• 한국실내디자인학회논문집
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• 제20권6호
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• pp.331-339
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• 2011

The purpose of this study was to examine wandering behaviors of the elderly with dementia at elderly care facilities, thus finding out the current status of supportability and safety of wandering space for facility residents and looking into the convenience of management for the control and Support of the elderly with dementia in wandering space, from the aspect of managers. Study methods consisted of literature examination, on-site assessment and investigation, observation and questionnaire survey. And via a questionnaire survey of facility workers at study subject facilities, the current status and facility workers' perception of wandering space and their job-satisfaction were examined. Collected data of 133 respondents were used for analysis. Data were processed with the SPSS 18.0 program, and such analytic techniques as frequency, percentage, mean, multiple response analysis, chi-square test and correlation analysis were carried out. The problems of physical environment of wandering space for the elderly with dementia: First, it is urgent to establish wandering space. Second, thoughtlessly installed chairs in the corridor impeded wandering behaviors. Third, the grips installed in the corridor space were irregular, thus causing inconvenience for wandering behaviors. Thus making residents' use of it difficult. In order to improve these problems, it is necessary to newly or additionally establish wandering space and modify the location of chairs or establish alcoves, thus reducing impedimentary elements for wandering behaviors. Providing a proper wandering space is important for facility residents. And it is also important for facility workers to manage facility residents.

• 치위생과학회지
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• 제15권5호
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• pp.569-576
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• 2015

본 연구는 요양보호사의 구강관리교육 프로그램에 필요한 근거를 마련하기 위해 전국 장기요양시설에 근무하는 요양보호사를 대상으로 구강관리교육 실태와 관련 지식, 태도 및 행동을 설문조사하여 다음과 같은 결과를 얻었다. 연구대상자의 27.9%가 구강관리에 관한 교육을 수혜한 경험이 있다고 하였고, 배운 내용으로는 틀니관리와 이 닦기 방법이 90%로 가장 많았다. 그리고 연구대상자들의 구강관리에 대한 지식수준을 확인한 결과, 노인이 복용하는 약물의 부작용, 오연성 폐렴과 치태의 연관성, 잇몸질환, 틀니세척 방법, 와상노인의 구강위생관리에 대한 지식이 부족함을 알 수 있었다. 입소노인의 구강관리의 책임자로서 연구대상자들의 태도수준은 총 10개의 조사 문항 중 8개 문항에서 3점 이상(5점 만점)의 높은 동의수준을 보였으며, 노인의 구강관리를 제공하기 어려운 이유로 구강관리 방법에 대한 어려움(46.4%), 지식의 부족(27.1%) 순으로 응답하였고, 치과의사와 치과위생사가 업무수행에 도움자로서 매우 필요하다(57.3%, 52.9%)고 생각하였다. 이러한 결과를 통해 연구대상자들은 요양시설 입소노인에게 구강관리를 제공하기 위한 태도는 높았지만, 이와 관련한 교육이 부족하며 구강관리업무를 수행하는 데 있어 전문가의 도움이 필요하다는 것을 확인하였다.

• 지역사회간호학회지
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• 제10권1호
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• pp.5-18
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• 1999

The aim of this study is the development of a fee - based model day care center for the elderly by inquiring into the current condition of facilities in America and in Korea, and in surveying the opinion of domestic elderly about day care facilities. A field trip to U.S. day care services was held between July 5 and July 15 in 1997, and an on-the-spot study for domestic facilities took place during March in 1998. Our research reveals that the overall supply of day care facilities can not meet future demand in terms of quality and quantity. Therefore a model must be created for day care centers of a that consists of a director from a professional group. an adequate environment, and a standardized in order to offer a qualified public health service linked to the home and community in Korea. The director of a day care center is a critical variable in determining the quality of service. Professional skills related to the needs of the elderly and the person's quality of service should be considered in appointing director for the center. This study belleves that a professional nurse should be the director of a day care center. The operating environment of a day care facility should be made up of considerable space comparable to the number of residents, should be in a comfortable and safe location, and should have equipment that provides a qualified, safe service to the elderly. Our model is designed for 20 persons and allocates 4 Peng per person. This model is comprised of a reading room. a craft room, a health room, a room for physical therapy, a dining room, a staff office, and a multi -purpose room connected to other rooms. Day care service should be a comprehensive service program meeting the multidimensional needs of the elderly. A comprehensive service program needs a team of various professionals made up of the elderly family, participants, nurses, social workers, physical therapists, nutritionists, and medical doctors. The program will also include health care service, physical therapy, speech therapy. diet, occupational therapy, transportation service, health and an education program, etc. In conclusion, a model of a day care center is developed with the following components: a professional director and an environment and program, that considers the physical, mental, and social characteristics of the elderly. A model should also motivate self-reliance self-fulfillment in the elderly in order to fulfill their health needs and to prevent isolation from society and mental depression. Furthermore, This facility will be a beneficial factor in reducing a family's burden on caring for the elderly that includes unnecessary hospital expenses. The following is a suggestion based on results this study: A service program should be developed to fit the conditions of the elderly in Korea by specifically analyzing the needs of the elderly.

