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한국정신간호학회> 정신간호학회지

정신간호학회지 update

Journal of Korean Academy of Psychiatric Mental Health Nursing

  • : 한국정신간호학회
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수록정보
29권3호(2020) |수록논문 수 : 8
간행물 제목
30권3호(2021년 09월) 수록논문
최근 권호 논문
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1Journal of Korean Academy of Psychiatric and Mental Health Nursing Accepted for Inclusion in SCOPUS

저자 : Kim¸ Hee Sook , Kim¸ Young Joo

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 207-208 (2 pages)

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2간호사의 감정노동과 우울 증상, 직무만족도의 관계에서 자아존중감과 자아탄력성의 조절 효과

저자 : 김태윤 ( Kim¸ Taeyoun ) , 한금선 ( Han¸ Kuem Sun )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 209-219 (11 pages)

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Purpose: The purpose of this study is to identify that emotional labor has effect on depressive symptom, job satisfaction, and moderating effect of self-esteem and ego-resilience of nurses. Methods: Data were collected by questionnaires from 224 nurses university hospitals from May 8 to May 19, 2017, analyzing by hierarchical multiple regression. Results: There was a significant positive correlation with emotional labor and depressive symptom. Also emotional labor was significant negative correlation with job satisfaction, self-esteem, and ego-resilience. Ego-resilience had a moderating effect that emotional labor affected depressive symptom and job satisfaction. Conclusion: In this study, Ego-resilience were found to have a significant moderating effect in relation to emotional labor, depressive symptom, and job satisfaction. Therefore, it's needed to consider the ego-resilience when developing emotional labor management program of nurses.

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3ACOAs인 알코올중독자의 여성배우자 삶에 관한 생애사적 연구

저자 : 고윤우 ( Ko¸ Yoonwoo ) , 이미형 ( Lee¸ Mihyoung ) , 이은진 ( Lee¸ Eunjin ) , 김희경 ( Kim¸ Heekyung ) , 박시현 ( Park¸ Sihyun ) , 최승우 ( Choi¸ Seung Woo )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 220-233 (14 pages)

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Purpose: The purpose of this study was to identify how women who were adult children of alcoholics and spouses of alcoholics had grown up in difficult situations and found the meaning of life. Methods: This study used a life history research method and data were collected from three participants who are adult children of alcoholics and spouses of alcoholics. In-depth interviews with each participant were conducted three times from September to October 2020. Results: In this study, 'realm of life' includes taking care of the family like a young hero, difficulty in express one's feelings and desire, facing the problems of the family at stake. 'Turning point' meeting a role model overcoming addiction problems, sharing one's story in the Therapeutic Community, self-awareness to live independently not as a victim. 'Adaptation' includes recognizing and expressing one's thoughts and feelings, trying to separate from the family psychologically and spatially, reinterpretation of one's life and discovery of the meaning of life. Conclusion: Their meaning of life was to love and respect themselves, make responsible choices in their circumstances, break the inheritance of addiction and had a healthy family life. Therefore, it is necessary to provide an existential meaning therapy program that helps them find the meaning of life and recover to their original self.

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4도박중독자 배우자의 삶에서 대처 경험의 의미

저자 : 김정열 ( Kim¸ Jeong Ryul ) , 최정민 ( Choi¸ Jong Min ) , 이은진 ( Lee¸ Eun Jin )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 234-246 (13 pages)

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Purpose: This study aimed to understand the coping experiences of spouses of males with gambling disorders. Methods: This study used narrative inquiry. Four spouses were recruited from Gam-Anon family groups. In-depth, semi-structured interviews with each participant were conducted from November to December 2020. Results: The coping experiences of spouses ranged from daily stress to traumatic stress. The coping strategy was modified and developed by the perception of their husbands' gambling. Changes in participants' coping strategies were related to emotions that arose from the context of social interaction and internal emotions. The coping experiences of spouses were the process of learning a new way of recognizing the true meaning of life and finding happiness. Conclusion: This study proposed an efficient coping strategy for families of people with gambling disorder by understanding the spouse's coping experiences. Reducing social stigma and creating a supportive environment for families of people with gambling disorders is essential, and perceived social support can be related to the spouse's adoption of effective coping strategies.

