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Mental Health Status among Individuals with Spouses Residing in Long-term Care Facilities: Using Propensity Score Matching 有配偶居住在长期护理机构的个人的心理健康状况:使用倾向得分匹配法
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.463
H. Chu, Dasom Kim
Purpose: The number of older adults with dementia who reside in long-term care institutions has significantly grown. When older adults with dementia are institutionalized, their spouses, who were providing care at home, may experience chronic mental health conditions. This study examined and compared the mental health status of older adults who institutionalized their spouses with dementia in long-term care institutions versus that of older adults who reside with their spouses in their homes.Methods: The analysis included 95 spouses of institutionalized individuals and 285 control group participants, drawn from 63,617 participants of the 2018 Korean Community Health Survey.Results: The results showed that the spouses of institutionalized individuals with dementia had more depressive symptoms, poorer sleep quality, and experienced greater stress than those in the control group.Conclusion: It is necessary to provide supportive care, for alleviating depressive symptoms, poor sleep quality, and stress, to individuals whose spouses are residing in long-term care facilities. For a spouse caregiver, navigation help and education on the changing roles after an older adult’s admission to a long-term care facility would be necessary.
目的:入住长期护理机构的老年痴呆症患者人数大幅增加。当患有痴呆症的老年人被送进养老院后,他们在家提供护理的配偶可能会出现慢性精神健康问题。本研究考察并比较了将患有痴呆症的配偶送入长期护理机构的老年人与与配偶一起居住在家中的老年人的心理健康状况:分析对象包括从2018年韩国社区健康调查的63617名参与者中抽取的95名机构养老者的配偶和285名对照组参与者:结果显示,与对照组相比,养老院痴呆症患者的配偶有更多的抑郁症状,睡眠质量更差,压力更大:结论:有必要为配偶居住在长期护理机构的患者提供支持性护理,以减轻其抑郁症状、较差的睡眠质量和压力。对于配偶照顾者来说,有必要在老年人入住长期护理机构后提供导航帮助和关于角色转变的教育。
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引用次数: 0
Influence of the Reasons for Living on Suicide Behavior in Soldiers with Suicide Attempts 生活原因对自杀未遂士兵自杀行为的影响
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.491
Yoon Ah Kim, Moonhee Gang, Yu-Jin Ahn
Purpose: The purpose of this study was to evaluate the influence of the reasons for living on suicide behavior in soldiers with suicide attempts.Methods: A descriptive study design was used. The participants were 67 soldiers with suicide attempts from an Armed Forces Hospital in D city. Data were collected from January 9 to March 9, 2023, and were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression with the SPSS/WIN 26.0 program.Results: Regression analysis results showed that diagnosis with major depressive disorder (β=.25, p=.013), survival and coping belief (β=-.52, p=.001), family responsibility and concern (β=.25, p=.033) were significant factors, and these factors explained 45.9% of the variance in suicide behavior.Conclusion: The findings of this study indicate that diagnosis with major depressive disorder and the reasons for living influence the suicide behavior of soldiers with suicide attempts. Therefore, to prevent suicide, reattempts of soldiers, an intervention strategy to improve survival and coping beliefs, and family responsibilities and concerns are needed for soldiers diagnosed with depression.
目的:本研究旨在评估生活原因对自杀未遂士兵自杀行为的影响:采用描述性研究设计。研究对象为 D 市某武装部队医院的 67 名自杀未遂士兵。数据收集时间为 2023 年 1 月 9 日至 3 月 9 日,采用 SPSS/WIN 26.0 程序进行 t 检验、方差分析、皮尔逊相关系数和多元回归分析:回归分析结果显示,重度抑郁障碍诊断(β=.25,p=.013)、生存和应对信念(β=-.52,p=.001)、家庭责任和关心(β=.25,p=.033)是显著的因素,这些因素解释了自杀行为45.9%的变异:本研究结果表明,重度抑郁障碍的诊断和生活原因会影响自杀未遂士兵的自杀行为。因此,为防止士兵自杀和自杀未遂,需要对确诊为抑郁症的士兵采取干预策略,以改善其生存和应对信念以及家庭责任和关注。
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引用次数: 0
The Effects of Integrated Neurofeedback and Salutogenesis Nursing Intervention to Relieve Post-COVID-19 Symptoms in Late Adolescents 综合神经反馈和 Salutogenesis 护理干预对缓解晚期青少年 COVID-19 后症状的影响
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.402
Youngkyung Cho, Wanju Park
Purpose: The purpose of this study was to examine the effects of integrated neurofeedback and salutogenesis nursing intervention to relieve the neurocognitive function and mental health of late adolescents with post-COVID-19 symptoms. Methods: This was a randomized controlled trial study. The participants were 61 late adolescents in experimental, control 1, and control 2 groups who had post-COVID-19 symptoms. The variables were evaluated using quantitative electroencephalography and a computerized neurocognitive battery at pre-post time points in all groups. The experimental group received 10 sessions of individual training for 5 weeks. Results: The integrated neurofeedback and salutogenesis nursing intervention were effective for stress coping (F=3.41, p=.040), sense of coherence (F=0.67, p=.041), state of tension in closed eyes (H=0.39, p=.023), state of tension in opened eyes (H=0.14, p=034), SMR wave in closed eyes (H=6.19, p=045), SMR wave in opened eyes (H=6.02, p=049), memory (F=1.96, p=.015), attention (F=1.64, p=.020), depression, and anxiety (F=0.89, p=.041) in late adolescents. Conclusion: The findings revealed that integrated neurofeedback and salutogenesis nursing intervention could be effective in reducing neurocognitive and psychiatric functions. Therefore, the integrated neurofeedback and salutogenesis nursing intervention could be a nursing intervention to support the recovery of post-COVID-19 late adolescents in the developmental stage.
