• 한국주거학회논문집
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• 제27권6호
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• pp.125-136
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• 2016

This study specifies daily behaviors that elderly residents perform in their living space and verifies the behaviors that they have difficulties in performing. The study categorized elderly people according to the level of difficulties they have when performing household activities (independence of behavior performance) and verified characteristics of the sub-behaviors and the level of difficulties of performing them in each type. For this purpose, the study conducted observation investigation on the behavior of elderly people by directly visiting houses of 52 elderly people over the age of 65. The characteristics of sub-behavior were also examined through photograph shooting and in-depth interview. In this study, behaviors of elderly people inside living space were categorized into the following nine behaviors. The study investigated the difficulties of performing these sub-behaviors according to the elderly people's level of independence by each behavior. Analyzing the difficulties of sub-behaviors according to the independence level, elderly people felt more structural problems and inconvenience in using facilities when they have lower independence level. Moving from independence to dependence, their performance of behaviors gradually became difficult, making them inevitable to use tools. At last, they came to need caregiver's help. For continuous sustenance of elderly people's independent living inside house, policy measures are required that can address the difficulties of sub-behaviors that are observed in a series of process of one's becoming dependent from independent in this study.

• 한국간호교육학회지
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• 제22권1호
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• pp.72-82
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• 2016

Purpose: The purpose of this study was to identify the effects of health status and health management on activities of daily living (ADL) in older, urban-dwelling Koreans. Methods: A total of 206 subjects were recruited from one senior welfare center, six senior citizen centers, and subjects' home in two cities. Data was collected with self-reported questionnaires in order to measure health management, health status, and ADL. Data was analyzed by t-test, ANOVA, and stepwise multiple linear regression using SPSS/WIN 22.0. Results: ADL in this subject were different depending on their age, education, marital status, type of family, and average monthly living expenses. Multivariate analysis showed that age (${\beta}=-0.35$, p<.001), exercise ability (${\beta}=0.20$, p<.001), diabetes (${\beta}=-0.17$, p<.001), osteoarthritis (${\beta}=-0.15$, p<.001), caregiver (${\beta}=0.14$, p=.005), frequency of health management (${\beta}=-0.13$, p=.006), smoking (${\beta}=-0.11$, p=.019), hypertension (${\beta}=-0.10$, p=.027), and type of family (${\beta}=-0.10$, p=.036) were significantly associated with ADL. Overall, approximately 60.2% of total variability in ADL could be explained by the 11 variables in this model ($R^2=0.602$, F=32.06, p<.001). Conclusion: This study suggests that individualized health care should be continued for older, community-dwelling Koreans in order to improve their ADL. Moreover, we need to develop self-care programs and encourage them to participate in those programs.

• 한국보건간호학회지
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• 제14권1호
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• pp.131-146
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• 2000

The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families. This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May. 1999. The data were collected by using three different questionnaires. Data were analysed by utilizing SAS program such as frequency. average. percentage. t-test. ANOVA. Scheffe test and Pearson Correlation Coefficient. The results were as follows: 1. The average score of patients' daily living activity was $2.36\pm0.67$. $97.2\%$ patients turned out to be. in part. dependent on their family's care. $66.5\%$ of the patients were still dependent on their families in walking: $66.3\%$ In bathing: and $61.0\%$ in using toilet. 2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions. time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients. there were tendencies for patients with lower incomes residing in communal housing. with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores. 3. The average score of social support was 2.49 in 5 point. which represents a average score. Among other items. the opportunity of social integration was 2.66. topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse. total care giving duration exceeded 25 months and malignant patients daily living activity scores were low. 4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942). Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment. 5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole. there was negative correlation between social support and the formation of intimacy and self-confidence.

• 보건행정학회지
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• 제24권1호
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• pp.71-84
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• 2014

Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

• 음성과학
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• 제15권2호
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• pp.131-141
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• 2008

The purpose of this study was to find out the acoustic variation on the pre-and post respiration and oral motor for children with cerebral palsy. Five children with spastic CP at the age of 6 in average were practiced by a caregiver at home each for 25 minutes, in total, 45 times. The sustained of vowel /a/ and vowels /a/, /i/, /u/, /e/, /o/ were recorded on CSL and MDVP and analyzed by acoustic parameters. As a result, the maximum phonation time(MPT) was increased from 2.06 to 6.31 and the formant of vowels(F1, F2, F3) had significant differences in F1(/a, i/), F2(/i.u.o/), and F3(/a/) between the controls and the children with CP in pre-treatment. The total average value of vowels had significant differences between the pre-and post-treatment (p< .05). The energy of vowels had significant differences in the vowels /i, u, e, o/ and the total average value between the pre-and post-treatment(p< .001). The jitter percent, shimmer percent, and noise to harmonic ratio had significant differences between the pre-and post-treatment(p< .05). As the respiration and the oral motor improved MPT, voice quality, and articulation of vowel, and the variation of the formant(F1, F2, F3) showed the changes in the shape of lips, the place and the height of the tongue, the various development of therapy programs and the consistent intervention of treatment is needed for the children with cerebral palsy.