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5정신간호사의 전문직 삶의 질 관련 요인

저자 : 박현숙 ( Park¸ Hyun Sook )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 247-256 (10 pages)

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Purpose: This study was to identify the professional quality of life and the factors related to the professional quality of life for psychiatric mental health nurses. Methods: Participants were 122 psychiatric mental health nurses. Data were collected from September 1 to October 30, 2019 were analyzed using one-way ANOVA, t-test, Pearson's correlation coefficients, and regression analysis with IBM SPSS 22.0. Results: The regression model explained 26% variance of psychiatric mental health nurses' compassion satisfaction (F=20.33, p<.001). Significant factors were cognitive flexibility (β=.41, p<.001) and organizational commitment (β=.22, p<.001). The regression model explained 30% variance of psychiatric mental health nurses' compassion fatigue (F=16.55, p<.001). Significant factors were stress (β=-.35, p<.001), psychological flexibility (β=-.30, p<.001), and educational level (β=-.27, p<.001). Conclusion: The results suggest that psychiatric mental health nurses' compassion satisfaction can be increased through strategies aimed at increasing cognitive flexibility and organizational commitment. The results suggest that psychiatric mental health nurses' compassion fatigue can be decreased through strategies aimed at decreasing occupation stress and increasing psychological flexibility.

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6베이비붐세대 남성의 자살에 대한 태도(Q방법론 연구)

저자 : 신은정 ( Shin¸ Eun Jeong ) , 김희숙 ( Kim¸ Hee Sook )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 257-268 (12 pages)

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Purpose: The purpose of this study was to identify attitudes of male baby boomers towards suicide. Methods: Q-Methodology which provides a method of analyzing the subjectivity of each item was used. Thirty-five q-statements were selected from total 110 statements. The recruited P-sample consisted of thirty-three male baby boomers in 1 town and 4 cities. Q-statements were classified into a shape of normal distribution of a 9-point scale. Collected data were analyzed using PQMethod Program 2.11. Results: Three types of attitudes towards suicide were identified. The first type was self-overcoming type that oppose suicide. The second type was burden recognition type with ambivalence toward suicide. The third type was social support-seeking types that oppose suicide. Conclusion: The results of this study suggest that it is necessary to apply a suicide prevention program differentiated according to the three types for suicide prevention among male baby boomers in Korea.

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7Validity and Reliability of Metacognitive Rating Scale for Nursing Students

저자 : Lee¸ Kyunghee , Heo¸ Youngjin , Han¸ Mihwa , Kim¸ Mijung , Choi¸ Hyunseok

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 269-277 (9 pages)

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Purpose: The aim of this study was to determine the reliability and validity of the metacognition rating scale (MCRS), which is a revised version of the existing metacognition questionnaire (MCQ) with anger and anxiety added. Methods: A survey was conducted on 591 nursing students at colleges in North and South Gyeongsang Provinces, South Korea. The collected data were processed for the reliability and validity of the MCRS through Cronbach's α and confirmatory factor analysis using SPSS 26.0. Results: Cronbach's α for the reliability of MCRS was calculated at .88, .86, .77, .74, and .66 for five subfactors. Among the five subfactors, the first, second, third, and fifth factors showed high correlation in each of six items. Factor 4 was highly correlated in 5 out of 6 questions. Conclusion: The data confirm that the MCQ revised to include anger and anxiety is both reliable and valid for nursing students. Therefore, this scale can be used to identify the maladaptive metacognition of nursing students in stressful situations.