目的:本研究旨在探讨综合神经反馈和致乐护理干预对缓解 COVID-19 后遗症晚期青少年神经认知功能和心理健康的影响。研究方法这是一项随机对照试验研究。61名患有COVID-19后遗症的晚期青少年被分为实验组、对照1组和对照2组。所有组别均采用定量脑电图和计算机化神经认知电池对前后时间点的变量进行评估。实验组接受了为期 5 周共 10 次的个人训练。研究结果神经反馈和致敬护理综合干预对压力应对(F=3.41,p=.040)、连贯感(F=0.67,p=.041)、闭眼紧张状态(H=0.39,p=.023)、睁眼紧张状态(H=0.14,p=034)、闭眼时的 SMR 波(H=6.19,p=045)、睁眼时的 SMR 波(H=6.02,p=049)、晚期青少年的记忆力(F=1.96,p=.015)、注意力(F=1.64,p=.020)、抑郁和焦虑(F=0.89,p=.041)。结论研究结果显示,综合神经反馈和致乐护理干预可有效降低神经认知和精神功能。因此,神经反馈和致乐综合护理干预可作为支持COVID-19后晚期青少年发育阶段恢复的护理干预措施。
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引用次数: 0
The Influence of Infection Control Knowledge, Emergency Nursing Competency, and Infection Prevention Environment on Burnout among Psychiatric Nurses Caring for Patients with COVID-19 感染控制知识、急救护理能力和感染预防环境对护理 COVID-19 患者的精神科护士职业倦怠的影响
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.482
Hyeran Cho, Suyon Baek
Purpose: Psychiatric nurses lack experience caring for patients with acute physical illnesses. Notably, they are expected to have experienced burnout when they were taking care of mentally ill patients infected with COVID-19. This study aimed to determine the impact of infection control knowledge, emergency nursing competency, and infection prevention environment on burnout.Methods: This survey was conducted on 127 psychiatric nurses from February to March 2023 using a structured self-report questionnaire. The collected data were analyzed through multiple regression analysis using the SPSS 28.0 program.Results: The subject's burnout score was 2.83 out of 5, infection control knowledge was 0.69 out of 1, emergency nursing competency was 2.80 out of 4, and infection prevention environment was 3.83 out of 5. Regression analysis showed infection control knowledge (β=-.17, p=.048) and nurses’ self-perceived efficacy in responding to an emergency (β=.26, p=.002) were factors affecting burnout, and the explanatory power for burnout was 9% (F=7.22, p<.001).Conclusion: Based on these results, we believe that infection control is needed. In addition, rather than simply providing education to increase nurses' emergency nursing competence, educational measures are needed to increase nurses' sense of efficacy in responding to emergencies.
