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      정신장애인을 위한 약물, 증상 관리교육 프로그램의 효과연구 = The efficacy of medication and symptom management education for persons with mental disorder

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      https://www.riss.kr/link?id=A104698778

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      다국어 초록 (Multilingual Abstract)

      This study investigated the impacts of medication/symptom management education program on persons with psychiatric disorder. Participants for the study were 21 clients with chronic mental illness(the experimental group 10, a control group with no treatment 11). Psychoeducation program were administered two times weekly, total 19 sessions and tested pre, post, and 6 months after. The results showed that first, clients assigned to psychoeducation program had more favorable knowledge scores than controls in feature of mental illness, medication and symptom management test. Second, the experimental group also showed lowered tendency on total SCL 90-R scores than the control group, significantly being reduced in obsessive- compulsiveness, anxiety and phobic symptom. Third, the monitoring change readiness revealed that education gained both contemplation stage and maintenance stage scores. And in the number of person in stages over time, while the number of person within a precontemplation stage increased in controls, persons within a action stage increased in experimentals. It implies that psychoeducation program develops change readiness and also keeps clients from retrogressing themselves into lower stages of change readiness. Finally suggestions about medication/symptom education service delivered in clinical practice were discussed.
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      This study investigated the impacts of medication/symptom management education program on persons with psychiatric disorder. Participants for the study were 21 clients with chronic mental illness(the experimental group 10, a control group with no trea...

      This study investigated the impacts of medication/symptom management education program on persons with psychiatric disorder. Participants for the study were 21 clients with chronic mental illness(the experimental group 10, a control group with no treatment 11). Psychoeducation program were administered two times weekly, total 19 sessions and tested pre, post, and 6 months after. The results showed that first, clients assigned to psychoeducation program had more favorable knowledge scores than controls in feature of mental illness, medication and symptom management test. Second, the experimental group also showed lowered tendency on total SCL 90-R scores than the control group, significantly being reduced in obsessive- compulsiveness, anxiety and phobic symptom. Third, the monitoring change readiness revealed that education gained both contemplation stage and maintenance stage scores. And in the number of person in stages over time, while the number of person within a precontemplation stage increased in controls, persons within a action stage increased in experimentals. It implies that psychoeducation program develops change readiness and also keeps clients from retrogressing themselves into lower stages of change readiness. Finally suggestions about medication/symptom education service delivered in clinical practice were discussed.

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      참고문헌 (Reference)

      1 김철권, "정신분열병을 극복하는 방법" 1995

      2 전석균, "정신분열병 환자의 재활을 위한 사회기술훈련프로그램의 효과성에 관한 연구" 숭실대학교 대학원 1994

      3 손명자, "정신분열병 환자의 가족교육 프로그램 개발연구" 한국심리학회 170-186, 1994

      4 유숙자, "정신분열병 환자 퇴원교육이 퇴원 후 자가간호수행에 미치는 효과" 서울대학교 대학원 1991

      5 오병훈, "알기 쉽게 보는 정신분열병" 중앙문화진수출판사 1996

      6 새미래정신재활연구소, "스스로 관리하는 약물. 증상 I, II." 도서출판 정신재활 1999

      7 박미애, "만성정신질환자의 재활준비도 측정을 위한 척도개발연구-척도의 요인구조와 타당화 중심으로-" 계명대학교 대학원 1998

      8 문혜신, "만성 정신장애자를 위한 일상생활관리 프로그램" 1996

      9 김정숙, "가정방문교육이 재가 정신분열병 환자의 지식 실천 및 증상에 미치는 영향" 27-43, 1999

      10 Zubin,J.,, "Vulnerability-a new view of schizophrenia" 86 : 103-126, 1977

      1 김철권, "정신분열병을 극복하는 방법" 1995

      2 전석균, "정신분열병 환자의 재활을 위한 사회기술훈련프로그램의 효과성에 관한 연구" 숭실대학교 대학원 1994

      3 손명자, "정신분열병 환자의 가족교육 프로그램 개발연구" 한국심리학회 170-186, 1994

      4 유숙자, "정신분열병 환자 퇴원교육이 퇴원 후 자가간호수행에 미치는 효과" 서울대학교 대학원 1991

      5 오병훈, "알기 쉽게 보는 정신분열병" 중앙문화진수출판사 1996

      6 새미래정신재활연구소, "스스로 관리하는 약물. 증상 I, II." 도서출판 정신재활 1999

      7 박미애, "만성정신질환자의 재활준비도 측정을 위한 척도개발연구-척도의 요인구조와 타당화 중심으로-" 계명대학교 대학원 1998

      8 문혜신, "만성 정신장애자를 위한 일상생활관리 프로그램" 1996

      9 김정숙, "가정방문교육이 재가 정신분열병 환자의 지식 실천 및 증상에 미치는 영향" 27-43, 1999

      10 Zubin,J.,, "Vulnerability-a new view of schizophrenia" 86 : 103-126, 1977

      11 Derogatis, "University of Medicine" 1977

      12 Anthony, "The practice of psychiatric rehabilitation" 542-559, 1986

      13 Eckman, "Technique for training for schizophrenic patients illness self- management American Journal of Psychiatry" 1549-1555, 1992

