• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.39-47
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• 2011

Population ageing and the disabled population is increasing. so disabled population and elderly people in the physical environment for Barrier-Free recently has been getting attention. according to a recent welfare paradigm shift of life support promoting for the housing remodeling. but basic remodeling made of simple living environment improvement and facilities installation for the type of disability customised housing remodeling. efficient housing remodeling plan for remodeling before and after through change the safety accidents occurred ratio. living environment for the improvement of housing and reconstruction for the benefit of comprehensively considering for disability subject in Indoor living type and the type of disability, housing type etc. and personalize house was remodeling for corresponding each space problem for identify obstacles and living types. as a result satisfaction changes & safety accident rate changes as follow. first, have complained that there was a in to residents environment furniture for reconstruction of the former housing remodeling needs survey. 80.2% of total for the percentage of households with high needs remodeling. second, The survey did not meet the 29 furniture as after the construction for died about recipient & up sticks & long absence. this leave out after the safety accident Corporation about 101 housing in the 88% of households did not happen. as a result, the lower the ratio of safety accidents occurring very revealed. third, grasp the meaning for indoor living type. showed that each approach(83%), front porch(90%), kitchen, living room(91%), bedroom(93%), toilet(92%) for each space remodeling satisfaction flow through customized housing remodeling.

• 대한보건연구
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• 제44권4호
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• pp.25-34
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• 2018

연구목적: 노인의 주관적 건강 수준과 ADL(Activities of Daily Living), IADL(Instrumental Activities of Daily Living)의 관계를 통해 집단 간 동질성과 이질성을 살펴보고자 한다. 연구방법: 2014년도 노인실태조사를 이용하여 주관적 건강 수준을 독립변수로 ADL과 IADL의 제한을 종속변수로 설정하였다. 로지스틱 회귀분석을 실시하였으며 성별로 비교하였다. 연구결과: 남성 노인에 비해 여성 노인이, 사회경제적 수준이 낮고 연령이 높은 노인일수록 주관적 건강 수준이 낮으며 ADL과 IADL의 제한이 있었다. 주관적 건강 수준이 낮을수록 ADL과 IADL에서 제한을 가질 확률이 높은 것으로 관찰되었다. 특히 그 관계는 여성 노인에 비해 남성 노인에서 뚜렷이 나타난다. 연구 결과를 통해 여성 노인의 취약성을 파악하는 한편, 중증도가 높은 질병에 국한해 본인의 건강 수준을 인지하는 남성 노인의 특성을 이해할 수 있었다. 결론: 노인의 삶을 이해하고 노인 정책을 시행하는데 있어 성인지적 접근과 더불어 주관적 건강 수준을 비롯한 다양한 지표를 활용하는 노력이 필요하다.

• 한국보건간호학회지
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• 제10권2호
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• pp.146-161
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• 1996

This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

• 한국ITS학회 논문지
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• 제7권5호
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• pp.170-179
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• 2008

한국은 2000년에 고령화 사회에 진입하여 노인인구증가에 따른 노동생산성 정하, 삶의 질 추구, 장애인 증가로 인한 사회 문제가 증가되고 있다. 그러나 정보통신기술의 발달로 고령자들의 이동뿐만 아니라 실내외 생활에 편의를 도모할 수 있게 되었다. 대표적인 서비스로 u-City를 들 수 있으나 국가 계획상에는 아직 구체적인 내용이 없는 상태 또는 부족한 실정이다. 서울시를 대상으로 고령자의 생활 복지를 담당하는 각 구청과 응급상황 처리를 담당하는 소방방재청의 고령자 지원 서비스를 조사한 결과 고령자의 기기에 대한 두려움, 통합서비스부족, 일부 상황에서만 제공되는 서비스 등의 문제점 및 요구사항을 파악하였다. 이러한 문제점을 해결하기 위해 응급상황이 발생해야 제공되던 서비스를 탈피하여 생활 전반에 걸친 검지-확인-조치-대응의 4단계 순환관리 서비스를 제시하였다. 또한 관리체계 및 통신체계를 제시하므로 향후 국가계획 및 시스템 구축 시 참조모델로 활용할 수 있다.

• 재활복지
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• 제20권3호
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• pp.141-161
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• 2016

