Types of Recovered Alcoholics Based on the Factors Influencing Recovery from Alcoholism: A Q methodology / 정신간호학회지

Purpose@#The objectives of this study were to identify the types of recovered alcoholics based on the factors that influence recovery, using the Q methodology. @*Methods@#Forty-six statements were selected from in-depth interviews with eight psychiatric healthcare professionals and four abstinent alcoholics and literature review. Then, 50 participants sorted these statements in a forced grid with normal distribution from -4 to 4. Finally, factor analysis was performed with the PC-QUANL program. @*Results@#Three types of recovered alcoholics were identified. Firstly, the ‘positive-centered recovery type’ emphasized on self-affirmation and self-confidence and acted on the belief of the possibility of recovery from alcoholism. The second type was the ‘temperance-centered recovery type’, which focused on complete control over daily life to stay sober. Finally, the ‘acceptance-centered type’ was likely to admit the weakness of human beings and pursue spirituality. @*Conclusion@#This study found three types of recovered alcoholics, focusing on the factors that had an impact on recovery and analyzed their characteristics. These findings provided useful information to understand recovered alcoholics, and they can be used to develop a tailored intervention to prevent a relapse of alcoholism.

Overcoming Internalized Stigma in Persons with Psychiatric Disabilities / 정신간호학회지

PURPOSE: This phenomenological study was done to identify comprehensively and in depth the experience of overcoming internalized stigma in persons with psychiatric disabilities. METHODS: Data were collected from December 2015 to June 2016 with 10 persons who had psychiatric disabilities. The participants took part in interviews on their experiences of overcoming stigma. The collected data were analyzed using Colaizzi method. RESULTS: From the raw data obtained from the study participants, 12 themes and 5 theme clusters were identified. The 5 theme clusters were found to be ‘being locked up in one's own stigma’, ‘trying to escape from the self in constraints’, ‘overcoming oneself by oneself’, ‘getting to see the true self’, and ‘living the life desired’. CONCLUSION: Study findings indicate the necessity of developing a mediation program to reduce and overcome the internalized stigma in the persons with psychiatric disabilities. A national and social effort is necessary for persons with psychiatric disabilities to help them overcome the internalized stigma.

Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia

PURPOSE: This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. METHODS: The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program. RESULTS: Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. CONCLUSION: Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

Factors related to Suicidal Ideation in Patients with Chronic Schizophrenia, Depressive Disorder, or Bipolar Disorder / 정신간호학회지

PURPOSE: The purpose of this study was to determine the factors that affect suicidal ideation in patients with chronic mental illnesses, such as schizophrenia, depressive disorder, and bipolar disorder. METHODS: The research participants were 160 patients with mental illnesses residing in B City and G Province. They responded to questionnaires about their suicidal ideation, self-esteem, depression, family support, social support, and internalized stigma of mental illness. The collected data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and STEPWISE multiple regression with the SPSS/WIN 18.0 program. RESULTS: History of self-esteem, Depression, Social support, Psychiatric diagnosis of MDD and suicide attempt showed an explanatory power for 64% of suicidal ideation in patients with chronic mental illnesses. CONCLUSION: Specialized health and medical service personnel providing services to patients with chronic mental illnesses must determine the risk factors and protective factors for suicidal ideation associated with each illness, and establish a more individualized and systemized case management system based on customized approach.

Sleep Disorder Experience in Older Patients with Depression

PURPOSE: The purpose of this study was to identify sleep disorder experience in older patients living in the community and acknowledging being depressed. METHODS: For this study, 11 older patients with depression were purposively chosen. Data were collected through in-depth individual interviews from July 2013 to January 2014 and analyzed in terms of by Giorgi's phenomenological methodology. RESULTS: The study results showed that sleep disorder experience in older patients with depression consisted of sixteen themes and five themes-clusters: 1) exposure of the causes of sleep disorders; 2) life is painful; 3) harassing themselves and their family; 4) difficulty in controlling themselves; 5) trying to deal with the sleep disorder to overcome the situation. CONCLUSION: It is necessary to develop educational guidelines for patients with sleep disorders or nursing interventions that anyone can easily provide for elders in the communities. The first priority should be given to efforts to apply diverse methods to improve sleep hygiene and minimize the period of exposure to medication before starting medication for patients with sleep disorders.

