• 대한한방부인과학회지
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• 제23권3호
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• pp.112-122
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• 2010

Purpose: Today, the proportion of the elderly is increasing especially in a province. For elder people, local government has conducted the health promotion act by oriental medicine. For oriental medicine hub health promotion act, Eumseong -gun carried out a program that is urinary incontinence clinic for the elderly. The purpose of this study is to show how effective the public health promotion program using oriental medicine is. Methods: The 42 patients had been treated for urinary incontinence during the 10 or 11 weeks. They were put on oriental medical treatment in the Eumseong-gun public health center. Results: 1. There was significant decreases in the degree of urinary incontinence after the treatment. 2. The treatment made the patients regain their mental security. 3. People who were treated by public health promotion program were the most satisfied. Conclusion: The results suggested that public health promotion program using oriental medicine is effective for urinary incontinence.

• 대한소아치과학회지
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• 제25권3호
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• pp.525-532
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• 1998

치과의사는 자폐인의 치료시 자폐증의 정도와 의학적 관리가 필수적인 질환, 내과적 병력, 현재 환자가 복용하고 있는 약물등을 고려하여 이에 따라 적절한 행동조절 방법을 선택하여야 한다. 행동조절 방법의 선택시 술자가 선호하는 방법을 우선하기 보다는 환자의 상태와 치과치료시 환자와 보호자가 받는 스트레스를 최우선으로 고려하는 것이 필요하다. 환자의 현증에 대한 적절한 행동조절하의 치과치료도 중요하지만, 그보다 더 중요한 것은 환자가 거부감을 느끼지 않고 치과에 내원할수 있도록 훈련시키는 것과 지속적인 구강위생 관리이므로 보호자를 위한 구강위생 관리교육 및 주기적인 내원에 의한 관리가 필요하다고 생각된다.

• 보건교육건강증진학회지
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• 제20권1호
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• pp.203-218
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• 2003

In aging Korean society, many elderly people have difficulty in the areas of health, economic insecurity, role-loss(both work & spouse), loneliness, and family conflicts. Above all, retirement from work is one of the most important stressful life events having influences an elderly's persons economic & social activities, mental state, health status, and Lifelong educational programs could help the aged cope with these situations in later life. Health and social welfare are commonly recognized as an important value of life. They also have an effect on each other. Most people agree that the promotion of health and social welfare is to take a short-cut toward achieving well-being. Thus we need to develop a substantially integrated program of lifelong education, before and after retirement, for the promotion of health and welfare. Universities have the advantage of practicing lifelong educational programs because they have more material, intellectual, and human resources than any other educational facilities. As a result, the purposed of this study is to suggest life-long educational programs for promoting both health conditions and the level of social welfare by utilizing an aging center affiliated with a university. Specifically, the developmental courses of pre-retirement, learning in retirement, elder-hostels, and the connection between pre and post-retirement educational programs are proposed in this study.

• 문화기술의 융합
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• 제6권4호
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• pp.149-155
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• 2020

본 연구의 목적은 독거노인의 안전의식과 주거환경의 연관성을 알아보고, 이들 간의 관계에서 독거노인의 사고 발생 빈도 및 유형을 통해 안전의식 증진을 위한 개선방안을 모색하고 도출하고자 함이다. 본 연구는 생활관리사 22분의 도움을 받아 성남시 수정구에 거주하는 노인 총 67명을 대상으로 설문조사를 실시하였으며, 연구에 필요한 20개의 논문을 정독한 후, 자체 제작한 주거환경 체크리스트 도구, 안전의식 진단 도구를 사용하여 설문지를 작성하였다. 독거노인들의 주거환경에 따른 사고 경험을 분석한 결과, 사고유형과 사고장소에 대한 유의한 차이가 있었다. 또한 독거노인의 안전의식에 대한 설문에 의해 외출 시간과 안전의식이 상당한 연관성이 있다는 사실을 새롭게 알아내었고, 그 결과 상대적으로 집에 머무르는 시간이 긴 노인이 안전의식 수준이 높았다.

