정신보건센터 재활프로그램 참여.비참여 만성정신장애인의 자가관리 및 가족부담감 비교 연구 = A Comparative Study on Self-care of the Chronically Mentally Disabled Participating and Those not Participating in Rehabilitation Programs in Mental Health Centers and Their Families' Feeling of Burden

다국어 초록 (Multilingual Abstract)

Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

참고문헌 (Reference)

1 Hall, C. S., "Theory of personality (3rd ed.)" John Wiley and Sons 1978

2 Kim, K. S, "The social therapy for social adjustment of the mentally disordered" 1 : 5-37, 1994

3 Jeong, J. Y, "The research about professional helping for the family having someone who have mental disorder, using community mental health center" Public Administration Kyung Hee University 2000

4 Kim, S. Y. J, "The relationship between home care needs of families of in-Patients and family burden" 32 (32): 5-9, 1993

5 Ha, Y. S., "The effects of community-based mental health program on burden of family carers of mentally ill patient" 6 (6): 170-178, 1998

6 Lee, K. S, "The effect of the community-based mental health program on the improvement of daily living skills for the chronic mentally ill" 6 (6): 141-152, 1998

7 Won, J. S, "The effect of different duration of community based mental health rehabilitation program on perceived family support of mentally ill patients" 8 (8): 179-189, 1999

8 Jones, C. I, "Socio-adjustment, vocational and employment services for the chronically ill: A system integrated model" 10 (10): 47-55, 1986

9 Stuart, G. W, "Psychiatric rehabilitation, Psychiatric nursing (5th ed.)" Mosby 1996

10 Liberman, R. P, "Psychiatric rehabilitation of mental patients" American Psychiatry Press 1988

11 Lee, H. J, "Need about professional helping for the family according to chronic of schizophrenia" 1 (1): 50-58, 1996

12 Goldmam, H. H, "Mental illness and family burden: A public health perspective" 133 : 557-560, 1982

13 Ministry of Health Welfare, "Health and Welfare" Ministry of Health Welfare 2001

14 Bloch, D. A, "Familiy system perspectives on the management of the individual patient. Psychiatry Update (1st ed.)" American Psychiatry Press Inc 1983

15 Lee, M. K, "Experiences of home-nursing by the mothers with mentally ill children" Kyung Hee University 2000

16 Kim, S. S, "Experience of family caregivers caring for the patients with stroke" Yonsei University 1992

17 Oh, G. S, "Effects of daily living skills training on the daily living function of chronic schizophrenics staying home" Public Health Catholic University 1998

18 Yang, S., "Effects of communitybased mental health nursing program on self-care activities of chronic mentally ill patients at home" 7 (7): 205-218, 1998

19 Yu, S. J., "Effects of community-based mental health nursing program on self-care activities of chronic mentally ill patients at home" 6 (6): 153-160, 1998

20 Lee, S, "Effect of nursing program for mentally ill patients in home" Ewha Womans University 1996

21 Yu, S. J, "Effect of discharge education on the self-care performance for the schizophrenics" Seoul National University 1991

22 Noh, I. Y, "Comparative research of the medical cost, the quality of life, the family burden of the mentally 3 before and after the community mental health service" Public Administration Kyung Hee University 2001

23 Suh, D. W, "Community mental health technical support work report" Korea Institute for Health and Social Affairs 2001

24 Park, J. W, "Community mental health psychiatric rehabilitation therapy" Seoul City 1995

25 Yang, O. K, "Community mental health" Nanam Press 1996

26 Montgomery, R. J. V, "Caregiving and the experience of subjective and objective burden" 34 : 19-26, 1985

27 Suh, D. W, "A survey on nationwide mental health facilities for mental health program and inpatients" Korea Institute for Health and Social Affairs, Ministry of Health Welfare. 1999

28 Kim, Y. H, "A study on the family caregiver burden for psychiatric out-patients" Public Health Seoul National University 1994

29 Suh, M. H., "A study on the burden of the families with the chronic mentally ill" 23 (23): 467-483, 1993

30 Kim, Y. B, "A study of relationship between burden and quality of life for family with schizophrenia" Hanyang University 1999

31 Wang, Y. A, "A study for the family burden of the mentally ill" Public Health Yonsei University 1997