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성형외과 환자의 경험에 관한 연구

A Study on Hospital Experiences of Plastic Surgery Patients

박운희(Un Hee Park) , 이정섭(Jeong Seop Lee)
  • : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회)
  • : 정신간호학회지 9권1호
  • : 연속간행물
  • : 2000년 03월
  • : 64-78(15pages)

DOI


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In this paper, patients experienced plastic operation are divided into deformity, cosmetic patients and injury ones, respectively. And then their mental, psychological, social experiences are investigated. Base on the investigation, this paper was write to present basic data that they are necessary to develop nursing tecnique during hospitalization and give useful information of plastic patients to medical teams. 11 deformity patients, 6 cosmetic ones and 5 injury ones, they have been taken to hospital from 12. 1988 to 9. 1999at plastic surgery hospital ward of an hospital attached to an university located in Seoul, were sampled for profoundly interview and observation. The obtained data were analyzed in a qualitative way of using Giorgis phenomenological approach. This thesis aims to identify the theme by determining subjects starting and ending units of thinking and thereupon, translating it into researchers language to determine its focal meaning, to integrate the focal meaning to create a situated structural description perceived from the view of each subject, and thereby, and them integrate this descriptions to present general structural description of deformity, cosmetic patients and injury ones. The results of this work are follow as: The kinds of body experiences are pain felt at operation position, physical pain due to a cure and an injection, diarrhea caused by hospital food and reduction weight. Want of sleep and infringement of private life are closely related to environment around patients. Expectation and fear generated by operation and hospitalization, negative and positive emotion jue to contact with different type patients and same type ones are emotional effect of plastic patients. In the social aspect, they experienced both financial deadlock and variations of person relationship raised from lose their work and role. And they demand that nation support effective patient transformation and medical cost. Separating cosmetic ward from plastic ward, cosmetic patients can require their needs. From this they can be obtained best cure. The psychological support is necessary to patients without agreement of their protector.

ECN

ECN-0102-2009-510-005520013


UCI

I410-ECN-0102-2009-510-005520013

간행물정보

  • : 의약학분야  > 간호학
  • : KCI 등재
  • : -
  • : 계간
  • : 1225-8482
  • :
  • : 학술지
  • : 연속간행물
  • : 1992-2018
  • : 974


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2집단상담이 비행청소년의 정신건강과 자아개념에 미치는 영향

저자 : 이미형(Mi Hyoung Lee)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 5-19 (15 pages)

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This study was designed to test the effects of human potential seminar on mental health and self-concept of juvenile delinquents. The subjects were consisted of 21 boys and 10 girls attending three Mental Health Programs which were provided as the rehabilitation programs for juvenile delinquents referred from a probation office. Watching video tapes about drugs, having personal unfoldment and peak experience, sharing personal past experiences of maladaptive behaviors each other, acknowledging personal strengths, utilizing art therapy to overcome personal anger, remembering ones who she/he loved, planning her/his behavioral modification, making a time capsule, and having candle ceremony are the strategies which were applied to the subjects in the human potential seminar. The intervention program was administered by a researcher and two assistants who were trained for counselling. Total 40 hours group therapy was carried out within 5 days. After finishing group therapy, the investigators had follow-up meeting with the subjects regularly once per month for seven months The subjects participated in main programs and subsequent follow-up meeings from November, 1997 to May 1999. Mental health was measured with SCL-90-R and self-concept were measured with Self-concept Scale developed by Fitts. The data were analyzed by percent, repeated measures ANOVA, and Bonferroni multiple regression using SAS program. The results were as follows: 1. The level of obsessive-compulsive, depression, anxiety, hostility, paranoid ideation, psychocitism decreased significantly after treatment at 0.05 level. 2. Self Satisfaction which was one of the subscales of the subscales of Self-Concept increased significantly at seventh month after treatment. However there were no significant differences between pre-test score and post-test score of the remaining subscales of Self-Concept such as Total Positive Self, Self-Identity, Self Behavior, Physical Self, Moral Ethical Self, Personal Self, Family Self, Social Self. These results indicate that human potential seminar which was provided with group therapy was effective in improving mental health for juvenile delinquents, but it is not effective in enhancing all those sub-dementions of self except self satisfaction. That is, the human potential seminar may be more effective in promoting mental health than in enhancing self-concept of juvenile delinquents.