Factors related to Suicidal Ideation in People with Schizophrenia and Suicide Attempts / 정신간호학회지

PURPOSE: The purpose of this study was to explore factors which contribute to suicidal ideation in people with schizophrenia who have experienced at least one suicide attempts. METHODS: The participants for this study were 138 people with schizophrenia who had made attempts at suicide. Data were collected from April 15 to May 7, 2014 using self-report questionnaires which included questions on Suicidal Ideation, Self-Esteem, Depression, Family Support and the Internalized Stigma Inventory. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and hierarchical regression with the SPSS/WIN 18.0 program. RESULTS: The average score of suicidal ideation in the patients with schizophrenia who had experienced suicide attempts was 12.2+/-6.08. Factors which predicted suicidal ideation in these patients included self-esteem, depression and suicide attempts and these factors explained 44.0% of the variance in suicidal ideation. CONCLUSION: The results indicate that development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among patients schizophrenia that have experienced suicidal attempts is a first priority.

Associated Factors of Suicidal Ideation in Community Residents with Suicidal Attempt Experiences

PURPOSE: The purpose of this study isto explore influencing factors which contribute to the suicidal ideation in community residents who have ever experienced suicidal attempts. METHODS: The subjects of this study were a total of 165 local residents with some experiences of suicidal attempts in B City and K Province. The data were collected from May 1st to October 30th, 2012 and self-report questionnaires including Suicidal Ideation Inventory, Self-Esteem Inventory, Depression, Family and Social Support Inventory were used as a measurement tool. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. RESULTS: The average score of suicidal ideation in the local residents with experiences of suicidal attempts was 12.7+/-6.25. Predicted factors on suicidal ideation in the local residents with experiences of suicide attempts included self-esteem, depression and physical illness, and the suicidal ideation has a variance explanation power of 54%. CONCLUSION: The development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among community residents with experiences of suicidal attempts, are first needed. Furthermore, nursing services of customized self-management for people with physical disabilities are needed on the basis of their own physical problems.

Factors Affecting Turnover Intention of People with Mentally Disabilities Working in Manufacturing Industry / 한국직업건강간호학회지

PURPOSE: The purpose of this study was to identify turnover intentions in workers with mentally disabilities working in manufacturing industry. METHODS: Participants were 147 workers with mentally disabled living in B-city and Y-city. The data were collected from September 1st to November 30th, 2011 using self-report questionnaires including measurements of turnover intentions, family support, work volition, working environment, job satisfaction and internalized stigma. Data analysis was done using the SPSS/WIN 18.0 program. RESULTS: The average score for turnover intention was 2.9+/-0.7. Turnover intention was related to job satisfaction, working environment, family support and internalized stigma. The predicting factors for turnover intention were job satisfaction, internalized stigma and gender. Those factors accounted for 41.9% of turnover intention. CONCLUSION: The results imply that workers with mentally disabled need to reduce internalized stigma as well as to increase job satisfaction in order to decrease turnover intention.