• 지역사회간호학회지
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• 제12권1호
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• pp.32-38
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• 2001

This study focused on the understanding the life of the elderly in the institution by phenomenological method. The participants were seven. who were 4 men and 3 women living in the elderly institution in Taegu. The data were collected through the indepth interviews and participant observation from June 20. 1999 to January 10. 2000 and analyzed by phenomenological analytic method by Giorgi. The structure of the meaning were as follows: Unhappy life: irresponsibility. self-centered thought. hardness. Irresistible life: misfortune. unhealthiness. Reading their son's intention. Bitter life: unfair treatment from their sons and daughters, betrayed feeling for their being thrown away. Outside oriented life: a fear of others' attention, wrong information about institutionalized life, maladjustment. Self-consolation life: comfortableness, convenience, economic merit of low cost. Dissatisfied life: discomfort from communal living. unkindness of the institution staffs, depreciated tendency to the elder people, irrational social security system. economic distress, physical pain, restrained feeling. Tenacity to their sons and daughters longingness for their sons and daughters, regretableness, waiting, Regretable life: remorse for their past life. agony, guilty, loneliness, grief, self-abandonment, self-depreciation, other residents' death in common. Inharmonious life with other residents complaint, conflict, ignorance, selfishness. Yearning life for opposite sex: sexual interest. Preparing for their life: control over their body and mind, consideration for others. A life with hope: blessing death, forever healthfulness, affiliation to their family. From the results of this study an education and consultation should be done as soon as possible to remove the negative recognition of the institutional life to the facility residents. the family and the future consumers of elderly institution. To minimize the maladjustment to facility life of residents, a new program and interventions for the new comer's are needed. The thesis with above results will widen the understandings of institutional residents and an important guidance for a better nursing care in elderly institutions of korea.

• 지역사회간호학회지
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• 제17권3호
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• pp.335-345
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• 2006

Purpose: The Purpose of this study was to develop an exercise program for elder people, and to verify the effects of it. Method: A one-group pretest-posttest experimental design was used. The exercise program was developed by researchers, and applied to 20 elders for 3 times a week for 5 weeks. To evaluate the treatment effects, dependent variables such as subjective health status, cognitive function, ADL, IADL, and depression were measured repeatedly 7 times. One-way Repeated Measures ANOVA was used for analysis. Result: There were significant positive changes in subjective health status, cognitive function, ADL, and depression except IADL during the treatment period. The treatment effects decreased significantly during 1-3 weeks after the treatment period. Conclusion: The exercise program, which had developed by the researchers, enhancing subjective health status, cognitive function, and ADL and decreasing depression of elders. Therefore this program is strongly recommended for geriatric nursing care settings.

• 한국산학기술학회논문지
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• 제20권9호
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• pp.459-464
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• 2019

본 연구목적은 요양보호사를 대상으로 하여 감정노동, 회복 탄력성이 노인 돌봄 태도에 미치는 요인을 파악하고, 요양보호사의 노인에 대한 긍정적인 태도 형성 및 유지를 위한 전략을 제공하고자 시행된 조사연구로 D시, K도 요양보호사 142명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 결과 분석 프로그램은 SPSS/WIN 21.0 program을 이용하여 기술통계, t-test, one-way ANOVA, Pearson Correlation coefficient, Multiple regression analysis를 이용하였다. 연구결과 노인 돌봄 태도는 $3.56{\pm}0.90$점, 감정노동은 $3.23{\pm}0.74$점, 회복 탄력성은 $3.94{\pm}0.40$점이었다. 노인 돌봄 태도는 회복 탄력성(r= .294, p<.005)과 유의한 정적(+)상관을 보였고, 노인 돌봄 태도의 설명력은 15.6%로 회복 탄력성(${\beta}=.360$, p= .002), 근무 형태(${\beta}=-.282$, p= .001)가 요인으로 나타났다. 본 연구결과 요양보호사들에 관한 근무형태가 안정적일수록 자신의 직무인 노인 돌봄 태도가 증가하고 있음을 보여주고 있다. 또한, 어려운 상황을 스스로 이겨낼 수 있는 회복 탄력성에 관한 프로그램을 활용하여 이들에게 미치는 영향을 파악해 볼 필요성이 있다.

• 보건행정학회지
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• 제33권1호
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• pp.40-54
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• 2023

Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions. Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate. Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, 'rho' values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively. Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.