      14 O'Brien, "Teaching psychiatric inpatients about their medication" october : 30-32, 1979

      15 Eckman, "Teaching medication management skills to schizophrenic patients Journal of Clinical Psychopharmacology" 33-38, 1990

      16 "Stages of change in readiness for rehabilitation services among people with severe and persistent mental illness Illinois Institute of technology" Unpublished Doctoral Dissertation illi (illi): 1995

      17 Liberman, "Rehabilitation Research & Training Center in Mental Illness" 1986-1995

      18 Paul, "Psychosocial treatment of chronic mental patients" Harvard University Press 1977

      19 & Krause, "Psychoeducational groups for patients with schizophrenia A guide for practitioners" Aspen Publishers Inc 1991

      20 Warner, "Psychiatrist's and patient's views on drug information sources and medication compliance" 1235-1237, 1994

      21 Ruscher, "Psychiatric patients' attitudes about medication and factors affecting noncompliance" 82-85, 1997

      22 Halford, "Preliminary results from a psychoeducational program to rehabilitate chronic patients" 1189-1191, 1995

      23 Mechanic, "Predicting medication noncompliance after hospital discharge among patients with schizophrenia" 216-222, 2000

      24 Gilbert P, "Neuroleptic withdrawal in schizophrenic patients A review of the literature Archives of General Psychiatry" 173-188, 1995

      25 Batey, "Medication education for patients in a partial hospitalization program Journal of Psychosocial Nursing and Mental Health Services" 7-10, 1982

      26 "Medication adherence among psychotic patients before admission to inpatient treatment" 107-208, 2004

      27 Macpherson, "Long -term psychiatric patients’ understanding of neuroleptic medication" 71-73, 1993

      28 Lin, "Insight adherence to medication in schizophrenics Journal of Clinical Psychiatry" 430-432, 1979

      29 Prochasca,J.O.,DiClemente,C.C.,, "In search of how people change:Applications to addictive behaviors" 47 : 1102-1114, 1992

      30 Ayuso-Gutierrez,J.K.,, "Factors influencing relapse in the long-term coures of schizophrenia" 28 : 199-206, 1997

      31 Kleinman, "Effectiveness of two methods for informing schizophrenic patients about neuroleptic medication" 1189-1191, 1993

      32 Wallace, "Effectiveness and replicability of modules for teaching social and instrumental skills to the severely mantally ill American Journal of Psychiatry" 654-658, 1992

      33 Bisbee, "Education Patients and Families about mental illness" Aspen Publishers Inc 1991

      34 Schwartz, "Does insight affect long-term inpatient treatment outcome in chronic schizophrenia" 283-288, 1997

      35 Cramer J, "Compliance with medication regimens for mental and physical disorders" 1998196-201

      36 Hornung, "Collaboration with drug treatment by patients with and without psychoeducational training Results of a 1-year follow-up" 213-219, 1998

      37 Bartko, "Clinical symptomatology and drug compliance in schizophrenic patients" 74-76, 1988

      38 Liberman,R.P.,, "Behavioral rehabilitation for chronic mental patients" 5 : 1985

      39 Cohen, "Assessing and developing readiness for psychiatric rehabilitation" 644-646, 1997

      40 Beard, "An economic review of compliance with medication therapy in the treatment of schizophrenia" 508-516, 2003

      41 McCombs, "A typical antipsychotic medications in medicaid patients with schizophrenia Journal of Clinical Psychiatry" 19 5-11, 1999

      42 Neuchterlein,K.H.,, "A heuristic vulnerability/stress model of schizophrenic episodes" 10 : 300-312, 1984

      43 Marder, "A comparison of patients who refuse and consent to neuroleptic treatment American Journal of Psychiatry" 470-472, 1983

      44 Ascher-Svanum,H, "A Psychoeducational intervention for schizophrenic patients" 14 : 81-87, 1989

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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.36 1.36 1.6
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      1.69 1.77 2.966 0.3
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