정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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만성정신질환자의 자립 및 주거 서비스에 대한 요구도 조사

A Study on Self-reliance and Residential Service Needs of Patients with Chronic Mental Illness

  • 전현주 (고려대학교 의과대학 안산병원 정신건강의학과 임상심리실) ;
  • 허유정 (고려대학교 의과대학 안산병원 정신건강의학과 임상심리실) ;
  • 고영훈 (고려대학교 의과대학 안산병원 정신건강의학교실) ;
  • 이재헌 (국립재활원 정신건강의학과)
  • Jeon, Hyun Ju (Department of Psychiatry, Korea University Ansan Hospital, Office for Clinical Psychology) ;
  • Huh, Yu Jeong (Department of Psychiatry, Korea University Ansan Hospital, Office for Clinical Psychology) ;
  • Ko, Young-Hoon (Department of Psychiatry, Korea University Ansan Hospital) ;
  • Lee, Jae-Hon (Department of Psychiatry, National Rehabilitation Center)
  • 투고 : 2018.09.29
  • 심사 : 2018.12.23
  • 발행 : 2018.12.31
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초록

연구목적 만성정신질환자들의 회복 및 사회적 복귀를 돕기 위해 주거시설 서비스가 제공되고 있지만, 집단적인 보호방식 및 획일화된 훈련 등으로 인해 문제가 되고 있다. 이에 주거훈련시설에 대한 연구 참여자들의 기대 및 욕구를 알아보기 위해 조사 연구가 이루어졌다. 방 법 안산 지역 내 정신보건 기관을 이용하는 만성정신질환자 139명을 대상으로, 설문을 통해 인구사회적 특성, 자립의지, 원하는 주거 시설 형태 및 주거 서비스에 대해 조사하였다. 결 과 과반수이상이 자립에 대한 욕구를 보였으며, 이를 위해 일자리 지원을 가장 필요로 했다. 주거 시설 이용에 대해서는 긍정적인 태도를 보였으며, 일상생활 및 사회기술 훈련이 필요하다고 하였다. 시설형태는 주간재활방식을 선호했고, 주중에는 공동생활을 하다가 주말에는 집으로 귀가하는 운영방식을 원했다. 결 론 주거훈련시설 참여와 관련하여 실제 이용자들의 욕구가 실질적인 치료 및 재활프로그램에 반영될 수 있도록, 주거훈련시설 및 재활서비스의 개선이 필요하겠다.

Objectives : Residential services are provided to help patients with chronic mental illness, but those have some problems because of provider focused services and uniformized training. So the purpose of the study was to explore residential needs of patients with the chronic mental illness such as chronic schizophrenia. Methods : A survey was conducted on 139 mental illness patients using mental health facilities at Ansan city area in South Korea. We investigated their demographic and social characteristics, the degree of self- reliance and residential service needs. Results : More than half of them had the desire for self-reliance, and they needed job support mostly. They were positive about the use of residential facilities and needed daily living skill and social skill training. Also they preferred day rehabilitation in type of facility. And they wanted to operate in a way that they returned home at the weekend after group home. Conclusions : For facilitating the recovery of patients with chronic mental illness, it would be necessary to provide individualized residential rehabilitation services and to improve existing residential facilities and programs reflected on the patients' needs.

키워드

Table 1. General characteristics of subjects (n=139)

JSSCBG_2018_v26n2_145_t0001.png 이미지

Table 2. Living status and social support of subjects (multiple responses)

JSSCBG_2018_v26n2_145_t0002.png 이미지

Table 3. Needs for self-reliance & independent life (multiple responses)

JSSCBG_2018_v26n2_145_t0003.png 이미지

Table 5. Needs for residential service type

JSSCBG_2018_v26n2_145_t0004.png 이미지

Table 4. Needs for residential training service

JSSCBG_2018_v26n2_145_t0005.png 이미지

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