Effect of Sharps Injury Prevention Program on the Incidence and Reporting of Sharp Injury among Nurses / 병원감염관리

BACKGROUND: This study aimed to identify the effects of a multifaceted needlestick injury (NSI) prevention program on changes in knowledge about bloodborne infectious diseases and postexposure coping, attitudes toward postexposure reporting, preventive measures, the number of NSIs, and postexposure reporting pre- and post-intervention among nurses. METHODS: A total of 429 and 420 nurses participated in the pre- and post-intervention periods, respectively. The intervention was performed from April to September 2007, comprising NSI guideline education, the use of containers with enhanced engineering, and the supply of safety devices. RESULTS: The average score of knowledge about bloodborne infectious diseases increased significantly from 8.3 to 8.9 out of 14 points (P<0.001), but the change in score of knowledge about postexposure coping was insignificant. The average score of attitude toward postexposure reporting increased significantly from 8.9 to 9.6 out of 12 points (P<0.001). Preventive measures such as "gloves are provided whenever needed" (P<0.001), "use one-hand technique" (P<0.001), and "needle containers are provided whenever needed" (P=0.031) increased significantly. The number of NSIs decreased by 40.4%, and the postexposure reporting rate increased by 552.8%. CONCLUSION: The multifaceted NSI prevention program positively affected knowledge about infectious diseases and postexposure coping, attitudes toward postexposure reporting, preventive measures, the number of NSIs, and postexposure reporting after intervention. Therefore, we recommend that this program be applied to various healthcare workers in hospitals.

Associated Factors of Job Satisfaction on Part-time Work of the Mentally Disabled / 한국직업건강간호학회지

PURPOSE: The purpose of this study was to identify the degree of satisfaction of part-time work of the mentally disabled and the factors affecting their job satisfaction. METHODS: The subjects of this study were 106 part-time workers with mental illness in the city of B and Y. The data were collected from February 1, 2012 to May 30, 2012 using self-report questionnaires including the measurement scales of job satisfaction, family support, work volition and the degree of satisfaction with work environment. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. RESULTS: The mean of score for job satisfaction was 61.8+/-13.84. Job satisfaction was highly related to family support, work environment and work volition. The associated factor of the subjects job satisfaction were family support, work environment, work volition, and the period of employment. The combination of these four factors showed an explanation for job satisfaction at the rate of 80.2%. CONCLUSION: The results imply that job satisfaction needs to be increased for the job continuity of employees with mental illness. In addition to this, work environment, work volition and family support should first be improved for the increase of job satisfaction.

Factors Affecting Internalized Stigma of Patient with Schizophrenia / 정신간호학회지

PURPOSE: The purpose of this study was to explore internalized stigma of patients with schizophrenia and examine factors contributing to their internalized stigma. METHODS: Participants in this study were 173 patients schizophrenia living in Busan. Data were collected between January 2 to 16, 2012 using the Korean version of the Internalized Stigma of Mental Illness Scale (ISMI), and measurements of Self-esteem, Depression, Family and Social support, and Insight. Data were analyzed using the SPSS/WIN 18.0 program. RESULTS: The mean score for internalized stigma was 68.8+/-12.15. The significant factors influencing internalized stigma were depression, insight, admission status, mental health center services, number of admissions, self-esteem, and family support. These factors explained 40.8% of the variance. CONCLUSION: The results suggest that in development and practice of programs to decrease internalized stigma in patients with schizophrenia factors identified in this study as influencing internalized stigma should be considered.

Proactivity of People with Mental Disabilities: Concept Analysis / 정신간호학회지

PURPOSE: This study was conducted to investigate the clear concept of proactivity of people with mental disabilities and to provide basic evidence for mental health nursing. METHODS: The research was conducted using Walker & Avant's conceptual analysis process. RESULTS: Proactivity of people with mental disabilities is defined as the ability of obtaining self-determination by putting continuous efforts toward their recovery, overcoming social stigma, recovering in a positive way from being withdrawn from relationships, and gaining self-confidence and willingness that they can recover from their mental illness. Antecedents were found to be persistent disease management, active participation and support of significant person. Consequences were found to be maintenance of a productive life. CONCLUSION: The results of this study accurately define the vague concept of proactivity of people with mental disabilities and contribute to mental health nursing related to proactivity for people with mental disabilities.

