• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.369-384
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• 2020

본 연구는 상담에 대한 지각 및 상담 서비스를 이용하는데 있어서의 장벽, 상담에 대한 기대를 노인들의 직접적인 보고를 통해 탐색하고자 하였다. 이를 위해 경기도 내에 거주하고 있는 56명의 노인들을 대상으로 면담을 통하여 자료를 수집하였다. 수집된 자료는 합의적 질적 연구 수정본(CQR-M)을 사용하여 분석하였다. 분석 결과 고민거리에 대한 대처 방법, 상담에 대한 느낌이나 생각, 상담에 대한 동기, 상담이 꺼려지는 이유, 상담자에 대한 기대, 상담효과에 대한 기대라는 6개의 영역이 도출되었다. 본 연구결과를 통해, 사례관리 및 상담영역의 확대, 진정성 있는 인간적 관계 형성, 활동을 병행한 상담 방식 고려, 전문성 강화 등 노인의 상담 숙고 및 참여도를 높이기 위한 노인상담 방안에 대해 제시하였다.

• 지역사회간호학회지
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• 제22권2호
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• pp.141-150
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• 2011

Purpose: The purpose of this study was to examine satisfaction with counseling in long-term care service, and to compare the scores of counseling satisfaction according to variables among beneficiaries of Korean long-term care services. Methods: Questionnaires were completed by 445 beneficiaries of long-term care insurance to measure satisfaction with counseling. Research design was cross-sectional descriptive design. Data were analyzed using descriptive statistics, t-test and ANOVA for evaluating differences in satisfaction with counseling according to variables including economic status, the level of long-term care insurance approval, duration of long term care service, and conditions of counseling. Results: The score of satisfaction with counseling was somewhat high as 71.67. The score of counselor's attitude was highest among the subcategories of satisfaction. The factors that influenced satisfaction with counseling were frequency and time of counseling (F=12.19, p<.001). Conclusion: Home-based individual counseling is necessary for the elderly who need long-term care service. The National Long-term Care Insurance Corporation should offer counseling and assistance to elders and their caregivers about long term care insurance.

• 대한영양사협회학술지
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• 제3권2호
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• pp.197-210
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• 1997

Low energy intakes, poor nutritional quality, and low food diversity are among the factors affecting the nutritional status of elderly in Korea. Therefore, a nutrition counseling and education program was conducted to promote dietary change and to improve nutritional status of elderly. The 7 step program consisted of a individual nutrition counseling and weekly or biweekly group nutrition education programs. Pre- and post-test measurings of dietary behaviors, attitudes, nutrition knowledge, and 24-hour dietary recall data were collected. Positive changes in the attitude related to diet were noted, whereas nutritional knowledge scores were not improved. Significant increases were noted in the frequency of vegetable consumption in female and diversity of food consumption in male. The densities of vitamin C(male & female), $B_1$, $B_2$, and niacin, calculated using the INQ(Index of Nutritional Quality), were significantly improved by nutrition counseling and education programs. These results suggest the appropriateness of nutrition intervention programs for the improvement of elderly nutrition.

• 지역사회간호학회지
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• 제15권2호
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• pp.246-254
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• 2004

Purpose: This study was to measure college students' understanding of elderly's sexual life. Method: For this study, questionnaires were distributed to 423 students in 'K' college of Chungcheongbuk-do during the period from November 17 to December 3 2003. Result: With regard to elderly's sexual life, 38.5% of the respondents answered' very important' or 'important'. With regard to disturbances of elderly's sexual life, 56.7% of the respondents answered 'because of aging', and 53.4% answered 'because of social and moral dignity'. Of the respondents, 95.0% agreed on elderly's acquaintance with the opposite sex, and 50.8% of respondents who agreed on it answered that the reason of elderly's acquaintance with the opposite sex was to get friends. The score of college students' understanding of elderly's sexual life was 2.64 out of 4 points. Among the areas in the questionnaire on understanding of elderly's sexual life, college students' attitude toward sexual life showed the highest score. The score of the necessity of education and counseling for elderly on sexuality and acquaintance with the opposite sex was 3.11 out of 4 points. Of the respondents, 84.4% agreed on education and counseling on sexuality for elderly, and 90.0% agreed on education and counseling on acquaintance with the opposite sex for elderly. There were statistically significant differences in the scores of college students' understanding of elderly's sexual life according to their grade(F=14.241, p=.000), major(t=4.751, p=.000) and sexual attitudes(F=5.395, 0=.005). Conclusion: The survey result suggests that college students have open-hearted understanding of elderly's sexual life. But to make ordinary people accept elderly's sexual life more open-heartedly, it is necessary to develop various education and counseling programs for elderly's sexual health.