目的:精神科护士缺乏护理急性躯体疾病患者的经验。值得注意的是,他们在护理感染 COVID-19 的精神病患者时可能会产生职业倦怠。本研究旨在确定感染控制知识、应急护理能力和感染预防环境对职业倦怠的影响:本次调查于 2023 年 2 月至 3 月进行,采用结构化自我报告问卷对 127 名精神科护士进行了调查。采用 SPSS 28.0 程序对收集的数据进行多元回归分析:受试者的职业倦怠评分为 2.83 分(满分为 5 分),感染控制知识评分为 0.69 分(满分为 1 分),急救护理能力评分为 2.80 分(满分为 4 分),感染预防环境评分为 3.83 分(满分为 5 分)。回归分析显示,感染控制知识(β=-.17,P=.048)和护士应对突发事件的自我认知效能(β=.26,P=.002)是影响职业倦怠的因素,对职业倦怠的解释力为9%(F=7.22,P<.001):基于这些结果,我们认为需要进行感染控制。此外,与其简单地提供教育来提高护士的急救护理能力,还需要采取教育措施来提高护士应对紧急情况的效能感。
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引用次数: 0
Development of a Self-Reported Communication Competence Questionnaire for Patients with Schizophrenia 开发精神分裂症患者自我评估沟通能力问卷
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.388
Eun Ju Song, Sook-Kyoung Park, Yun Bok Kwak
Purpose: To develop a self-reported communication competency scale for patients with schizophrenia. Methods: Twenty-nine preliminary items were selected from 42 candidate items derived from literature review and qualitative interviews using content validity analysis of expert opinions to evaluate 637 patients’ schizophrenia communication competence. Data from 383 individuals were analyzed. Confirmatory factor analysis was conducted using data of 280 individuals. The final dataset included data from 254 participants. Data were subjected to exploratory and confirmatory factor analyses using SPSS and AMOS 24.0.Results: After evaluating the model fit index for the last 24 items, the following results were obtained: x2=633.95 (p<.001), x2/df (degree of freedom)=2.26, SRMR=0.04, RMSEA=0.06, TLI=0.93, CFI=0.94, NFI=0.96. Therefore, this tool’s suitability was evaluated as acceptable. The final scale comprised 24 items and 3 subscales that could measure basic, interpersonal, and communicative expression of patients with schizophrenia. Conclusion: A self-reported communication competency scale was developed for patients with schizophrenia. It is expected to help measure the effectiveness of intervention programs to improve communication among patients with schizophrenia.
目的:为精神分裂症患者编制自我报告的沟通能力量表。方法:从文献综述和定性访谈得出的 42 个候选项目中选出 29 个初步项目:通过对专家意见进行内容效度分析,从文献综述和定性访谈得出的 42 个候选项目中选出 29 个初步项目,对 637 名精神分裂症患者的沟通能力进行评估。对来自 383 人的数据进行了分析。对 280 人的数据进行了确认性因素分析。最终数据集包括 254 名参与者的数据。使用 SPSS 和 AMOS 24.0 对数据进行了探索性和确认性因素分析:在对最后 24 个项目的模型拟合指数进行评估后,得出以下结果:x2=633.95(p<.001),x2/df(自由度)=2.26,SRMR=0.04,RMSEA=0.06,TLI=0.93,CFI=0.94,NFI=0.96。因此,该工具的适用性被评为可以接受。最终量表由 24 个项目和 3 个分量表组成,可以测量精神分裂症患者的基本表达、人际交往和沟通表达。结论本研究为精神分裂症患者开发了一个自我报告沟通能力量表。预计该量表将有助于衡量改善精神分裂症患者沟通能力的干预计划的有效性。
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引用次数: 0
A Concept Analysis of Spiritual Self-Care in Hospice Team Members by Hybrid Model 混合模式下安宁疗护团队成员精神自护的概念分析
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.501
Sunhee Jang, Sungju Lee, Minyeong Kim
Purpose: The study aimed to clarify the concept of spiritual self-care in hospice team members. Methods: To analyze the concept of spiritual self-care of hospice care team, the study was carried out using Schwartz-Barcott and Kim's hybrid model including theoretical, fieldwork and final analytic stages. In the theoretical stage, 'spirituality', 'spiritual well-being', 'spiritual health', 'spiritual care', and 'self-care' were set as search terms, and the resulting 107 related works of domestic and international literature were analyzed. In the field survey stage, data were collected from nurses and spiritual experts with more than 5 years of experience in spiritual self-care.Results: The concept of spiritual self-care is to realize the meaning and purpose of life while constantly maintaining relationships with oneself, neighbors, communities, and the absolute, utilize transcendence and internal resources, strengthen professional competence, maintain work-life balance, and achieve spiritual well-being. It was identified as a dynamic state to realize. The quality attributes of the concept of spiritual self-care were found to have 5 attributes and 15 indicators. Conclusion: The attributes and indicators derived through this study will be helpful in understanding the concept of hospice team members' spiritual self-care. In addition, as a way to continuously grow and train professional hospice team members, it can be used to develop a spiritual self-care assessment tool and an educational program to prevent burnout.
