• 한국농촌건축학회논문집
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• 제14권3호
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• pp.17-24
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• 2012

This study is to propose the dwelling planning of collective housing for the senior citizen who lives alone in rural and fishing villages. and this paper analyzed a change element regarding the field of care service for the elderly. The results of research are as follows: First, the range a village unit of "Home for the Elderly" was investigated most primarily. Second, on the lifestyle of a bedroom, proper using person per a room was investigated to two people to use with one room and life style of using bed preferred more in life style of sitting on the floor(ondol). Third, most necessary facilities were examined into bathroom and steam-room, and the separation of man and woman space, toilet was investigated to 1 ranking. Fourth, to be most difficult care service was investigated by long-distance circulation. This is the item which can be reduced naturally in case of service activity caring for a visit in a collective housing.

• 의료커뮤니케이션
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• 제13권2호
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• pp.141-148
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• 2018

Background: The purpose of this study is to identify the degree of emotional labor, mental health care, care performance of certified caregivers for elder with dementia, and the factors that affect care performance. Methods: In order to collect data, structured questionnaire was used for 197 caregivers who worked at 3 dementia specialized facilities located in D city. Data were analyzed by t-test, ANOVA, correlation and multiple regression using SPSS/WIN 20.0. Results: Care performance had negative relationship with emotional labor(r=-.320, p<.000) and mental health(r=-.240, p<=001). Emotional labor had positive relationship with mental health(r=.208, p=.003) And the prediction factors influencing care performance were health status(${\beta}=.363$, p<.001), emotional labor(${\beta}=-.242$, p<.001), mental health(${\beta}=-.223$, p=.001). The total variance was 38.9% by predictors(F=25.978, p<.001). Conclusion: Based on the results of this study, in order to improve the care performance mental health program should be provided and good health management is needed to improve health status. And also it is necessary to develop and apply new strategies to reduce emotional labor of the dementia facility caregivers.

• 근관절건강학회지
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• 제28권2호
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• pp.111-120
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• 2021

Purpose: This study was a descriptive research to identify the relationships among burden from behavioral psychological symptoms of dementia, dementia attitude, emotional labor and nurse's caring behavior as well as to clarify factors that affect caring behavior of nurses in long-term care hospital. Methods: For the research, this study collected data from July 8 to July 20, in 2019 with 214 nurses who worked at 10 long-term care hospitals in Chungbuk. The data were analyzed using descriptive statistics, t-tests, Mann-Whitney U test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression with the SPSS 23.0 program. Results: Factors influencing caring behavior of nurses in long-term care hospital were dementia attitudes (β=.549, p<.001), burden from behavioral psychological symptoms of dementia (β=.242, p<.001) and marital status (β=.134, p=.017). These factors explained 33.9% of caring behavior (F=37.35, p<.001). Conclusion: Dementia attitudes were confirmed to be the main variable influencing nurse's caring behavior. Therefore, to improve the caring behavior of dementia patient, it is considered that the development of programs to improve dementia attitudes and in-depth understanding regarding the behavioral and psychological symptoms of dementia is necessary.

• 가정간호학회지
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• 제29권2호
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• pp.175-182
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• 2022

Purpose: The study examined the effects of ethical sensitivity and person-environment fit on person-centered care of nurses in long-term care hospitals. Methods: The participants were 111 nurses. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS program. Results: The mean of person-centered care was 2.95±0.62 out of 5. There were significant differences in person-centered care in terms of age, shift pattern, total clinical career, and educational experience of person-centered care. Person-centered care and ethical sensitivity, person-centered care and person-environment fit showed a positive correlation. Factors affecting the person-centered care were the age (20-29), shift pattern (three shift), person-environment fit. The explanatory power was 42%. Conclusion: These results can be used to increase the person-environment fit and adopt a differented approach based on age and shift pattern in order to enhance person-centered care. Therefore, it is necessary to develop and apply an person-centered care program for nurses in long-term care hospitals.

• 한국콘텐츠학회논문지
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• 제21권5호
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• pp.808-823
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• 2021

본 연구는 노인요양시설이라는 사회적 돌봄 환경에서 노인의 시설 거주경험은 어떠하며 그 의미는 무엇인지에 대하여 심층적으로 탐색하고 시설거주 노인의 질적 돌봄을 위한 가족과 사회의 역할, 사회복지적 실천 방안을 모색하고자 한다. 이를 위해 서울, 인천, 그리고 경기 지역에 위치한 노인요양시설 4곳에서 거주하는 남녀 노인 8명을 대상으로 심층면담과 참여관찰을 실시하여 질적 연구 자료를 수집하였다. 수집된 자료는 Giorgi의 현상학적 연구 방법을 이용하여 분석하였다. 분석 결과 노인요양시설 노인의 시설 거주경험에서 33개의 의미단위, 14개의 하위 구성요소, 그리고 4개의 상위 구성요소가 도출되었다. 상위 구성요소 4개는 「무너진 나의존재」, 「낯선 환경 속에 던져진 삶」, 「불편함과 고마움이 공존하는 새로운 관계」, 「찾고 싶은 나의 삶」으로 도출되었으며 이 중에서 「찾고 싶은 나의 삶」이 노인요양시설 노인의 시설 거주경험의 본질로 나타났다. 본 연구를 통하여 노인의 시설입소 준비 프로그램 제공 환경 마련, 다양한 가족참여 프로그램 개발 및 활성화, 지역사회 거주를 지속할 수 있는 조건 마련, 그리고 지역사회 자원 연계 프로그램 개발 및 활성화 방안 등을 제언하였다.

