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특별 관찰 지시를 받은 정신과 환자들에 대한 고찰

Observation on The Patients with "Close Observation" Orderect by Psychiarist

최신의학 1970년 13권 12호 p.119 ~ 127
김동연, 신현필,
소속 상세정보
김동연 (  ) - 가톨릭대학 의학부 신경정신과학교실
신현필 (  ) - 가톨릭대학 의학부 신경정신과학교실

Abstract


Psychiatrists who admits the patients to the inpatients service not infrequently put the order like "close observation" on admission. Although there may be many reasons by which the psychiatrists incline to make such an order, the experiences on the floor reveal that the reasons may be summarized within the following two categories: 1) When the patient shows the signes of suicidal threats or of elopement. 2) The psychodynamics on the nature of the illness or development of the patient´s present illness are so complicated that the physician feels the nursing record to be regrded as one of the essential materials for drawing his conclusion in terms of diagnostic evaluation as well as establishment of treatment measures.
This study was designed to study some ecological factors among the patients for whom such an order like "close observation" was made in order to help the physician in charge draw their decisions further promptly as well as for the improvement of psychiatric care by knowing the ecology of such patients.
The subjects selected for this study were 40 patients including 23 males and 17 females. They were the inpatients at the department of psychiatry, St. Mary´s Hospital, Catholic Medical Center, between the period from January 1, 1970 to May 31 of the same year.
The results may be summarized as follows:
1) Sex and age distribution revealed that the largest proportion of the male group was in the second decade, consisting 8 cases (34.7%) while the female was in the third decade group consisting 6 cases (35.3%).
2) The attitudes on the part of patients were divided into two groups including positive and negative ones. The positive attitude included cooperative one or tensed yet possessing cooperativeness in the attitude. The negative attitude included suspicious, fearful or directly or indirectly hostile group. Of the total cases studied, more than half (27 cases, 67.5%) showed the sign of cooperative attitude toward the nurses while the 13 (32. 5%) showed obvertly negative attitude. It is interesting to note that 65.3% among the male group showed the cooperative attitude while only 35.3% among female cases showed the same attitude. While 4.3% among the male group showed hostile attitude, 35.3% among female group showed hostile attitude.
3) When these attitude were again classified in terms of their attitude toward their own parents, the following statement may be drawn. There are definite tendency that the patients, irrespective of sex, who maintained poor relation with the mothers revealed to be possessing ngative attitude toward the nurses while thoses who maintained hostile relationship with the fathers revealed fair attitude with the nurses.

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