• 동서간호학연구지
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• 제8권1호
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• pp.103-112
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• 2003

This paper focused on providing the groundwork for the development of proper nursing interventions to enhance the quality of life for the elderly by identifying the factors that may affect their health beliefs and behaviors. A survey was conducted on a group of people aged between 60 and 86 years residing in S and K cities from January to March of 2003, who agreed to participate in the research. Data was collected using instruments measuring health beliefs and health behaviors, and was analyzed by using SPSS. The results of this study are as follow. 1) Those in the group were aged between60 and 86 years, and the average age was 66.94 years old. Most of them were living together with their spouses. From the survey, 83.5% replied "above average" on the question regarding their current health condition, whereas, 46.0% mentioned that they had some sort of diseases. 2) Overall average score of the health belief was 516.05, with a mean $3.71{\pm}4.07$. This indicates that the studied group held a high level of health belief, which affects their attitude and intention to lead a healthy life by placing the present life under control in harmony with nature. 3) Overall average score of the health behaviors was 392.24 with a mean $2.82{\pm}.52$. For health purposes, the behaviors that the elderly people were taking were mostly static ones requiring a low level of activity. The analysis showed that they generally were involved in self-trained, individualized health care. Thus, the elderly place a higher priority on regular dietary behaviors than on physical activity. 4) The correlation between health belief, a cognitive aspect on health, and health behaviors, a behavioral aspect showed a very high linear relationship (r=.520, p<.000). Consequently, it is found that those who have higher cognitive health belief are involved in higher level of behavioral health practice. These findings concluded that the Korean elderly have good health beliefs, well controlling their minds and being harmonious with nature. Health behaviors that they are engaged in are mostly static, requiring low level activity, while they place higher priority on regular dietary habits and conducting self-trained individualized health care. Important factor affecting their health beliefs and health behaviors was found to be their health practice. Since higher health belief is highly related with good health behaviors, development of health activity programs is in need as a means for an efficient health improvement, where motivating environment may be established to enhance the health belief of the elderly and to satisfy individual values.

• 로봇학회논문지
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• 제15권4호
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• pp.330-340
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• 2020

The purpose of this study was to develop Dementia-Care-Robot integrated program based on group customization and to identify effects on IADL, depression, and attitudes toward robot. This study was nonequivalent control group pre-post test design. The subjects were 40 elders diagnosed with mild dementia participating in the dementia center daily program (20 in the experimental group and 20 in the control group). Each session lasted for 30 minutes, twice a week during 6 weeks. Data were collected from July 16 to November 7, 2019, and were analyzed using SPSS WIN 22.0 program to identify differences between groups for variables. After the program, the experimental group improved in IADL, depression, but there were no significant differences between the two groups. In attitude toward robot, the experimental group showed positive change to the robot, but the control group showed negative change to it, also there was a significant difference between the two groups. Findings indicate that integrated program using Dementia-Care-Robot has potential as a strategy to improve the symptoms of dementia and to delay the progression. It needs to be applied in the medical field through convergent approach of engineering.

• 가정간호학회지
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• 제31권1호
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• pp.77-88
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• 2024

Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher's exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.

• 대한가정학회지
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• 제28권4호
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• pp.65-86
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• 1990

Living conditions of the rural elderly were assessed in terms of clothing behavior, health and nutritional status, housing and envioronmental condition, and psychological adjustment. The subjects were eighty individuals over sixty residing in the rural community of Iksan-kun, Chollabukdo. The interview method using questionnaires, direct measurement, and observation was used for this study. Data were compared with those obtained from a previous study of the elderly residing in an urban area. Clothing behavior showed that the elderly residing in the rural community were more concerned about plain and conservative design of clothes than their urban counterparts. Special protective clothes for cropdusting with agricultural chemicals had not been prepared. The following urgent needs were pointed out: development and supply of agricultural chemical protective clothing and development and education of appropriate washing and clothing care methods. The health status of the elderly was generally good, but poor eating habits were found more frequently in the rural elderly than among the urban dwellers. Several dietary nutrient intakes were insufficient. Contrasting the urban elderly with the rural group, it was found that the urban group lacked sufficient vitamin A and vitamin C and the urban women had insufficient calorie whereas the rural group was deficient in protein, vitamin A, calorie, and fat. A significant relationship was found between dietary nutrient intake and health index, food habit points, self recognized health status, meal satisfaction, and economic status. Urgent needs of the development of a nutrition education program for the elderly were pointed out. Most of elderly residing in the surveyed rural communities were living alone or with their spouse only, therefore only one room was used among the three or four available rooms. Most of the rural elderly were living either in a traditional Korean house built with differing floor levels or in a modified Korean style house. Minimal modernization had been made for kitchen facilities such as sink and gas range or for heating facilities with the briquette boiler. However, sanitary space such as lavatory and bathroom had not been remodeled. A housing welfare program for rural communities should be implemented at the national level. The comparison of psychological characteristics of the rural elderly with their city counterparts revealed that the rural elderly have a more stable psychological status and optimistic attitude than those living in a city. However, it was found that most of the elderly did not have any future plan. Community programs for the elderly including hobbies or leisure activities or education programs to generate close interpersonal relationships with their children should be developed and provided.