• 한국노년학
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• 제30권3호
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• pp.1005-1020
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• 2010

본 연구의 목적은 한국 노인 부양가족들이 자신의 부모님을 요양원에 입소시켜야 하는 입장에서, 요양원 입소 전 후 경험하게 되는 오명의 내면세계를 사회문화적 관점에서 확인, 기술 및 이해를 돕고자 하는 것이다. 정보제공자는 가족 내에서의 부양의 어려움으로 요양원에 입소한 노인의 주부양자 가족 총 12명으로 자발적 참여와 동의서 작성으로 선정되었으며, 참여관찰 및 심층면담을 통해 자료를 수집하였다. 자료의 분석은 Spradley의 분류분석 방법을 이용하였다. 연구결과 4개의 문화적 영역과 8개의 범주, 24개의 속성이 도출되었다. 본 연구결과 문화적 중심주제는 <자신의 무능력: 불가피한 현실 적응, 경제적 독립의 어려움, 주체적 자기주장의 어려움>으로 확인되었으며, 기타 문화적 영역은 <모순된 자기인식: 마음과 다른 행동, 가족 간 인식차이>, <의사결정의 자기합리화: 의사결정의 자기위로>, <책임전가: 가족요구와 차이나는 서비스, 관계책임기관의 무성의>로 나타났다. 요양원 입소노인 가족의 오명에 대한 이론적 모형은 노인부양의 과업을 성취하는 과정에서 자신의 무능력으로 인해 지속적으로 모순된 자기인식을 나타내고 의사결정을 자기합리화 시키며 책임전가를 하는 순환적 체계의 사고원형으로 표출되고 있음을 확인할 수 있었다. 이러한 결과를 바탕으로 요양원 입소 노인가족의 오명의 의미를 논의하고 후속 연구를 위한 제언을 제시하였다.

• 한국융합학회논문지
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• 제13권5호
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• pp.357-363
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• 2022

한국은 저출생 현상과 급속한 고령화로 인하여 노인돌봄 위기에 처해 있다. 2008년 노인장기요양보험이 본격적으로 실시되면서 노인돌봄의 사회화가 이루어지게 되었으나 다양하지 못한 서비스 선택권, 맞춤형 돌봄의 부족, 커뮤니티 케어의 불안정함 등으로 돌봄의 공백은 아직 사회문제로 남아있다. 또한 고령화의 진전에 따라 치매유병율의 증가는 새로운 사회위기이다. 이러한 상황에서 복지기술은 부족한 자원과 증가하는 수요의 공백을 메꾸어줄 미래의 중요한 대안이다. 본 논문에서는 지역에서 다양하게 제공되고 있는 치매서비스를 경험한 바 있는 경증치매노인 집단그룹면접, 치매고위험군 집단그룹면접을 통해 복지기술에 대한 친밀성, 접근성, 치매예방방안 등을 파악하였다. 치매 정도에 따른 차이는 있으나 두 그룹 모두 복지기술을 활용한 치매서비스에 관심이 높았다. 특히, 일상생활에서 자립적 훈련은 친밀한 도구인 TV나 전화를 활용하는 방안이 제시되었고 경증치매노인군의 경우 데이케어센터에서 기술활용을 위한 도움서비스와 가정 내 연계방안의 필요성이 제시되었다.

• 보건행정학회지
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• 제33권4호
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• pp.479-488
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• 2023

Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly. Results: Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups. Conclusion: In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.

• 간호행정학회지
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• 제18권4호
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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.

• Journal of Korean Biological Nursing Science
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• 제20권3호
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• pp.150-158
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• 2018

Purpose: The purpose of this study was to investigate the expected family involvement of family members of elderly residents in nursing homes. Methods: This study utilized a descriptive design with a survey research method. Data were collected using the Expect Family Involvement Questionnaire Scale, which was completed by 112 family caregivers of older adults in nursing homes in Seoul and Gyeong-gi Province. The collected data were analyzed using descriptive statistics. Results: Responses to the questionnaire indicated the highest value was recorded for the item, 'use of a room for family privacy' with $2.41{\pm}0.43$ points, followed by the item, 'staff calling family for advice with resident problems' with $2.38{\pm}0.38$ points and 'education about nursing home programs' with $2.32{\pm}0.42$ points. Conclusion: In order to promote family involvement in long-term care facilities, various approaches, interventions, and government supports with the respective of the family are required. The nursing home placement process should include understanding discuss on the importance of the role of family, and should help promote positive relationships between the elderly residents and their families. Staffs and administrators of nursing home are to consider the family as a partner rather than visitor.