• Title, Summary, Keyword: Illness Management and Recovery

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Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness (회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향)

  • Shin, Eun-Sik;Lee, Hyun-Bok;Jeon, Mi-Sook;Kim, Sun-Hee;Yoon, Bo-Hyun;Sea, Young-Hwa;Park, Su-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.579-591
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    • 2017
  • The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

The Effects of Recovery Oriented Practices on Psychiatric Symptoms of People with Mental Disorder (회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향)

  • Lee, In-Jeong;Kim, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.605-611
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    • 2018
  • This study examines the effects of recovery-oriented practices on psychiatric symptoms of people with mental disorder and further explores the impact of recovery-oriented practices in each subcategories on psychiatric symptoms, thereby demonstrating the intent of restoring the community mental health rehabilitation center. For this, a survey was conducted on 378 people with mental disorder who used community mental health rehabilitation center and correlation and hierarchical regression analysis were conducted. The study found that among the five subcategories of recovery, including age and duration of illness, 'Life Goal,' 'Involvement,' and 'diversity of treatment options' alleviate symptoms of people with mental disorder. Based on these findings, community mental health rehabilitation center has presented the combined significance of psychiatry and social welfare programs to facilitate the recovery of the mentally handicapped by reflecting the value and factors of recovery-oriented practice.

Big Data Decision Analysis of Stress on Adolescent Mental Health

  • Park, Jinhyeok;Kang, Un Gu;Lee, Youngho
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.11
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    • pp.89-96
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    • 2017
  • This study analyzed how mental health affects stress in adolescents. The subjects of the study were data of about 60,000 middle and high school students living in the country, using cross-tabulation data and chi - square test to analyze the relationship between stress and mental health of adolescents. As a result of the research, it was found that the adolescents exposed to the excessive stress showed a poor correlation with the recovery of the fatigue, while the adolescents with relatively low stress showed the good recovery of fatigue. In the case of mental illness, depression or despair, the students who answered that they were stressed showed a lot of experience. In the case of suicide ideation, suicide attempt, and suicide attempt, the number of attempts to commit suicide was high when the level of perceived stress was high similar to the result of previous analysis. This finding confirms that stress is an important factor in the quality of life in adolescent mental health. It can be used as a strategy and business to prevent the problem of youth suicide in modern society in advance by stress management.

Radiological Accident and Acute Radiation Syndrome (방사선 사고와 급성 방사선 증후군)

  • Roh, Hyung-Keun
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.2
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    • pp.39-48
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    • 2011
  • In mass casualty situation due to radiological accidents, it is important to start aggressive management with rapid triage decisions. External contamination needs immediate decontamination and internal contamination should be treated with special expertise and equipment to prevent the rapid uptake of radionuclides by target organs. Acute radiation syndrome shows a sequence of events that varies with the severity of the exposure. More severe exposures generally lead to more rapid onset of symptoms and severe clinical findings. After the massive exposure, various systems of the body reflect their severe damages that can lead to death within hours or up to several months. The disease progression has classically been divided into four stages: prodromal, latent, manifest illness, and recovery or death. Three characteristic clusters of symptoms including the hematopoietic syndrome, the gastrointestinal syndrome and the cerebrovascular syndrome are all associated with the acute radiation syndrome. The standard medical management of the patients with a potentially survivable radiation exposure includes good medical, surgical and supportive measures. Specific treatment with cytokines and bone marrow transplantation should be considered. The management of internal contamination is much the same as the treatment of poisoning. The standard decontamination should be applied to reduce uptake, and the chelating agents can be administered to enhance the clearance of radioisotopes. Radioactive iodine ($^{131}I$) as one of the nuclear fission products can increase the incidence of thyroid cancer in children. Potential benefit of potassium iodide prophylaxis is greater especially in neonates, infants and small children.

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Patient Management to Improve the Efficiency of Infectious U-MAS System Design (전염성 환자관리의 효율성을 개선하기 위한 U-MAS 시스템 설계)

  • Shin, Yoon-Hwan;Shin, Ye-Ho;Ryu, Keun-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.9
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    • pp.75-84
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    • 2009
  • In this paper, the EPC Network as the most important technologies in the field of applied technology research and special attention to the use of RFID to better manage the disease in infected U-MAS (U-Medical Administrative Services) system was designed. U-MAS system, the Center for Disease Control in the illness, depending on the type of isolate and treat infected patients, recovery, discharge, isolation wards and intensive italian to manage and increase efficiency, manual and use a simple computer program improve the qualify of the current level, using RFID tags to improve the management of the patient everything that a little more and be out of the isolation ward, if competent disease management districts, such as the location to respond more quickly to facilitate the purpose is to contribute to. First, EPC Network and related technology for mobile RFID systems and related technology research. U-MAS system design offers. If you take advantage of the proposed U-MAS system for monitoring infectious disease patients and patients in the isolation ward, when the unauthorized departure location to shorten the time it takes to improve the effectiveness of disease management and present the elected effects was.