目的:本研究旨在澄清安宁疗护团队成员的精神自我关怀概念。研究方法为了分析临终关怀团队成员的精神自我关怀概念,本研究采用了 Schwartz-Barcott 和 Kim 的混合模型,包括理论阶段、实地调查阶段和最终分析阶段。在理论阶段,将 "灵性"、"灵性幸福"、"灵性健康"、"灵性关怀 "和 "自我关怀 "设定为检索词,并对由此产生的 107 篇国内外相关文献进行了分析。在实地调查阶段,向护士和有 5 年以上精神自我护理经验的精神专家收集了数据:结果:精神自护的概念是在实现生命意义和目的的同时,不断保持与自身、邻里、社区和绝对的关系,利用超越和内在资源,加强专业能力,保持工作与生活的平衡,实现精神上的幸福。它被确定为一种动态的实现状态。研究发现,精神自理概念的质量属性有 5 个属性和 15 个指标。结论本研究得出的属性和指标将有助于理解安宁疗护团队成员的精神自我关怀概念。此外,作为持续成长和培训专业安宁疗护团队成员的一种方式,它还可用于开发精神自我关怀评估工具和预防职业倦怠的教育项目。
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引用次数: 0
Mediating Effects of Social Networks on Depression and Suicidal Ideation among Older Adults Residing in the Community 社交网络对社区老年人抑郁和自杀意念的中介效应
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.353
Jin Kyoung Park, Keelyong Lee
Purpose: This study aimed to explore the mediating effects of social networks on the relationship between depression and suicidal ideation among older adults residing in the community. Methods: A cross-sectional study was conducted with 161 older adults aged 65 years and above living in Region C. Data were collected between November 2020 and February 2021. The analysis involved the use of descriptive statistics, calculation of Pearson’s correlation coefficients, and conducting multiple regression analyses following the Baron and Kenny criterion. Results: The study reported average scores of 7.56±3.85 for depression, 18.94±7.49 for social network, and 3.72±4.05 for suicidal ideation. Suicidal ideation was positively correlated with depression and negatively correlated with social networks. Social networks were found to partially mediate the connection between depression and suicidal ideation among the aged. Conclusion: This study emphasizes the importance of nursing interventions to reduce depression and enhance social networks, aiming to prevent social isolation among community-dwelling older adults with suicidal ideation.
目的:本研究旨在探讨社交网络对社区老年人抑郁和自杀意念之间关系的中介作用。研究方法研究于 2020 年 11 月至 2021 年 2 月期间收集了 161 名居住在 C 区的 65 岁及以上老年人的数据。分析包括使用描述性统计、计算皮尔逊相关系数以及按照巴伦和肯尼标准进行多元回归分析。研究结果研究报告显示,抑郁的平均得分为 7.56±3.85,社交网络的平均得分为 18.94±7.49,自杀意念的平均得分为 3.72±4.05。自杀意念与抑郁呈正相关,与社交网络呈负相关。研究发现,社交网络可部分调节老年人抑郁与自杀意念之间的联系。结论本研究强调了护理干预对减少抑郁和增强社交网络的重要性,旨在防止有自杀意念的社区居住老年人的社会隔离。
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引用次数: 0
Influence of Sedentary Behavior and Smartphone Use on the Risk of Generalized Anxiety Disorder among Adolescents 久坐行为和智能手机的使用对青少年患广泛性焦虑症风险的影响
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.363
Kyong Sil Park
Purpose: This study investigated the influence of sedentary behavior and smartphone use on the risk of generalized anxiety disorder among adolescents. Methods: This study was a cross-sectional, secondary analysis using the 2021 Korea Youth Risk Behavior Survey data. Data from 54,848 adolescents were analyzed using descriptive statistics, the Rao-Scott x2 test, and hierarchical logistic regression. Results: After controlling for socio-demographic, health-related behavior, and mental health factors as compounding variables, adolescents who sat for more than seven hours, when studying, on weekends had a significantly higher risk of generalized anxiety disorder odds ratios than those who sat for less than three hours. Adolescents who used smartphones for more than eight hours on weekdays and weekends had a significantly higher risk of generalized anxiety disorder odds ratios than those who used smartphones for less than four hours. Conclusion: It is necessary to provide an expanded health education program that reduces sedentary behavior and smartphone use to prevent the risk of generalized anxiety disorder at home and school.
