• Journal of Preventive Medicine and Public Health
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• 제43권4호
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• pp.319-329
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• 2010

Objectives: This study was performed to determine the levels of quality of life (QOL) according to the grade of long-term care service for the elderly people who were admitted from long-term care insurance, and to reveal its association with the physical and mental functioning such as the Activity of Daily Living (ADL), the Instrumental Activity of Daily Living (IADL), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Mini-Mental State Examination-Korean version (MMSE-K). Methods: The interviews were performed during the period from March 1 to May 31, 2009, for 958 elderly people in urban and rural areas. The questionnaire items included various indices such as the ADL, IADL, CES-D, and MMSE-K, as independent variables and the index of QOL, as the dependent ones. For statistical analysis, t-tests were used for the mean scores of QOL according to gender and the grade of long-term care services, and Spearman's correlation was used for each variable. The effects of physical and mental functioning for QOL were assessed by covariance structure analysis. The statistical significance was set at p<0.05. Results: The mean scores of QOL among all the subjects was $55.4{\pm}15.62$ (Grade I: $49.7{\pm}14.17$, Grade II: $56.8{\pm}14.62$, Grade III: $59.4{\pm}16.36$), and it was lower according to the higher grade of long-term care insurance. In terms of the correlation matrix of the QOL and the physical and mental function factors, the QOL showed positive correlation with the ADL, IADL and MMSE-K, while it had negative correlation with depression. On the analysis of covariance, mental functioning (depression and the MMSE-K) had a greater influence on the level of QOL than the physical functioning (ADL and IADL). Conclusions: The level of the QOL in the elderly people who were admitted from long-term care insurance was lower according to higher the grade of long-term care insurance. Also, the mental functioning (depression and MMSE-K) was more influential on the level of the QOL than the physical functioning (ADL and IADL).

• 한국식생활문화학회지
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• 제34권4호
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• pp.389-400
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• 2019

In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

• 대한인간공학회지
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• 제31권2호
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• pp.389-396
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• 2012

Objective: The aim of this study is to design an auto showering system regarding bed type for old people or bedridden patients. Background: The rapid growth concerning the aging population leads to an increase in elderly bedridden patients living in senior care centers and hospitals where care givers have difficulty bathing older people with limited mobility. Method: In this study, a showering equipment for experiment was based on anthropometric and researching existing products. The nozzle position was optimized by showering tests and simulations using showering equipment. Results: The problems regarding the existing products were analyzed and the nozzle position was optimized through showering tests. The number, position, and spraying angle of the nozzle were optimized through showering simulations. The automatic showering system concerning bed type was designed by considering their results. Conclusion: When designing an automatic showering system, the most important design element involves determining the position of nozzle and angle of water injection and the number of nozzles. The system was developed by applying the results through user centered-research. Application: The user centered-research for developing products was applied directly in order to develop automatic baths, showering products etc. Furthermore, it was also available to be applied towards senior friendly products.

• 디지털융복합연구
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• 제16권9호
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• pp.391-397
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• 2018

본 연구는 레크리에이션 치료 프로그램이 치매 노인들의 인지기능과 균형감각에 미치는 영향을 조사 분석하고자 실시되었다. 연구대상은 알츠하이머형 치매를 진단받은 노인 16명을 대상으로 6 개월 동안 레크리에이션 치료 프로그램을 제공하였으며, 실험군과 대조군 두 그룹의 프로그램 제공전과 후의 인지기능과 균형감각의 변화를 분석하였다. 연구결과 레크리에이션 치료 프로그램은 알츠하이머형 치매 노인의 인지기능과 균형감각을 유지시키거나 증진시키는 것으로 보고되었다. 연구 대상자 모집과 손실 및 레크리에이션 치료 프로그램 기간과 같은 변수 통제의 어려움을 제한점으로 볼 수 있으나 레크리에이션 치료와 같은 비약리적 방법의 개발과 효과성 검증의 측면에서 치매 노인의 재활치료 연구에 기여하였다고 판단된다.

