본 연구의 목적은 정신질환자의 권리에 대한 정신보건시설 종사자의 인식정도와 실제 보장 정도를 확인하기 위한 서술적조사연구이다. 연구대상자는 정신보건시설 종사자 231명을 대상으로 하였고, 자료수집기간은 2007년 2월 10일부터 3월 5일까지였다. 본 연구의 결과는 정신보건시설 종사자의 정신질환자 권리 인식은 사전 동의, 치료받을 권리, 비밀보장, 기본적 권리, 일상생활 및 환경, 입원, 치료를 거부할 권리 순으로 나타났다. 실제적인 권리 보장정도는 사전 동의, 치료받을 권리, 비밀보장, 일상생활 및 환경, 기본적 권리, 치료를 거부할 권리, 입원 순이었다. 종사자의 특성에 따른 권리 인식정도는 최종학력, 종교, 월수입, 직종, 권리교육 참석경험 등에서, 권리 보장정도는 월수입, 근무기관, 정신보건과 현재기관 근무경력 등에서 차이가 있었다. 본 연구결과는 정신보건시설에서 정신질환자의 권리 향상을 위한 기초자료로 활용될 것이다.
This study was to examine the recognition and guarantee for psychiatric patients' rights of mental health care workers. The participants of this study were 231 mental health care workers from 10 mental health care institutions located in J city, Korea. Data was collected using questionnaires consisting of one instrument measuring participants' recognition and guarantee for psychiatric patients' rights, and participants' characteristics. Collected data were analyzed using descriptive analysis, t-test, one-way ANOVA with SPSS 12.0. The results of this study showed the mental healthcare workers' recognition and guarantee were significantly different in every subscales. Besides, the difference between recognition and guarantee toward psychiatric patients' rights was significantly associated with participants' occupations. Based on the findings, guiding where nursing education efforts should be focused to help putting in place the psychiatric patients' rights.
UN, UN principles for the protection of persons with mental illness and the improvement of mental health care. 46-119. 1991.
WHO, Guideline for the promotion of human rights of person with mental disorders. Division of Mental and Prevention of Substance, Geneva, 1996.
Y. J. Ha, S. N. Jeon, H. S. Hong, J. H. Kim, A study on mental health policy for psychiatric patients' rights. The National Center for Mental Health Research & Education, Seoul National Hospital, No 12, pp. 1-284, 2006.
National Human Rights Commission of Korea, National Human Rights Commission of the Republic of Korea Annual Report 2007.
J. H. Park, Psychiatric nurses perception in ethical conflict situation. Unpublished master's thesis, Yonsei University, Seoul, 2004.
S. W. Kim, The human rights for psychiatric patients and the police: focus on psychiatric medical institution cases. The Journal of Political Science & Communication, Vol. 8, No. 1, pp. 160-184, 2005.
S. H. An, A study on the conception and attitudes of social workers toward self-determination related to mental patients' discharge. Unpublished master's thesis, Silla University, Busan, 2000.
O. K. Yang, Social Stigma on People with Mental Disorder. Korean Journal of Social Welfare, Vol. 35, pp. 231-261, 1998.
W. T. Jeon, Ethics in psychiatry. Journal of the Korean Neuropsychiatric Association, Vol. 32, No. 1, pp. 14-26, 1993.
C. H. Yoon, Competence of psychiatric research subjects. Journal of the Korean Neuropsychiatric Association, Vol. 32, No. 2, pp. 231-240, 1993.
K. S. Kim, A study on the recognition of the psychiatric nurses for the right of psychiatric patients. The Journal of Korean Psychiatric and Mental Health Nursing Academic Society, Vol. 3, No. 2, pp. 35-46, 1994.
S. H. Kwon, A study on social worker's recognition for the rights of people with mental illness. Unpublished master's thesis, Kyungpook National University, Taegu. 2001.
S. M. Kim, A study on recognition for hospitalized patient's rights. Unpublished master's thesis, Chungnam National University, Daejeon, 1991.
M. K. Seo, The assurance and restriction on human rights of the mentally ill. Korean Journal of Social Welfare, Vol 55, pp. 231-254, 2003.
Hamann, J., Cohen R., Leuch, S., Busch R., Kissling, W. Do patients with schizophrenia wish to be involved in decisions about their medical treatment?, American Journal of Psychiatry. Vol. 162, pp. 2382-2384, 2005.
H. G. Ju, Effects of human right sensitivity program on the human right consciousness and attitudes of the mental health of psychiatric mental health nurses. Unpublished master's thesis, Ewha Womans University, Seoul, 2012.
S. I. Park, & S. M. Lee, A study on the effectiveness of the programme for human rights education. The Journal of Education Research, Vol. 38, No. 1, pp. 185-205. 2000.