• 한국치위생학회지
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• 제7권4호
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• pp.419-431
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• 2007

The setting of dental hygiene clinics is very important to dental hygiene education, which is the place not only to educate students but also to care clients. The purpose of this study is to provide basic research material for improvement of dental hygiene care system in dental hygiene clinics by analyzing the client satisfaction. A questionnaire survey by means of self-entry method was conducted to find out satisfaction of the client, who was visited to the dental hygiene clinics in the department of dental hygiene, Yonsei University. An analysis of frequency, one way ANOVA and T-Test were performed through SPSS 12.0K program. 1. Most clients were mainly composed of students in Wonju College of Medicine. 2. The clients visited for scaling(85.8%) and oral examination(9.73%) were much than treatment(4.42%). 3. Clients aged 21 to 25 were relatively lower in satisfaction with the facilities, system, attitude than any other ages. 4. The dental hygiene students are the lowest group in satisfaction with the facility, system, attitude than medical and nursing students. 5. The clients satisfaction with dental hygiene clinics was decreased in reverse proportion to visiting frequency. 6. Most of the clients pointed out the problems of appointment system(54.0%) and fee(23.0%), which should be improved than any other operation conditions. 7. Most of the clients were not satisfied with chair time and pain during care. 8. Most clients recognized to receive the better care service than other dental offices(81.3%). Especially, they paid attention to oral health education using phase-contrast microscope. 9. Many clients were dissatisfied with facilities of the dental hygiene clinics(71.7%). The problems of appointment system(54.0%) and chair time of dental hygiene care services(63.6%) had also inconvenienced to clients. The dental hygiene clinics in school play a crucial role in dental hygiene education to foster the student to be competent as a professional dental hygienist in the future. Therefore, well-organized dental hygiene care program based on dental hygiene process is essential. It is also required to improve the environment of dental hygiene clinics including facilities, appointment system and fee etc.

• 대한영양사협회학술지
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• 제12권4호
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• pp.313-328
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• 2006

This study was objectively performed to identify dietitians' job in the elderly health-care facilities, to assess facilities and dietitian's demographic characteristics, and to determine performance and importance of dietitian's job including the demand of therapeutic diet development. Survey was conducted by mail and samples were the dietitians working in 376 facilities which capacity is over 50 members from nationwide 583 the elderly health-care facilities. Returned questionnaire was 102 and used for statistic analysis. The distributions of the elderly health-care facilities showed 39 the elderly nursing facilities(38.2%), 32 skilled nursing facilities (32.4%), 13 geriatrics hospital facilities(12.7%) and 9 the elderly cost nursing facilities(8.8%). 60.0 percent of the samples showed its menu price as 1,000 to 1,500 won. A cycle-menu program was in-use at the 79.0% facilities, but only 7.1% facilities have been introduced a selected menu system. 92.9% facilities employed only one dietitian. In the demographic characteristics of dietitian only 14.7% dietitian had a clinical dietitian license and 51.5% of respondents answered at least 1 to 3 months internship program is needed. Job activities of the dietitian in the elderly health-care foodservice were identified as 45 activities with 9 dimensions. Job performance score evaluated dietitian oneself was 4.71 of 7 points. The average importance score that the dietitian evaluated their own job was 5.66 points of 7. The job activities shown higher importance but lower performance were therapeutic diet development for in-patients, menu development suitable for taste of the elderly, and leadership. Job performance score by characteristics of dietitian and their elderly health-care facilities was significantly associated with experience of dietitian in elderly health-care (F=4.480, p<0.05), education of dietitian(F=2.659, p<0.01), number of dietitian(F=2.245, p<0.05), and number of employee in foodservice(F=2.607, p<0.05). Most common diseases of the aged was proved as hypertension(81.7%), diabetes mellitus(71.4%), and dementia(65.0%). The therapeutic diets frequently provided were diabetes mellitus diet, dysphagia diet, low sodium diet, high fiber diet, and high protein diet, in order. For those reasons, dietitian in the elderly health care emphasized that the information about therapeutic diet development such as diabetes mellitus diet, dysphagia diet, low sodium diet and hypertension diet must be continuously developed and provided. The result from this study can be applicable to enlarge and enrich job activities of dietitian in elderly health-care foodservice.