본 연구는 17명의 장애인 보호자 및 장애인 탑승자를 대상으로 레이(Ray)의 실험 복지차량 사용 시 문제점을 예측하여 개선하기 위한 연구로써, 실험 복지차량 이용 시 18개의 주요 사용성 평가항목을 통해 실제 소비자인 장애를 고려하기 위해 장애인 보호자 및 장애인 탑승자 관점에 기초한 인간공학적 설계를 위한 기준을 제시하고자 한다. 본 연구 결과를 보면 다음과 같다. 첫째, 레이(Ray) 실험 복지차량의 만족도와 자기 소유차량 만족도 비교에서 장애인보호자군의 자가 소유차량만족도가 3.20점보다 실험복지차량 만족도가 3.88점으로 더 높았으며, 또한 장애인 탑승자군에서 장애인 자기소유차량만족도가 3.00점보다 실험 복지차량 만족도가 3.31점으로 더 높은 것으로 나타났다. 이는 장애인 보호자 및 장애인 탑승자를 위한 실험복지차량이 이들의 장애특성에 대한 불편사항을 해소한 복지차량개발이라고 볼 수 있다. 둘째, 장애인 보호자 및 장애인탑승자에게 적합한 복지차량을 개발하려면 조수석의 경우 수전동회전업시트가 필요하거나 아니면 차량 후석 슬로프를 통해 장애인을 수?전동 휠체어 탄 상태로 휠체어잠금장치, 휠체어 안전벨트, 휠체어 안전 손잡이, 하이루프 등이 차량 설계부터 장애를 고려하는 것이 필요하였다. 셋째, 후석 슬로프의 경우 차량의 전고높이(하이루프)와 수동 및 전동휠체어의 전폭을 고려하여야 하며, 휠체어 잠금장치의 경우 사용자의 휠체어를 안전하게 고정하여 견인할 수 있는 전동장치가 고려되어야 할 것이다. 또한 전동슬라이드업시트와 후석 슬로프는 휠체어 장애인과 고령자 등 대상자에 맞게 선택할 수 있을 것이다.

• 대한인간공학회지
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• 제35권5호
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• pp.425-437
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• 2016

Objective:The objective of this study is to develop an ergonomic toilet system along with constituent facilities that can be used with the front-entry sitting method when transferring from wheelchair to the toilet stool, instead of using the back-entry sitting method which is currently used. This system can offer more ease, convenience and safety for wheelchair users when using the restroom. Background: For users with disabilities, even a dedicated handicapped toilet requires maneuvering, especially when in a wheelchair. To transfer from wheelchair to the current back-entry sitting toilet, users need to get closer to the toilet and then turn or twist after erecting their body to get onto the toilet. This method induces inconvenience as well as secondary injury by falling when transferring to/from toilet. Method: To design a front-entry sitting toilet system, an ergonomics approach was applied which introduces a new design concept for people using wheelchairs. Using this toilet system, the wheelchair users don't need to turn or twist but can simply slide forward off the wheelchair directly onto the toilet stool in an easier and safer way. Results: The newly developed front-entry sitting toilet system is easier and safer for wheelchair users, and also space efficient requiring only two-thirds of the space of existing handicapped toilet. It is also usable by both individuals with disabilities and the general population. Conclusion: With the spread of the front-entry sitting toilet system developed in this study, wheelchair users can benefit from enhanced convenience and safety as well as significant restroom space savings. Additional effects can also be achieved such as improved self-esteem of people with disabilities by enabling to use the toilet on their own. Application: The newly developed front-entry sitting toilet system should enhance toilet accessibility to wheelchair users and the elderly. Introduction is needed with efforts at the national policy level and a macroscopic objective to promote the health and safety of the handicapped.

• 보건행정학회지
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• 제24권1호
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• pp.35-46
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• 2014

Background: This paper describes the relationship and effect of health examination on personal medical cost by identifying the difference of the cost for medical care in physician visit between the population without and with health examination. Methods: After classifying into three cohorts in which, independent variables were designed according to the Andersen's behavioral model, the association of personal medical cost for medical care and prescription drugs which is dependent variable was analyzed by t-test and Mann-Whitney test for description and gamma regression model for inference. Results: In personal average medical cost, the population with health examination paid significantly more than without health examination, 11.6% more in cohort 2008, 26.6% more in cohort 2009, and 48.0% more in combined cohort. The odds ratio on medical expenditure of outpatients with health examination was 1.067, 1.126, 1.398 significantly in cohort 2008, 2009, and combined cohort respectively, comparing to the group without health examination. In independent variables, that is female, the elderly, never married, non-working, non-metropolitan, the higher family income, the smaller family size, people with disability, the people with chronic disease, and people with health examination have significantly being paid more tendency showing positive association with medical cost. Conclusion: This result showed that medical expenditure in physician visit has been increased after taking a health examination. Therefore reasonable limitation of getting preventive medical service is suggested to avoid medical shopping around and reduce being repeated health examination by unifying control to find out easily the clinical results from various medical facilities.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.144-155
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• 2014