• 직업교육연구
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• 제30권4호
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• pp.89-111
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• 2011

본 연구는 노인요양시설종사자의 낙상에 대한 태도와 낙상영향요인 인식정도를 파악하고자 시행된 서술적 연구로서 노인요양시설 8곳의 종사자 194명의 자료를 최종 분석하였다. SPSS 프로그램을 이용하여 평균, 표준편차, 빈도 및 백분율, t-test, ANOVA, 상관관계 분석을 실시하여 '낙상교육을 충분히 받았다'는 항목과 '낙상시키지 않을 자신감이 있다' 는 항목에서 낮은 점수를 보였으며 낙상에 대한 교육 요구에서 높은 점수를 보여 낙상예방에 대한 자신감이 적고 낙상교육요구가 높은 것으로 나타났다. 낙상영향요인에 대한 인식정도에서는 대상자의 외적인 요인에 대한 인식은 높았으나 내적인 요인에 대한 인식이 상대적으로 낮았으며 낙상에 대한 태도와 낙상영향요인 인식정도는 대상자의 일반적 특성에 따라 차이를 보였다. 또한 낙상에 대한 태도와 낙상영향요인 간에는 정적 상관관계가 있었다. 본 연구 대상자의 낙상영향요인 인식정도는 비교적 높은 편이었으며 교육요구도가 매우 높게 나타났으므로 시설종사자에게 적합한 낙상교육프로그램 개발이 필요하다. 그러나 대상자의 직종별, 경력별, 낙상관찰경험 유무에 따라 낙상에 대한 태도와 낙상영향요인 인식정도에 차이가 있으므로 이를 고려한 교육을 실시할 것과 교육 전후의 낙상에 대한 태도와 낙상영향요인 인식정도를 비교하는 연구를 수행할 것을 제언한다.

• 한국치위생학회지
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• 제17권5호
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• pp.705-719
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• 2017

Objectives: The purpose of this study is to look into the health insurance systems and application in Korea and Japan in order to improve elderly people's quality of life. Their quality of life can be improved by upgrading the long term care systems; and extending treatment and prevention. Methods: This study is to examine long term care systems articles through content analysis in the National Health Insurance Service. Data were collected from the printed Internet and analyzed. Results: A part-time dentist system in elderly care facilities has trouble in taking care of old people's oral health due to both lack of time and operational difficulties. It is urgent to arrange dental experts who can permanently stay in care facilities and to build systems which can be managed periodically and continually. Conclusions: As having staff training for the efficiency and using the manpower in care facilities (care workers), it is necessary to solve the unequal medical service in oral health care for the elderly in Korea.

• 한국컴퓨터정보학회논문지
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• 제28권10호
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• pp.247-256
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• 2023

본 연구는 전남지역 22개 시·군 노인주간보호시설의 효율성 분석을 통해 노인주간보호시설의 효율적 운영을 위한 대안 제시에 연구목적을 두고 수행하였다. 연구를 위한 분석자료는 국민건강보험공단 노인장기요양보험 주요 통계(2022년)를 이용하였고, 투입변수는 시설 수, 종사자 수, 정원, 노인장기요양등급 인정자 수를 선정하였으며, 산출변수는 현원으로 선정하였다. 분석 결과 CCR은 고흥군, 곡성군, 광양시, 보성군, 영암군, 진도군이 가장 효율적이었고, BCC는 고흥군, 곡성군, 광양시, 구례군, 담양군, 보성군, 진도군이 가장 효율적이었으며, SE는 진도군, 곡성군, 광양시 순으로 가장 초 효율적인 지역으로 나타났다. 기여도 분석에서는 정원과 종사자 변수가 효율성 기여에 영향이 큰 변수로 나타났다. 개선 가능성 분석에는 시설 수 변수가 효율성에 영향이 큰 변수로 나타났다. 따라서 노인주간보호시설의 효율적 운영을 위해 시설수, 정원과 같은 수요와 공급 조정을 제언하고, 기여도가 큰 종사자의 전문성 강화 교육프로그램이 요구됨을 제언한다.

