• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2017년도 춘계 종합학술대회 논문집
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• pp.471-472
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• 2017

There are 3,931,822 elderly who receives long-term care at home and 1,704,469 elderly who stay at long-term care facilities in those of 34,610,000 of +65 years old population in Japan; thus, the elderly people who need home care are 2.3 times more than facilities (2016).In the near future, the number of elderly people with a degree of daily life independence and dementia category II or more will increase to 4.7 million (12.8% of the elderly population). Therefore, the use of home-care robots is essential for the disaster evacuation of the overwhelming majority of those elderly who need home care and for of vitals checks to keep family, caregivers, and medical professionals informed to reduce the risk in chronic health conditions in welfare evacuation centers. This also helps to care for the caregivers who are caring for the elderly, and the introduction of home-robots to evacuation centers should receive prompt attention from our care-friendly society.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.646-656
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• 2021

본 연구의 목적은 장기요양시설 요양보호사의 노인에 대한 태도, 공감, 직무 스트레스가 서비스 질에 미치는 영향을 파악하기 위함이다. 자료수집은 C도 소재 장기요양시설에 근무 중인 요양보호사 133명을 대상으로, 2019년 5월 1일부터 8월 31일까지 자가 보고식 설문조사로 시행되었다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson correlation coefficient, stepwise regression으로 분석하였다. 연구 결과, 요양보호사의 공감은 직무 스트레스와 음의 상관관계, 서비스 질과 양의 상관관계를 보였으며, 노인에 대한 태도, 직무 스트레스는 서비스 질과 음의 상관관계가 나타났다. 대상자의 직무 스트레스, 공감, 노인에 대한 태도가 서비스 질에 영향을 주는 요인으로 확인되었으며, 요양보호사의 서비스 질에 대해 약 31.6%의 설명력을 나타냈다. 본 연구결과는 요양보호사의 직무 스트레스, 공감, 노인에 대한 태도가 서비스 질 향상을 위해 고려해야 할 주요한 요인임을 제시하였다.

• 보건행정학회지
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• 제12권1호
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• pp.21-53
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• 2002

The purpose of this study is to measure the resource use of the elderly in long-term care services and to examine the effects of patient and facility characteristics on their use of resources. The data were collected from 510 old people over sixty years of age, residing in five long-term care hospitals and two skilled nursing homes during the period between December 1, 2000 and February 28, 2001. For a full sample, when the first level of RUG(Resource Use Group)-III categories were employed as the proxy of patient severity, facility characteristics, such as location, size and ownership, have large effects on the resource use measured by service intensity, whereas patient characteristics such as severity have little or no effect. The resource use is significantly high if the facility: (1) is located in rural areas (gun): (2) has mare than 200 beds; (3) is a long-term care hospital; (4) is private; and (5) has a low percentage of medical aid patients. The analysis of the resource use in each RUG-III categories, for which ADL(Ability of Daily Living) were employed as the prosy of patient severity, shows a similar result. The loose relationship between the needs of residents and the resource use seems to be closely associated with the ineffective reimbursement system for providers. The current reimbursement system has no provision for quality improvement and reimburses facilities simply according to their types: fee-for-service for long-term care hospitals, and monthly-flat-rate or full-coverage-national-aid for skilled nursing facilities. It will be necessary to develop a more reasonable reimbursement system that takes patient's severity into account and gives incentives for long-term care providers to offer cost-effective services.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.503-517
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• 2022

본 연구는 노인 장기요양 서비스를 제공하는 기관에서 종사하는 사회복지사들이 임종 케어 과정에서 겪는 심리·사회적 경험 및 역할에 대해 알아보았다. 심층 면접을 통한 자료 분석 결과 사회복지사들은 임종 케어 과정에서 빈번한 죽음 경험으로 인해 기가 빠지고 소진됨을 경험하였으며 돌아가신 노인분들에게 더 잘해드리지 못한 것에 대해 아쉬움과 정든 분에 대한 그리움을 나타냈다. 그리고 갑작스러운 죽음이 발생하면 가족들의 비난과 불평을 겪기도 하였다. 임종 케어시 사회복지사들의 주된 역할로 죽음 징후가 나타나면 가족들에게 수시로 연락하여 소통하였고 임종 후 주 부양자 가족들을 위로하고 지지하였다. 응급상황 대처를 위한 사전준비와 응급조치에 대한 법적 안전망, 사회복지사들의 소진을 막기 위한 재충전 프로그램 및 지지 모임, 임종 케어를 위한 표준화된 매뉴얼과 교육의 필요성이 제시되었다. 또한 노인분의 존엄한 죽음을 위하여 죽음 준비교육, 호스피스 케어, 사전 의료의향서 등의 필요성도 강조되었다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.19-28
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• 2013