• 한국농촌건축학회논문집
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• 제12권4호
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• pp.29-36
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• 2010

The purpose of this study is to have detailed data of the distribution, locations, and the amount of people in the waiting line of the nursing home. Also, we studied the accessibility to the facilities by using Web GIS to analyze the transit time it takes from the nursing home to health center and hospitals. We can provide the basic data that could contribute when future plans for the nursing homes' locations, health and medical policy are made. The results are as follows. 1. The nursing homes are stiffly concentrated in regions of Seoul and Gyeongi-do where large number of the elderly covered by long-term care insurance and the waiting line was very long for the elderlies to enter the nursing homes. In these cities of Ulsan and Jeju where number of the elderly covered by long-term care insurance is relatively small, there were less facilities. 2. The nursing homes located in urban areas had higher occupancy rate and higher number of people in the waiting line. 3. The average time taken by driving from the nursing homes and health center was 10 minutes and there was not a noticeable difference between the cities. Driving from the nursing homes to hospitals in rural areas took 22 minutes which is 2.5 times of the time taken for urban areas. Daegu-si and Incheon-si had relatively short distance from the nursing homes and the hospitals while Jeju-do had the furthest. For rural areas, it is needed for health center to be equipped with a wider medical coverage, have closely connected with hospitals to minimize the differences they have from ones in rural areas. It is also needed to have ambulances equipped for tele-medical examination and treatment system.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.51-60
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• 2021

Purpose: Tuberculosis(TB) care unit in public health center should be carefully considered to be re-designed as an infection safety environment for both patient and healthcare workers. So, for the enhancement, this study analyses the facility requirements for co-using the screening clinic as a TB and other respiratory disease care unit. Methods: Not only screening clinic facility guidelines from "A Study for Standard Triage Design and Construction Document" but also the guidelines of TB care and related medical facility are reviewed; KDCA, CDC, ECDC and WHO as a TB care, and FGI and NHS for facility. The facility requirements are summarized space, approach, and mechanical requirement in order. By comparing the summary and screening clinic facility guidelines, supplementations are proposed for TB care unit setting. Results: The result of this study shows that both the space program and mechanical requirement of the screening clinic and that of TB care unit are almost identical and could be share, which include direct airflow or negative air pressure in an exam room. To increase functional and economical efficiency, however, it is necessary to consider a multi-functional negative pressured room, So care process may be re-designed based on a room type; face-to-face room or glass wall inbetween. Implications: The facility guidelines for TB care unit of a public health center should be developed to build a safe environment for infection control by reflecting its medical plan and budget.

• 한국임상보건과학회지
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• 제4권4호
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• pp.680-688
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• 2016

Purpose. This study aims to explore Situations and Problems of the Community Senior Citizen Center as the senior health care and the Elderly's Leisure status. Then, aims to arrange Activation Vitalization Plan of the senior's leisure in Community Senior Citizen Center. Methods. The literature and data used in this study was based on a questionnaire survey, mostly from Gyeongki-Do Community Senior Citizen Center Branch and statistical research data. Literature review and analysis frequency was by reference to the paperback and academic papers related to the senior health welfare. Results. First, the period of the seniors with the Community Senior Citizen Center as health facilities has appeared in 6-10years(32.8%), followed by the response showing that more than 10years(32.4%). Therefore, it reveals that the senior live in the same region in the long term. Second, the number of days that the senior health care the Community Senior Citizen Center has been used by the senior was over 5days. This result was supported by 608people(61.7%). Both men and women replied that they use the health center more than five days. Third, the number of the senior who responded that they use the Community Senior Citizen Center as health facilities 629people(63.9%). They replied that they use the facilities mostly afternoon. The senior use the facilities all day appeared to 263people(26.7%). Conclusions. It seems like that there needs to be a variety of personalized programs that can be added to increase the life satisfaction of the senior participation in leisure programs for the Community Senior Citizen Center as senior health facilities in the future. Additionally, the government needs to require a wide range of financial support for the Community Senior Citizen Center as senior health care and devise the strategies that will lead the health center for the senior need to be actively utilized.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.357-366
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• 2017