Effects of an Empowerment Program on Self-esteem and Depression for Low-income Elderly Women Living Alone / 정신간호학회지

PURPOSE: The purpose of this study was to examine the effects of an empowerment program on self-esteem and depression provided through home visits to low-income elderly women who live alone. METHODS: The research design was a control group pre-post test design. The participants were 49 low-income women over age 65 living alone, 24 in the experimental group and 25 in the control group. The independent variable was the empowerment program, and the dependent variables were self-esteem and depression. The empowerment program was provided for 60 minutes, once a week for 8 weeks. Data were analyzed using the SPSS/WIN 18.0 program. RESULTS: The experimental group reported significant improvement in self-esteem compared to the control group (t=12.50, p<.001). The experimental group also reported significant improvement in depression scores compared to the control group (t=-9.59, p<.001). CONCLUSION: The results indicate that the empowerment program has the potential to improve the mental health of low-income elderly women.

Factors Influencing Quality of Life in People with Mental Disabilities using Mental Health Centers / 정신간호학회지

PURPOSE: The study was done to identify factors influencing the quality of life of people with mental disabilities who use mental health centers. METHODS: Data were collected by questionnaires from 288 people with mental disabilities in Busan and Kyungnam Provience. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple linear regression with the SPSS/WIN 14.0 program. RESULTS: The mean score for quality of life was 11.3+/-1.70, and the mean empowerment score was 59.7+/-8.44. The significant factors influencing quality of life were gender, age, residential status, number of support people, side-effects of drugs, service type, and empowerment. These factors explained 43.9% of the variance. CONCLUSION: The results suggest that in development and practice of program to increase the quality of life of people with mental disabilities a variety of factors should be considered.

Employers Attitude for Mentally Disabled People / 산업간호학회지

PURPOSE: The purpose of this study is to investigate employer's attitude towards mentally disabled people. METHODS: The Lee (1996)'s questionnaire of community people's attitude on perception for mentally disabled people was used to collect data from 208 employers in Busan City. chi2-test and t-test were used to explore related factors of employer's attitude. RESULTS: Employers having experience of hiring physically or mentally disabled people showed higher CAMI scores (p=.002). Especially, employers having experience of hiring mentally disabled people showed higher scores in four components of authoritarianism, benevolence, social restrictiveness, and community mental health ideology than any other groups. In addition, we found differences in employers' attitude on authoritarianism and benevolence according to types of industries and the number of employees. CONCLUSION: We could suggest that employers experience of employing disabled and mentally disabled people could improve their positive attitude. Therefore, we call for various efforts and programs development to encourage employers to hire mentally disabled people.

Effects of Carbonated Water Intake on Constipation in Elderly Patients Following a Cerebrovascular Accident

PURPOSE: This study was done to identify effects of carbonated water intake on constipation in elders who have experienced a cerebrovascular accident (CVA) and are bed-ridden. METHODS: Forty elderly patients with CVA were randomly assigned to one of two groups in a double-blind study. Patients in the experimental group drank carbonated water and those in the control group drank tap water for two weeks. Six patients dropped out during the study period. Data were analyzed by repeated measured ANCOVA and the covariance was the dose of laxatives used for the two weeks. RESULTS: Frequency of defecation increased significantly and symptoms of constipation decreased significantly for patients in the experimental group. CONCLUSION: The study results suggest that the intake of carbonated water is an effective method for the intervention of constipation in elderly patients with CVA.

Sleep Disturbance in Prostate Cancer Patients / 기본간호학회지

PURPOSE: This study was done to investigate clinical characteristics and risk factors for sleep disturbance in patients with prostate cancer. METHOD: Participants were recruited from P hospital outpatient clinic from March 23 to April 20, 2006, and 101 participants completed a questionnaire assessing general and clinical characteristics, sleep quality, physical symptoms and psychological symptoms such as anxiety and depression. The data was analyzed using the SPSS 12.0 program. RESULTS: In this study, 29.7% of the patients reported sleep disturbance. Cancer diagnosis related factors which affected sleep disturbance were onset (55.3%) and aggravation (83.3%). Habitual sleep efficiency of patients with sleep disturbance was as follows: bedtime was 10 PM, wake-up time was 6AM, sleep duration was six hours and twenty minutes. Risk factors for the presence of sleep disturbance included metastasis, the presence of intestinal symptoms, depression and anxiety. CONCLUSION: Sleep disturbance is a frequent problem associated with prostate cancer and seems to be influenced by aggravation of illness and the presence of physical and psychological symptoms.

