• 한국실내디자인학회논문집
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• 제24권3호
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• pp.156-164
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• 2015

Nursing Homes do not have a defined standard in the space area nor does it have a detailed standard facility requirement by law. This can possibly lead to the deterioration of the facility and the system. This directly affects the medical treatment space area within the nursing home. The medical treatment area provides medical treatment to seniors and this is where the seniors get most of their daily services. Therefore, this is research is about the study of the space area of the medical center and the ratio trend of the space area for the medical treatment facility located in senior nursing homes. Ten facilities have been selected in this study to analyze the correlation factors between space area and its trends. The analysis performed includes the conditions relating to the area and what affects the center. We have followed up with a proposal for improvement of the facility and area configuration for the medical treatment facility. Based on the analysis, the following conclusion can be made: First, the senior welfare centers are mostly used as a residence purpose followed a temporary stay of residence facility for the seniors. Second, research indicates that the bigger the facility, nursing and public functions took a larger portion of the space area compared to other services within the senior welfare centers. Third, the study shows the management space area took up about 1%~6% of the entire medical center within the nursing home which is a narrow space area because of the integrated management. Fourth, analysis based on the trend in the time-series indicate after the adoption of the system, there is a continued decline in the space area of nursing, management and public areas. Lastly, since before and after 2008, the space area composition of the nursing facility shows a continuous decline in our study. We can safely conclude that the revised senior welfare act's construction plan has an effect in the facility and is effectively working to meet its requirement. Therefore, the revision of the law is required to reflect the social needs of the residents.

• 대한토목학회논문집
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• 제30권6D호
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• pp.685-695
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• 2010

이 논문은 노인의료복지시설의 현황과 시설체계에 관한 논문으로 부산시를 대상으로 하였다. 현황 분석과 설문조사을 통해 그에 따른 문제점을 분석하고, 해결방안으로 새로운 유형의 시설체계를 제시하였다. 현재 노인의료복지시설들은 입소대상자들을 다양하게 수용하고 있지 못하며, 각각 독립적으로 운영되고 있어서 한 시설 안에서 전문적인 치료와 요양을 동시에 할 수 없다. 이러한 문제점들을 토대로 본 논문에서는 그 해결방안으로 좀 더 넓은 범위에 걸쳐서 한 장소에서 요양과 전문적인 치료가 가능한 'one-stop service system' 체계를 제언하였다. 설문조사 결과들을 종합하여, 구상한 5가지 유형의 시설체계는 다음과 같다. 1) 무료전문요양시설 + 노인전문병원, 2) 유료전문요양시설 + 노인전문병, 3) 노인전문병원 + 실버타운 주거공간 형식의 입원실, 4) 실비전문요양시설 + 노인전문병원 + 실버타운 주거공간 형식의 입원실, 5) 노인전문병원 + 재가복지서비스. 노인관련시설은 더 이상 특수한 시설이 아니라, 누구든 언젠가는 이용 하게 될 시설이라는 점에 착안할 때, 그에 대한 대책 마련은 시급하다고 생각된다. 앞으로 노인의 질환의 종류 및 정도가 보다 중복, 중대화 될 것으로 보인다. 따라서 보다 다양하고 전문화된 시설이 요구될 것으로 예상된다.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2006년도 추계학술발표대회 논문집
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• pp.420-425
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• 2006

By considering research trend how flow of elderly welfare policy of Japan, which experienced an aging society already, has changed and developed and characteristic of living environment, this study has its purpose to offer basic data to be helpful for finding out direction of Korean future elderly care facility. Way of study worked with only Special Nursing Home and Group Home where elderly with dementia mainly lived among researches of elderly welfare facility published in proceeding of Architecture Planning Engineering of Japan from Jan, 1990 to Sep, 2006. And the number of example of analysis was total 69. The result was classified by year, facilities, and keyword and this study has its focus on discussion of space planning element requested as living environment.

• 한국디지털건축인테리어학회논문집
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• 제13권4호
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• pp.109-117
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• 2013

The purpose of this study is to present our elderly welfare policy and welfare facilities for the elderly and to propose the future direction of policy for the elderly with comparison to that of Japan. The comparative study results of Korea and Japan are as follows: As the basis of elderly welfare, care insurance for the elderly is now fixated in the two countries. On the other hand, for quantitative expansion in Korea, the quality level has been gone down. Due to qualitative evaluation, the growth of facilities has slowed and material welfare providers was also a decline in the number of operators. Two countries in the field of community welfare in recent years has been actively promoting. It is the most important to solve the social welfare problem with local councils who know the area, which is a part of the future to focus and to support. Due to huge construction investment of facility, there is the burden of operators. This facility is appropriate for an extension of the home. However, it is in the hard economic times. Until now, the number of people in a room is at least four according to the legal standard of Korea, there are a few private rooms. On the other hand, in Japan, unit-care was phased since 2002 and private rooms have been expanded. In Japan, health center for the elderly plays an important role with special elderly nursing home among facilities for the elderly. Health center provides services that are recovering, nursing, and caring to support independence for the elderly after acute phase of treatment. As treatment and care, the aim of health center is to return the elderly to home. On the other hand, there are a few health centers for returning the elderly to home in Korea. Furthermore, in Japan, a project for preventive care has been begun. The project is needed in Korea.