본 연구는 제2형 당뇨노인을 대상으로 당화혈색소 조절군과 비조절군의 당뇨 자가관리 지식, 자가관리 효능감, 자가 관리 행위와 삶의 질을 비교분석하기 위한 연구이다. 자료수집기간은 2015년 4월 20일부터 8월 31일까지로 D시에 소재한 시민건강증진실을 주기적으로 방문하는 60세 이상의 당뇨노인 205명을 대상으로 하였다. 수집된 자료는 SPSS Statistics 23.0의 기술통계, t-test, chi-square 및 ANCOVA를 이용하여 분석하였다. 연구결과, 연구 대상자의 자가관리 지식은 $6.99{\pm}2.17$점, 당뇨 자가관리 자신감은 $71.27{\pm}10.21$점, 당뇨 자가관리 행위는 $62.78{\pm}1.29$점, 삶의 질은 $0.86{\pm}0.11$점으로 조사되었다. 당화혈색소 조절군과 비조절군간에 당뇨 자가관리 지식, 자신감, 삶의 질에는 차이가 없었으나 당뇨 자가관리 행위는 두 군간 유의한 차이가 있었고(t=2.17, p=.031), 자가관리 행위는 교육수준(t=2.17, p=.031), 시민건강증진실 방문횟수(t=16.497, p=.001) 및 BMI(t=.01, p=.012)에서 유의한 차이가 있었다. 그러나, 앞 선 세 변수를 공변량 처리하여 분석을 시행한 결과, 당화혈색소 수치와 당뇨자가간호 행위와의 관계는 유의하지 않았다. 본 연구의결과를 근거로, 당뇨 노인의 지식수준과 노인의 특성을 반영한 자가관리 교육프로그램이 개발되어 적용될 것을 제언한다. 아울러, 지역사회 당뇨 환자들이 바람직한 당뇨 자가관리를 꾸준히 시행할 수 있도록 지도하고 관리할 수 있는 접근성이 높은 건강관리 기관이 도처에 마련될 필요가 있다.

• 한국콘텐츠학회논문지
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• 제22권10호
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• pp.330-348
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• 2022

본 연구의 목적은 방문요양 요양보호사의 소진 경험에 관한 질적 사례연구 수행을 통해 이들의 소진 예방 및 극복을 위한 유용한 이론적, 실천적 시사점을 도출하는데 있다. 이를 위해 방문요양 요양보호사들이 65세 이상 장기요양급여 서비스 대상 노인 및 그 가족보호자와, 파견하는 재가노인복지센터와의 관계경험 안에서 어떠한 맥락을 경험하였는지를 분석하였다. 분석 결과, 도출된 상위범주는 총 12개로, '의심받는 존재로 전락한 나', '추락한 자존감', '더 하고 싶지 않은 방문요양보호사 활동', '억압된 존재', '폭력적 상황에 노출', '가치절하된 돌봄 노동자', '전문 직종으로 인정받기 어려운 일', '일의 경계선이 명확하지 않는 노동', '노인가족에 대한 실망', '개선되기 쉽지 않는 사회적 인식과 노력', '파견기관의 열악한 처우', '파견기관에 대한 불신'으로 나타나고 있다. 위와 같은 연구결과 및 논의점을 바탕으로, 방문요양보호사의 소진을 예방하거나 감소하기 위한 제언방안을 제시하였다.

• 동의생리병리학회지
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• 제32권6호
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• pp.411-417
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• 2018

Last year, the elderly population aged 65 years and over exceeded 14.2 percent of the total population, and Korea has entered the ageing society. At the same time, social interest in improving the health level and quality of life in the elderly has also increased. In particular, pain is one of the most common diseases experienced by middle-aged and elderly people and is one of the factors that closely affect the quality of life. The purpose of this study was to analyze the factors affecting the pain level and pain region of Korean medicine users and the use of Korean medicine in the Korean middle aged and elderly using the 6th Korean Longitudinal Study of Ageing (KLoSA) panel. As a result, the main influencing factors of Korean medical care were subjective factors such as gender, subjective health status, and education level. In particular, half of the middle-aged and elderly who used Korean medicine experienced back and knee pain, and generally complained of low level of pain. This study suggests the need for research and development of Korean medicine that can control and relieve the pain of the middle-aged and elderly.