• 제목/요약/키워드: 복지 환경

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환자낙상에 영향을 주는 환경, 의료과정, 그리고 환자 관련 요소에 관한 연구 - 미국의 일반내과병동 환자낙상 데이터 분석을 통한 후향성 연구 (A Study on Environment, Care Process, and Patient-related Factors Associated with Patient Falls - A Retrospective Study of Inpatient Falls in the Unit of General Medicine in the United States)

  • 최영선
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권1호
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    • pp.33-40
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    • 2018
  • Purpose: The main objective of this paper is, to assess environment, care process, and patient-related factors associated with patient falls. The study also aims at identifying various factors that would affect inpatient falls and, therefore, helping both caregivers and designers contribute to better prevent inpatient falls in their own areas of expertise. Methods: A retrospective analysis of inpatient falls that occurred in the unit of General Medicine in the United States has been conducted and environment, care process, patient-related factors associated with those falls have been analyzed at the same time. Results: The study identified several factors associated with inpatient falls. They range from environmental factors to care process- and patient-related factors. Patient visibility and patient accessibility can matter to patient falls and where those falls occur, along with patient days per room, the percentage of patient days with high fall risk patients per room, the percentage of high fall risk patients per room. Implications: The findings of the study can provide design implications that can be incorporated into design process and design decisions to promote fall prevention in inpatient care units. Inpatient falls can be effectively reduced when caregivers and designers work together to understand the complex nature of inpatient falls and the importance of multidisplinary efforts among various experts in the areas of healthcare.

사용자 이해에 기반한 공공병원 병실환경 개선에 관한 계획적 연구 - 지역 거점 공공병원의 사례연구를 중심으로 (A Planning Study on the Improvement of Public Hospital Patient Room based on the Understanding of User - Focused on the Case Study of District-Based Public Hospital in Korea)

  • 오경미;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제20권4호
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    • pp.49-56
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    • 2014
  • Purpose : This purpose of this study is to make a better public hospital patient room to reflect the views of the patient. Methods: Survey to examine patient experience on healing environment in public hospital have been conducted for the data collection. 229 open-ended answers have been analysed statistically by MS Excel program. Results : 1) If there is no toilet space in the six-patient room, installation of toilet in the patient room is necessary. 2) The most Frequently used patient furnitures are necessary to accomodate the patients needs. Depending on the patient condition, installation of a portable or fixed the room furniture for the convenience to the using furniture. 3) According to the flow of modern times, wireless internet access is required to install of expand the space. Also be used to establish a regulations of internet space. 4) To create healing environment infection free environment should be provided. 5) Need for improvements of patient room for relatives of patient. It is necessary to secure a comfortable space to stay. 6) Separation is needed among the patients through therapeutic classification. Implication : In order to provide a better patient room environment, it is necessary to reflect the patient's opinion.

장애인 생활환경실태 조사연구 (A Study on Analysis of Actual Condition of Physical Living Environment for the Challenged People)

  • 이성규;정은영
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제12권3호
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    • pp.43-51
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    • 2006
  • This study was from the survey on the items related to the challenges, the activity frequency of the challenged people and the places where these activities take place and the satisfaction and the demands on the facilities for the challenged people from 1,284 challenged people over the age of 20 living in Korea nation wide. From the survey, it was shown that the biggest demand lied in the improvement of the facilities related to the transportation and access for their residence and social activities. They felt they are inconvenient for the perspective of the implementation rate. Additionally, they had high desire for culture and physical educational activities. Improvements to provide convenient environments where the challenged people can access to and use the facilities as conveniently as unchallenged people do by minimizing the physical hindrances are urgently needed. For time being, many facilities for the challenged people was supplied to improve the physical environments for challenged people, however, foreign regulations had to be adopted for these job due to insufficient date on physical conditions of the challenged people in Korea. Moreover, current facilities for the challenged people emphasized more on physical aspect and the facility itself without the considerations on the overall environments, as result the improvement satisfaction and efficiency were low. More flexible and humane design approaches are needed instead of relying on supply rate and try to fully consider the characteristics of the challenged people without any discrimination.