Knowledge and Attitude Toward BLS and Provided CPR Education among Nurses at General Wards in Pusan / 기본간호학회지

PURPOSE: A survey was done on knowledge and attitude toward CPR and provision of CPR education to nurses on general wards. METHOD: A survey of 280 nurses on general wards in four university hospitals with 700 beds or more in the city of Pusan was done. The data were collected from September 10, to September 22, 2007. RESULTS: The mean score for knowledge of Basic Life Support was 12.71 (mean converted to 100: 63). About 76% of the nurses believed that they had a responsibility to perform CPR, but 53.3% of the nurses were not confident to perform CPR. About 94% of the nurses had received education on CPR but 32.3% of those took it 6 to 12 years ago. About 41% of the nurses spent 3-4 hours for the education and 73.2% of those took simulation education. CONCLUSION: Although most of the nurses had received CPR education, they were not knowledgeable or confident. Therefore, better CPR education programs including up-dated knowledge are needed. More reinforced education should be offered every six months or on a yearly basis in order to enhance lasting efficiency.

A Case of Transient Hyperammonemia of the Newborn Infant

Transient hyperammonemia of the newborn is an overwhelming disease manifestated by hyperammonemic coma in ill premature infant. This recognized metabolic disorder is chiefly characterized by severe hyperammonemia in the postnatal period, a comatous state, absence of abnormal organic aciduria, normal activity of urea cycle enzymes and, usually, complete recovery. The etiology is unknown. Infant had mild respiratory distress that progressed within 48 hours to deep coma requiring ventilatory assistance and had marked hyperammonemia. The degree of neurologic impairment and developmental delay in this disorder depends on the duration of the hyperammonemic coma. So, treatment of hyperammonemia should be initiated promptly and continued vigorously. We report of a preterm infant (34+5 weeks of gestation) presenting with respiratory distress, seizure, coma, and marked elevated plasma ammonia level.

The Effect of Chest Physiotherapy on the Amount of Tracheal Secretion and PaO2 / 기본간호학회지

The purpose of this research was to find out the effect of chest physiotherapy on the amount of tracheal secretion and PaO2. After changing position of the neurosurgical patients who had tracheostomy cannula, experimental treatments were applied as bellows, manual chest percussion on group I, chest percussion and manual chest vibration on group II, chest percussion and mechanical chest vibration on group III were done. After these trials, we have analyzed the efficacy of each procedures comparing the group differences in the quantity of tracheal secretion and PaO2. Target samples were sixty patients aged between 20 to 60 who have tracheostomy state and decreased consciousness status that were admitted in NICU of a university hospital from June 1 to August 31, 1999. They assigned randomly into three experimental groups. To compare the effect of each interventions, tracheal secretion quantity was measured and PaO2 was analyzed via arterial blood gas analyzer. The data were analyzed by ANCOVA of 5% significance level using SPSS P/C program. The results were as bellows. 1) The first hypothesis " There is a difference in the quantity of the secretion among Group I, Group II and Group III" was accepted.(F=29.27, p=0.00) 2) The second hypothesis "There is a difference in PaO2 among Group I, Group II and Group III" was rejected.(F=1.71,p=0.19) From this study results, positional change and manual chest vibration including chest percussion were the most effective treatment to get maximum amount of tracheal secretion and it was confirmed that mechanical chest vibration also made much better effect than sole chest percussion method. Therefore, we concluded that the mechanical or manual chest vibration with chest percussion is more effective respiratory care method than the sole chest percussion.