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8무릎관절증 후기여성노인을 위한 사회인지이론기반 신체활동 프로그램의 효과

저자 : 서순림 ( Suh¸ Soon Rim ) , 이정화 ( Lee¸ Jeong Hwa )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 278-292 (15 pages)

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Purpose: This study was conducted to verify the effects of a physical activity program based on social cognitive theory for elderly women with knee osteoarthritis (KO). Methods: Ninety-two women aged over 75 with KO from one community center and five senior centers in G county participated. Groups of physical activity based on social cognitive theory (experimental, n=38), Thera-band physical activity (comparison, n=24), and no intervention (control, =30) participated in a 16-session, 8-week program. Results: Knee joint function, muscular strength, exercise self-efficacy, outcome expectations for exercise, social support, and social networks increased significantly in the experimental group compared to the other groups. Conclusion: Physical activity based on social cognitive theory most effectively increased physical function, self-efficacy, and social support of elderly women with KO.

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9정신건강간호사의 정신질환자 돌봄체험에 관한 해석학적 현상학적 연구

저자 : 김성의 ( Kim¸ Seong Ui ) , 공성숙 ( Kong¸ Seong Sook )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 30권 3호 발행 연도 : 2021 페이지 : pp. 293-308 (16 pages)

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Purpose: This study aimed at understanding the experiences of mental health nurses caring for mentally ill patients. Methods: Van Manen's hermeneutic phenomenological method was used to analyze qualitative data. The participants were 8 mental health nurses who worked in hospitals, mental health welfare centers, or psychiatric rehabilitation facilities. Data were collected through in-depth interviews from July 24, 2017, to June 20, 2018. Results: Eight essential themes emerged: “A body that must endure severe symptoms”, “A hand that cares for the wound”, “Ambivalence in a closed space”, “Making them adapt to the open world”, “Being together and getting close to the patients”, “Going forward, leaning on each other”, “Time to protect even a small light”, and “Becoming a shining star by myself”. Conclusion: Strategies are needed to cope with patient violence and prevent psychological trauma. Mental health nurses should be trained for empathetic competency to understand symptoms and build trusting relationships. Caring requires respect and love based on humanity. Mental health nurses learn from patients and experience mutual care that grows through self-reflection. Policy support including financial and manpower security is essential to improving the quality of care and preventing exhaustion.

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1한국 남녀 청소년의 정신건강과 영향요인-이성과의 성경험을 중심으로: 제 11차 청소년 건강행태 온라인조사 자료 이용

저자 : 염미정 ( Yeom Mijung ) , 이경주 ( Lee Gyungjoo ) , 이주영 ( Lee Ju-young )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 195-206 (12 pages)

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Purpose: This study explored the effect of adolescents' sexual behavior on mental health according to behavior, demographic, and sex-related characteristics. Methods: The 11th Korean Youth Risk Behavior Web-Based Survey was conducted with 67,427 adolescents in South Korea. The hierarchical logistic regression was conducted to calculate odds ratios (ORs) and 95% confidence intervals (CIs) to investigate the relationship between adolescents' sexual behavior and mental health (i.e., stress, depressive state, suicidal ideation, and subjective happiness). Results: Male and female adolescents were more likely to experience stress, depression, and suicidal ideation if they were high school students, low-income, smoked, drank, and/or had low academic achievement. Those with sexual experience showed higher levels of stress and depression and suicidal ideation rates and lower happiness. After controlling for a variety of covariates, including individual, family, and school factors, adolescents experienced sexual intercourse showed significantly higher mental health status ORs than those who had not had intercourse. Conclusion: It is necessary to provide an expanded health education program that combines healthy lifestyle and mental health promotion rather than fragmentary sex education to prevent negative physical and mental consequences of sexual intercourse among adolescents.

