• 대한가정학회지
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• 제29권3호
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• pp.71-83
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• 1991

This study examines a pattern of family caregiving and its effect on life satisfaction of disabled elderly people. Data were gathered through the use of face-to-face interview method from a sample of 135 elderly aged over 60. One-third of the elderly respondents have no family caregiver. Most of caregivers provide routine household chores and physical help, but persnal care such as bathing and changing clothes was taken by elderly people themselves. The caregiver in an elderly couple is most likely the wife. When a spouse is unavailable, daughters-in law usually assume the role of a primary caregiver. Sex difference has been found in the most comfortable caregiver for the elderly. The most comfortable caregiver for the elderly men is shown to be their spouse, whereas the one for the elderly women is show to be their daughter-in-law. Most of the disabled elderly are emotionally dependent on their son(usually their eldest son), but physically dependent on their spouse, daughter-in-law, or daughter. The caregivers are dominated by women. Among those elderly receiving care from their children, the relationship between the aged their caregiver is found to be closer than the past when the aged were healthy: however, this relationship is found to be almost the same as the past among those elderly receiving care from their spouse. Finally, the degree of family solidarity, satisfaction with received cares, and the relationship with caregivers are found to be closely related to life satisfaction of the elderly respondents.

• 한국보건간호학회지
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• 제17권2호
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• pp.287-298
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• 2003

This study was conducted to identify the health care utilization, health care costs, and potential health care demands of the disabled in the Medicaid Aid beneficiaries. This study focused on the heath care costs not included in the medical aid allowance such as transportation, informal nursing costs, and ambulatory aids etc. Participants were the 864 subjects who were beneficiaries of the National Medical Aid program living in 10 district of Korea. A questionnaires were distributed to the disabled in the Medical Aid beneficiaries during August to September, 2001 through public offices. Data were collected through a home visiting by social workers working in public offices. Direct and indirect medical costs expended for one month by the participating disabled were examined. They expended 110.748 won $({\$}100)$ for heath care costs, which was not included in the medical aid allowance during the month. The disabled with cerebral diseases or who have level 4 disability expended more health care costs compare to those with other diseases. Gradual expansion of medical aid allowance for the disabled is recommended to alleviate economic burden of the disabled and their family.

• 지역사회간호학회지
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• 제18권3호
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• pp.480-491
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• 2007

Purpose: This study was to investigate the needs of health & community services among the disabled at home in rural areas. Methods: The subjects were 146 persons with disabilities living in J-gun. The questionnaire was based on the needs of 8 categorical services. Data were analyzed using frequency, percentage, mean, standard deviation, minimum, maximum, t-test, one-way ANOVA and Scheffe test. Results: Among the respondents, 27.4% visited the public health center in community for rehabilitation therapy. The average score of need was $2.62{\pm}.79$: education services $(2.92{\pm}1.05)$; medical services $(2.81{\pm}.82)$ nursing care services $(2.75{\pm}1.08)$; connection services $(2.62{\pm}1.20)$;, housing services $(2.60{\pm}1.09)$; emotional services $(2.41{\pm}1.03)$; other services $(2.24{\pm}1.06)$; and support of self-sustenance service $(1.92{\pm}1.15)$. The items in highest need were medical checkup (70.7%), medication (62.1%), traditional oriental therapy (60.4%) and physical therapy (58.9%), and those of lowest need were device repair (8.7%) and guidance of facility admission (7.1%). Needs were significantly different according to age (F=4.751. p=.001), employment status (t=2.108, p=.037) and medical fee payer (F=5.061, p=.002). Conclusion: The needs of education & medical services were relatively high. Demographic factors were statistically significant in determining needs. For the disabled at home in rural areas, more various services or programs should be executed based upon the needs and characteristics of based upon the needs and characteristics of the subjects.