3심상치료가 간호학생의 자아실현 , 우울 , 자존감에 미치는 효과

저자 : 이혜경(Hae Kyung Lee)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 20-34 (15 pages)

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The purpose of this study is to explore the effects of imago psychotherapy on self-actualization, Depression and Self-esteem of Nursing Students. The period of this research was from May 10, 1999 to June 20. 1000. The subjects were 10 sophomore nursing students in T college located in Taegu City. The research design was s one-group pretest-posttest design and the theoretical framework was psychodynamic theory. Collected data were analyzed by paired t-test with SPSS program. The results of this research were as follows: 1. The self-actualization mean score of the subjects was characterized by normal value within normal range of scale. The subjects showed high scores in the areas of Time Competent, Inner Directed, Existentiality, Spontaneity, Self Acceptance and Nature of Man. Mean score of depression was low with 10.80 compared with degree of depression(13.01) in normal group. 2. There was significant difference in self actualization in Capacity for Intimate Contact scale. 3. There was no significant difference of depression scores between before and after treatment. 4. There was no significant difference of self-esteem scores between before and after treatment. I would like to make following suggestions with the results of this study. ˙ The number of the session of imago psychotherapy should be at least 20, and the effect of the therapy can be properly verified. ˙ Imago psychotherapy should be applied to nursing students before and after clinical practice, and the effect of the therapy can be compared. ˙ We need to develop various imago psychotherapy program to improve mental health and self actualization of nursing students.

4간호사의 비언어적 의사소통 행위에 대한 정신질환의 경험

저자 : 박정원(Jeoung Weon Park)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 35-43 (9 pages)

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This study was designed to understand the nature of the experiences of the psychiatric patient about nurses` nonverbal communication behaviors in Interpersonal Relationship and to contribute to nursing knowledge development about nurse-client domain by phenomenological method. The research participants consisted of the 6 psychiatric patients who hospitalized in closed psychiatric unit. In this study, the main data was created with by second analysis of the interviewing data on the experiences of the psychiatric nurse-patient interpersonal Relationship. The interviewing period is from June, 28 to september. 5, 1999. The result of this study are follow : The first essential themes of psychiatric patients` experiences of about nurses` nonverbal communication behaviors in interpersonal relationship are warmth. Psychiatric patients experienced warmth through nurses` nonverbal behaviors: nurse`s facial expressions, smiles, eye contacts, eye expressions, voice tones, ways of talking and gestures. And Psychiatric patients revealed their thoughts and feelings when had been feeling them accepted by the nurse through nurse`s active listening behaviors. The second essential theme is being aloof, psychiatric patients experienced of rejecting by nurses when nurses wouldn`t understand their suffering and adjusted patients to their views and needs, and to be driven cornered and communicated by the direct authoritative manner. In views of this result, nurse`s therapeutic nonverbal communication behaviors improves psychiatric nurse-patient interpersonal Relationship.

5간호학생의 정신 간호학 실습 경험

저자 : 현명선(Myung Sun Hyun) , 서미아(Mi Ah Seo)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 44-53 (10 pages)

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The purpose of this study was to explore nursing students` experiences of clinical practicum in psychiatric settings. Total 6 senior students who were in baccalaureate nursing program were participated in this study who completed 6-week psychiatric practicum. The study was performed from October, 1998 to December, 1999. Individual In-depth interviews were used as a data collection method. The data were analyzed by content analysis using Strauss-Corbin`s method. Nineteen concepts were identified in the analysis. In this study, it was found that they had different experiences before, during, and after the clinical practicum. Before the clinical practicum, it was found they had expectation about psychiatry, curiosity to psychiatric patients, and fears about relationship. During the clinical practicum, they had different experiences by focusing on psychiatric nursing, patients, self, nurses, other medical members. And then, finishing the clinical practicum, they could accept the psychiatric patients as the person and solve the fears about psychiatric patients. The findings of this study may assist nursing educators to understand their students` experiences and will provide nursing educators and students with framework for the direction in their clinical practicum.