• 지역사회간호학회지
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• 제9권1호
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• pp.64-71
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• 1998

This study uses [the instrument of ageing anxiety] in order to find if a negative prejudice against the old affects the attitude toward sex of the aged. The result shows no significant relation between ageing anxiety and the knowledge of and attitude toward sex of the aged. However, it does show that the higher the ageing anxiety is, the lower the knowledge of sex and the more restrictive the attitude toward it. The knowledge of and attitude toward sex of the aged shows meaninggul changes after education. Nursing students who were educated come to have more knowledge about and are more open to it. This result supports the preposition of this study. As society grows older the endeavour to guarantee a high-quality life for the old is necessary and the old should be regarded as an entity which has its own characteristic desires. Especially for the old to enjoy a good life as a sexual being, the mystical barriers about sex and old age ought to be removed. In the future the old themselves may maintain sexual desires regardless of age and society will be required to correct its prejudice against the old having sex. Particularly nursing students, as an effort to provide the old with overall care, should examine the elderly's sexual desires in a physical, psychological, and social context and consider the normal sexual changes occuring during the aging process and finally integrate this information into their nursing plans. In order to fulfill this role successfully they should overcome their own prejudice and educate themselves about this particular problem. As the proportion of the old becomes bigger and the concern about the quality of their life grows, sex among the old will become more important in the nursing field. By putting an educational mediation programme into operation with nursing students and estimating the effect, this study supplies the foundation to activate new educational programmes. In short it tells us that education can be a practical method to confront the myth and conventions concerning sex among the aged.

• 한국사회복지학
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• 제37권
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• pp.429-448
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• 1999

본 연구는 재가복지서비스에 대한 질적 평가의 일환으로서, 사회복지관 부설 재가복지봉사센터의 서비스를 받는 재가복지 대상자를 조사대상으로 하여 재가복지대상자의 특성과 서비스 내용, 서비스 만족도, 그리고 이들 간의 상관관계를 조사함으로써 현행 재가복지사업의 문제점을 보다 심층적으로 분석하려는 것이다. 본 논문의 분석결과, 현행 재가복지서비스에 대한 대상자의 만족도 점수는 5점 척도에서 상위 $1.62{\sim}2.56$점에 위치함으로써 긍정적 평가와 부정적 평가가 모두 가능하였지만, 방문 빈도에 관한 불만이 있음을 확인할 수 있었다. 또한 현행 재가복지서비스가 대상자의 욕구 중심으로 이루어지고 있는지에 대한 의문을 갖게 하였는데, 대상자의 욕구와는 관계없이 가사서비스가 주로 제공되고 있어서 건강이 나쁜 대상자라도 의료서비스보다는 가사서비스를 더 많이 받고 있었고, 일상생활 수행능력상의 장애와 서비스간의 괴리도 심각하게 나타났다. 특히 복지 선진국과는 달리, 우리의 재가복지서비스는 건강이 나쁜 대상자, 그리고 일상생활 수행능력상의 장애를 가지는 대상자의 의료욕구를 충분히 충족시키지 못함으로써 건강이 나쁜 대상자일수록 재가 복지서비스가 도움을 주지 못한다고 생각하는 것으로 나타났다. 또한 자산조사를 자격요건으로 하는 생활보호대상자를 가장 중요한 대상자 선정기준으로 삼고 있을 뿐, 욕구조사가 거의 이루어지고 있지 못하다는 것을 보여주었다.

• 한국산학기술학회논문지
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• 제17권5호
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• pp.452-458
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• 2016

본 논문은 노인요양시설 요양보호사들의 억제대 사용에 대한 인식을 조사한 서술적 조사연구이다. 자료수집은 2016년 1월 13일부터 2월 10일까지 노인요양시설 요양보호사 113명을 대상으로 자기기입식 설문을 통해 이루어졌다. 억제대 사용의 인식에 대한 전체 평균은 3.43(${\pm}0.24$)이였으며, 억제대 적용 이유로 가장 중요하게 생각하는 항목은 "대상자를 침대에서 떨어지지 않도록 보호하기 위하여"였으며, 주로 노인 대상자들의 안전사고를 예방하기 위한 항목에서 억제대 사용을 중요하게 생각하는 것으로 나타났다. 억제대 사용에 대한 지식은 18점 만점에 평균 11.23점으로 보통 수준이었으며, 50세 이하의 요양보호사들의 지식수준이 다소 낮았다. 억제대 사용에 대한 태도는 전체평균 9.19점으로 다소 긍정적으로 가급적 억제대 사용을 자제해야 한다고 생각했으며, 근무경력 3년 이하의 요양보호사들이 더 높게 나타났다. 억제대는 노인대상자의 신체 정신적 그리고 인권과 밀접한 관련이 있는 것으로 가장 많은 시간을 함께 하는 요양보호사들의 억제대 사용에 대한 인식의 고려와 향상을 위하여 억제대 사용에 대한 정확한 지침과 눈높이에 맞는 교육이 제공되어야 한다.