• 사회복지연구
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• 제42권4호
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• pp.187-216
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• 2011

본 연구는 노인요양시설에 종사하는 사회복지사의 직무환경(역할갈등, 역할모호성, 역할 과다, 보상체계의 적절성)과 개인적 성향(정서적 공감성, 인지적 공감성, 외적 귀인성향, 내적 귀인성향)이 사회복지사의 소진(감정적 고갈, 개인적 성취감 저하, 클라이언트에 대한 비인격화)에 미치는 영향을 검증하여 노인요양시설에 종사하는 사회복지사의 소진을 예방할 수 있는 방안을 제시한 것이다. 노인장기요양기관으로 지정된 노인요양시설에 근무하는 사회복지사를 대상으로 설문조사를 실시, 수집된 총 312부의 자료를 기반으로 구조방정식모형을 통해 분석한 결과, 직무환경인 역할모호성은 개인적 성취감 저하와 클라이언트에 대한 비인격화에, 역할갈등과 역할과다는 감정적 고갈과 클라이언트에 대한 비인격화에 각기 유의미한 정(+)의 영향을 미치는 것을 알 수 있었으며, 개인적 성향인 인지적 공감성과 내적 귀인성향은 개인적 성취감 저하에 부(-)의 영향을, 외적 귀인성향은 감정적 고갈과 클라이언트에 대한 비인격화에 유의미한 정(+)의 영향을 미치는 것으로 알 수 있었다. 본 연구는 노인요양시설에 종사하는 사회복지사의 소진을 직무환경 뿐 아니라 개인적 성향에 주목해서 조명했다는 면에서 의의를 가진다.

• 가정간호학회지
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• 제29권3호
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• pp.329-338
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• 2022

Purpose: This study aimed to develop an infection control e-learning training program for long-term care facility care workers to prevent emerging infectious diseases and evaluate its effectiveness. Method: The program was developed using the analysis design development implementation evaluation (ADDIE) model. The effectiveness of the program was evaluated for 30 care workers. The knowledge and performance of the care workers before and after the program were analyzed by a t-test. Results: In the analysis stages, a literature review on infection control, knowledge and performance of infection control, and education needs was performed, and focus group interviews with ten care workers were conducted. In the design stage, education topics, educational content, and educational methods were selected for the program. A video was produced centered on eight themes. In the development stage, a system for education was developed, and each topic was uploaded. In the implementation stage, the program was applied to 30 care workers, and a questionnaire was administered. In the program's final evaluation, there was a significant difference in infection control knowledge (t=3.06, p=.005), and there was no significant difference in infection control performance. Conclusion: In this study, the necessary topics were finally selected by quantitatively and qualitatively analyzing the educational needs of care workers taking care of the elderly in long-term care facilities. It is necessary to understand the long-term effect and the degree of performance of the observation method in the future.

• 보건행정학회지
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• 제32권4호
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• pp.368-379
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• 2022

Background: This study aimed to establish a strategy to improve the poor working environment and working conditions among long-term healthcare workers in Korea. Methods: A total of 600 questionnaires with which long-term health care workers participated in the targeted base areas of each city and province nationwide were distributed directly and 525 responses were collected and 506 responses were analyzed. Surveys, on-site field visits, and in-depth interviews were also conducted to understand the working environment as well as conditions and establish a strategy for improving the working environment among long-term healthcare workers to understand the demands of working conditions and working conditions. Results: Korean long-term care workers firstly and mostly enumerated their risk factors for ill-health when lifting or moving elderly recipients directly by hand (69.9%), followed by increased physical workload with old beds, tools, and facilities (42.3%) in the workplaces, shortage of manpower (32%), and source of infection (30%). To improve the working environment as well as conditions, Korean long-term care workers considered improving low-wage structures, ergonomic improvements to solve excessive physical loads, and increasing various bonus payments as well as implementing the salary system, positive social awareness, and increasing resting time. Of 506 responses, 92.3% replied that the long-term care insurance system for the elderly should be developed to expand publicization at the national level. Conclusion: This study proposes to improve the low-wage structure of Korean long-term care workers, automation and improvement of facilities, equipment, and tools to eliminate excessive physical loads (beneficiary elderly lifting), and reduction of night labor.

• 한국치위생학회지
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• 제19권4호
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• pp.601-614
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• 2019

Objectives: The purpose of this study was to investigate the present conditions and problems of oral health care in senior citizens with dementia using a qualitative research method, through focused group interviews. Methods: Data was collected for approximately one month from May 2019. The subjects were divided into two groups: care workers and family caregivers. Fifteen participants were included in the study. Results: In-depth interviews with the care workers revealed the following three categories: characteristics of senile dementia patients, oral health care in senile dementia patients, and oral health care education. In-depth interviews with the family caregivers revealed the following four categories: characteristics of senile dementia patients, oral health care in senile dementia patients, oral health care education, and burden of care. The central themes common to both the care workers and family caregivers were the challenges owing to the characteristics of senile dementia patients, poor health condition of the senile dementia patients, difficulty in oral health care of the senile dementia patients, the desire to receive oral health care education and related information, and to access the information more easily. Additional central themes specific to the care workers were, the applicability of the intervention programs, variability between the facilities, and the problems of oral health care education. An additional central theme specific to the family caregivers was the burden of care. Conclusions: It is necessary to provide oral health care education and information to care workers and family caregivers of senile dementia patients, and to manage and support the dental health professionals ready to care for senile dementia patients. In addition, support to the family caregivers should not be limited only to the financial aspects, but also consider the psychological and emotional difficulties.