• 한국산업융합학회 논문집
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• 제24권6_2호
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• pp.809-818
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• 2021

The purpose of this study was to identify the influence of oral health knowledge and awareness of caregivers in charge on the oral health-related quality of life of the elderly in nursing homes. Data were collected from 115 elderly without dementia and their 115 caregivers in nursing facilities in S and C cities. The data were analyzed using SPSS/WIN 22.0 program. The average score for oral health knowledge and awareness of the caregivers were 11.62, 39.22 points each and the oral health-related quality of life of the elderly was 40.62 points. Oral health knowledge, awareness of caregivers and oral health-related quality of life of the elderly showed a difference according to oral health education experience of the caregivers (𝜌<.001), the nursing facility evaluation grade (𝜌=.016), and the oral health education experience (𝜌=.008), working hours of 40 hours or less per week of caregivers (𝜌=.008) each in order. The influencing factors on the oral health-related quality of life of the elderly were the oral health education experience, the working hours per week of the caregivers and the facility evaluation grade. This findings imply that developing customized program and the work environment improvement for caregivers should be considered to improve the oral health-related quality of life of the elderly in nursing homes.

• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.220-233
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• 2015

본 연구의 목적은 노인요양서비스의 공공성을 강화하고 서비스 질을 높이기 위한 것이다. 이를 위해 노인요양시설의 요양보호사들이 공공성 인식은 어느 정도이고, 공공성 인식정도가 서비스 질에 영향을 미치는가를 실증 분석하였다. 공공성 인식정도는 요양보호사가 인식하는 규범적 공공성, 조직미션의 동의정도로 측정하였으며, 통제변수로는 조직의 법인여부, 규모 그리고 요양보호사의 성별, 연령, 경력, 자격으로 하였다. 전국의 노인요양시설에서 근무하는 요양보호사를 대상으로 설문조사하여 수집된 자료(318명)를 다중회귀방법으로 분석하였다. 연구결과 요양보호사들이 인지하는 공공성의 정도와 서비스 질은 보통이상 이었다. 요양보호사의 규범적 공공성 인식정도는 서비스 질 구성요소 중 대응성을 제외한 모두에서 긍정적 영향을 보였으며, 조직미션의 동의정도는 모든 요소에 정적인 영향을 나타냈다. 또한 조직요인 중에서 조직의 규모를 보여주는 현원과 법인여부 역시 부분적으로 서비스 질에 긍정적 영향을 나타냈고, 요양보호사의 나이는 신뢰성과 공감성에 유의미한 영향을 보였다.

• 가정간호학회지
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• 제19권2호
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• pp.150-161
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• 2012

Purpose: This study was performed to investigate the influencing factors of cognitive function and depression in elderly. Method: From 3 provinces, 282 elders who resided in community and facilities completed structured questionnaires, including cognitive functions, depression, self-esteem, ADL, and IADL. Data were analyzed by applying ${\chi}^2$-test, ANOVA, partial correlation coefficient, and stepwise multiple regression analysis with SAS 8.12. Results: Community dwelling aged people showed higher scores in MMSE-K, self-esteem, ADL and IADL, and showed lower scores in depression than facility elders. MMSE-K was positively correlated in self-esteem, ADL, and personal cognition of health, except depression. Major factors that affect cognitive function of elderly were residual type, age, and IADL. In addition, major factors that affect depression of elderly were self-esteem, personal cognition of health, and marital status. Conclusions: Based on the results above, it is necessary to identify the status of cognition and depression in the elderly, and to develop nursing intervention programs, which improve cognitive function and reduce depression for aged, especially for the facility admitted aged.

• 보건행정학회지
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• 제13권1호
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• pp.1-22
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• 2003

The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

• 한국실내디자인학회논문집
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• 제23권6호
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• pp.221-229
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• 2014

In elderly housing facilities where are elderly living facilities, the importance of outdoor space for psychological healing and stability, health improvement and environmental improvement is increasing, since elderly people suffer from depression and are hostile to these facilities. This study aims to identify if outdoor spaces in elderly housing facilities in Seoul have environments appropriate for the elderly and to suggest problems and improvements. For achieving this purpose, nine elderly housing facilities in Seoul were chosen and a field survey was conducted targeting five facilities with outdoor spaces. Based on the previous studies, the concepts of elderly housing facility and outdoor space were organized. Then, a checklist was drawn up as a framework of analysis for evaluating the present state of outdoor spaces of elderly housing facilities and space planning, and improvements were explored. It was found that elderly housing facilities in Seoul had good connectivity and accessibility to the surrounding areas, but there were few supporting facilities, except for resting places. Also, the result of analysis of the present state showed that most elderly housing facilities were located in high lands and the safety of elderly people was being threatened while moving, due to the absence of handrails. In conclusion, it is considered that outdoor space of elderly housing facility should be planned in consideration of safety, affordance and cognition out of the standards of researcher's evaluation tool.

• 간호행정학회지
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• 제12권2호
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• pp.189-195
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• 2006

Purpose: This study was to identify nursing interventions which were perceived highly in the importance and performance of nursing interventions by nurses in long-term care facilities for elderly. Method: Data was collected from nurses working in long-term care facilities for elderly over 2 years who participated in continuous education by Korea Association of Senior Citizens Welfare Institution. Data was analyzed using mean and paired t-test to compare difference between the importance and performance of each nursing intervention. Results: Among 264 nursing intervention, 49 nursing interventions were considered highly important and performed very often by nurses. Especially, 11 nursing interventions had significant difference between the importance and the performance, which meant that nurses perceived them as the most important and they were not implemented often as much as that by nurses. Conclusion: The results of this study revealed that what kinds of the nursing interventions were perceived highly important and performed very often by nurses in long-term care facilities for elderly. These nursing interventions can be utilized in the development of standardized nursing intervention classification to be used for the long-term care facilities for elderly.