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Childhood Onset of Anti-N-Methyl-D-Aspartate Receptor Encephalitis Without Teratoma Masquerading as a Psychotic Disorder

  • Yeum, Tae-Sung;Lee, Jung;Park, Sung-Yeol;Joen, Yaelim;Kim, Bung-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.3
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    • pp.127-131
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    • 2019
  • Many neurologic disorders manifest as psychiatric symptoms. Anti-N-Methyl-D-Aspartate (NMDA) receptor encephalitis is an autoimmune disease of the brain characterized by numerous neurological and psychiatric features. Despite being rare, its prevalence is rapidly increasing and early management is critical in ensuring successful and sustainable recovery. Therefore, the illness should be considered as a differential diagnosis when clinically assessing patients. This report presents a case of a female child who was hospitalized for acute psychiatric manifestations, which was later confirmed as anti-NMDA receptor encephalitis. She recovered relatively successfully after combined neurological and psychiatric treatment. This report provides information on the clinical course of early onset anti-NMDA receptor encephalitis, including treatment strategy and prognosis.

Nutrition Care of Diet - refusal Patients having Difficulties in Adapting to Hospital Diet (병원식사 부적응으로 인한 식사 거부 환자의 영양관리)

  • Kim, Hye-Jin;Jeon, Su-Jin;Jeong, Gyeong-Hui
    • Journal of the Korean Dietetic Association
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    • v.7 no.1
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    • pp.65-71
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    • 2001
  • The purpose of this study was to produce proper nutrition and foodservice through positive intervention for diet-refusal patients who has difficulties in adaptation to hospital diet, and to contribute to hospital management with the focus of fast recovery. The survey was conducted using questionnaires between July 18 and August 17, 2000. The subjects were consisted of 24 diet-refusal patients who were hospitalized in St. Mary's Hospital except the patients hospitalized for the purpose of operation or pre-therapy tests. Also chart reviews were conducted. The statistical analysis of data was done by SAS/win 6.11 package to determine descriptive analysis and paired t-test and Pearson's correlation. The summary of study results is as follows : 1. Most of the subjects was receiving chemotherapy. The leading place for offering private food was from patient's home. Subjects worried about delayed recovery from illness due to nutritional problems caused by extreme fasting. The problems were in order of anorexia, nausea and vomiting during therapy process. 52.4% of subjects ate hospital diet after positive intervention. 2. Major reasons of hospital diet-refusal patients' dissatisfaction were in order of expenses, dissatisfaction, serum total protein levels were significantly lower(p<.05). 3. Serum Alb(p<.05), Hb(p<.05), Hct(p<.05) and TLC(p<.001) levels showed significantly negative correlations with fasting duration. With these results, it is concluded that a major cause of malnutrition among patients is to last fasting.

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Dynamic Developmental Factors and their Problem Solving of Patients that Abuse Marihuana (마리화나 남용환자의 역동적인 발달요인과 문제해결)

  • 원정숙
    • Journal of Korean Academy of Nursing
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    • v.4 no.3
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    • pp.105-116
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    • 1974
  • This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatric Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients. 1. It appears that marihuana is a comparatively mild intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approximately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and pharmacists. The men belong mostly to the middle foreigner′s mistress of higher, income bracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dynamic developmental factors: Case 1. : The patient had a characteristic, hysterical and emotionally unitable character, and was of low intelligence, In addition, to this already existing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irresponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings against the "established system" by the youngsters. (2) Family problem. (3) Shamelessness, loss of motivation, disorderly attitude toward the sex, (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngman who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, are such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society, 5. Treatment and Problem sieving According to the literature, we will have to place importance upon hospitalized treatment The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal Phase (3) Rehabilitation phase (4) Transitional phase (5) After-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patients would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor′s interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further study on the questions of the young generation and its problems.

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