6재가 정신질환자가 지각한 스트레스반응양상에 관한 연구

저자 : 윤영희(Young Hee Youn)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 54-63 (10 pages)

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This investigation was designed for identifying stress response of the psychiatric patients in community. The intent of this investigation is to develop appropriate nursing intervention that is providing the data for the management of the psychiatric patients in community. The report of the psychiatric patients about their won physiological and psychological stress symptom that was useful to make nursing plan for them. Symptom of Stress Inventory was adopted as a tool for the measurement of stress responses. Raw data were collected using a direct survey method of questionnaire, from March 22th to April 30th in 1999. 92 samples were selected from psychiatric patients who were out-patients in the department of psychiatry, and in six mental health service centers located in Seoul and Kyungki-Province area. SPSS program was used for statistical analysis and the data was analyzed in terms of frequency (percentile score), t-test, F-test, ANOVA, Pearson`s correlation coefficient. The results of this investigation are as follows: 1. The mean score of total SOS of the psychiatric patients(M=1.00, S.D=.74) were over . 70. This result need to require the management of stress. 2. The mean score of SOS subscales related to emotional response were relatively high (ranging from 1.19 ~ 1.42). 3. Between the age and the mean score of total SOS there was significant difference and the result of Scheffe test showed the highest stress response in 30`s than 20`s, over 40`s. 4. According to the degree of stress perception by psychiatric patients there was significant difference in the mean score of total SOS (p<.001, F=6.61) and the more the degree of stress perception was, the higher was the stress response. These results showed the stress response perceived by psychiatric patients in community was high. With higher emotional response the management for stress is more required than response perceived by psychiatric patients. High stress response of psychiatric patients lies in uneffective taking care for stress and vulnerability of the stress. The specialists in a part of stress insist that on the side of nursing science the stress management of psychiatric patients doesn`t change the status of stress, but the stress response of the related. In short, this study of stress response perceived by psychiatric patients in community can be considered as basic data to new direction of stress management.

7성형외과 환자의 경험에 관한 연구

저자 : 박운희(Un Hee Park) , 이정섭(Jeong Seop Lee)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 64-78 (15 pages)

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In this paper, patients experienced plastic operation are divided into deformity, cosmetic patients and injury ones, respectively. And then their mental, psychological, social experiences are investigated. Base on the investigation, this paper was write to present basic data that they are necessary to develop nursing tecnique during hospitalization and give useful information of plastic patients to medical teams. 11 deformity patients, 6 cosmetic ones and 5 injury ones, they have been taken to hospital from 12. 1988 to 9. 1999at plastic surgery hospital ward of an hospital attached to an university located in Seoul, were sampled for profoundly interview and observation. The obtained data were analyzed in a qualitative way of using Giorgis phenomenological approach. This thesis aims to identify the theme by determining subjects starting and ending units of thinking and thereupon, translating it into researchers language to determine its focal meaning, to integrate the focal meaning to create a situated structural description perceived from the view of each subject, and thereby, and them integrate this descriptions to present general structural description of deformity, cosmetic patients and injury ones. The results of this work are follow as: The kinds of body experiences are pain felt at operation position, physical pain due to a cure and an injection, diarrhea caused by hospital food and reduction weight. Want of sleep and infringement of private life are closely related to environment around patients. Expectation and fear generated by operation and hospitalization, negative and positive emotion jue to contact with different type patients and same type ones are emotional effect of plastic patients. In the social aspect, they experienced both financial deadlock and variations of person relationship raised from lose their work and role. And they demand that nation support effective patient transformation and medical cost. Separating cosmetic ward from plastic ward, cosmetic patients can require their needs. From this they can be obtained best cure. The psychological support is necessary to patients without agreement of their protector.

