• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.15 no.3
• /
• pp.1489-1495
• /
• 2014

Facing aged society, long-term care insurance for senior citizen has been introduced in Korea since 2008 in order to take away care burden from family. Daycare Center is one of the institutions developed by the idea of social care. Noticing many problems around adult day services (ADS) such as low quality of services and lack of running sources, this paper would suggest the norm of day care center in terms of community cohesive facilities. In addition, to find out the future vision of ADS, interviews with 10 experts are also analyzed. The result is that new health care program would be community-friendly, tailor-made, communication-based and intergenerational one.

• Journal of agricultural medicine and community health
• /
• v.43 no.3
• /
• pp.180-190
• /
• 2018

Objectives: The purpose of this study is to investigate the influencing factor of the quality of life of the elderly with mild dementia in rural community. Methods: A total of 123 elderly who were managed by public health center participated. They were diagnosed as mild dementia by MMSE-DS and CDR. Data were collected during the period from May to September in 2017 by a structured questionnaire that included general characteristics, depression, dependence, comorbidity, sleep scale. Data were analyzed by t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The quality of life was correlated significantly with depression. Depression was the factor affecting the quality of life of the elderly with mild dementia in rural community. Depression accounted for 54.0% as a variable of quality of life. Conclusion: This study was meaningful in that it directly measured the quality of life of the elderly with mild dementia is known to be difficult to measure and found meaningful results. it is necessary to identify the cause of depression and establish a linkage system between public health centers and health related organizations in the community. We suggest the need for individualized preventive intervention program and integrated psychological health service considering depression.

• Research in Community and Public Health Nursing
• /
• v.33 no.1
• /
• pp.1-12
• /
• 2022

Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

• Journal of Digital Convergence
• /
• v.10 no.3
• /
• pp.233-240
• /
• 2012

This study aimed to clarify any factors that may have effect on the appropriateness of hospital admission and hospitalization with the intention of facilitating more efficient occupancy of hospital beds and better medical services in the aspect of their quality, minimizing unnecessary occupancy of beds, and ultimately helping patients requiring acute treatments to use immediately hospitals. This paper selected 154 Stroke patients who left neurology department of one general hospital from March, 1, 2006 to September, 31, 2010 as targets to meet the rate according to medical care security and to see the trend of recent 4 years. As study method, this paper analized medical treatment record with AEP to evaluate the appropriateness of hospital admission and stay and the collected data was computerized through SPSS 12.0. Based upon the results above, the conclusion was drawn that the higher appropriateness of hospital admission and the shorter length of hospital stay will lead to the higher appropriateness of hospitalization. In other words, it is required to provide hospitalized patients with all kinds of behaviors including medical treatments and nursing care service, management of pharmaceuticals, tests, rehabilitation and symptoms, as well as instructions and information for patients. Meanwhile, as it was found that the length of hospital stay may affect the appropriateness of hospitalization, the longer length of hospital stay may result in reduced bed turnover rate. In this light, it is necessary to organize a task force team responsible for evaluation and control of the appropriateness of hospitalization and hospital stay length to improve the quality of medical service in a medical center, so that patients can leave the center timely. Ultimately, governmental supports such as expansion of long-term care facilities will reduce the necessary length of hospital stay so that patients with stroke can receive rehabilitative treatments and long-term care service shortly after completion of acute treatments.

• Journal of Korea Entertainment Industry Association
• /
• v.15 no.8
• /
• pp.423-432
• /
• 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.

• 한국노년학
• /
• v.28 no.4
• /
• pp.733-752
• /
• 2008

This study aims to suggest the academic roles and direction of the social welfare for the elderly in Journal of the Korean Gerontological Society. For this purpose the trends of research on the social welfare for the elderly were analyzed by means of reviewing articles published from 1980 to 2008 in Journal of the Korean Gerontological Society. Out of all published articles, 215 articles were selected on the basis of unanimity among 3 reviewers including this author. First, in 1980s there were very limited numbers of articles. It had been mainly introduced foreign and domestic institutions of social welfare for the elderly and focused on the serious issues for the elderly in aging society. Secondly, in 1990s, there were explosive increases of research in elder welfare studies. The subjects of the articles were diversified and research methods were sophisticated in this period. Thirdly, it showed that the numbers, subjects, and research methods of the articles concerning social welfare for the elderly were enriched and differentiated during 2000-2004. Lastly, the research trends have focused on the issues of successful aging, quality of life, and psychological well-being in consideration of the quality of life for the elderly up to now since 2005. But the research trends have had some limitations in showing only application of theories and models or in simply introducing the knowledge in Western countries. It is necessary to have clear academic identity which can be faithful to Korean Gerontological studies.

• The Journal of Industrial Distribution & Business
• /
• v.8 no.6
• /
• pp.51-60
• /
• 2017

Purpose - This study aimed to investigate the correlation between the social activity of the elderly and recognition of family cohesion of the elderly who are exposed to the current aging society. In addition, the study has delved into the method of family cohesion improvement through the differences between groups based on the mediator effect of how the results have effects on the elderly's self-control capabilities. Research design, data, and methodology - This study has targeted the elderly who are attending the elderly university among users in seven community centers located in Seoul and Gyeonggi-do area. The study has also conducted a survey by the format of a half-structured questionnaire. It is aiming to investigate the elderly's family cohesion with children and their self-control capability, and understand their satisfaction of social activity to help successful elderly life. The study has suggested the following as mentioned. First, the study analyzed that the perceptual factor of family cohesion with children would be deducted based on advanced researches. Second, the influencing relationship would be analyzed through the relational analysis between the elderly's family cohesion and social activity. Results - The family cohesion with children has a significant effect on psychological happiness and it showed the influencing relationship with improvement of the elderly's self-control capability. Therefore, creating fellowship through meaningful conversation with children would be needed. In addition, various programs and consultant service would be offered to build healthy relationship between aged parents and their children. Through this, the elderly will be able to have not only better relationships with their family, but also increased psychological health and well-being as well. Conclusions - It is needed that not only supporting policies for children who take care of aged parents but also that the elderly who need long-term care could meet their children whenever they want through increased numbers of sanatoriums operated by cities and countries. In addition, the nation would offer financial and administrative support continuously so that people receive the benefits from sanatoriums located in the locality of children's residence beyond the elderly's residence. Moreover, social infra would be established as well.

• Journal of agricultural medicine and community health
• /
• v.34 no.2
• /
• pp.244-255
• /
• 2009

Objectives: This study was to identify and test the health and nutritional status of grandparents in grandparents-grandchildren family in rural area. Methods: The subjects of this study were 70 grandparents of grandparents - grandchildren family in Muan-Gun. The collected data were analyzed by descriptive statistics, regression analysis. Results: The average age of grandparents was 70.1${\pm}$6.6 years old, unhealthy of the subjective health status was 55.7%, MNA score was 21.0${\pm}$3.5 points and 62.2% of the grandparents were shown to have malnutritonal status. The ADL, IADL, depression and fall index of health status were significantly related to the relationship with gender(p<.01), age(p<.05), economic(p<.01) and educational level(p<.01), and partnership(p<.01). MNA score was significantly related to the relationship with acute disease(p<.05), ADL(p<.001), IADL(p<.01), cognitive function(p<.01) and gender(p<.01). And the health status variables and general characteristics were positively correlated while the relationships were positive between health status variables and MNA score. Conclusions: With the above findings, grandparents of grandparents-grandchildren family have the problems of health and nutritional status. Then health and nutritional intervention program for grandparents-grandchildren family is needed to serve.