• 한국노년학
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• 제28권4호
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• pp.1249-1264
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• 2008

죄책감은 요보호노인의 주부양자가 가지기 쉬운 역기능적인 감정으로 수발부담을 이중으로 가중시키고 있음에도 불구하고 죄책감이 수발행위에 미치는 영향에 대해 다룬 실증연구는 거의 미비하다. 이에 본 연구는 노인부양에 대한 유교적인 가치가 아직 남아 있는 우리사회에서 부양자가 가지는 죄책감에 착안하여 죄책감이 주부양자의 부양부담과 수발도움요청행위에 미치는 영향에 대해 알아보는 것을 목적으로 하고 있다. 조사는 60세 이상의 요보호노인을 수발하고 있는 주수발자 220명을 대상으로 방문 조사하였다. 죄책감 측정도구는 수발자용으로 자체 개발된 척도를 사용하였고(${\alpha}=.949$), 죄책감은 4가지 요인으로 분류되어 자기통제결핍형, 자원결핍형, 소진형, 규범형으로 명명하였다. 연구결과는 다음과 같다. 첫째, 가족수발자의 죄책감은 부양부담감과 양의 상관관계를 이루며 부양부담감은 죄책감의 4가지요인에 고루 영향을 미치는 것으로 나타났다. 둘째, 주부양자가 수발도움을 요청할 때, 동거가족과 이웃에 대해 죄책감을 느끼며, 죄책감이 적을 경우에 주간보호서비스를 이용하고 있었다. 특히 주부양자에게 영향을 미치는 죄책감요인은 동거가족에게는 규범적인요인, 이웃에게는 자원결핍요인, 그리고 주간보호서비스이용에서는 소진요인으로 나타났다. 이러한 결과는 수발도움 요청에 있어 발생하는 부양자의 역기능적인 감정인 죄책감이 수발부담을 더욱 가중시키고 있음은 물론 부양자 역할을 분담하는데 있어 어려움을 초래할 수 있다는 것을 알 수 있다. 이에 부양자의 정신건강을 위해서는 부양자가 가지는 죄책감에 대해 이해하고 대응하는 프로그램개발이 필요할 것이다.

• 대한간호학회지
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• 제27권4호
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• pp.831-842
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• 1997

The purpose of the study was to test the reliability and validity of the Korean version of Task Self-Efficacy Scale for activities of dally living (ADL). The Task Self-Efficacy Scale was developed by Roberts(1996) for low-intensity exercise study with older people to predict their performance of ADL. The scale was translated and back translated by bilingual persons, and then was modified to resolve variations in the translations. The Korean version of Self-Efficacy Scale for ADL was then administered to 193 elderly people including 95 hospitalized patients and 98 outpatients or healthy people. Face to face interview was used to fill out the structured questionnaire, and each interview took approximately 30 minutes. The subjects for the study were 80 women and 112 men with an age range of 65 to 95 years(M=71 years) of whom 82.6% classified themselves as moderate or quite active Most subjects(80.2%) had an education level of elementary school or less. The Self-Efficacy Scale for ADL is measured on a 0 to 10 VAS, assessing three areas of ADL : self care activities, household tasks, and motor tasks. The higher the score is, the higher person's confidence in performing ADL. Psychometric testing revealed that the scale was found to be internally consistent, showing a Cronbach's alpha of .97 The scale was significantly correlated with subjects' level of activity and subjective assessment of their health status. Moderate correlation with health-related hardiness scale also supported the validity. Factor analysis was performed to confirm whether the scale represents the three sub-areas as suggested in the literature. The results of the factor analysis led to a three factor solution according to Kaiser's criterion, but the items were not strongly and cleanly loaded for the third factor. This can be explained in that, among the three sub-ADL areas of the self-efficacy scale, the areas of self care activities and household tasks seem to have similar levels of difficulty in performance with not enough differences for the self-efficacy scale to distinguish between the two areas. Therefore, one factor solution was suggested since ADL can be seen as a unit of activities at similar level of difficulty in performance. One factor solution explained 68.1% of variance of the 19-item scale and all items were correlated over .6 with the factor, showing that the selected factor solution fits the model. The results indicated that the Korean version of Task Self-Efficacy Scale for ADL was reliable and valid in producing useful information to evaluate the effects of various interventions toward promoting health and quality of life for elderly people.