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노인특성을 고려한 노인요양시설 치유환경평가에 관한 연구 - 서울 시립 노인요양시설을 중심으로 - (A Study on the Evaluation of Treatment Conditions of the Nursing Homes based on the Characteristics of the Elderly - Focusing on the Municipal Nursing Homes in Seoul -)

  • 송효주;최상헌
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제15권3호
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    • pp.31-39
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    • 2009
  • Population of senior citizens in Korea has been on the increase rapidly through decrease in population by falling birth rate and extension the average life span by development of medical technology and improving people's standard of living. As the booming population of senior citizens, it has appeared to problems of the elderly such as protection, health and supporting and welfare facilities for the elderly have increased there but it leaves something to be desired at plan and improvement of qualitative environment which the elderly's living space. It attaches importance to valuate about nursing homes such as management, quality of service, manufacture of physical environment and so on, so it is required to consider the elderly's emotion on environmental valuation. Healing environment that is a important fact of indoor environment operates powerfully upon the nursing homes as well as general medical facilities. It needs to healing environment for the elderly's physical health and mental stable life, we should know importance of healing environment that affects the elderly's health and life. The elderly have experienced physical, mental, and social changes with advancing years. The people who use the nursing homes are the elderly. We should find fact of healing environment as the elderly's characteristics and have to find healing environment that gives aid to the elderly's health in the nursing homes. In care for the elderly is not house care, it has focused on the elderly's health for improving their life and leading comfortable life.

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서울시 어린이 전문병원 외래진료부의 공간구성방식과 대기공간의 치유환경 구축방안에 관한 연구 (A Study on the Spatial Organization Methods of O.P.D & the Construction of Healing Environment on O.P.D Waiting Area in Children's Hospital in Seoul Metropolis)

  • 김건형;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권3호
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    • pp.37-48
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    • 2010
  • This study analyzes the present condition of the elements of a healing environment of the waiting rooms in outpatient clinics of children' hospitals (3 hospitals in Seoul) so as to propose a design to build a healing environment within the children' hospital. And analyzing the importance, satisfaction and preference of the healing environment in the waiting rooms, this paper has come to the following conclusions: 1)The study shows that the space structure of outpatient clinics in children' hospitals are composed of 1 story or 2 stories and designed in a duplication design or a dispersed alcove design. 2)The waiting room of the SC Hospital, with an area of 66.56$m^2$, and the waiting room of the SU Hospital, with an area of 38.78$m^2$ received the highest score for its space. 3)As most patients visit the hospital with their guardian, the waiting room should also be someplace families can rest and share information with others. 4)It is essential to build an environment that eliminates stress elements that patients may come to face by minimizing noise and elements that obstruct the view for mental stability. 5)The results show that those who took part in the survey preferred the following, respectively, healing environment design for the waiting room in the outpatient clinic at children' hospital: Pleasantness>Easiness in finding one' destination>Artificial materials>Natural materials>Environment like that at home>Co-promotion spaces>Space that supports the patients'activities>Openness>Sociality>Safety/Security>Approachability and Privacy. The results also show that healing conditions respect these preferences.

도시형 대안학교 공간의 치유환경에 관한 연구 - 성미산 학교 공간을 중심으로 - (A Study on the Healing environment of Urban Alternative School's space - Focused on Sungmisan School's space -)

  • 진달래;김광호
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제15권4호
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    • pp.3-11
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    • 2009
  • As de-schooling students (students who leave schools) have been produced and increased in middle and high schools every year since 1990s, urban alternative schools have founded with Seoul as the center. The objects of such urban alternative schools are de-schooling teenagers, and their educational goal is to make the students to discover their own values and grow as members of the community by accomplishing their healing and growth. Most of students in alternative schools have excessive self-centered feeling than ordinary people, and since they don't have exchanges with others, they have to receive holistic healing along with education. Here, 'healing' is a method of approaching to health through environmental, psychological, social and cultural supports unlike 'treatment' used for medical means. Therefore, holistic healing for alternative schools' students has to accomplish self-knowledge, self-control, and self-healing without repulsion through spaces of healing environments instead of heavy-handed exchanges. This study has integrated a theory of Max $L{\ddot{u}}scher$ who suggested a psychological healing theory in terms of internal character and a theory of Rudolf Steiner who suggested it in terms of practical and holistic sense and analyzed Sungmisan School, one of urban alternative schools in Seoul through the integrated theory. The analysis of the integrated theory are intended to emphasize the importance of healing environments and suggest methods in creating healing environments for urban alternative schools in the future.

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여객자동차터미널의 장애물 없는 생활환경 인증 평가에 관한 연구 (A Study on Barrier-free Certification Evaluation of the Bus Terminals)

  • 강병근;강태성;김상운;이주형
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권2호
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    • pp.7-14
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    • 2016
  • Purpose: Caring for weak person in society, which increases the population of the elderly and people with disabilities is essential. By increasing along with the increase of the use of passenger facilities for travelers and pedestrian is increasing the demand for convenient and secure facilities for everyone. The emerging importance of the passenger-related facilities, but a representative study of the bus terminal facilities is lacking. Bus terminals are the most popular passenger facility. Thus, the bus terminal can be conveniently used by anyone in everyday life, however, the applied elements considering the use of the transportation Poor are not sufficient. Methods: This study was conducted to evaluate BF certification standards targeting bus terminals across the country to determine the availability of the transportation Poor in bus terminal. Result: As a result of the bus Terminal possibility BF certified it appeared to be very low. Also, items received the lowest rating of each item was evaluated in the informative facilities and items. Bus terminal is a facility used by the unspecified individuals, the proportion of first-time user is high, but there is a lack of consideration for the transportation Poor bus terminals. Implications: In the future, this study can guide the next research on the application of BF certification standards in bus terminal. Further studies can be presented to the improvement of the BF certification indicator in bus terminal.