Purpose: The purpose of this study to assess long-term care facilities in Seoul and certificate Seoul-type elderly care facilities. After certification, Seoul city can provide certificated facilities with budget and support to improve service quality. Methods: Questionnaires to elderly care facilities experts and field surveys to facilities in Seoul have been conducted for the data collection. Results: The result of this study can be summarized into three points. The first one is that a direction of operation for Seoul-type elderly care facilities is to improve manpower and provide special program for enforcing quality assurance. The second one is that this study provide index of evaluation for Seoul-type elderly care facilities. The indexes include management, facility environment and safety, service delivery process, and service results. The third one is that management plan for this policy should be carried out. The management plan include demonstration project, opinion research. Implications: Seoul-type elderly care facilities can have positive effects on quality of service. For the introduction of this policy, Seoul city and autonomous Gu have to make careful preparations for this policy.

• 성인간호학회지
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• 제29권3호
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• pp.278-289
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• 2017

Purpose: This study was designed to investigate whether there were differences among three oral care protocols on participants' oral health status (oral status, dry mouth, halitosis, saliva pH, microorganism growth in oral cavity) and tooth stain. The three protocols were: 1) oral solution of 4% normal saline, 2) 0.1% Chlorhexidine and 3) Tantum. Methods: A nonequivalent control group pretest-posttest design was utilized. A total of 55 elderly patients residing at long-term care facilities(19 in the 4% normal saline group, 17 in the 0.1% Chlorhexidine group, 19 in the Tantum group) received oral care daily for four weeks. Data were analyzed using SPSS/WIN 22.0 program. Results: The halitosis (${\chi}^2=10.71$, p=.005) and saliva pH (${\chi}^2=6.84$, p=.033) scores were significantly improved after the oral care with 4% normal saline. Conclusion: These findings indicate that if elderly patients in long-term care facilities have complaint of the discomfort of using Chlorhexidine or Tantum, 4% normal saline is as effective at the other two. This can also be cost effective as there were no differences among the protocols in oral status, dry mouth, tooth stain or microorganism growth in oral cavity.

• 보건행정학회지
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• 제33권3호
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• pp.311-324
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• 2023

Background: Long-term care insurance for the elderly has been stably established along with the quantitative expansion of long-term care facilities. Indeed, the need for a paradigm about human rights-based service approach is being raised throughout society from a service perspective. Therefore, this study aimed to analyze the association between elderly human rights awareness and quality of service by considering human rights education as a moderate variable. Methods: This study conducted surveys with 138 caregivers working in long-term care facilities located in Seoul and Gangwon. General characteristics, awareness of human rights, and the level of service quality were examined using descriptive statistics, frequency analysis, and correlation analysis. And multi-variable linear regression with a hierarchical framework was employed. These analyses were performed using IBM SPSS ver. 25.0. Results: Of the 138 caregivers, 97.1% were female, 87.7% were more than 50 years old, and most of their education level was high-school graduates. Their length of employment ranged from more than 5 years to less than 10 years. The level of awareness regarding elderly human rights of the elderly was below normal (mean=2.21), but the quality of service was high (mean=4.21), and the need for human rights education was also high (mean=4.28). Among the general characteristics, the length of employment was significantly associated with awareness of elderly human rights. Moreover, political rights awareness, included as sub-domains of human rights, was positively associated with quality of service. However, the moderating variable, human rights education, was not significantly associated with the quality of service. Conclusion: In this study, human rights education, as a moderating variable, did not have a statistically significant effect on caregivers' human rights awareness in relation to service quality. This finding is inconsistent with previous research results. These results can be explained by the fact that the frequency of education in long-term care facilities was a significant factor in the practice of protecting the human rights of the elderly. Therefore ongoing encouragement for the frequency of current human rights education and improvements in the educational approach appear to be necessary. In addition, these findings reveal the need for strength of education policies and effective in-depth research about human rights and quality of service to respect the human rights of the elderly.