본 연구는 장애인 고용의 결정변인에 관한 선행연구가 심리적 특성이 고용에 미치는 영향을 배제했으며, 생의 단계에 따른 고용 결정변인의 차이를 고려하지 못했다는 문제의식으로부터 출발했다. 이와 같은 문제의식에서 본 연구는 첫째, 선행연구에서 고용의 주요 영향요인으로 규명되어 온 인적자본과 함께 심리적 특성을 중심으로 장애인 고용의 결정변인을 규명하고 둘째, 연령집단에 따라 장애인 고용의 결정변인에 어떤 차이가 있는지 밝히고자 했다. 한국복지패널 5차년 자료의 장애인부가조사에 참여한 18세 이상 장애인 1280명의 자료를 이용해 이항로지스틱 분석을 수행했다. 분석결과, 18세에서 40세 이하의 청장년 장애인은 차별을 받은 심리적 경험만이 고용가능성을 유의미하게 낮추었으며, 교육 등 인적자본은 유의미한 영향을 미치지 못하는 것으로 나타났다. 41세 이상 64세 이하의 중년 장애인은 교육수준이 낮고, 건강상태는 높으며, 근로능력이 높을수록 고용 가능성이 유의미하게 증가하는 것으로 나타났다. 65세 이상의 노년 장애인은 근로능력만이 고용가능성을 유의미하게 결정하는 것으로 분석되었다.

• 치위생과학회지
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• 제9권1호
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• pp.91-98
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• 2009

본 연구에서는 Q 방법론을 이용하여 노인들을 통해 치아나 잇몸 혹은 틀니 관련 노인구강관리의 불편함을 어떻게 인식하는가를 중심으로 집단을 유형화하고 그 집단의 특징을 고찰하여 보았다. 연구결과는 다음과 같다. 1. 대상자들은 '맛의 감각 저하 및 구강의 통증', '맛의 감각 저하 및 삶의 질 저하'의 두 가지 유형으로 구분되었다. 이들 두 가지 유형 모두 비슷하게 34명중 16명, 5명씩 해당되었으며 이를 종합해 볼 때 맛의 감각 저하 및 구강의 통증, 그리고 삶의 질 저하 등의 구강관리의 필요성을 제시하였다. 2. 모든 유형에서 공통적으로 '맛을 느끼는 감각이 예전보다 나빠졌다고 느낀 적이 있다', '혀나 혀 밑, 뺨, 입천장 등이 아픈 적이 있다', '아프거나 거북스러운 입안의 문제 때문에 음식 먹기가 불편한 적이 있다', '살아가는 것이 예전에 비해 덜 만족스럽다고 느낀적이 있다' 가 노인구강관리에 결정적으로 영향을 미치는 요인으로 인식하였다. 3. 각 유형에서 공통적으로 부정하는 항목을 살펴보면, '창피해서 다른 사람을 만나기가 꺼려진 적이 있다', '편안하게 쉬지 못한 적이 있다', '난처하거나 당황스러웠던 적이 있다', '다른 사람들에게 화를 잘 낸 적이 있다' 이었다. 본 연구의 제한점은 다음과 같다. 1. 본 연구는 주관성을 중심으로 한 연구이므로 한국 노인들의 노인구강관리에 대한 생각을 대표한다고 할 수 없다. 2. 앞으로의 연구에서는 학력, 성별, 경제, 건강수준, 종교 등 다양한 사회인구학적으로 다른 분류에 대한 연구가 더 진행되어야 할 것으로 생각된다.

• Journal of Preventive Medicine and Public Health
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• 제39권6호
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• pp.511-519
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• 2006

Objectives : As the disabled have higher prevalence rates and earlier onsets of chronic diseases than the non-disabled, their participation in mass screening is important for the early detection and intervention of chronic diseases. Nevertheless, in Korea, the disabled have lower participation rates in mass screening services than the non-disabled. The purpose of the study was to find determinants for the participation in the National Health Insurance (NHI) mass screening program among the disabled. Methods : In this study, the NHI mass screening data of 423,076 disabled people, which were identified using the National Disability Registry (2003), were analyzed. Of the factors affecting the participation rates in mass screenings, the following variables were included for the analysis: socioeconomic stati, such as sex, age, category of health insurance program, region and income, disability characteristics, such as disability type, and severity. A multiple logistic regression analysis was used to evaluate the association between the participation rates, disability characteristics variables and demographic variables. Results : The participation rate in mass screening of the disabled was 41.3%, but was lower in females, an age of more than 70 years, self-employed and for those with an average monthly insurance premium over 133,500 Won and in metropolitan legions. The participation rate was 1.31 times lower in females than males (95% CI=1.29-1.33); 3.50 times lower in the elderly (more than 70 years) than the younger (95% CI=3.33-3.67); 1.43 times lower in those who live in metropolitan areas (95% CI=1.40-1.46); 2.59 times lower for those in a health Insurance program for the self-employed than for employees (95% CI=2.56-2.63), 1.19 times lower for the higher income (more than 133,500) than the lower income group (4,400-22,000) for the average monthly insurance premium (95% CI=1.15-1.23): 2.04 times lower for those with brain palsy and stroke disabilities than with auditory impairments (95% CI: 1.97-2.11) and 3.27 times for those with severe compared to mild disabilities (95% CI=3.15-3.40). Conclusions : The disabled with high severity, and locomotive and communication disabilities have lower participation rates in mass screening services in Korea.