• 가정과삶의질연구
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• 제28권1호
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• pp.51-67
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• 2010

This study looked into the current conditions in Korean and Japanese care management for the elderly, cases of consumer counseling in these countries, and the supporting institutions for Japanese users regarding the use of care management for the elderly. The number of recipients of care management for the elderly in both Korea and Japan is growing every year, and more Japanese users receive various services compared to Korean users. The results of an analysis on consumer counseling regarding the use of Korean and Japanese care management revealed, two types of complaints: counseling for the improvement of the institution and complaints related to the procurement of service. Regarding the insurance system, the complaints were mostly related to affirmation of a rating and the burden incurred by cost-sharing. Regarding the use of service, such key impairment cases were related to in-service medical accidents, illegal acts including caregiver contract violations and forced retirement, careless service by workers, and human rights violations of the elderly. Japan has developed governmental and, related-administrative and business services as well as a local governmental system to redress customer impairment issues as this pertains to service for better quality care management. In addition, they have enlarged the locally closed service, provided exact information about the services offered, and improved service appraisal techniques. The Japanese cases will serve as a good reference to improve the Korean system. In particular, the construction of a system that reduces customer losses and the availability of more counseling information are urgently required to improve the system in terms of customer experiences when they seek care management.

• 한국정보통신학회논문지
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• 제6권6호
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• pp.923-930
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• 2002

본 연구는 치매노인환자의 생활의 질을 향상시키기 위한 대화시스템의 개발에 목표를 둔다. 제안된 시스템은 주로 세 가지 모듈, 즉, 음성인식, 시간테이블에 의해 구분된 대화 데이터베이스의 자동검색, 그리고 간호사의 녹음음성으로 이루어진 맞장구 등의 긍정적인 대답, 등으로 구성되어 있다. 첫 단계로서, 치매환자가 간호시설에서 자주 발화하는 대화의 내용을 조사하였다. 다음으로, 환자들의 요구를 충족시키기 위해 그들의 발화 음성을 자동인식 하도록 구성하였다. 여기서 시스템의 응답은 전문 간호사의 녹음음성으로 설계되었다. 시스템의 평가를 위해서 시스템이 도입되었을 때와 되지 않았을 때의 비교연구를 실시하였고, 치료 전문가(occupational therapist)들이 비디오 촬영을 통해서 남성 대상자의 반응을 평가하였다. 평가 견과는 치매환자의 요구를 충족시키는데 있어서 대화 시스템이 전문간호사들보다 더욱 답적이었다는 것을 보여준다. 게다가 제안된 시스템은 상호 대화에 있어서 간호사들보다 환자가 더 많이 말하도록 유도함을 알 수 있었다.

• Human Ecology Research
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• 제53권5호
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• pp.519-530
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• 2015

This study examines the effects of coping resources on life satisfaction of middle and older caregivers looking after family members with activities of daily living disabilities. Personal resources and socio-relational resources were included as predictors after controlling for demographic characteristics. We studied 154 middle and 132 older adults drawn from the Korean Longitudinal Study of Ageing (KLoSA). The multiple regression results of this study were as follows. First, subjective health and family satisfaction had significant effects on middle-aged caregivers' life satisfaction. Specifically higher levels of subjective health and better relationships with their family predicted higher levels of life satisfaction. Second, cognitive function, household income, and family satisfaction had significant effects on middle-aged caregivers' life satisfaction. Higher household incomes, higher levels of cognitive function, and better relationships with family predicted higher levels of life satisfaction. For both middle and older adults, the effect size of family satisfaction was the largest out of all coping resources. The results revealed discrepancies regarding the importance of coping resources between middle and older caregivers, implying that developing interventions for middle and older caregivers (in accordance with their need for coping resources) is necessary. The results also indicated that having good relationships with one's family was the most important factor for both middle aged and older caregivers' life satisfaction. The results suggest that policies or services focused on endorsing healthy family relationships should be developed to improve the life satisfaction of caregivers.

• 한국직업건강간호학회지
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• 제23권4호
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• pp.262-268
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• 2014

Purpose: This study was conducted to identify the differences by the stages of change in exercise behaviors of caregivers based on Transtheoretical Model. Methods: The subjects were consisted of randomly chosen 105 caregivers working in a nursing home. The collected data were analyzed with descriptive statistics, chi-square test, ANOVA and Duncan test using IBM SPSS Statistics 19. Results: The results showed that in the stages of exercise behaviors, there were most participants in contemplation stage with 24.7%, followed by 22.8% in preparation, 21.9% maintenance, 19.0% action and 11.4% pre-contemplation. As for the process of change by the stages of change in exercise behaviors, it showed statistically significant differences in behavioral strategies (F=7.64, p<.001). In decisional balance, pros (F=3.75, p=.007) showed statistical significance, with higher pros in all stages except pre-contemplation. Self-efficacy was also statistically significant (F=6.25, p<.001), especially in the maintenance stage. Conclusion: This study suggested that in order to encourage caregivers to exercise, a strategic intervention to reinforce the process of change, recognition of positive decision-making and promotion of self-efficacy in exercise behaviors should be developed.

• 산업융합연구
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• 제20권7호
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• pp.107-113
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• 2022

본 연구는 요양보호사의 직무환경이 조직몰입에 미치는 영향을 파악하고 이를 토대로 직무만족의 매개효과를 검증하는 것을 목적으로 한다. 자료수집은 경기지역 노인요양시설을 중심으로 요양보호사 300명을 대상으로 설문조사를 하였고, 회수되지 않은 설문지와 이상치를 제거하고 최종 267명을 연구대상으로 선정하였다. 자료분석은 SPSS WIN 23.0, PROCESS Macro V3.5를 통해 결과를 도출하였고, 직무만족의 매개효과 검증을 위해 Hayes(2013)의 Macro Model Number 4를 적용하였다. 분석결과, 요양보호사의 직무환경이 조직몰입에 미치는 영향에서 직무만족 변인의 부분매개효과를 확인하였다. 분석결과를 토대로 요양보호사의 직무환경 개선과 직무만족 증가를 위한 실천적·정책적 제언과 본 연구의 한계를 극복하기 위해 후속 연구를 제안했다.