• 사회복지연구
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• 제37호
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• pp.345-368
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• 2008

본 연구의 목적은 장애인거주시설 중 장애유형별생활시설, 장애인공동생활가정, 장애인자립홈의 이용자 1인당 거주시설 보호비용을 산출하고, 이를 시설유형별, 세입재원별, 장애정도별로 비교하여 어떠한 차이가 있는지를 살펴보는데 있다. 보다 엄밀한 보호비용 산출을 위하여 회계분야에서 사용하는 원가분석(cost-analysis)방법을 활용하여 거주시설 이용자 1인당 연간 보호비용(단위원가)을 산출하였다. 연구결과 거주시설 유형별로 생활시설은 약 15,000천원 ~ 20,000천원, 공동생활가정은 약 10,000천원 ~ 11,000천원, 자립홈은 약 4,025천원으로 나타났다. 장애정도가 유사한 이용자들만을 별도로 선정하여 거주시설 유형별 보호비용의 차이를 살펴본 결과, 생활시설에 거주하는 이용자가 공동생활가정 이용자보다 높았고, 공동생활가정 이용자는 자립홈 이용자보다 높게 나타났다. 이로써 우리나라에서 주장되고 있는 시설보호의 '규모의 경제' 논리는 실증적인 근거에 반한다고 할 수 있다. 서비스 효과측면에서 뿐만 아니라 비용측면에서도 향후 정책방향은 소규모 지역사회시설을 중심으로 공급을 확대하는 것이 필요하다. 이와 함께 현재 턱 없이 낮게 설정되어 있는 소규모 지역사회거주시설에 대한 정부의 재정지원 수준을 높이는 일도 중요한 과제라고 할 수 있을 것이다.

• The Journal of Korean Physical Therapy
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• 제22권5호
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• pp.95-102
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• 2010

Purpose: The purpose of this study was to analyze the necessity of home visit rehabilitation therapy by rehabilitation professionals working at social welfare facilities. Methods: The subjects of this study were 227 rehabilitation professionals (social worker, nurse, physical therapist, occupational therapist, speech-language therapist, special education teacher, and staff of institutions for the disabled who were working at community rehabilitation centers. The data were collected over 65 days (2008. 09. 10~11. 14). The results were analysed statistically by the Chi-square test. Results: The results are as follows: Long-term care service was established in Korea by the Ministry of Health in July, 2008. But there are limits to their being able to provide various rehabilitation services for chronic patients and old people. According to a recent survey, almost all rehabilitation professionals (N=227) stated that home visit rehabilitation therapy is necessary. Conclusion: In Korea, the long-term care service has a nursing service and a service supporting physical activities of daily living, but not physical therapy. So, home visit rehabilitation services should include physical therapy, rehabilitation exercise, and pain management.

• 한국콘텐츠학회논문지
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• 제16권11호
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• pp.271-280
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• 2016

본 연구는 장애인거주시설 인권의 중요도 인식과 현재 실행도와의 차이를 비교하여 이러한 차이를 극복할 수 있는 실천전략을 탐색하기 위한 것이다. 이를 위해 경기, 경북, 전남지역 시설장 114명을 대상으로 장애인거주시설 인권의 인식 수준과 실행수준은 어느 정도인지, 중요도 인식과 현재 실행도 간의 차이가 존재하는지에 대한 경험적 연구를 수행하였다. 연구결과 첫째, 거주시설 인권이 중요하다는 인식을 공유하고 있다는 것으로 나타났다. 둘째, 거주시설 인권영역의 중요도와 실행도 수준의 차이분석에서 통계적으로 유의미한 차이가 있는 것으로 나타났다. 셋째, 중요도와 실행도의 차이를 극복할 수 있는 실천전략을 수립하고자 IPA matrix 분석결과를 제시하였다. 이러한 결과를 바탕으로 실천적 함의와 향후 과제를 제시하였다.

