The Journal of the Korean Institute of Forest Recreation (한국산림휴양학회지)

Korean Institute of Forest Recreation Welfare (한국산림휴양복지학회)
권호 표지

An Analysis of Infrastructure and Provision of Forest Welfare Service in Nursing Homes for the Elderly

노인요양시설의 산림복지서비스 인프라 및 제공 실태

  • Lee, Insook (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Kim, Sungjae (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Bang, Kyung-Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Yi, Yunjeong (Department of Nursing, Kyung-In Women's University) ;
  • Kim, Miju (Department of Health Administration, Seoul Cyber University) ;
  • Moon, Hyojeong (College of Nursing, Seoul National University) ;
  • Yeon, Poung Sik (Department of Forest Science, Chungbuk National University) ;
  • Ha, Ei-Yan (Department of Forest Therapy, Chungbuk National University) ;
  • Chin, Young Ran (Department of Nursing, Chungwoon university)
  • 이인숙 (서울대학교 간호대학 간호과학연구소) ;
  • 김성재 (서울대학교 간호대학 간호과학연구소) ;
  • 방경숙 (서울대학교 간호대학 간호과학연구소) ;
  • 이윤정 (경인대학교 간호학과) ;
  • 김미주 (서울사이버대학교 보건행정학과) ;
  • 문효정 (서울대학교 대학원 간호학과) ;
  • 연평식 (충북대학교 산림학과) ;
  • 하이얀 (충북대학교 대학원 산림치유협동과정) ;
  • 진영란 (청운대학교 간호학과)
  • Received : 2018.05.30
  • Accepted : 2019.01.11
  • Published : 2018.12.31

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Abstract

This is a cross-sectional study that suggests ways to activate forest welfare services (FWS) by investigating the infrastructure, service status, and perception on FWS in Korea. In August 2016, a structured email survey was conducted in nation widely. The respondents were mostly directors and general secretary (75.0%). The considerable number (16.3%) of nursing homes (NH) use some floors of the complex buildings that would be difficult to have FWS infrastructure and about 30% of those without forests near the facilities. The directors of NH recognize that FWS has positive effects on the elderly. However, FWS is not an requisite of the longterm care insurance benefit, and so costly and effort-intensive that FWS has not been activated so far. In order to activate FWS in NHs, it is necessary to develop and disseminate the guidelines on FWS that anyone can easily followed. In addition, when the National Health Insurance Corporation evaluates NHs, they should evaluate not only whether there is a wandering or walking space, but also whether it has forest healing factors such as forests. It is also necessary to create a barrier-free environment both inside and outside of NHs, increasing accessibility to the toilet in gardens, paving a passage for wheelchairs and lifts in forests near NHs. Through these efforts, it is expected that FWS will be activated to provide physical, mental rest and comfort, appropriate cognitive stimulation to the NH residents at the end of life.

우리나라 노인요양시설의 산림복지서비스 인프라 및 서비스 실태, 관련 인식을 조사하여 산림복지서비스 활성화 방안을 제시한 횡단적 조사연구이다. 전국 노인요양시설을 대상으로 2016년 8월 한 달간 우편설문조사를 통해 수집한 123개 기관의 설문지를 분석하였고, 응답자는 대부분 원장 혹은 사무국장이었다(75.0%). 복합건물의 일부 층을 사용 중인 노인요양시설(16.3%)은 시설 내에 산림복지서비스 인프라를 갖추기 힘들 것으로 사료되고, 인근에 숲이 없는 경우(약 30%)와 숲이 있더라도 휠체어나 경사로가 없는 경우가 많아 이용에 제약이 많았다. 노인요양시설 운영자들도 산림복지서비스가 노인에게 긍정적인 효과가 있다고 인식하지만, 장기요양보험 급여의 필수항목은 아니고, 비용과 노력이 많이 소요되면서도 낙상, 이식증 등 사고위험이 있어 수행하지는 못하고 있었다. 국민건강보험공단이 노인요양시설을 평가할 때, 숲 등 산림치유적 요소를 갖추었는지를 평가할 필요가 있다. 시설 내 정원에 화장실 접근성을 높이고, 시설 인근 숲에 휠체어 진입이 가능한 통로와 리프트 이동로, 안전손잡이를 설치하는 등 산림복지서비스가 가능한 환경으로 조성할 필요가 있다. 또한, 정부는 노인요양시설 산림복지서비스 가이드라인을 개발 보급하여 시설 내외부에서 간편하게 따라할 수 있도록 지원할 필요가 있다. 이러한 노력을 통해 생의 마지막 단계에 있는 노인요양시설 입소노인에게 신체적 정신적 편안함과 적절한 인지자극을 줄 수 있을 것이다.

Keywords

Acknowledgement

Supported by : 산림청

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