• 대한간호학회지
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• 제45권3호
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• pp.459-468
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• 2015

Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

• 한국콘텐츠학회논문지
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• 제18권1호
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• pp.573-586
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• 2018

본 연구의 목적은 중 노년층 여성 초심상담자들의 상담과정과 상담학습에 있어서 경험하게 되는 어려움과 관련된 스트레스에 대한 질적 탐색이다. 연구 참여자는 종교기관, 각 상당대학원과 일반대학원에서 상담을 전공하거나 학습하고 있는 중 노년층 여성참여자로서 157명을 대상으로 하였다. 자료 수집에 있어서 연구 참여자들 각 개인에게 먼저 기술을 통한 자료를 획득하였으며 이를 통하여 2017년 5월부터 8월까지 3개월간에 걸쳐 일대일 개인별 면접을 실시하였다. 자료를 분석을 위해서 CQR을 통한 분석을 실시하였다. 결과로서 중 노년층의 초심상담자들은 학업과 상담 두 가지 영역에서 각 어려움으로 인한 스트레스를 경험하는 것으로 나타났다. 학업영역에서는 학업적 어려움으로 경험하는 스트레스 증상, 내용, 가중 요인의 세 가지 핵심요인으로 분류되었으며, 상담영역에 있어서는 상담 실제에서의 스트레스가 내담자, 슈퍼비전, 상담자 역량, 사회 환경적 요인의 네 가지 핵심요인으로 구분되었다. 본 연구의 의의는 중 노년층의 여성 초심 상담자들이 경험하고 있는 스트레스 영역을 구체화하여 중 노년층 여성 초심상담자들이 향후 전문 상담자로서 성장해나가는데 있어서 이들을 교육하는 교육기관에 구체적인 도움이 되는 정보를 제공하였다는데 있다. 이후 본 연구의 시사점과 제안 점을 논의하였다.

• 대한지역사회영양학회지
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• 제28권6호
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• pp.480-494
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• 2023

Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

• 한국노년학
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• 제31권1호
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• pp.49-61
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• 2011

본 연구는 회상을 활용한 집단상담 프로그램을 실시하여 노인의 자아통합감 및 우울, 죽음불안의 개선 효과를 알아보고자 하였다. 연구대상자 중 실험집단은 G시의 요양시설에 입소 거주하는 60세 이상의 15명이었고 이중 14명이 프로그램을 완수하였다. 실험집단과 배합표집된 D시의 재가거주 13명으로 통제집단이 구성되었다. 실험집단에게 16주 동안 매주 1시간씩 프로그램을 실시하였다. 각 회기는 생애발달단계를 유년기 및 청소년기, 성인 초기-중기-후기, 노년기의 각 발달단계 별로 회상하는 것을 중심으로 진행되었다. 사전 및 사후 시점에서 두 집단을 대상으로 자아통합감 및 우울, 죽음불안에 대해 측정치를 실시하였다. 그 결과, 실험집단이 통제집단보다 자아통합감의 증진을 보였고, 우울 및 죽음불안의 감소를 보였다. 본 프로그램은 노인의 보다 긍정적인 적응증진을 위해 여러 현장에서 유용하게 이용할 수 있을 것으로 기대되었다.

• 한국노년학
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• 제31권3호
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• pp.489-503
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• 2011

본 연구는 노인을 대상으로 하는 성매매 여성, 속칭 '박카스 아줌마'에 관한 질적 연구이다. 연구의 목적은 박카스 아줌마들의 실태를 파악하고 이들을 위한 상담적 대안을 살피는 것이다. 이를 위하여 중도에 연구철회를 요청한 5명을 제외한 53세~71세 사이의 여성 총 10명이 연구에 참여하였다. 이들에 대한 심층면접 결과 이들의 성매매와 관련한 유형으로 유입-생계형, 재유입-생계형, 재유입-유희형, 재유입-강제형이 나타났다. 노인을 대상으로 하는 성매매 여성들을 위한 상담 과정은 노인상담의 특성과 성매매 여성들의 PTSD 양상을 고려해야하며, 사회적 연결망을 통한 복지지원과, 성교육 및 보건 의료적 조치가 필요하다. 나아가 독특한 현상으로 나타난 박카스 아줌마에 대한 연구인력 확보와 상담전문가 및 성교육자 양성을 통해 노인복지 향상을 위한 구체적 노력이 요구된다.

• 가정과삶의질연구
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• 제28권1호
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• pp.51-67
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• 2010

This study looked into the current conditions in Korean and Japanese care management for the elderly, cases of consumer counseling in these countries, and the supporting institutions for Japanese users regarding the use of care management for the elderly. The number of recipients of care management for the elderly in both Korea and Japan is growing every year, and more Japanese users receive various services compared to Korean users. The results of an analysis on consumer counseling regarding the use of Korean and Japanese care management revealed, two types of complaints: counseling for the improvement of the institution and complaints related to the procurement of service. Regarding the insurance system, the complaints were mostly related to affirmation of a rating and the burden incurred by cost-sharing. Regarding the use of service, such key impairment cases were related to in-service medical accidents, illegal acts including caregiver contract violations and forced retirement, careless service by workers, and human rights violations of the elderly. Japan has developed governmental and, related-administrative and business services as well as a local governmental system to redress customer impairment issues as this pertains to service for better quality care management. In addition, they have enlarged the locally closed service, provided exact information about the services offered, and improved service appraisal techniques. The Japanese cases will serve as a good reference to improve the Korean system. In particular, the construction of a system that reduces customer losses and the availability of more counseling information are urgently required to improve the system in terms of customer experiences when they seek care management.