• Journal of Hospice and Palliative Care
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• 제17권3호
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• pp.151-160
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• 2014

목적: 노년기는 죽음이 가까워지는 시기이고 노인들은 좋은 죽음을 원하지만 아직까지 노인에서 좋은 죽음의 정도와 영향요인을 규명하는 연구 자료가 부족하다. 이에 따라 본 연구에서는 재가노인을 대상으로 좋은 죽음의 인지도를 알아보고 그의 영향요인을 일반적 특성과 가족지지를 중심으로 살펴보았다. 방법: 대상자는 서울시, 경기도, 강원도 및 전라도의 지역사회 거주 노인들 중 편의 표출하여 연구에 참여를 서면 동의한 65세 이상의 노인 317명이었다. 구조화된 설문지 문항에는 일반적 특성, 좋은 죽음 19문항과 가족지지 11문항을 포함시켰으며 설문내용에 대해 대상자 스스로 기입하거나 자기기입이 어려운 노인은 연구자나 연구보조원이 설문에 대한 노인의 응답을 기입하는 방법으로 자료수집을 하였다. 자료분석은 기술통계, t 혹은 F 검정, 피어슨 상관계수 및 단계적 다중회귀 분석을 이용하였다. 결과: 좋은 죽음의 정도는 상으로 높은 편이었고 좋은 죽음의 요인 중 통제감이 가장 높았으며 문항별 정도는 '평화롭게 죽는 것이다'와 '죽음을 수용하는 것이다'에 이어서 '다른 사람에게 부담(폐)을 주지 않는 것이다'를 높게 인지하였다. 좋은 죽음의 인지도는 성별, 결혼상태와 경제상태에 따라 유의한 차이가 있었고 가족지지와 유의한 정적 상관관계를 보였다. 좋은 죽음에 대한 영향요인은 가족지지와 성별로 그 설명력은 10.2%이었다. 결론: 재가노인의 좋은 죽음을 위해서는 그들의 일반적 특성 중 성별, 결혼상태와 경제상태를 고려하고 중재가 가능한 가족 지지를 높여야 할 것이다. 또한 노인의 통제감을 높일 수 있는 방안을 모색하고 문항 중 높은 인지도를 나타낸 평화로운 죽음과 죽음 수용 등에 대해 초점을 맞추어 중재를 하여야 할 것이다. 나아가 본 연구결과를 기반으로 노인의 성별과 가족지지를 고려하여 그들의 좋은 죽음뿐 아니라 삶의 질이 유지, 증진될 수 있도록 지지 프로그램이나 정책 제안 등 합당한 노력을 강구하여야 할 것이다.

• 보건의료산업학회지
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• 제13권4호
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• pp.19-31
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• 2019

Objectives: The purpose of this study was to analyze research trends in age-friendly research and suggest directions for future research. Methods: For this study, 112 articles related to age-friendly research were selected, from 605 published articles in The Korean Journal of Health Service Management (2007-2018). Content analysis and text network analysis were conducted using SPSS 23.0 and NetMiner 4. Results: First, 2 authors (30.4%) and 4 keywords (45.5%) were the most studied. Most of the studies used quantitative research (93.8%). Primary data (61.9%) and SPSS (77.7%) were the most used for analysis. Second, there were seven common keywords in the top 10 in all the centralities. They were Elderly, Geriatric Hospital, Depression, Care Workers, Long-Term Care Facilities, Experience, and Attitude. Conclusions: This study shows the need for diversity of research topics, subjects, research methods, and analytical tools in future age-friendly related studies. In addition, it suggests activating convergence research in this field linked to various industries and services.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.518-526
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• 2022

현대화에 따른 평균수명의 연장은 노년기 돌봄과 질병에 있어 수혜 시간의 연장을 의미한다. 그러나 노인 증가에 비해 자녀들의 부모부양책임에 대한 태도는 점점 약화되어 가고 있다. 이러한 사회현상은 노년기 삶에 소외, 절망감, 스트레스를 가져다주고 이로 인한 무망감으로 자살 생각이나 의도적인 죽음(자살)을 불러오는 요인이 되어 사회문제가 되고 있다. 노인의 의도적인 죽음(자살)은 주변에서 흔히 일어나는 사회현상으로 영화를 통해서도 그 실상을 알 수 있다. 본 연구에서는 영화 '죽여주는 여자'에 등장하는 주인공 '소영'과 주변 인물인 '송 노인', '종수', '재우' 등의 대화 속에서 노인 문제와 죽음 요인에 해당되는 내용을 매트릭스(Matrix) 분류체계 방법으로 정리한 후, 임병우(2019)가 정리한 '현대화에 따른 노인 문제 발생 흐름도'에 적용하여 의도적 죽음(자살) 요인을 탐구하였다. 분석 결과 4명의 노인들은 질병, 소외와 고독, 빈곤, 상실 등 노인 문제에 노출되었으나, 현대화로 인한 지위 하락과 부양의식 태도 변화로 인한 돌봄 부족의 스트레스가 지속되자, 삶에 대한 절망감에 빠져 의도적 죽음(자살)을 선택한 것으로 분석되었다.