• Fire Science and Engineering
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• v.32 no.4
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• pp.50-59
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• 2018

Recently, huge life losses occurred in the elderly long-term medical care fires due to lack of escape safety. As part of the measures to enhance the effectiveness of fire escape safety, while they prolong the available safe egress time (ASET) of non fire compartments, a measure to shorten fire-fighter's arrival time by fire alarm notifying device should be implemented in these facilities. The four categories from the aspects of fire prevention/protection engineering were provided with the necessary component technologies for carrying out these helper-guided evacuations. Fire prevention engineered technology was presented by two provisions; one for ensuring small compartment sections by installing the fire rated wall between bed rooms and another for ensuring the fire retardant or/and non-flammable performance of finishing materials. Also fire protection engineered technology was presented by two items; one for imposing cooling effects by sprinklers and another for providing automatic fire alarm notifying functions to fire stations. In order to improve the escape safety of these facilities in Korea, alternative revisions may presented by considering insufficient provisions in the architectural/fire law provisions by analyzing the provisions of Japanese and domestic laws in detail.

• Korean Journal of Adult Nursing
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• v.20 no.4
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• pp.664-673
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• 2008

Purpose: The purpose of this study was to identify the effect of meridian acupressure on constipation in bed-ridden aged inpatients. Methods: The research design was a non-synchronized non-equivalent control group pretest-posttest design. The subjects consisted of 28 bed-ridden aged inpatients. Meridian acupressure was administered to the experimental group at 30 minutes before breakfast every morning for two weeks. Each meridian was pressured for 10 seconds, 10 times. The frequency of defecation and stool form were examined every day. The data was analyzed by the $x^2$-test, Fisher's exact test, t-test and repeated measures ANOVA. Results: The experimental group given Meridian Acupressure had a higher frequency of defecation(F = 59.372, p = .000) and normal stool(F = 46.046, p = .000) than the control group. Conclusion: The results suggest that Meridian Acupressure was an effective method for the relief of constipation for bed-ridden aged inpatients. A follow -up research is needed to validate that other patients with constipation can use the Meridian Acupressure as a non-invasive nursing intervention instead of a laxative or enema.

• Journal of Korean Academy of Nursing
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• v.31 no.4
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• pp.656-668
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• 2001

Purpose: This study aims to identify the ADL and IADL of bed-ridden elderly. Also it is used to show fuctional status, and to investigate the content and the level of nursing services provided. Method: The subjects were 191 elderly who received visiting nurse service through public health centers in the Seoul Metopolitan and Chungnam Province. Data collection was conducted by public health center nurses during four months in 2000. Result: As for daily living activities, 100% of subjects had at least one difficulty in ADL and IADL. Among them, only 0.5% had moderate disabilities and 99.5% had severe disabilities by HFS, 27.9% were in a semi bed-ridden state and 72.1% were completely bed-ridden by JABC. The major service provided was a visiting nurse service which was preferable to the social welfare service. In the visiting nurse service, there was no significant difference according to the elderlys' functional status. In addition there was no standadization about the qualification of the visiting nurse, and single entry point for the nursing service. Conclusion: The researchers urgently suggest that a community based comprehensive service model has to be developed to respond to the needs of the elderly in Korea.

• 한국사회복지학회:학술대회논문집
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• 2002.04a
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• pp.573-604
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• 2002

우리나라도 2000년 들어 65세 이상의 노인인구는 7.2%를 넘어서서 본격적으로 고령화사회(aging society)에 들어섰다. "21세기는 고령자의 세기"가 된다고 해도 과언이 아니며, 2019년에는 14%가 넘어 고령사회(aged society)로 진입할 전망이다. 그러나 우리나라는 "고령자의 세기"라고 불릴 만큼 사회구조가 변화하고 있는 시점에서 노인 인구의 0.3%만이 시설에서 보호를 받고 있으며, 나머지 99.7%는 일반가정에서 생활하고 있다. 유교사회의 전통규범에 의해 99.7%의 노인들이 가족에 의해서 그들의 노년을 보내고 있으나, 핵가족화와 산업화에 따라 윤리규범이 깨어지고 있는 탈윤리시대에서, 더 이상 요보호 노인(와상노인, 중풍노인, 치매노인), 장애노인 등의 수발 및 보호는 윤리적 규범이나 가족, 가정에 의해서 충족되기는 점차 어렵게 되어 가고 있으며 극명한 한계를 보이고 있다. 이러한 사회적 상황과 가족부양체계의 변화는, 고령자를 대상으로 하는 각종 복지 시책 개발, 특히 재가노인 복지서비스의 필요성이 제기되고 있으나 우리나라는 아직 미미한 수준에 머물러 있다. 우리나라 재가노인을 위한 정책의 활성화와 서비스의 양적 확대 질적 고도화를 위해서는 첫째, 보편적으로 이용할 수 있도록 대상 범위를 확대해야 한다. 둘째, 의료서비스의 확충과 같은 전문적 서비스의 확대 실시가 요청된다. 셋째, 동일한 서비스내용에 대해서는 전달체계를 일원화할 필요가 있으며, 사업주체별로 역할을 분담하고 담당 인력별로 업무를 분담해서 전문성을 강화해야 한다. 넷째, 재가복지 서비스는 중앙과 지방의 분담에 의한 무료 서비스인 만큼 지원을 획기적으로 개선 나가며, 보편적 이용의 정도가 큰 서비스는 점차 정부지원의 서비스로 확대하되 저소득층에 대하여는 무료서비스를 제공하고 저소득층 이상에 대해서는 소득 수준에 따른 차등적 서비스 요금을 부과하는 것이 바람직하다. 그리고 보다 질 높은 서비스를 원하는 중산층 이상에 대하여는 시장 경제원리에 의한 실버산업이 활성화되어야 하며 일본에서 시행하고 있는 개호보험제의 도입방안도 적극적으로 검토되어야 할 것이다.