• 가정간호학회지
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• 제26권2호
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• pp.199-209
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• 2019

Purpose: This study was conducted to determine factors affecting the positive feelings and care burden of elderly residents' primary caregivers in long-term care facilities. Methods: The survey was conducted between November and December 2018. A structured questionnaire was used to collect data, and 148 individuals voluntarily participated. The collected data were examined through descriptive statistical analysis using SPSS WIN ver.24.0, t-test, one-way Anova $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression. Results: Factors that significantly affected caregivers' positive feelings included caregivers' education level(${\beta}=-.32$, p<.001), social support(${\beta}=.31$, p<.001), care burden(${\beta}=-.29$, p=.001), and total support fee(not more than 1.5million won)(${\beta}=-.18$, p=.012). The explanation power was as high as 40.0%(Adj $R^2=.40$). Factors that significantly affected caregivers' burden included social support(${\beta}=-.25$, p=.002), positive feelings(${\beta}=-.25$, p=.002), elderly individual's religion(${\beta}=-.17$, p=.007), and elderly individual's marriage status(${\beta}=.17$, p=.021). The explanation power was as high as 45.0%(Adj $R^2=.45$). Conclusion: Our results suggest that it is necessary to increase social support for elderly residents' primary caregivers in long-term care facilities. This can be helpful to decrease burden and enhance positive feelings in caregivers. We should also collect caregivers' information as well to provide appropriate assistance.

• 한국콘텐츠학회논문지
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• 제19권8호
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• pp.525-534
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• 2019

우리나라는 경제발전과 보건의료의 발달로 인한 평균수명의 연장과 저출산 등으로 세계에서 가장 급속도로 인구구조의 고령화 문제에 직면하고 있다. 정부는 이러한 사회적 구조 및 노인문제를 해결하기 위하여 장기요양대상 노인의 삶의 질 향상과 가족부양 부담의 완화 등을 목적으로 노인장기요양보험법을 제정 시행 중에 있다. 하지만, 노인장기요양보험제도의 시행결과, 시설의 민영화와 난립으로 서비스의 공적 책임과 시설의 질 제고에 대한 요청이 확산되고 있다. 이 밖에, 저임금 요양인력의 양산, 질 개선에 관한 과제, 재원조달 방식에 관한 문제, 등의 대비가 다각도로 필요하다. 이에 노인장기요양보험제도가 장기 지속적으로 유지 발전하기 위해서는 시대적인 사회환경의 변화에 따라 법 제도적 측면의 개선방안의 모색과 더불어 노인복지서비스가 신체적 건강뿐만 아니라 노후 생활의 안정을 위한 정신적 심리적 조치를 강구하는 방안을 검토한다.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.308-325
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• 2020

본 연구의 목적은 장기요양시설의 노인보호를 위한 시설안전 실태를 파악하고, 이를 바탕으로 한국의 장기요양시설 시설안전 정책의 방향을 도출하고자 하는 것이다. 이러한 연구목적을 위해 주요국의 장기요양시설 시설안전 대응정책에 대해서 검토하고, 한국의 요양시설 안전실태를 파악하였다. 분석에서는 수도권 지역(서울, 경기, 인천) 중심으로 장기요양시설의 시설안전 실태를 분석하였다. 분석결과는 다음과 같다. 첫째, 기관의 안전관리 비교결과이다. 관련 규정 및 법률 비교결과에서 장기요양시설은 사회복지시설, 어린이집, 병원 등에 비해 안전관리가 취약한 것으로 나타났다. 둘째, 입지조건 분석결과이다. 수도권 장기요양시설이 건물의 6층 이상에 위치한 시설이 많았고, 개인시설이 법인, 지자체 시설에 비해 입지조건이 취약하다는 것을 확인하였다. 셋째, 기관의 구조/설비 결과이다. 전체적으로 배연창(화재안전창문), 배연설비, 연기 질식대비 방연마스크, 방화담요 등의 배치상태가 미흡하였다. 또, 법적 필수 설치설비가 미비한 곳도 있었고, 개인시설이 지자체, 법인 시설에 비해 시설 구조/설비구조에서 대체로 미비하였다. 넷째, 안전관리 분석에서 대응매뉴얼, 화재대비훈련 등에서 개인설립 시설이 지자체설립 시설에 비해 미흡하다는 것을 확인하였다. 이상 이러한 연구결과를 토대로 본 연구는 노인장기요양보험 장기요양시설에서 입소노인의 안전한 삶을 살 수 있는 시설환경을 위한 사회복지적 함의를 제시하였다.