• 한국노년학
• /
• 제27권2호
• /
• pp.459-472
• /
• 2007

본 연구는 지역사회 내에 거주하는 재가노인의 신체적, 심리적, 사회·환경적 상황을 종합적으로 평가하고 그에 적합한 서비스를 제공하기 위한 욕구 중심의 사정도구를 개발하는데 목적이 있다. 본 연구를 통해 개발된 사정도구는 총 200문항으로 구성되어 있으며, 재가노인의 신체, 심리, 사회·환경적 상황을 통합적으로 사정한다는 장점을 가지고 있다. 또한 노인이 현재 생활하며 느끼는 실제적인 욕구를 적극적으로 반영할 수 있는 주관적 호소를 포함시킴으로써 전문가적 입장에서 관찰되는 객관적 측면뿐만 아니라 노인의 주관적인 삶의 모습을 표현하게 하였다. 본 도구의 개발은 2004년 7월부터 2006년 3월까지 21개월에 걸쳐 이루어졌으며, 크게 그 과정을 세 단계로 나누어 볼 수 있다. 1단계에서는 문헌고찰, 외국자료 조사 및 분석을 통해 욕구 중심의 통합적 사정을 위한 문항들을 수집하였으며, 2단계에서는 1차적으로 개발된 도구를 노인장기요양보험제도 시범사업에 적용하였다. 이 과정에서는 시범사업에서 선정된 250명의 재가노인과 본 연구팀이 자체적으로 선정한 재가노인 200명의 대상자에게 본 도구를 적용한 후, 도구의 미흡한 점을 수정, 보완하였다. 3단계에서는 개발된 도구의 신뢰도와 타당도를 확보하기 위해 포커스 집단 활용과 전문가 집단의 자문을 활용하여 최종적으로 도구를 완성하였다. 본 도구는 13개의 하위영역에 총 200문항이 구성되었다. 그 하위영역은 기본정보, 주관적 호소내용, 주수발자의 기본정보, 현재 이용하고 있는 서비스, 주거환경, 건강상태, 재활상태, 일상생활(ADL, IADL, 배변, 배설, 조력), 사회적 지지, 행동장애, 의료건강, 생활습관, 강점으로 구성되었다.

• 가정간호학회지
• /
• 제2권
• /
• pp.19-34
• /
• 1995

The purpose of this study was to analysis level on family caregiver's burden for the elderly with chronic disease in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales(1982), ADL by Lawton(1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 213 family caregiver of elderly with chronic disease in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows ; 1. Total burden was evaluated below average, the mean of family burden was 46.98. By the diagnostic classification, Hypertension was 27.37, DM 32.46, CVA 62.96, Dementia 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the patient's disease diagnosis (F=33.82, p<0.001), severity of dementia(F=30.52, p<0.001), the status of disease management(F=11.53, p<0.001), ADL(F=10.54, p<0.001), PADL(F=7.50, p<0.001), income(F=7.17, p<0.001), caregiver's health status(F=24.53, p<0.001), a view of patient's prognosis (F=22.17, p<0.001), relationship with the patient(F=33.82, p<0.001), the number of hours per day spent on caregiving(F=77.52, p<0.001), level of intimacy of caregiver and patients(F=8.75, p<0.001), level of helping(F=4.90, p<0.01), the frequency of caregiving activity(F=3.80, p<0.01), the number of admission(F=5.54, p<0.01), the length of caregiving(F=4.43, p<0.01), other chronic patient in family(t=2.81, p<0.01), caregiver's job(F=3.11, p<0.01), the duration of illness(F=2.98, p<0.05), caregiver's religion(F=2.93, p<0.05), medical security(F=3.89, p<0.05), caregiving's helper(t=2.42, p<0.05). 3. PADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, IADL, caregiver's health status, the length of caregiving. level of intimacy of caregiver and patients, patient's age, the patient's disease diagnosis and patient's job accounted for 76% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the diagnostic classification, number of priority care group, Hypertension was 4 (8.0%), DM 4(8.0%), CVA 34(64.1%), Dementia 45(75.0%).