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2지역사회 독거노인의 불면 증상 경험

저자 : 한은경 ( Han Eun-kyoung ) , 김두리 ( Kim Doo Ree ) , 서유진 ( Suh Yu-jin ) , 김화진 ( Kim Hoa Jean )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 207-217 (11 pages)

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Purpose: The purpose of this study was to identify the experiences of insomnia symptoms in the elderly living alone in the community. Methods: Eleven of the elderly with insomnia symptoms living alone in the community were interviewed. Data were collected through individual interviews July-September 2018. Colaizzi's phenomenological methodology was used. Results: Results showed that the experiences of insomnia symptoms of the elderly living alone comprised 11 themes clusters and five categories: 1) Insomnia symptoms triggered by various causes, 2) Physical symptoms exacerbated by insomnia, 3) Insomnia worsened by psychological symptoms, 4) Useless efforts to fix insomnia, 5) Living with adapted insomnia symptoms. Conclusion: It is necessary to develop a sleep intervention program that includes insomnia symptoms awareness, sleep health education, and social support factors. Community nurses should focus on insomnia symptoms as well as listen and empathize with various psychological phenomena in caring for the elderly with insomnia living alone.

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3재가 정신장애인 주보호자의 고통경험

저자 : 최은정 ( Choi Eun Joung ) , 조현미 ( Cho Hyun Mee ) , 조은주 ( Cho Eun Ju ) , 이민경 ( Lee Minkyung )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 218-228 (11 pages)

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Purpose: The purpose of this study was to examine the suffering experienced by the primary caregiver of people with mental disabilities in community dwellings to explain the fundamental structure thereof. Methods: The Giorgi's phenomenological research methodology was used. Three male subjects and five female subjects participated in this study. The data were collected September-December, 2019 through in-depth individual interviews, and analysis based on the Giorgi's method. Results: Four clusters of themes were identified. They are: “Mental disability came as a burden of pain”, “Painful time from caring due to being mentally recoiled and being hurtful”, “My life is broken by illness”, and “Hope discovered in the midst of pain”. Conclusion: The findings provide deeper understanding and insight into the suffering experienced by primary caregivers for people with mental disabilities in community dwellings. A comprehensive program encompassing psychological and social aspects must be developed to facilitate resolving the problem of the suffering experienced by the primary caregiver for people with mental disabilities.

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4Belsky의 모델에 기반한 부모역할 교육 프로그램의 효과

저자 : 성경미 ( Sung Kyung Mi )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 229-242 (14 pages)

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Purpose: The purpose of this study was to examine the effects of parent's role education program based on Belsky's model on parenting stress and adolescent child's self-concept. Methods: The study design was a mixed methods study combined with a nonequivalent control group and a pretest-posttest and a qualitative study. The subjects were 37 mothers and their adolescent children who were attending in three middle schools in cities (19 in the experimental group and 18 in the control group). The experimental group was admitted parent's role education program consisted with 12 sessions during 6 weeks. In addition, 11 subjects in the experimental group participated in an in-depth interviews. Data were analyzed using SPSS/Win 24.0 program and content analysis. Results: After the intervention, there were significant improvements for the experimental group in adolescents' self concept and parenting stress compared to the control group. Qualitative data obtained from depth interview were resulted in five themes: Realization of the preciousness of parenting; Looking at myself through my child's eyes; Recovery of the boundary of self; Formation of confidence about parenting; Having a new identity as a parent. Conclusion: This study demonstrated that the parent's role education program for adolescents' mother can be a useful mental health nursing. This school based intervention program could be a part of a long-term adolescent mental health initiative to support the parents of adolescent children.

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5간호 요구에 기반한 정신건강의학과 입원환자 분류체계 개발

저자 : 오인옥 ( Oh In Ohg ) , 남경아 ( Nam Kyoung A )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 243-252 (10 pages)

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Purpose: The purpose of this study was to develop and validate the Psychiatric Inpatient Classification System (PICS) based on nursing care needs of psychiatric inpatients. Methods: The preliminary items of the PICS based on the Korean Patients Classification System-1 (KPCS-1) were revised through literature review and interviews with psychiatric nurses. Content validity was assessed by 11 psychiatric nursing experts. In a convenience sample of 154 psychiatric inpatients, nurses reported nursing activities performed for their patients using the PICS. Criterion validity of the PICS was evaluated by testing correlation between the PICS and the Subjective Patient Classification (SPC). To identify groups of patients, the cluster analysis was performed with the PICS as a cluster variable, and cluster analysis was used. Results: The final PICS comprised 12 nursing areas, 61 nursing activities, and 104 items. Significant correlation between the PICS and the SPC showed criterion validity of the PICS. Conclusion: Results suggest a patient classification system based on psychiatric nursing needs. This will improve the quality of psychiatric nursing by providing substantial data on an appropriate ratio of psychiatric nursing staffing.