目的:本研究调查了久坐行为和智能手机的使用对青少年患广泛性焦虑症风险的影响。研究方法本研究使用 2021 年韩国青少年风险行为调查数据进行横断面二次分析。采用描述性统计、Rao-Scott x2 检验和分层逻辑回归对 54848 名青少年的数据进行了分析。结果显示在控制了社会人口学、健康相关行为和心理健康因素等复合变量后,周末学习时坐7小时以上的青少年患广泛性焦虑症的几率比明显高于坐3小时以下的青少年。在工作日和周末使用智能手机超过 8 小时的青少年患广泛性焦虑症的几率比明显高于使用智能手机少于 4 小时的青少年。结论有必要扩大健康教育计划,减少久坐行为和智能手机的使用,以预防在家庭和学校出现广泛性焦虑症的风险。
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引用次数: 0
The Process of Adapting to Daily Life after Discharge of Self-injury Adolescents 自伤青少年出院后适应日常生活的过程
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.421
Dae Won Hwang, Kuem Sun Han
Purpose: The purpose of this study was to understand the process of adapting to daily life after discharge of self-injury adolescents and to develop a substantive theory that can explain their experiences. Methods: Data collection and analysis were conducted through interviews with 9 participants who returned to their daily life after discharge, and data analysis was conducted according to the grounded theory approach. Results: As a result of the analysis, a total of 31 concepts and 9 categories were derived, and were classified into the areas of conditions, actions-interactions, and consequences according to the grounded theory paradigm. As a core category that can explain all these concepts and categories, ‘balance oneself in a precarious daily life’ was derived. Conclusion: In this study, a theory in which this process was composed in the order of return stage, crisis stage, and transformative stage, was presented. Finally, the discussions and suggestions of this study based on these results were described.
目的:本研究的目的是了解自我伤害青少年出院后适应日常生活的过程,并建立一个能够解释其经历的实质性理论。研究方法通过对 9 名出院后重返日常生活的参与者进行访谈来收集和分析数据,并根据基础理论方法进行数据分析。结果分析结果:根据基础理论范式,共得出 31 个概念和 9 个类别,分为条件、行动-互动和后果三个方面。作为能够解释所有这些概念和类别的核心类别,得出了 "在不稳定的日常生活中平衡自己"。结论本研究提出了一种理论,该理论按照回归阶段、危机阶段和转变阶段的顺序,对这一过程进行了阐述。最后,介绍了基于这些结果的讨论和建议。
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引用次数: 0
Validity and Reliability of the Korean Version of the Postpartum Bonding Questionnaire (K-PBQ) 韩国版产后亲子关系问卷(K-PBQ)的有效性和可靠性
Pub Date : 2023-12-31 DOI: 10.12934/jkpmhn.2023.32.4.434
Hyunmin Han, Suk-Sun Kim
Purpose: We evaluated the validity and reliability of the Korean version of the Postpartum Bonding Questionnaire (K-PBQ) among Korean parents with children under 12 months of age.Methods: The K-PBQ was translated considering Korean cultural validity through translation, back-translation, and expert panel review. Construct validity was tested by conducting both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with data from 308 couples (N=616). Convergent and discriminant validity were performed using correlations between the K-PBQ and instruments measuring the concepts of attachment, postnatal depression, and dyadic adjustment. The reliability of the K-PBQ was calculated using Cronbach’s ⍺ coefficients.Results: EFA revealed that the 25-item K-PBQ was composed of two factors: impaired bonding (17 items) and the burden of infant care (8 items). The results of the final model fit were acceptable. Known-group validity showed that the K-PBQ score of the postnatal depressed group was significantly higher than that of the non-depressed group. The Cronbach’s ⍺ of the K-PBQ was .95.Conclusion: The K-PBQ was verified as a valid and reliable scale to measure postpartum bonding among parents with children under 12 months of age in Korea. It may contribute to facilitating further research on parent-infant bonding.
目的:我们评估了韩文版产后亲子关系问卷(K-PBQ)在有 12 个月以下婴儿的韩国父母中的有效性和可靠性:K-PBQ 的翻译考虑到了韩国文化的有效性,经过了翻译、回译和专家小组审查。通过对 308 对夫妇(N=616)的数据进行探索性因子分析(EFA)和确证性因子分析(CFA),对结构效度进行了测试。利用 K-PBQ 与测量依恋、产后抑郁和夫妻适应等概念的工具之间的相关性,进行了收敛性和区分性验证。K-PBQ 的信度使用 Cronbach's ⍺ 系数进行计算:EFA显示,25个项目的K-PBQ由两个因子组成:亲密关系受损(17个项目)和婴儿护理负担(8个项目)。最终的模型拟合结果是可以接受的。已知组效度显示,产后抑郁组的 K-PBQ 得分明显高于非抑郁组。K-PBQ 的 Cronbach's ⍺ 为 0.95:K-PBQ被证实是测量韩国有12个月以下婴儿的父母产后亲子关系的有效而可靠的量表。它可能有助于促进对亲子关系的进一步研究。
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引用次数: 0
期刊
Journal of Korean Academy of Psychiatric and Mental Health Nursing
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