정신질환자의 인권지표 개발 : 국립병원의 조현병과 양극성장애 환자를 중심으로
Developing the Indicator of Human Rights of People with Mental Illness : Focusing on People with Schizophrenia and Bipolar Disorder at National Hospital
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초록
본 연구는 정신질환을 지닌 사람들의 인권실태를 정확하게 파악하고 측정하기 위한 정신질환자의 인권지표 개발을위해 수행되었다. 인권지표의 타당성 선정기준 확보를 위해MI원칙,9) 정신보건법2) 등의 연구 결과를 근간으로 5점 리커트형 척도로 구성된 37문항의 인권지표를 개발하였다. 개발된 인권지표의 심리측정적 속성을 알아본 결과, 내적 일치도, 검사-재검사 신뢰도 및 문항-총점 간 상관 등 신뢰도와,척도의 영역과 내용으로 알아 본 구성개념 타당도 모두 양호하게 나타났다. 이와 더불어 비교적 쉽고 단순한 문항으로구성되어 있어서 본 연구에서 개발된 인권지표가 정신질환자의 인권에 관한 연구와 실태파악에 신뢰롭고 유용하게 사용될 수 있을 것으로 예상된다.
Abstract
Objectives The purpose of this study was to develop and validate the indicator of humanrights of people with mental illness (HRPM). Methods The HRPM scale was administered to 382 inpatients at national hospital psychiatric(schizophrenia 77.0%, bipolar disorder 7.6%). Reliability of HRPM was tested by internal consistency,test-retest reliability, and item-total correlation. Domains and contents were examined forassessment of construct validity of HRPM. Results Human rights of people with mental illness was highly reliable in terms of internal consistency(Cronbach alpha=0.87), test-retest reliability (r=0.81), and corrected item-total correlationr range from 0.42 to 0.71. In addition, construct validity of HRPM was established with thedomains and contents in conceptually expected ways. Conclusion These results offer reliability and validity for the indicator of HRPM. The implicationsand limitations of this study were discussed, and future directions of study were suggested.
참고문헌 (17)
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