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통합적 스트레스 관리 프로그램이 정신과 환자의 입원 스트레스와 우울에 미치는 효과

Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients

정신간호학회지 2019년 28권 3호 p.226 ~ 235
김지은 ( Kim Ji-Eun ) - 국립정신건강센터

정명실 ( Chung Myung-Sill ) - 성신여자대학교 간호대학
권미숙 ( Kwon Mi-Sook ) - 국립정신건강센터
강선아 ( Kang Sun-Ah ) - 국립정신건강센터
고자인 ( Ko Ja-In ) - 국립정신건강센터
강현아 ( Kang Hyeon-A ) - 국립정신건강센터
서미희 ( Seo Mi-Hui ) - 국립정신건강센터
송영옥 ( Song Young-Ok ) - 국립정신건강센터
남윤영 ( Nam Yoon-Young ) - 국립정신건강센터 의료부

Abstract


Purpose: The purpose of this study was to test the effects on stress and depression by developing and implementing an integrated stress management program for inpatients in the psychiatric closed ward.

Methods: The study was a one-group pretest-posttest design. A total of 36 patients in the closed ward participated in this study. Data were collected through self-report questionnaires to measure hospital stress and depression. Data were analyzed by using t-tests and one-way ANOVA with SPSS/WIN 21.0.

Results: Integrated stress management program was designed based on Lazarus and Folkman stress-appraisal-coping model. Total of eight 1-hour sessions were delivered for four weeks in the group. There were significant differences in the inpatient stress scores before and after the intervention. However, the integrated stress management program showed some reduction in depression but did not show signifiant differences statistically.

Conclusion: Our study findings confirm that the use of the integrated stress management program can reduce stress of the patients, that enable them to stabilize their minds at hospitalization. However, further study is needed to confirm the effects on depression. Thus, it would be beneficial to provide psychiatric nursing intervention tailored to psychiatric patients’ symptoms, especially for reducing inpatient stress.

키워드

관리 프로그램; 심리적 스트레스; 우울; 정신과; 입원 환자
Managed care programs; Stress; Psychological; Depression; Psychiatry; Inpatients
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