• 대한지역사회작업치료학회지
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• 제4권2호
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• pp.41-51
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• 2014

목적 : 지역사회 거주 노인과 시설 거주 노인의 일반적 특성과 생활시간 사용에 대한 비교를 위하여 두 그룹으로 나누어 작업균형을 알아보기 위하여 비교분석을 시행하였다. 연구방법 : 이 연구는 통계청에서 시행한 생활시간 조사 연구 2009년도 자료를 기반으로 하여 대전에서 거주하고 있는 65세 이상 노인 246명의 자료를 통계적으로 재분석하였다. 대전의 2곳 요양시설을 선정하여 그 곳에 거주하고 있는 65세 이상 노인 146명을 선정하여 일반적 특성과 생활시간 사용에 대한 자료를 수집하였다. 자료는 SPSS 12.0으로 분석하여 교차분석, 상관관계분석, 다항 로짓 회귀분석으로 분석하였다. 결과 : 지역사회 거주 노인과 시설 거주 노인의 각각의 생활시간을 분석하였을 때, 교차분석에서 유의한 결과를 나타내었고, 유의한 상관관계를 나타내었다. 또한 시설 거주 노인의 경우 낮은 활동 시간이 지역 사회 거주 노인과 비교하였을 때, 높은 수준을 나타내었다. 결론 : 이 연구 결과를 통하여 노인의 생활환경에 따른 생활시간의 사용이 시설 거주 노인과 지역사회 거주 노인을 비교하였을 때, 시설 거주 노인의 작업 불균형을 나타내고 있다는 것을 알 수 있었다.

• 한국임상약학회지
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• 제32권1호
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• pp.27-36
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• 2022

Background: Medication-related problems (MRPs) frequently occur during the discharge period. Elderly patients, particularly, are at high risk for these problems due to polypharmacy and the use of potentially inappropriate medications. The purpose of this study was to build and implement collaboration between general hospital and community pharmacies to address MRPs among high-risk elderly patients before/after discharge. Methods: This retrospective study was conducted between June and December of 2020. The inclusion criteria were patients with aged ≥65 years; residents of Jeonju; discharged from Jeonbuk National University hospital; either on medication of exceeding 10 medications (or high-risk medications) after hospitalization through the emergency room, or having severe illness. Patients received medication reconciliation and counselling by hospital pharmacists before discharge and home-visit pharmaceutical care as follow-up by community pharmacists after discharge. Results: Twenty-two patients agreed to home-visit pharmaceutical services. Fifteen and 11 patients completed the first and second home-visit pharmaceutical care service, respectively. Forty-two MRPs were identified in 15 patients. The types of high-frequency MRPs were incorrect administration of drug, adverse drug reactions, medication non-compliance, drug-drug interactions, lifestyle modifications, and expired medication disposal. After consultation with the pharmacist, 34 out of 42 MRPs were resolved. Conclusions: Transitional care for high-risk elderly patients before and after discharge was successfully built and implemented through a collaboration between general hospital and community pharmacies. This study suggests that home-visit pharmaceutical services may have positive effects on the safe use of drugs during the transition period; however, additional research is needed to expand on these findings.

• 한국주거학회논문집
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• 제13권1호
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• pp.44-52
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• 2002

As a result of the expansion of the nuclear family in society, there has been an increase in the number of elderly people who want to live independently of their children. Australia is one of the countries which has initiated an extensive welfare program for its senior citizens. These services include maintenance of, and alterations to their own homes to make living conditions safer and more manageable. This case study was aimed at finding ways of adapting the services provided in Australia, to meet the needs of elderly Koreans who are in similar situations. It evaluated houses which had been renovated and altered fur the normal as well as the disabled elderly in both Melbourne and Sydney. results of research were as following : 1) Most elderly usually wished to remain as long as possible in their own home and it made them very stable in psychologically. 2) Housing maintenance and alterations were provided as one of social care services fur elderly with low expense and loan from government. 3) Many elderly were also getting various kinds of social services, fur example, meals on wheels, transportation and cleaning service with housing alterations and these ones let their quality of life more improved. 4) Occupational therapist and Architect were always involved in the process of housing alterations for disabled elderly. 5) The alterations which related to bathroom, toilet and steps were very popular and those were considered essential design guide applications for planning of housing for elderly in the future.

• 한국간호교육학회지
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• 제16권1호
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• pp.140-149
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• 2010

Purpose: This follow up study was performed to survey the problem in performing ADLs at home after surgery. Method: Twenty elderly patients were assessed 3 times; from the time of hospitalization for surgery until 3 weeks after discharge. Measuring tools are numeric rating scales (NRS) for pain and 3 questionnaires developed by the authors to measure difficulties in ambulation, performing indoor ADLs, and emotional status. Pearson correlation, variance analysis and descriptive statistics were used to analyze the data. Result: The level of pain significantly decreased after surgery, but the difference between pain at the time of discharge and that of 3 weeks after discharge were not significant. Pain showed a positive relationship with emotional difficulties. Elderly with a higher education, family caregiver, and regular exercise showed a lower level of emotional difficulties. Conclusion: Comprehensive approaches for chronic pain including physical, psychological, and social aspects should be considered when caring for the elderly with spinal surgery. In addition, home care nursing interventions should include an exercise program to promote adaptation and rehabilitation after discharge.

• 재활간호학회지
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• 제16권1호
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• pp.71-78
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• 2013

Purpose: This study was performed to identify the effects of a health management program on health-promoting lifestyle and depression for the elderly living at home. Methods: Study design was a quasi-experiment with one group pre-test and post-test. Twenty-four elderly were participated in this study. The health management program for the elderly consisted of health education, health consultation, and exercise. The program was conducted for 60 minutes, once a week for 10 weeks. Data were analyzed using descriptive statistics and paired t-test with SPSS/WIN 18.0 version. Results: After the health management program, health-promoting lifestyle (t=14.14, p<.001) and depression (t=-4.78, p=.001) in the elderly were significantly improved. Conclusion: The health management program was effective for the elderly. Further research is needed to validate the effects of this program including control groups and a larger sample.