• 지역사회간호학회지
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• 제15권4호
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• 한국컴퓨터정보학회논문지
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• 제17권6호
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• pp.201-209
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• 2012

이 연구는 지역사회 노인 여가시설의 이용에 따른 삶의 질 변화에 영향을 미치는 요인들을 실증적으로 분석하기 위한 것이다. 이을 위해 광주광역시 노인건강타운을 이용하는 노인들을 대상으로 건강타운의 시설환경, 직원과 강사의 역량, 프로그램 만족도 등의 요인이 이용노인들의 삶의 질 변화에 영향을 미치는지를 규명하여, 이용노인들의 삶의질 변화에 기여할수 있는 다각적이고 실천적 대안을 제공하고자 하였다. 조사방법은 광주광역시 노인건강타운을 이용하는 만60세 이상의 1,038명을 대상으로 설문지에 의한 자기기입방식과 조사원의 면접조사를 병행하여 실시하였다. 조사기간은2010년 12월 10일부터 12월15일까지였다. 분석결과, 노인들의 삶의 질 변화에 영향을 미치는 변인으로 학력(B=-.074, p<0.05), 강사만족도(B=.172, p<0.001), 직원만족도(B=.104, p<0.01), 시설 및 환경만족도(B=.217, p<0.001)였다. 즉, 학력이 낮은 노인일수록, 강사만족도가 높을수록, 직원만족도가 높을수록, 시설 및 환경만족도가 높을수록 삶의 질 변화에 정(+)적인 영향을 미치는 것으로 분석되었다. 특히, 시설 및 환경만족도의 영향력이 상대적으로 높게 나타나 노인들의 삶의 질 변화를 위해서는 지역사회 노인이용 문화여가시설의 현대화와 쾌적한 환경조성이 병행되어야 함을 시사하고 있다.

• 재활간호학회지
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• 제5권2호
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• pp.180-192
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• 2002

The purpose of this study was to survey basic data for management of elderly day care centers. In this study, occupation, leisure life, and food, clothing and habituation, as well as social relationship, health state and behavior, and general characteristics of subjects were examined to identify the factors affecting their cognition, need and preference of the day care centers. The subjects of this study were 392 elderly, aged 60 years or over, living in Gangnung and neighboring districts. Data were collected by educated interviewers from November 4 through November 22, 2002. The subjects were interviewed face to face, one for one after the interviewee's agreements on the survey. The collected data were analysed with logistic regression analysis by SAS (statistical analysis system). Logistic regression analysis was done to identify affecting factors for cognition, need and preference of the elderly day care centers. The major findings are as follows: 1. The factors affecting cognition for the day care centers were analysed. The subjects with an occupation and a lower satisfaction level of living environment and friendship, who were economically secure enough to manage a sudden accident, showed a higher level of cognition of the day care centers. The subjects with a higher level of mental health state and a lower level of IADL also showed a higher level of cognition. On the general characteristics younger female subjects showed a higher level of cognition. 2. The subjects with a lower level of perceived economic condition who did not own their housing and were not economically safe enough to manage a sudden accident, had showed a higher level of need for the day care centers. It showed that the subjects with a high level of mental health state, a bad eye sight and dental condition, a good perceived health condition, and a lower level of IADL, needed the centers. 3. The subjects who had an occupation, however, not capable of making their own daily expenses, and a low occupation satisfaction level, and who did not own their housing, and were economically poor not enough to manage a sudden accident, showed a higher preference for the day care centers. The subjects with higher levels of friendship satisfaction and perceived health condition, not living with their spouse, and a higher education level, showed a higher preference for the centers. In conclusion, the common factors affecting their cognition, need and preference of the day care centers were occupation, economic security enough to manage accidents, and friendship satisfaction level. Especially, the subjects who had an occupation, however, not economically secure enough to manage accidents, and who did not live in their own housing with a good perceived health condition, showed high levels of need and preference for the day care centers. These results can be used as basic data to develop the efficient elderly day care centers, thus contribute to the elderly welfare in a local community.

• 한국산학기술학회논문지
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• 제18권8호
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• pp.210-220
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• 2017

본 연구는 요양시설 노인의 사회적지지(MOS-SSS), 신체적(ADL, IADL) 및 정신적(CES-D, MMSE-K) 건강수준이 삶의 질(WHOQOL-BREF)에 미치는 영향을 파악 하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 15개소의 요양시설에 입소하고 있는 65세 이상 노인 524명을 대상으로 하였다. 자료 수집은 2015년 11월부터 2016년 1월까지의 기간 동안에 조사원이 조사대상 요양시설을 직접 방문하여 면접 조사하였다. 연구결과, 삶의 질 평균 점수는 사회적지지 총점이 낮은 군일수록, ADL 및 IADL이 정상범위노인 군보다 기능장애노인 군에서, CES-D가 정상상태 군보다 우울상태 군에서, MMSE-K가 정상상태 군보다 인지기능장애 군에서 유의하게 낮았다. 조사대상자의 삶의 질은 사회적지지, 일상생활수행능력, 도구적 일상생활수행능력 및 인지기능장애와 유의한 양의 상관관계를 나타낸 반면, 우울과는 유의한 음의 상관관계를 나타내었다. 공분산 구조분석 결과, 신체적 기능은 정신적 기능이나 사회적지지 보다 삶의 질에 더 큰 영향을 미쳤으며, 신체적 기능, 정신적 기능 및 사회적지지가 낮을수록 삶의 질을 저하시키는 효과가 있는 것으로 나타났다. 따라서 요양시설 노인의 삶의 질을 증진시키기 위해서는 신체적 기능의 향상을 위한 구체적인 방안을 모색할 필요가 있다고 생각된다.

