• 한국컴퓨터정보학회논문지
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• 제20권11호
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• pp.169-174
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• 2015

The study is to clarify the relationship among the positive and negative recognition of stress and physical and psychological abuse and neglect aiming at getting the material. They are to prevent elder abuse at the main care worker for frail and dementia elderly. The degree of fitness to the data where positive and negative recognition of main care worker was located as dependent variable. The casual model in which main care worker was located as independent variable. The degree of fitness of casual model was GFI=0.772, CFI=0.795, RESEA=0.067. Among path coefficient included in the previous model, three of figures going toward three of abuse to the elder were statistically significant.

• 한국지역사회생활과학회지
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• 제21권3호
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• pp.351-364
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• 2010

This study was aimed to investigate the relationship between abuse and suicide risk focused on the Korean elderly over 65 years old living with their families. The data for the study was collected from 1,193 people in Incheon metropolitan city, Kyunggi and Chungnam province. Among them, 711 elderly adults who experienced abuse within their families, were analysed for the study. The results were as follows: First, the group who had experienced abuse was revealed at 29.8%, and the group who had experienced suicide was revealed at 23.1%. Second, the victims of abuse at older ages affects the risk of suicide. Moreover, considering the elderly population under the control of influencing variables such as socioeconomic traits, ADL and depression, the risk of suicide for the group of being abused was higher than the group that was never abused. Third, four groups of elderly(groups without both abuse and suicide risks, the group with only abuse victims, the group with only suicide risks, and the group with both abuse and suicide risk) were divided based on the victims of abuse and the risk of suicide. The group without abuse and suicide risk was positive in subjective economic status, ADL, number of diseases and depression. On the contrary, the group with both abuse and suicide risk was negative in the above indices. The study indicated that there were some similar traits between abuse risk groups and suicide risk groups, but the group with suicide risk was lower than the group with abuse risk in ADL and depression.

• 지역사회간호학회지
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• 제26권1호
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• pp.42-51
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• 2015

Purpose: The aim of this study is to determine the impact of abuse experience and coping styles on suicidal ideation in Korean elders. Methods: Data were collected from the 2011 Korean National Survey on the Elderly. The participants were 10,537 elders aged 65 or older who had replied to the question on suicidal ideation. Socio-demographic and health related factors, abuse experience, and coping style were included as the influence factors of suicidal ideation. Data were analyzed using ${\chi}^2$-test and logistic stepwise regression with the SPSS/WIN 21.0 program. Results: The prevalence of abuse experience among the elders was 12.7% and that of suicidal ideation was 11.2%. Elders with abuse experience (OR=2.79, 95% CI=2.39~3.26) were more likely to have suicidal ideation but those with an active coping style (OR=0.69, 95% CI=0.57~0.84) were less likely to have suicidal ideation even with other influence factors controlled. Conclusion: Abuse experience of the elderly was a major risk factor that increased suicidal ideation, and active coping style was a protective factor that reduced suicidal ideation. These findings show that careful attention to elderly abuse and education for active coping style are necessary to reduce suicidal ideation among the elderly.

• 대한간호학회지
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• 제40권4호
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• pp.463-472
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• 2010

Purpose: This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults. Methods: The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008. Results: Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4. Conclusion: The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.

• 한국노년학
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• 제28권4호
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• pp.1165-1178
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• 2008

본 연구는 노인학대의 새로운 유형화를 통해 노인학대의 중복적 특성을 간명화하여 노인학대에 대한 이해를 돕고, 노인학대의 유형별 결정요인 분석을 목적으로 한다. 이를 위해 전국노인보호전문기관의 81명의 상담가가 조사일자를 기점으로 최근 종결한 5개 사례에 대해서 주어진 노인학대 판정지표 및 사정도구에 회고적으로 응답하는 설문조사방법을 활용하였으며, 조사결과 350명의 노인학대 사례에 대해 통계분석을 실시하였다. 분석방법은 17개의 노인학대 판정지표를 활용한 군집분석을 통해 노인학대를 유형화하고, 유형화결과에 따라 logit-regression을 활용하여 유형결정요인을 분석하였다. 연구결과 노인학대는 '폭력성 노인학대'와 '회피성 노인학대'로 유형화되었다. 폭력성 노인학대는 직접적으로 폭력을 행하거나, 거친행위로 노인을 위협하거나 협박하는 행위, 노인을 무시하는 언어적 표현과 행동과 같이 직접적으로 노인에게 해를 가하는 언행이 나타나는 유형이며, 회피성 노인학대는 방임, 유기, 자기방임과 노인과의 접촉을 기피하는 유형으로 구분되었다. 폭력성 노인학대와 회피성 노인학대의 유형 결정요인 분석결과, 피학대노인의 기능상태와 학력, 가해자의 성별과 학력, 가해자가 느끼는 피해자에 대한 수발부담, 가해자와 피해자의 동거여부가 노인학대 유형 결정에 유의미한 영향을 미치는 것으로 나타났다. 피해노인의 학력이 높을수록 폭력성 노인학대 발생율이 높으며, 기능상태(IADL)가 나쁠수록 회피성 노인학대 발생율이 높게 나타났다. 또한 가해자가 여성일수록 회피성 노인학대 발생율이 높으며, 가해자의 학력이 높을수록 폭력성 학대 발생율이 높게 나타났다. 가해자가 노인의 수발부담이 높다고 느낄수록 폭력성 노인학대가 높게 나타났으며, 동거는 회피성 노인학대보다는 폭력성 노인학대의 발생율을 높이는 것으로 나타났다. 본 연구는 노인학대의 복잡성을 간명하게 이해할 수 있도록 하는 새로운 노인학대의 유형화를 시도하였으며, 노인학대의 유형 결정요인을 밝힘으로써 추후 노인학대 개입기법을 세분화하고 노인학대 발생원인 이론개발의 기초자료로서의 의미를 갖는다.