8노인이 지각한 가족지지와 정신건강에 관한 연구

저자 : 김영선(Young Sun Kim) , 이길자(Gil Za Lee)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 79-93 (15 pages)

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This study was attempted to investigate the family support and mental health of the aged. The subjects were collected by interview from 120 elderly over 65 years old, living in Yangsan The data for this study were collected from December 21, 1998 to February 20. 1999. The instruments used for this study were the family support scale developed by Kang(1985) and mental health scale developed by Choi(1990). The data were analyzed by descriptive statistics, Pearson`s Correlation Coefficients, t-test and ANOVA, Stepwised multiple regression, by using SPSS 7.5 window program. The results of this study of the perceived family support was 2.00±0.85 the mental health 2.49 ±0.47. The mean scores of the perceived family support in the family members, son was 3.53 ±1.68, daughter-in-law 3.14 ±1.69, grandson and granddaughter 1.96 ±1.69, spouse 1.56 ±2.14 and daughter 1.43 ±1.79. 2. The perceived family support according to the general characteristics was significantly different in the education(high school, F=3.84, P=0.006), spouse (being, t=2.46, P=0.017), co-living family(1-2, F=2.938, P-0.007) and status of co-living (aging couple, F=4.15, P=0.001). 3. The status of mental condition according to the general characteristics was significantly different in the age (65-69y, F=6.7, P=0.001), spouse (being, t=0.838, P=0.024), status of co-living (aging couple, F=2.24, P=0.05), aging club house (taking, t=2.68, P-0.051) and aging social peer group (taking, t=20.169, P=0.000). 4. The perceived family support by the family relationships was significantly different in the variables as suches as: communicators (grandson and daughter, F=3.539, P=0.001), doing himself(taking, t=3.007, P=0.005), self-esteem (daughter in law, F=2.951, P=0.005), emotional safety(daughter F=4.467, P=0.000), co-living liked family (taking, t=5.045, P=0.001), doing in house(freely, F=4.552, P=0.005), frequently meeting family(3-4 times/mo, F=3.41, P=0.004), visiting family (son, F=5.072, P=0.000), and want to see family(daughter-in-law, F=2.749, P=0.022). 5. The status of mental health by the family relationships was significantly different in the decision making(spouse, F=2.198, P=0.04) and doing himself(being, t=4.223, P=0.000). In the through above results, the family support for the elderly of this study was low and the metal health status was moderate. The family relationships was not satisfactory, but there was correlation between the family support and the mental health status. And then increasing family support for the elderly should be promote the mental health and the family relationships.

9만성정신질환자 가족의 부담감과 치료동반자역할의 필요성 및 참여도

저자 : 양수(Soo Yang) , 장미화(Mi Hwa Jang)

발행기관 : 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 간행물 : 정신간호학회지 9권 1호 발행 연도 : 2000 페이지 : pp. 94-111 (18 pages)