• Journal of dental hygiene science
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• v.15 no.5
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• pp.569-576
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• 2015

The aim of this study was to assess the oral health knowledge, attitude and behavior among geriatric care workers in long-term care facilities. A self-administered questionnaire was obtained from 212 geriatric care workers attending a professional education program of 2014 dementia pilot project. The questionnaire consisted of 4 parts of the training experience (2 items), knowledge (16 items), attitude (13 items), and behavior (4 items) on oral health care. Collected data were analyzed by frequency analysis, independent t-test, and one-way ANOVA using SPSS Statistics ver. 20.0. The percentage of educational experience on oral care was 27.9% and most respondents answered that they have received the education about denture cleaning (98.3%) and brushing method (91.4%). The average knowledge score was $10.88{\pm}1.70$, and respondents showed high-level agreement in 8 of the 10 items in attitude questions. They revealed difficulties in providing oral care to the elderly people because of their lack of knowledge. The deficiencies of knowledge about oral care would have a decisive effect on not only oral and general health, but also quality of life of the elderly people. Therefore, it is required to develop professional oral care training programs for geriatric care workers and support systems should be legalized.

• Korean Journal of Adult Nursing
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• v.29 no.1
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• pp.63-75
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• 2017

Purpose: This study was to explore and describe the reported experiences of elderly spouses who care their bedridden spouse in the home. Methods: The participants of this study were 14 male and female elderly spouses who live in B metropolitan city and have provided care for more than six months. Data were collected from July 3 to November 6, 2014. Data analysis was done simultaneously with data collection, using the analytical methods of Strauss and Corbin for Grounded theory. Results: The core category was identified as 'going together bearing a heavy burden of care in old age.' In this study, the caring process of elderly spouses can be explained in terms of three stages such as 'a period of trial and error,' 'a period of mastering a role,' and 'a period of role transcendence'. Conclusion: The results of this study can provide an intervention framework to reduce the heavy burden of caring for an elderly spouse.

• Journal of the Korea Convergence Society
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• v.12 no.7
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• pp.273-282
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• 2021

Nursing home plays a role in providing elderly care in the context of China's rapid population aging, but little understanding of the efficiency of the nursing homes. In this paper, we investigated the efficiency in nursing homes using Data Envelopment Analysis (DEA) and Malmquist index (MPI) for the modeling of the number of nursing home beds, fixed assets, and medical personnel as input variables, and the number of elderly people of self-care, the number of elderly people of partial self-care, the number of bed-ridden elderly people and the income of nursing homes as output variables. Stratification analysis showed that the top two provinces in the DEA-CCR yield were Beijing and Shanghai in the five-year survey period. Four provinces (Beijing, Jiangsu, Shandong, and Shanghai) scored 1.00 in terms of DEA-BCC yield. The MPI analysis showed that Hainan ranked the highest five-year average in the included provinces. In terms of resource utilization, internal management, operation scale, and other aspects, the nursing homes in the provinces with high-efficiency evaluation results show high efficiency and technological progress, whereas the areas with low-efficiency evaluation showed a feature of the improving technical efficiency.

• Journal of Korean Academy of Nursing
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• v.32 no.5
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• pp.665-672
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• 2002

It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

• 한국노년학
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• v.29 no.3
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• pp.789-803
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• 2009

We investigated the influences of positive thought about social capital on social participation of the elderly Koreans. The study design was cross-sectional analysis of the National Statistic Office Study of Korean Society Statistics Survey 2003. Participants were total of 8,586 representative samples. Two types of social participation were investigated: meeting attendance and volunteer obligations. The base model included five thoughts about social capital that must be settled as a priority in Korea, i.e., reducing the differences between the rich and the poor, reducing the crime rate, reducing regulations and corruption, improving the moral level, eliminating environmental pollution. Social participation was influenced by positive thoughts about social capital, and different kinds of thoughts had different influences on different types of social participation. The elderly who responded positively to 'reducing the differences between the rich and the poor' attended all two types of social participation more. Along with education and health status, positive thought about social capital is another important factor that influences increased social participation. It may also compensate for deteriorating health with increasing age by promoting social participation. Encouraging social participation is a good way to improve the health of the elderly, as are efforts to change thought about social capital positively.

• Industry Promotion Research
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• v.6 no.4
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• pp.83-93
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• 2021

This work aims to use the analytic hierarchy process (AHP) tool to develop the model of industrial competitiveness in the nursing homes of eleven provinces in east China. The original data is from China Civil Affairs Statistical Yearbook 2020. The results show that Jiangsu province has the highest competitiveness in the elderly care industry among the eleven provinces in east China, and Hainan province has the lowest competitiveness. The competitiveness of the elderly care industry varies among the eleven provinces in east China. The ratios of beds to medical staff, the ratio of nursing homes, per capital fixed assets in nursing homes, and the number of unable self-care elderly are the four main influential factors across the competitiveness of the elderly care industry and indicates that the nursing homes competitiveness is affected by multiple factors from multiple levels. A differentiated strategy should be taken according to the circumstances in different provinces to rationally develop the elderly care industry, improving efficiency, the level, and quality of services in the nursing homes.