미치는 영향
장정훤,고경희,안희남 국립서울병원 정신보건교육·연구센터 2009 정신건강정책포럼 Vol.3 No.1
The purpose of this study was to verify the effects of group art therapy program on self -esteem and depression in schizophrenic and to supply the basic data in chronic schizophrenic nursing. This study is similarity experiment research of one group pre and post-test design. Research targets were 10 inpatients in National Seoul Mental Hospital who agreed to the purpose of this study. Pretest were conducted at the first week and post-test were conducted after finishing 10 week program. The result of this study are as follows. First, the result showed that the score of depression reducing of experimental group have statistically significant level.(t=8.789, p=<.000) Second, the result showed that the score of self-esteem increased of experimental group have statistically significant level.(t=3.567, p=<.009) The result suggest that art therapy promoted chronic schizophrenic patients self-esteem and reduced their depression. Accordingly, group art therapy will be used as a useful tool for schizophrenic patients.
e-Mental Health의 유형분류 및 웹사이트 분석 : 호주 사례를 중심으로
김수진,하유정 국립서울병원 정신보건교육·연구센터 2008 정신건강정책포럼 Vol.2 No.1
As part of the transition to a new paradigm of health care, health care services based on the information and communication technology are emerging . Accordingly, in order to promote the possibilities of e-Mental health which are a mental health service which uses a information and communication technology, We classified with 4C(Content, Community, Connectivity, Care) where excepts Commerce types from 5C types. And We attempted each content analysis with 4C. The web site analysis accomplished with BluePages of Content types, Reach Out! of Community of types, The Blackdog Institute of Connectivity types, MoodGYM of Care types. Analysing the results, the web site used in combination with other types of services in addition to showing the effectiveness of major type, depending on the purpose and object services can be delivered effectively. Also, All web site provides many information of content type. so, they are provide the other service based on the information and help to promote and to provide mental health literacy. These mental health knowledge being achive evidence-based practice. Besides, the web site induces interest according to the purpose and provides the service to age-appropriate behavior. Finally, this paper did not show the characteristics of Mental health because it analyzed with 5C where they are e-Health type classification methods. Therefore we must try to develop in the mental health service which applies a information and communication technology using a type of classification of mental health.