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A better understanding of the therapeutic role and the burden on the family has become increasingly important because many families assume a major role in the care of their relatives who have mentally ill patients. Especially, care of psychiatric patients in Korea is family-centered. Therefore, the burden of family caregivers is severe, and families have strong affects in the treatment of psychiatric patients. However, due to various reasons, families lack understanding of patient status and diseases so they follow instructions of physicians passively and do not even think about participating in the treatment plans for patients. This study was designed to identify the quantities of burden perceived by the family caregivers, and to obtain basic data about need awareness and degree of participation of family members as treatment partners in the treatment of psychiatric patients. The data were collected from July 19 to September 27, 1999, and the subjects of the research were 106 family members of psychiatric patients who were either hospitalized or received outpatient treatment in 4 mental health centers and one psychiatric hospital located in Kyunggi Province and Seoul. The researchers developed and used a questionnaire as the evaluation tool to determine the awareness of need and degree of actual participation in family members. Also, subjective and objective burden measurement was used to measure burden of family caregivers. This tool originally developed by Montgomery(1985) and used by Choi(1997), and revised by researchers to 4-point Likert Scale. The results are as follows. 1. Although family was highly aware the need for the role of family members as treatment partners, the actual degree of family member participating was low. 2. As the degree of need awareness of family roles according to each area, families felt that they are needed most in the matters relating to admission and hospitalization of patients, followed by their roles at the time of discharge and daily life after discharge, but showed low awareness on roles relating to family association. 3. Participation of family members as treatment partners was seen most with matters related to discharge, and showed lowest participation rate in matters concerning family association. 4. The role awareness and participation degree of family members were significantly different according to the occupations of family members, and the degree of participation was significantly different according to marital status, forms of medical coverage, relationship with the patient, and opinions on patient prognosis. 5. The mean score of the perceived burden of the family caregivers was 2.64, which is higher than the mode score of instrument. 6. The burden of the family caregivers was significantly different according to gender, marital status, education level, occupation, relationship with the patient, and opinions on patient prognosis. 7. There was a significant correlation between the role awareness and participation degree as treatment partners of family members, and there was not a significant correlation between the burden and the participation degree. As seen with these results, by raising the awareness of family members as treatment partners, the study suggests that the area for family members to involve in more active patient treatment and care need to be expanded, and we also need systematic efforts such as to study ways tat relieve the burden of the family and make family members to participate in treatment and care of patients.

1
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간행물명 수록권호

KCI등재

KJWHN(여성건강간호학회지)
1권 1호(1995) ~ 24권 2호 (2018)

KCI등재 SCOUPUS

지역사회간호학회지
1권 1호(1989) ~ 29권 2호 (2018)

Health & Nursing (구 간호과학)
1권 0호(1989) ~ 30권 1호 (2018)

KCI등재

동서간호학연구지
1권 1호(1997) ~ 24권 1호 (2018)

Perspectives in Nursing Science
1권 1호(2005) ~ 15권 1호 (2018)

KCI등재

임상간호연구
1권 0호(1995) ~ 24권 1호 (2018)

KCI등재

정신간호학회지
1권 1호(1992) ~ 27권 1호 (2018)

KCI등재

KJWHN(여성건강간호학회지)
1권 1호(1995) ~ 24권 2호 (2018)

KCI등재 SCOUPUS

지역사회간호학회지
1권 1호(1989) ~ 29권 2호 (2018)

KCI후보

군진간호연구
1권 0호(1977) ~ 36권 1호 (2018)

KCI등재

KJWHN(여성건강간호학회지)
1권 1호(1995) ~ 24권 2호 (2018)

KCI후보

글로벌 건강과 간호
1권 1호(2011) ~ 8권 1호 (2018)

KCI등재

정신간호학회지
1권 1호(1992) ~ 27권 1호 (2018)

KCI등재

KJWHN(여성건강간호학회지)
1권 1호(1995) ~ 24권 2호 (2018)

KCI등재 SCOUPUS

지역사회간호학회지
1권 1호(1989) ~ 29권 2호 (2018)

KCI등재

임상간호연구
1권 0호(1995) ~ 24권 1호 (2018)

KCI등재

동서간호학연구지
1권 1호(1997) ~ 24권 1호 (2018)

Health & Nursing (구 간호과학)
1권 0호(1989) ~ 30권 1호 (2018)

Perspectives in Nursing Science
1권 1호(2005) ~ 15권 1호 (2018)

KCI등재 SCOUPUS

지역사회간호학회지
1권 1호(1989) ~ 29권 2호 (2018)
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