• 지역사회간호학회지
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• 제16권1호
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• pp.23-31
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• 2005

Purpose: this study was to compare the health service need according to residence characteristics. Method: The subjects consisted of 194 elderly people classified into two groups of living in community and living in institution. Data was collected from January to March, 2004 by a structured questionnaire that included general characteristics. health related variables, MMSE-K, nutritional status, pain, depression and ADL scale. The collected data was analyzed by the SPSS program including descriptive analysis, $X^2$ test, t-test and Pearsons Correlation Coefficient. Result In general characteristics, there were differences in religions and spouses and all the group of people were aged. In health related variables according to residential characteristics. cognitive level (MMSE-K) of the elderly living in institutions was lower than that of the elderly living in community and the group of living in institutions showed more than 'moderate level' of subjective and relative health perception and their ADL was confirmed to be more dependent. But there was no significant difference among depression, BMI, nutritional status, number of present disease and pain according to residence characteristics. It was identified that pain had) positive correlation with nutritional status. ADL, and the number of present disease, and ADL showed negative correlation with cognitive level. Subjective and relative health perception had positive correlation with depression and negative correlation with nutritional status. In conclusion. the need of the health service of the elderly identified according to residential characteristics showed differences only in cognition and ADL. The elderly living in institutions showed relatively poor results. Conclusion: The concern of nutritional status is necessary to increase health status for the elderly, especially more concern and support is necessary for the elderly living in community.

• 한국콘텐츠학회논문지
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• 제10권10호
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• pp.226-236
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• 2010

본 연구에서는 시설에 거주하는 노인 352명을 대상으로 노년기 성태도와 성욕구가 성대처행동에 미치는 영향을 파악하고자 하였다. 본 연구의 주요결과를 요약하면 다음과 같다. 첫째, 본 연구의 대상인 시설노인들의 성태도는 부정적인 성태도가 긍정적인 성태도 보다 높고, 성욕구나 성대처 행동은 중앙값에 못 미치는 낮은 수준을 보였다. 둘째, 시설노인들의 긍정적 성태도는 남자 65세 이하, 시설 종사자들이 남녀 노인간 이성교제를 좋게 본다고 인식하는 경우, 시설노인들이 동료 노인들의 이성교제를 좋게 본다고 인식하는 경우에 긍정적인 성태도의 점수가 높았다. 부정적인 성태도는 86세 이상이 높았고, 학력은 초 중졸집단이 높고, 고졸이상, 무학 순으로 역U자형 곡선을 보였다. 넷째, 성충동은 남자인 경우, 65세 이하인 경우에 성충동 점수가 높았다. 성관계 욕구는 남자인 경우, 65세 이하인 경우, 학력은 무학인 경우에 제일 높고 그 다음이 고졸이상, 초 중졸순으로 나타나 U자형 곡선을 보였다. 다섯째, 남자인 경우, 연령이 낮을수록 문제중심적 대처행동의 점수가 높았다. 또한, 남자인 경우, 66~75세인 경우 문제회피적 대처행동의 점수가 높았다. 다섯째, 시설노인들의 긍정적인 성태도가 높을수록 부정적인 성태도는 낮았으며 성충동, 성관계욕구가 높고, 문제중심적 대처행동과 문제회피적 대처행동을 잘하는 것으로 나타났다. 여섯째, 연령이 낮을수록, 긍정적인 성태도일수록, 성충동과 성관계 욕구가 높을수록 문제중심적 대처행동을 잘하는 것으로 나타났다.

• 융합정보논문지
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• 제10권2호
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• pp.154-159
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• 2020

본 연구에서는 농촌지역의 거주하는 노인들을 대상으로 공공의료기관과 민간의료기관에 대한 신뢰가 의료기관 선택에 미치는 영향을 분석하였고 이에 연관성을 파악함으로서 의료기관 신뢰도를 높여 농촌지역에 거주하는 노인들의 공공의료기관 이용율을 높이기 위한 방법을 도출하기 위하여 시행되었다. 이를 위해 S읍외 4곳에 30년이상 거주하며, 병원이용율이 높은 만65세 이상 노인을 대상으로 공공의료기관과 민간의료기관을 사전 설명후 의료서비스 신뢰도 설문조사를 실시하였다. 분석결과는 첫째, 농촌에 거주하는 노인들은 민간 의료기관이용을 더 선호하였고. 둘째, 공공 의료기관과 민간의료기관의 신뢰도와 의료기관 선택 간에 연관성이 있었다. 본 연구 결과를 종합해보면, 조사 대상자들의 공공 및 민간의료기관에 대한 신뢰도가 의료기관의 선택에 영향을 미친다고 나타났다. 따라서 본 연구의 결과 향후 공공의료기관은 의료서비스의 신뢰도를 제고할 필요성이 제기되며, 민간의료기관과 같이 공공의료기관도 자체적인 경영개선 노력이 필요할 것으로 사료된다.

