• Title/Summary/Keyword: 돌봄자

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Determinants of Amount of Service Use in Community-Based Long-term Care for Elders (노인장기요양보험 재가서비스 이용량 결정요인)

  • Lee, Taewha;Kim, Bok Nam
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.4
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    • pp.402-413
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    • 2012
  • Purpose: This study was done to explore factors related to amount of service use for elders with long-term care needs. Methods: A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed. Results: There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001). Conclusion: The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.

Structural Equation Model for Caregiving Experience of Families Providing Care for Family Members with Mental Disorders (정신질환자 가족의 돌봄경험 구조모형)

  • Oh, In Ohg;Kim, Sunah
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.97-106
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    • 2015
  • Purpose: This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder. Methods: The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires. Results: Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators. Conclusion: Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis (치매 환자의 가족 돌봄 제공자가 인식하는 사회적지지: 개념 분석)

  • Kim, Aeri;Kim, Jeongyeon;Woo, Kyungmi
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.540-554
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    • 2021
  • Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.

The Activities of Dementia Partners and the Quality of Life of the Elderly with Dementia in Rural Area (일 농촌지역 치매 파트너 활동과 치매 노인의 삶의 질)

  • Kim, Sung lim;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.230-241
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    • 2021
  • Objectives: The purpose of this study was to identify the level of quality of life and related factors in the elderly with dementia living in their houses of rural area who are receiving dementia partners' supporting activities. Methods: The study participants were 55 elderly people with dementia living in their houses who were participating in the dementia partner pilot project among those registered in the public health center in one area and 55 dementia partners. Data were analyzed by independent t-test, ANOVA, Pearson correlation analysis and multiple regression analysis. Results: The factors that had a significant effect on quality of life included depression to predict the quality of life in the elderly with dementia. And its explanatory power was 46.8%. Conclusions: Based on these results, it is crucial not only to maintain physical functions but also to decrease depression by emotional support activities so as to enhance their quality of life, therefore, it is required to develop and apply the integrative supporting programs in rural area. From the result that dementia partner's self-compassion would lower the depression in the elderly with dementia significantly, it is considered to develop the programs to enhance dementia partners' self-compassion.

Systematic Review on Outcome and Trends of Community Care Pilot Project in Korea (국내 지역사회 통합돌봄 선도사업 성과 및 동향에 관한 체계적 문헌고찰)

  • Kim, Kyoung-Beom;Heo, Min-Hee;Jang, Ha-Eun;Noh, Jin-Won;Kim, Jang-Mook
    • Journal of Convergence for Information Technology
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    • v.12 no.5
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    • pp.159-167
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    • 2022
  • At the present time, no systematic review has been conducted to report the project's outcomes or trends. This study systematically reviewed existing evidence related with community care pilot project. A total of 61 articles, including 18 original literatures and 43 review literatures were finally selected. For original literatures, the most frequent literatures focused on demand surveys (n=4) and model proposals (n=4), the utilization of touchpoint (n=3), space design and architectural model (n=3), manpower training and role establishment (n=2), followed by prioritizing objectives (n=1) and research trend study (n=1). For review literatures, the most frequent literature focused on the elderly (n=12) and relatively few literature on the disabled and mental illness (n=2). Since the pilot project for community care has been implemented for only about one year, the present study indicates that more future research is needed to the disabled, mental illness, and homeless should be conducted as well as elderly.

A Suggestions of Future Direction of the Integrated Community Care Business for Improvement of the Elderly's Life Care (노인의 라이프케어 향상을 위한 지역사회 통합돌봄사업 미래 방향에 대한 제시)

  • Yang, Seung-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.423-432
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    • 2021
  • In this study, we investigated and the following conclusions are presented by identifying the current status and problems in order to expand the future's value of the community care project introduced and implemented to improve the quality and care for the elderly's life. First, the needs analysis of the elderly receiving services is composed of patient-centered rather than investigator-centered, and in particular, medical management through medical staff visits should be strengthened, and specialized service items according to gender, age, disability type, and personal preference should be strengthened. This will have to be gradually strengthened. Second, by analyzing the satisfaction, redundancy, and effectiveness of service items, we save money, and consider the consumer-oriented service item composition and application of items necessary for new services. Third, through the introduction of an integrated schedule management system, it is necessary to specialize in pre-booking and visit schedule management between the elderly and the direct service organizations that provide services. Fourth, as an effort to solve the financial problem, it is necessary to prepare a rational resource sharing system with health and medical finance, long-term care insurance system, and social welfare financial project. and it may consider that putting the medical personnel who are from local public medical college input. Through these proposals, the community care business will be able to complete and have future value as a universal aged care system.

