• 한국보건간호학회지
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• 제34권3호
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• pp.341-354
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• 2020

Purpose: This is a descriptive survey research study that identifies the intrapersonal, interpersonal, and organizational and community factors affecting the instrumental activities of daily living (IADL) in community-dwelling seniors. Methods: The study used data from a 2017 national survey of senior citizens, and includes 10,299 subjects aged 65 years or more. Complex sampling was performed to increase accuracy of the population, and hierarchical logistic regression was performed to identify the factors affecting IADL in seniors. Results: Amongst the organizational and community factors, we determined that the number of health centers, welfare facilities for senior citizens, hospital beds, and community sport facilities affected IADL in seniors, even after adjusting for intrapersonal and interpersonal factors. Conclusion: Helping seniors to maintain IADL independence for a longer duration is essential for their physical and social independence. Therefore, when establishing and developing policies for health promotion programs, efforts should be undertaken to actively reflect the level of IADL functions, and to create an accessible health and medical welfare environment by considering characteristics of senior citizens for operating programs.

• 보건교육건강증진학회지
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• 제17권1호
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• pp.171-184
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• 2000

In present paper, author proposed an effective health education strategy for local health department, which was revised from the PATCH of CDC. The author suggested that an health department should follow several steps to have an effective health promotion programs in their community. First step would be community mobilization that encourage key persons and major organizations and agencies to participate in the program. The second step is collecting demographic and vital statistics in the community or for a target audience as well as social, psychological and behavioral data. Based on the data analysis, the next step is to choose a target audience and health problem(s) for the target audience in question. The fourth step is the development of health education strategy for the target audience and the health problem. The fourth step also includes selecting a proper communication channel and educational materials as well as pre- and post-testing. The final step is implementing health education programs and evaluating the process, outcome and impact of the program. Korean Institute for Health and Social Affairs(KIHASA) has developed a model for health education programs used in local health department. KIHASA can provide technical assistance and health education materials to assist local health departments in Korea.

• 한국농촌간호학회지
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• 제2권1호
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• pp.24-32
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• 2007

Purpose: This study was done to provide statistical data for developing client-needs based welfare services in community welfare facilities. Method: The participants were 270 senior citizens, who visited a community welfare center in Gyunggi province, during the month of October 2005. They were asked to answer a structured questionnaire. Descriptive statistics, $X^2$ test and Fisher's exact test were used to analyze the data from 221 of the elders. Results: 1. More than 50% of the respondents were women aged between 60 and 75, who had education levels above high school and who lived in apartments. Among the respondents, 54.3% lived separately from their children. 2. 70.0% of the respondents considered their health status as "good", even though they had more than one disease. Also 41% of the respondents were supported by their children, and 76.8% wanted jobs. 3. The respondents pointed out several programs such as languages, computer, singing class, physical activities (dances, billiards, Tai-chi and table tennis), needed to be included in the welfare center programs. Conclusions: Elders aged 60-75, educated above high school, living in an apartments, live alone or with spouse, and having frequent contact with children, were the most frequent utilizers of the welfare center. They want the welfare center programs in variety, including languages, computer, singing class, and physical activities.

• 지역사회간호학회지
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• 제9권1호
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• pp.181-199
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• 1998

This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

• 한국지역사회생활과학회지
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• 제27권spc호
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• pp.625-634
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• 2016

This study aims to verify the effect of the rural community living home use through an analysis of depression among the elderly women who live alone in the rural community living home. A survey was conducted from July to September 2015 through direct interviews with 236 elderly people who live alone in community living homes at 52 locations across the country. The main results of this study are as follows. First, social support from family/relatives and neighbors/friends was found not to affect depression in the elderly living in community living homes. Second, satisfaction with health status, economic status and life appeared to affect their depression. This indicates the need for various measures to increase the subjective satisfaction of health. Third, when the demographic characteristics, social support and personal satisfaction were controlled, the period of use, satisfaction with use and operational service/no service were proven to have an impact on depression in the elderly living alone in community living homes. In other words, since the level of satisfaction with community living homes is very high and this has a positive impact on the elderly living in community living homes, it is desirable to have an ongoing policy for the homes to be utilized as important welfare resources. Based on these findings, this study proposes improvements in the user experience and programs and services offered for rural community living home business programs.

• 한국컴퓨터정보학회논문지
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• 제20권9호
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• pp.129-135
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• 2015

This study was conducted in order to identify factors that influence the will of self-reliance among workers participating in self-support programs. For this purpose, data were collected from self-support program participants in 2012 (1,301 participants in self-supporting labor programs and 128 in self-support community programs). Input variables analyzed as factors influencing the will of self-reliance were socio-demographic variables, self-esteem, and social capital. According to the results, first, self-supporting labor program participants' self-esteem was 2.328 out of 4 (S.M= .402) and it was somewhat lower than 2.406 (S.M=.404) in self-support community participants, but the difference was not significant. Self-supporting labor program participants' social capital was 2.980 out of 5 (S.M=.844), significantly lower than 3.356 (S.M=.815) in self-support community program participants. Self-supporting labor program participants' will of self-support was 4.150 out of 5 (S.M=.602), lower than 4.314 (S.M=.521) in self-support community program participants. Second, according to the results of regression analysis on self-support program participants' will of self-reliance, age (B=-.198, p<.001), self-esteem (B=.236, p<.001), and social capital (B=.166, p<.001) were found to have a significant effect. That is, the will of self-support was higher when age was young, when self-esteem was high, and when social capital was high. Based on these findings, this study suggested self-support policies, education systems, differentiated programs, etc. for enhancing self-support program participants' will of self-reliance.

• Human Ecology Research
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• 제51권3호
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• pp.275-284
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• 2013

The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.

• 한국전문물리치료학회지
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• 제10권1호
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• pp.139-158
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• 2003

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권3호
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• pp.129-139
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• 2009

Objectives : This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods : All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children's and adolescents' diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results : Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents' financial support and perception of their child's mental health status as being problematic, and the teachers' active engagement. Conclusion : This is the first study investigating the effectiveness of school-based mental health screenings' linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents' and teachers' perceptions regarding mental health are needed for more successful treatment linkage.

• 가족자원경영과 정책
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• 제25권3호
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• pp.31-45
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• 2021

본 연구는 자발적으로 형성된 지역기반 초등학생 자녀돌봄 공동체 구성원을 대상으로 돌봄공동체 참여 및 운영에 대해 어떠한 인식을 하고 있는가를 탐색하였다. 이를 위해 서울과 경기 지역에서 5년 이상 운영되고 있는 지역기반 초등자녀 돌봄공동체의 구성원 중 직업활동을 하는 기혼여성 10인과의 포커스 그룹 인터뷰를 실시하였다. 본 연구 결과에 따르면, 지역기반 초등학생 자녀돌봄 공동체는 일·가정 양립 정책의 주요 영역인 자녀돌봄에 대한 다양한 욕구 충족 및 가족친화 지역사회 구축을 통한 상생의 돌봄문화 조성에 기여함을 확인할 수 있었다. 이러한 결과는 지역기반 초등학생 자녀돌봄 공동체가 지역사회의 복지역량 증진에 유용한 복지자원으로 연계하기 위한 관련 정책 및 서비스를 모색하는 데 시사점을 제공할 것이다.