• 한국실내디자인학회논문집
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• 제13호
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• pp.216-223
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• 1997

Considering the current rise in elderly population, institutions and facilities caring for the elderly are currently unable to satify the growing needs of the aged wanting the better qualities of life. Therefore, this study will analyze institutions and policies for the elderly in Japan, which has already experienced the rise in elderly population about 30 years earlier than Korea. Because the living conditions of Japan is somewhat similar to that of Korea, analyzing its solutions, both governmental and private, will help better understand the current situations of Korea and possibly offer guidelines as to better serve the growing demands of the aged. In Japan, the social welfare policies directed at caring for the elderly are mainly directed by the government: however, the private services tend to be more adroit at meeting the ever-changing demands of the elderly. Incidentally, the privately owned elderly homes of Japan are a major part of so called the "Silver Industries". The elderly home that are run by private corporations consititute 50 percent of all private institutions for the elderly. These homes tend tobe situated in a city, or near a city environment, serving 25 to 99 people. The types of such homes can be classified from A to D,E,F, reflecting the various services offered by such homes meeting the various demands by the elderly populatiov. Analyzing the social tred of Japan for theelderly, it can be said that the responsibility of the elderly should not only be relied upon the government, but to the society as whole, both public and private. The ever-changing demands of the elderly, wanting better qualities of life, can be better served by systematic analysis of the demands and the various solutions to such demands. Also, the necessary governmental policies in support of elderly welfare, will be needed.be needed.

• 문화기술의 융합
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• 제8권3호
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• pp.175-182
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• 2022

본 연구는 코로나19 팬데믹 시기에 독거노인을 대상으로 한 전화중재가 우울 감소에 미치는 영향을 알아보기 위해 시도되었다. 전화중재는 10주간 주 1회 실시하였으며, 전화중재 후 우울 수준의 변화를 조사하기 위해 단일 집단 사전-사후 설계를 사용하였다. 연구대상은 원주시 소재 3개 사회복지기관에 등록된 65세 이상 노인 총 114명이며, 전화중재 전후 설문지를 작성하였다. 전화 중재는 간호대학생 자원봉사자 56명에 의해 이루어졌으며, 학생 1인당 2~3명의 노인을 담당하였다. 연구결과 우울 점수는 중재 전 6.59±3.74에서 중재 후 5.01±3.34로 감소하였다(t=4.959, p<.001). 본 연구 결과, 전화중재는 코로나19 대유행 기간 동안 독거노인을 위한 정서적 지원으로 효과적인 것으로 나타났으며, 비독거노인을 포함한 다양한 대상자와 지역으로 확대하기 위해 추후 연구가 필요하다.

• 지역사회간호학회지
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• 제9권2호
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• pp.324-335
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• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.

• 한국콘텐츠학회논문지
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• 제18권5호
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• pp.592-599
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• 2018

본 연구 목적은 노인의 평생교육활동참여가 자아통합감이 미치는 영향에 관해 살펴보고 삶의 만족도와 자원봉사활동이 매개하여 자아통합감에 미치는 영향을 검증하는데 있다. 조사대상자는 서울시, 경기도, 인천시 지역에 거주하는 60세 이상 일반노인대상으로 노인복지회관, 노인대학, 경로당 등의 평생교육기관에 참여하는 300명을 최종 분석 자료로 활용하였다. 분석방법으로는 AMOS 22.0의 구조방정식 모형을 응용하였고, 매개경로의 유의수준을 검증하기 위해서 구조방정식으로 Bootstrap 분석과 추가적으로 Sobel test 검증 방식을 사용하였다. 통계처리는 SPSS WIN 22.0, Amos 22.0 프로그램을 사용하여 분석하였다. 연구 결과 노인의 평생교육활동 참여가 자아통합감에 영향을 주었으며, 삶의 만족도와 자원봉사활동은 매개효과를 가지고 있는 것으로 나타났다. 이를 토대로 평생교육활동 참여를 높일 수 있는 실천적인 방안을 논의하였다.

• 대한간호
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• 제36권3호
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• pp.49-69
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• 1997

The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.