• 간호행정학회지
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• 제15권1호
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• pp.81-90
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• 2009

Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

• 한국융합학회논문지
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• 제10권7호
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• pp.63-70
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• 2019

본 연구에서는 75세 이상 후기 노인의 정서적 요인, 신체적 요인, 사회경제적 요인과 자살생각과의 관련성을 살펴보고, 나아가 후기노인의 자살 예방을 위해서 어떠한 요인이 충족되어야 하는가에 대해 파악하고자 하였다. "2017년 노인실태조사" 자료를 사용하여 75세 이상 남성 3,023명, 여성 1,295명을 대상으로 하였다. 자살생각에 영향을 미치는 요인을 파악하기 위해 다변량 로지스틱 회귀분석를 사용하였다. 연구결과 자녀와의 유대관계, 만성질병의 수, 학대여부, 우울증, 배우자 유무가 유의하게 영향을 주었으며, 학대여부가 가장 위험도가 높았다. 따라서 후기 노인의 자살률을 감소시키기 위해서는 노인의 신체적, 사회경제적, 정서적 건강문제의 융합연구가 필요하며, 특히 노인 학대를 감소를 위한 제도적 개선 및 노인상담기관의 활성화가 필요하다.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.96-109
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• 2016

Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.436-443
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• 2022

Objectives: Previous studies have reported that self-neglect, which may be a sign of elder abuse, can result in suicide among older adults. The signs of self-neglect and its impact on the risk of suicide may differ by gender. Thus, this study explored the association between self-neglect and suicide risk in older Korean adults and examined the potential moderating effect of gender on this relationship. Methods: Data were collected from 356 Korean adults aged 65 or older through an online survey. Multiple regression analysis was used to test the research hypothesis. First, the associations between 4 sub-dimensions of self-neglect (i.e., daily life management issues, personal hygiene issues, financial management issues, and relational issues) and suicidal ideation were examined. Then, the moderating effect of gender on these relationships was investigated by including interaction terms. Results: Self-neglect was significantly associated with suicidal ideation in older adults. Aspects of self-neglect related to daily life management and relational factors were key predictors of suicidal ideation. Gender significantly moderated the effect of the relational dimension of self-neglect on suicidal ideation. The relational dimension of self-neglect was more strongly associated with suicidal ideation in older women than in older men. Conclusions: The findings suggest the importance of screening older adults with signs of self-neglect for suicide risk. Special attention should be paid to older women who experience relational issues as a high-risk group for suicidal ideation. Public programs and support systems should be established to improve daily life management and promote social relationships among older adults.

• 기독교교육논총
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• 제75권
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• pp.83-102
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• 2023

연구 목적 : 본 연구는 고령화로 인한 사회적 문제 해소를 위한 한 방안으로 노인에 관한 이해가 보다 긍정적으로 바뀌어야 함을 강조하며, 그 방안 중 하나로써 노인 인권에 대한 이해와 교육을 제안하는 데 목적을 두었다. 연구 내용 및 방법 : 먼저, 오늘날 노인 인권에 관한 관심이 필요함을 강조하면서, 노년에 발생하는 노인학대 문제에 대해 살펴보았다. 그리고 노인학대가 발생하는 원인들 가운데 하나가 노인의 인권에 대한 이해의 부재로 인해 발생하였음을 지적하였다. 다음으로 '노인 인권이란 무엇인가'에 대해 살펴보았다. 이를 위해 UNESCO에서 말하는 노인 인권에 대한 이해부터 한국의 노인 인권에 대한 정책까지 설명하였다. 이를 근거로 노인인권교육의 필요성을 주장하였다. 노인 인권이 향상되기 위해서는 인식의 전환이 큰 영향을 주기 때문이다. 특히 교회도 고령화 현상을 피할 수 없으며, 그로 인해 교회 내 노인 성도의 분포도가 높다는 사실을 전제로 하여, 교회도 노인 인권에 대해 관심을 가져야 한다고 주장하였다. 그리고 기독교적 관점에서 노인인권교육을 제안해야 함을 강조하였다. 결론 및 제언 : 결론적으로 본 연구는 노인 인권의 중요성을 강조하면서, 기독교적 노인 인권을 세 가지 측면에서 제안하였다. 첫째, 노인을 대상으로 한 자기 존엄성 교육이다. 둘째, 타 세대의 노인에 대한 존경과 권리를 인정하는 방법으로써 노인의 인생을 배우고 공감하는 교육이다. 셋째, 노인 세대와 타 세대 간의 갈등을 완화와 조화를 통한 권리 존중을 위해 상호존중교육이다. 그러나 아쉽게도 본 연구는 이론적인 제안에 주안점을 둔 관계로 방법론적인 접근 교육 등은 다루지 못한 점에서 한계가 있다. 따라서 향후 이러한 점을 보완하여 기독교 인권교육에 관한 실천적인 교육 프로그램이 연구되는 등 노인 인권 향상을 위한 구체적인 대안 마련에 도움이 되는 후속 연구들이 지속적으로 이루어지길 바란다.