A Study of Effecting Factors on Job Satisfaction of the Elderly Care Social Workers (노인 돌봄 서비스관리자의 직무만족에 영향을 미치는 요인연구)

  • Kim, Keun-Hong;Park, Joon-Ki
    • 한국노년학
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    • v.30 no.1
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    • pp.195-220
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    • 2010
  • This study is to examine the job satisfaction of the social workers who manage the elderly care service in country, in order to find political alternatives and practical strategies for improving job satisfaction. The Factors to effect on job satisfaction are categorized as three groups ; personal factors, working environment factors and service related factors. The survey was conducted by 231 social workers who participated in a national seminar among 244 elderly care facilities in country, and 220 effective data were collected. Which factors effected on the job satisfaction of social workers and how much effected on it by them were mainly analyzed. The mean of job satisfaction status was 3.01, which was slightly higher than average(2.5). Men had higher job satisfaction than women. The unmarried than the married, permanent workers than contract workers, and workers who didn't execute other jobs had higher job satisfaction also. And The main factors which effected on job satisfaction were sex among personal factors, the manager willingness and not executing other jobs among working environment factors, and service attitude among service related factors. Particularly, the manager willingness was shown to effect on job satisfaction the most, and then service attitude, not executing other jobs and sex effected on it in order. The result showed that the elderly care facilities which had stronger manager willingness and better service attitude provided higher job satisfaction, and men who didn't execute other jobs than women had higher job satisfaction. The job satisfactions of payment and benefits, employment stability, appropriateness of working amount and working time, working environment and welfare conditions were lower than average. Therefore, the strategies to improve the lower job conditions are promptly required. Above all, the low payment strategy that has not been increased at all for 3 years has to be changed. In addition, it is important for the social workers not to execute other jobs as much as possible in order to reduce working amount and working time appropriately. In conclusion, it is required to try to improve the job satisfaction of the social workers who are the core of human service continually, which will make the elderly care service successful and effectiveness improved.

Senior Emergency Management System Using Self-Learning Information Analysis (자가 학습 행동 분석 기반의 시니어 응급관리시스템)

  • Lee, Duk-Hee;Lee, Young-Sik;Kim, Chong-Kyen;Choi, Chul-Jae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.5
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    • pp.1011-1018
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    • 2021
  • With the continuous increase of the senior population, it is necessary to introduce the 4th industrial revolution applied technology into the health and welfare field. In addition, a senior emergency management system centered on Nono Care is established due to the shortage of young people, which requires strategization of a welfare delivery system in which senior colleagues notify emergency relief facilities directly in case of an emergency. In this paper, senior emergency management system is designed to collect and analyze individual activities and inactivity information through senior self-learning through smartphone app and to predict emergency situations with voice and image registration information through smartphone app menu.

A Study on Community Sense and Needs of Community Programs for Large-scale Cooperative Rental Housing Resident (대규모 협동조합형 임대주택 입주예정자의 공동체 의식과 공동체 프로그램 요구에 관한 연구)

  • Kim, Ransoo
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.581-591
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    • 2021
  • This study aims to understand the community sense and need for community programs for large scale cooperative rental housing residents, and to set the direction of the construction plan. To this end, a survey was conducted on visitors and contractors of the model house in Westaybyeolnae. As a result of the analysis, the most visitors to the model house were in their 20s and 30s, while the number of contractors in their 30s was the most. Most of the model house visitors currently do not participate in community activities, but the contractors wanted to interact with neighbors about once a week. The contractors had high demands for sports facilities and child-rearing facilities, and the most demanded for living cooperatives and child care services. However, the range of neighbors required by age, the degree of meeting, common facilities and programs required were different.

UK and Sweden Work-Family Policy on Work.Care Citizenship (노동권.부모권 관점에서 본 영국과 스웨덴의 일-가족양립정책)

  • Kim, Na Yeon
    • Korean Journal of Childcare and Education
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    • v.9 no.1
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    • pp.51-79
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    • 2013
  • This study was done to find out how women acquire their work citizenship through work-family reconciliation policies from the point of view of labour right and care right. This study investigated how labour right and care right, established by work-family reconciliation policies, are organized on a national level through the methods of socialization of the care such as the strategies of familization, de-familization, commodication and decommodication because paid labour and unpaid care work can be concretely embodied by such strategies. Actually in the care systems in the UK and Sweden, gender roles related to the responsibility for care was assumed differently. For that reason, the socialization of the care in these countries have been developed in a different way. And different results have been created from the two different countries in labour rights and care righst of man and women. The matter whether a society regards a woman as a laborer or caregiver especially has been an important starting point for the way in which social sharing of care develops. Work-family reconciliation policies stated in this study are very important factors. We can understand that care is not simply a duty of a man or a woman but an important human desire, which has to be granted to both a man and a woman as one of their own individual rights.