• 한국사회복지학
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• 제60권2호
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• pp.155-173
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• 2008

본 연구는 지역사회 내에 거주하는 재가 장애인의 신체적, 심리적, 사회 환경적 상황을 종합적으로 평가하여 그에 적합한 서비스를 제공하기 위한 욕구 중심의 사정도구를 개발하고, 개발된 도구를 활용하여 재가 장애인 200명의 사정 데이터를 수집한 후 데이터마이닝의 의사결정 나무분석 기법을 활용하여 욕구에 적합한 서비스제공을 위한 욕구 추출 알고리즘을 구성하였다. 본 연구는 2006년 6월부터 10월까지 5개월간 이루어졌으며, 크게 사정도구 개발과 개발된 도구를 활용한 욕구추출 과정으로 나뉠 수 있다. 도구개발은 문헌고찰을 통하여 기본적인 틀을 구성하였고, 포커스집단과 전문가들을 통하여 사정도구의 주관적 호소와 욕구 문항을 개발하였으며, 도구의 타당도를 확인하기 위해 통계적인 검증과정을 거쳤다. 검증결과 본 도구는 <표 2>와 <표 3>의 결과처럼 타당도와 신뢰도를 확보하였으며, 이 도구를 활용하여 욕구추출 알고리즘 요약을 <표 5>와 같이 제시하였다. 본 연구의 결과로 제시한 사정도구와 알고리즘은 재가 장애인의 객관적 욕구를 사정하고 확인함으로써 체계적인 사례관리를 수행하는 자료로 활용될 수 있다.

• 한국직업건강간호학회지
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• 제31권1호
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• pp.11-21
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• 2022

Purpose: This study aimed to identify the relationship among musculoskeletal problems, sleep problems, and self-rated mental health of home-care workers. Methods: Data were collected from 447 home-care workers spanning three occupation types: life supporters for the elderly, home-visit caregivers, and life supporters for the disabled. Musculoskeletal problems, sleep problems, and self-rated mental health were assessed using structured questionnaires. Factors affecting self-rated mental health were analyzed using multiple regression. SPSS was used to test the mediating effects of sleep problems on musculoskeletal problems and self-rated mental health. Results: Among the general characteristics, the variables that showed significant differences in musculoskeletal problems were monthly income level, caring-related career duration, weekly working hours, and occupation type; and the variable that showed significant differences in self-rated mental health was occupation type. Among the occupation types, supporters for the disabled had the most musculoskeletal problems and the lowest self-rated mental health. Musculoskeletal problems among home-care workers had a direct negative effect on self-rated mental health and indirect negative effects on sleep problems. Conclusion: Measures are needed to reduce the differences in working conditions and health status among the occupation types of home-care workers. Considering the relevance between the health issues of home-care workers, the development of a carefully designed health promotion strategy is required.

• 한국직업건강간호학회지
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• 제16권2호
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• pp.188-196
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• 2007

Purpose: The objective of this study was to evaluate long-term care needs using RAI MDS-HC and MI-CHOICE among the disabled workers. Methods: Data were obtained from 45 personal care recipients with the disability of mental and nervous system, and analyzed using SAS 9.1 by applying t-test, ${\chi}^2$ test, or fisher's exact test. Results: Only 'bed mobility' and 'indoor ambulation' items of ADL and problem activity were statistically significant factors by the level of personal care benefit. By MICHOICE grouping, 20.0 percent of subjects belonged to nursing home group, 51.5 percent were home care service, 28.9 percent were intermittent personal care. Conclusion: Personal care services in industrial accident compensation insurance have been categorized with two groups according to level of disability. But our results could contribute to provide personal care service according to the long term care needs.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2019년도 제59차 동계학술대회논문집 27권1호
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• pp.259-260
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• 2019

장애인은 비장애인보다 극한 상황에 쉽게 노출될 수 있어 큰 주의가 필요하다. 본 논문에서는 OpenCV 라이브러리를 기반으로한 손동작 인식 시스템을 제안한다. 장애인을 비롯한 몸이 불편한 사람들이 간단한 동작만으로 집 안의 모듈을 제어할 수 있도록 시스템을 구현하였다. OpenCV 라이브러리를 기반으로 카메라 촬영을 통해 손동작을 인식하여 물체를 제어하는 시스템을 설계하였다.