• 한국가스학회지
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• 제24권4호
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• pp.84-92
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• 2020

대부분의 화학공장 내 설비는 유해물질을 취급하거나, 일상적으로 접할 수 있는 온도 및 압력의 범위를 벗어난 환경에서 가동되며 이러한 응력 및 환경조건으로 인하여 노후화에 취약하다. 이러한 조건에 노출된 설비는 지속적인 손상이 누적되어 고장이 발생할 가능성이 높아짐은 물론, 정비 및 교체를 하지 않는다면 사고로 이어진다. 전세계적으로 위험성기반검사(Risk Based Inspection)라는 권고지침이 통용되고 있다. 하지만 RBI는 이미 일정시간 경과한 설비에 대해서는 한계가 존재한다. 적절한 점검을 수행하는 우리나라 울산 산업단지의 노후화 실태 조사 결과, 많은 수의 설비들이 사용기간이 20년을 경과하였다. 또한, 사고가 일어난 설비 대부분이 20년 이상 운영해 왔다. 따라서 본 연구에서는 일정 사용기간이 초과된 장치를 노후설비로 분류하는 기준을 제시하였다. 또한, 이에 대하여 정량적 위험성평가를 진행하였다. 이로 인해 도출된 해당 노후설비의 위험성을 Economic index로 표현하여 손실비용을 산정하고 Risk를 감소하기 위하여 비용편익 분석 방법을 활용한 안전투자 방법을 제안하였다. 본 연구에서 제시한 정량적 위험성 평가를 이용한 노후설비의 비용편익 분석 방법을 활용하여 노후 설비의 성능 향상 및 수명 연장, 생산 효율성 및 설비 계통 신뢰도 향상, 안전관리 비용 인식 변화, 그리고 직원의 안정감 증대, 손실비용의 감소를 기대할 수 있다.

• 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.

• 한국정보전자통신기술학회논문지
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• 제12권3호
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• pp.290-298
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• 2019

농업 인구의 비중이 매년 점점 감소하고 있어 농촌의 고령화 현상은 점점 심각해질 것으로 보인다. 농업 인구의 노령층 증가와 청년층 축소가 진행되고 있고 농업 인구의 고령화가 점점 심각해지고 있어서 농업인력이 부족하다. 농업 인력의 부족은 농업 농촌의 문제가 될 것이고 대책방안의 마련이 필요하다. 그리고 기존의 시설재배는 단위면적당 생산/수확량에 집중되어 있었다. 하지만, 지금은 생산량뿐만 아니라 작물의 품질도 좋아야 가격경쟁력을 확보할 수 있다. 그래서 작물의 생산성을 높이면서 에너지는 절감 시킬 수 있는 ICT기반 시설원예의 첨단화 스마트 온실 보급을 정책적으로 도입해야 한다. 이에 스마트 온실을 통하여 농작물 및 온실 환경에 대한 모니터링을 하고 농작물의 생장 환경을 제어할 수 있는 복합형 알고리즘을 이용한 사물인터넷 기반의 데이터를 확보하면서 스마트팜 서비스를 위한 시스템의 개발이 필요한 것으로 보인다.따라서 본 연구에서는 작물의 근권환경부의 생장환경 데이터를 무선으로 수집하고 수집한 데이터를 스마트폰으로 모니터링 할 수 있는 스마트팜 융합서비스 시스템의 개발을 목적으로 한다.

• 대한영양사협회학술지
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• 제27권4호
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• pp.248-262
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• 2021

This study examined the effect of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet of the Korean multi-domain dementia prevention program on the cognitive functions of the elderly with dementia risk factors. We developed the program including nutrition, exercise, cognitive training, vascular disease prevention, and motivation. One- hundred and fifty-three participants aged 60~79 years with at least 1 dementia risk factor were randomly assigned in a 1:1:1 ratio to the facility-based intervention (FMI), home-based intervention (HMI), and the control group. The nutrition education program consisted of 10 classes over 24 weeks: the FMI received 7 group sessions and three 1:1 sessions, the HMI received 4 group sessions and three 1:1 sessions with 3 homework sessions. The Nutrition Quotient for Elderly (NQ-E) and the Mini Nutritional Assessment (MNA) were used to evaluate nutritional status. The Repeatable Battery for the Assessment Neuropsychological Status (RBANS), Korean Mini-Mental State Examination (K-MMSE), and the Cognitive Complaint Interview (CCI) were used to evaluate cognitive functions. A total of 136 people completed the program with an 11.1% dropout rate. The NQ-E (P=0.009) and RBANS (P=0.001) scores significantly increased in the FMI (N=45) and HMI (N=49) groups compared to the control group (N=42) after the study. The changes in the score of MNA and CCI did not differ significantly between groups. In conclusion, the nutritional intervention which focused on the MIND diet as a part of a multi-domain intervention program had a positive effect on the improvement of healthy eating habits and cognitive function scores in the high-risk dementia group.