• 대한영양사협회학술지
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• 제14권4호
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• pp.337-350
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• 2008

The principal objective of this study was to assess the nutritional status and dietary quality in low-income elderly individuals residing at home (LH) or in health care facilities (LHCF) with dietitian. This study was conducted via anthropometric measurements, questionnaire interviews, and dietary surveys using a 24 hr recall method with 120 low-income elderly individuals (LHCF=46, LH=74). The average ages of the LH and LHCF group were 76.3 years and 78.6 years, respectively. The LH group evidenced a significantly higher frequency of skipping meals than the LHCF group. The average energy intakes of the LHCF and LH group were 1921.0 kcal and 1443.9 kcal, with a significant difference (p<0.001). Most of the nutrient intake and intake rates for recommended intake were significantly higher among the LHCF group as compared with the LH group. The LHCF group showed significantly higher values for the nutrient adequacy ratio (NAR), the mean adequacy ratio (MAR), nutrient density (ND), and the index of nutritional quality (INQ) by dietary qualitative estimation than in the LH group. The Korean diet diversity scores (KDDS) were 3.66 for LH group and 4.93 for the LHCF group, thus were significantly higher in the LHCF group than in the LH group. The results of the present study demonstrate that the LH group appeared to experience more dietary problems than the LHCF group. It was suggested that nutritional education is needed for low-income elderly individuals living at home, in order for them to learn proper dietary management. This can be achieved via educational programs in social welfare institutions, incentives toward employment as a dietitian, and implementation of community-based support.

• 대한가정학회지
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• 제40권1호
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• pp.37-51
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• 2002

The purpose of this study was to explore university students′ perceptions about the elderly before and after an introductory course for gerontology. Sixty-two male and female undergraduate students participated in the study as a part of the course requirement. Throughout the semester, theme students received a series of classroom lectures on gerontology, as well as participated in diverse activities to experience elderly lives. A survey was administered with the students at the beginning of the first day of class and at the end of the semester. By the end of the unit university students were more likely to have accurate conceptions of and positive attitudes toward aging and the aged. More specifically, they were more likely to (1) perceive "old" and "getting old" as a positive one, (2) seem older adults spend their time on active self-development and social activities, (3) view older adults are important, (4) change opinions about what an old person and young person do together, and (5) have a positive outlook on their own future lives as older adults.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.55-65
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• 2009

The Korean government introduced Home Care Services System to cut medical cost and make efficient use of limited medical resources because of increasing chronic diseases and the growing population of the elderly. The Korean government established measures to control the use of insurance services by restricting the number of nurse's visits to patient's home and by asking the patients to shoulder the transportation fee of nurses during the visit. Factors such as oversupply of hospital facilities, low price of home care services, high insurance coverage for hospital services and increased nuclear family set up resulted in the limited use of home care nursing services. The introduction of long-term care insurance in 2007 brought the decrease in the number of home care agencies and these agencies are facing a crisis today. The increase in chronic diseases and growing population of the elderly recently resulted in the need to control the high medical cost. Home care services for early discharge patients and chronic-severe disease patients will contribute in the reduction of medical cost at the same time improves the quality of patient's life. To catch up with the demands of the nation, accessibility to home care services should be improved and policies such as the expansion of home care services insurance coverage and promotion of establishing home care agencies should be considered.

• 지역사회간호학회지
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• 제10권1호
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• pp.44-52
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• 1999

This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

• 한국가정과교육학회지
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• 제20권4호
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• pp.59-75
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• 2008

본 연구는 청소년의 노년기 주생활 교육 실태 및 교육 필요도를 파악하여 개정 가정 교육과정 주생활영역에서의 교과서 개발 연구와 교사의 교수 시 도움을 주고자 하였다. 연구결과, 중학교 때 배웠던 노년기 주생활 수업이 이론 위주이고 교육내용이 흥미롭지 않아 상당수가 불만족하므로 학습자들이 실습과 체험활동 등을 경험할 수 있는 교육내용과 다양한 수업방식이 필요하겠다. 청소년은 노년기 주생활 교육내용으로 노인을 배려한 공간계획 요소(안전성, 관리, 실내 환경), 노년 주거계획 전반, 노인복지 서비스를 필요로 하였고, 3세대 가족 주거와 노인전용주택의 필요도는 상대적으로 낮았다. 이러한 교육내용은 성별, 거주면적, 가정소득, 출신 중학교 학교형태, 현 주택 거주 년 수의 일부 관련 변인에 따라 차이가 있었다. 따라서 2007년 개정 교육과정의 교과서에서는 필요도가 높은 교육내용을 적절한 단원에 포함시키도록 한다. 현행 7차 교육과정의 노년기 주생활 교육내용은 교과서별로 편차가 크므로 교과서 집필 시는 노년기 주생활 교육내용이 골고루 포함될 수 있도록 고려한다. 아울러 교사의 교수 시는 특성 변인의 차이를 감안하여 교육내용을 구성할 필요가 있겠다. 개정 교육과정에서는 교수.학습방법으로 학생들의 체험적인 활동을 중시하고, 지역사회와 밀접한 관계를 가지도록 권장하므로 현재의 장애체험 교육활동의 범위를 확장시켜 노인체험활동을 포함할 수 있도록 교육내용을 구성한다면 노년기 주생활 교육의 효과가 더 커질 것이므로 이를 위한 프로그램 개발도 요망된다.