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6도박중독자의 치료공동체 경험

저자 : 이은진 ( Lee Eun Jin ) , 김정열 ( Kim Jeong Ryul )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 253-263 (11 pages)

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Purpose: The purpose of this qualitative study was to describe the experience of people with gambling disorder, who participated in the therapeutic community. Methods: Ten adults participated in a therapeutic community for at least three months and abstinent from gambling for more than six months. The data were collected May 16-August 1, 2019. Individual in-depth interviews were performed for 35~40 minutes. Results: The data were classified into seven categories and 14 subcategories using thematic analysis methods. The subjects reported the experience of the therapeutic community as follow: 1) Trusting in a warm and safe environment; 2) Being comforted by colleagues' empathy; 3) Recognition of personal problems through colleagues' stories; 4) Recognition of personal wrong values through philosophy; 5) Recognition of a personal problem with lifestyle; 6) Empathizing with family members; 7) Development of the ability to recognize and cope with relapse. Conclusion: The results showed that the therapeutic community had a positive impact on gambling abstinence and changes in the attitudes of life.

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7일반병동 간호사의 정신질환자에 대한 증상인식과 간호역량이 간호부담감에 미치는 영향

저자 : 김승희 ( Kim Seung Hee ) , 한금선 ( Han Kuem Sun )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 264-272 (9 pages)

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Purpose: The purpose of this study was to identify the influence of symptom awareness and nursing competency on the burden of nursing care for patients with mental illness by general ward nurses. Methods: A cross-sectional, descriptive correlational study design was used. Subjects were 231 nurses from three general hospitals. Data were collected March 7-26, 2019. The data were analyzed using the descriptive statistics, one-way ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS/WIN 23.0. Results: The multiple regression analysis revealed that psychiatric symptom awareness, psychiatric nursing competency, and psychiatric nursing education experience account for 12% of the nursing burden of mental illness patients. Conclusion: The findings suggest that it is necessary to implement psychiatric symptom awareness, psychiatric nursing competency, and psychiatric nursing education to decrease the burden of nursing care for patients with mental illness by general ward nurses.

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8대학생의 비자살적 자해 경험과 자살생각의 관계에서 좌절된 대인관계 욕구의 매개효과

저자 : 신미선 ( Shin Misun ) , 최현경 ( Choi Hyunkyung )

발행기관 : 한국정신간호학회 간행물 : 정신간호학회지 29권 3호 발행 연도 : 2020 페이지 : pp. 274-284 (11 pages)

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Purpose: This study explored the relationship between non-suicidal self-harm and suicidal ideation and examined the mediating role of frustrated interpersonal needs on the relationship between non-suicidal self-harm and suicidal ideation based on the Interpersonal Theory of Suicide. Methods: A cross-sectional, descriptive study was conducted with 333 college students in Korea. Subjects completed a packet of self-report questionnaires through an on-line survey. The analyses were conducted with IBM SPSS Statistics 25 using descriptive statistics, independent T-test, one-way ANOVA, and Pearson's correlation coefficients. Bootstrapping was adopted for significance tests regarding the mediation effect. Results: Among the subjects, 156 students (46.8%) had non-suicide self-harm experiences. The levels of suicidal ideation were significantly different by gender. Students with experiences of non-suicidal self-harm reported significantly higher levels of frustrated interpersonal needs and suicidal ideation than those without such experiences. The relationship between non-suicidal self-harm and intensity of suicidal ideation was partially mediated by thwarted belongingness, but not perceived burdensomeness. Conclusion: Findings of this study suggest the inclusion of effective strategies that can have a positive effect on ameliorating thwarted belongingness in developing suicide prevention programs for college students with experiences of non-suicidal self-harm.

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