제주지역 공공업무시설의 장애물 없는 생활환경 실태조사 연구 (A Survey on the Barrier-Free Environment of Public Office Building in Jeju Area)

  • 성기창;박철민;김인배
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권4호
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    • pp.29-36
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    • 2016
  • Purpose: Considering the proportion of the population such as the elderly, pregnant women, infants companion and constantly increasing foreign tourists, there is a high need for implementing an environment without barriers. In terms of policy and institutional aspects, Jeju Special Self-Governing Province is striving to create an environment without barriers and to promote the safety and convenience of Vulnerable Pedestrians. But it is not enough to create a viable barrier-free environment. Methods: Method of this research is to analyze the general population status and installed facilities status for the disabled in Jeju. And analysis of policy research needs and level of barrier-free. By applying the barrier-free environment certification standards should conduct an assessment of the level of the current public office buildings in Jeju. It presents the environmental improvement of public office buildings for barrier-free environment. Result: Barrier-free environment status of the five public office buildings research surveyed all buildings have shown low levels of installed facilities for the disabled. In particular, it was analyzed that represents a very low level in the intermediate facilities and other facilities. The development of a specific installation manual for the facilities for the disabled is required to improve public office buildings. And barrier-free criteria need to reflect on the implementation of regulations. Implications: Through continuous research to analyze the barrier-free level and problems of public office buildings, it will be made to improve the comprehensive and reasonable alternative.

정신보건시설인증제에서 요구되는 시설환경 평가에 관한 연구 - 의료기관평가인증원의 정신의료기관평가를 중심으로 (A Study on the Evaluation of Environmental Quality required in the Accreditation Program for Mental Health Facilities - Focus on the Mental Institutions Assessment of KOIHA)

  • 정희분;김억
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제22권4호
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    • pp.57-66
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    • 2016
  • Purpose: According to the trend of the global burden of disease, in the future our society is expected to face with gradually increasing problems related to mental health and the demand for the various types of quality mental health facilities. This study investigates whether the accreditation of Mental health facilities serves as a building evaluation tool, and contribute to environmental welfare of the mentally ill. Methods: The facility assessment items related to architectural design are extracted through the analysis about the accreditation program of KOIHA. Extracted items should review if they comply with the relevant regulations, and establish building design standard. Results: This study shows that the accreditation of KOIHA can certify psychiatric hospitals meet the legal requirements, the minimum standard of facilities. But it is not the evaluation of environmental quality. It is difficult to assess the quality of facility in terms of architectural design, because it has no specific standards or the level of assessment. Implications: The accreditation for mental health facilities should be able to provide the right and opportunity to choose a more quality facility for the customer. The introduction of a certification system for the evaluation of environmental quality is required in order to overcome the limitations of the accreditation of KOIHA. Development of design guidelines for mental health facilities that are the basis for certification should be also followed.

동·서양의 치유환경 관점의 차이에 관한 연구 (A Study on the Different Point of View in Healing Environment between the East and the West)

  • 손지혜;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제21권4호
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    • pp.7-15
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    • 2015
  • Purpose: The definition of healing and treatment is different between the East and the West. I suppose that the different definitions of them affect the notion of healing environment in two cultural area. Therefore the aim of this study is to consider the different perspective in healing environment between the East and the West. Methods: Relevant literature review around domestic and foreign reference in fields of medicine and architecture has been conducted to consider the purpose. Results: First, the perspective that the cause of disease stems from inside of body approaches the body from standpoint of healing for recovery. Healing is the way to conquer imbalance by entering into a connection with nature around body. The concept of healing could analyze that it come from relevant perspective. Second, the healing environment in the East is the place where the flow of Qi between, human and human, and, human and environment, keep a balance. The notion of healing environment in the East is the filed of relations. In the West, the notion of healing environment is the place where arouse fine emotions through sensory stimulations. Implications: Recently the studies of healing environment focus on deducing sensory stimulation factors scientifically in the perspective of the West. But the healing environment couldn't be possible without the notion of place of relations. In the future, the notion of healing environment as the field of relations in the East has to be concerned.