• 대한가정학회지
• /
• 제30권1호
• /
• pp.179-198
• /
• 1992

The purspoe of this study is to identify the socialization level of household work of the employed and unemployed housewives and it's related variables in order to provide some fundamental information for the rational and effective performation of the household task. For the purpose of this study, 700 questionnaire were distributed to the employed and unemployed wives who lived in Seoul. The data were analyed by the Frequency distribution, Percentile, t-test, F-test, Duncan's Multiple Range Test, and Multiple Regression Analysis. The main results were as follows : (1) Socialization level of household work of the employed wives was a little below medium point. When the household work was devided into three subdomains, in the domain of food and shelter, the socialization level was far below medium point. In the domain of clothes, the socialization level was a little higher than medium point. Socialization level of household work of the unemployed wives far below average. When the household work was devided into three sudbomains, in the domain of food, clothes and shelter, the socialization level was far below average, too. Socialization level of household work was significantly different according to the employment. (2) Among the background veriables, family income, household work helper, and frequency of leisure activities have a significant influence on the socialization level of the employed wives. Duration of marriage, housewife's education level and house income have a important effect on the socialization level of the unemployed wives background. (3) Among the background variabels of household work, performing competence of household work is powerful effect on the socialization level of the employed wives. And as for the unemployed wives, performing competence of household task and recognition of the velue of household work are significant variables. (4) The psychological variable such as sex-role attitude gave no noticeable influence on the socialization level of employed and unemployed wives. (5) In conclusion, classifing the variances influencing on the socialization level of household work in a measure of respcetive effect, it appears to be performing competence of household task, frequency of leisure activities, house income, sex-role attitued and educational level in the order of their influences for the employed wives. And as for the unemployed wives, it seems to be house income, educational level, performing competence of household work and frequency of leisure activities. To the two sides, the rate of explanation is shown at 35%.

• 대한공업교육학회지
• /
• 제38권1호
• /
• pp.49-67
• /
• 2013

이 연구의 목적은 2007 개정 교육과정에 따른 중학교 기술 가정 1 교과서의 외형 체제와 '문제해결과 발명' 단원의 내용적 요소를 분석하여 기술 교과에서의 발명 교육 내용 체계 기초 자료를 제공하는 데 있다. 이 연구의 결과는 다음과 같다. 첫째, 기술가정 1의 교과서의 기술의 세계 영역은 '기술과 발명' 대단원 구성 비율은 10~18%였으며 중단원인 '문제해결과 발명' 단원 구성 비율은 6.7~12.9%의 비율을 보였다. 둘째, 대부분의 교과서에서 교육과정해설서에 제시된 성취 기준을 바탕으로 '기술적 문제해결', '아이디어 구상', '입체투상법', '확산적 사고 기법', '수렴적 사고 기법', '생활 속 발명품 만들기' 등을 주요 내용으로 차례를 구성하고 있다. 셋째, 세부 구성 체계는 도입(대단원명, 중단원 차례, 들어가기, 중단원명, 학습 목표, 생각열기), 전개(소단원명, 생각해보기, 핵심용어, 본문, 학습 도우미, 수행활동, 조사활동, 보충학습, 심화학습, 생활 속 기술, 읽을거리, 토의활동, 진로직업), 정리(중단원 정리, 학습 정리, 용어 정리, 되돌아보기, 논술 따라하기, 스스로 정리하기, 대단원 평가) 등으로 구성되었다. 넷째, 삽화 분석 결과 사진이 가장 많고 그림, 표, 그래프의 순이었으며 사진은 다양한 발명품, 역사 속 발명품, 발명 기법, 체험활동의 과정을 나타낸 것이 대부분이었으며, 그림은 본문의 내용을 나타내거나 발명 기법 등을 제시한 것이 대부분이었다. 표는 발명 체험 활동에서 공정표나 재료표 등을 작성하기 위한 것이 대부분이었으며, 그래프는 발명 현황이나 특허 건 수를 나타내기 위해 사용되었다. 다섯째, 내용 비중 분석 결과 '발명과 사고', '발명체험활동'에 많은 비중을 두어 기술되었으며, '발명의 이해', '발명과 특허'는 많이 기술되어 있지 않았다. 여섯째, 내용 제시 방식 분석 결과 대부분의 교과서에서 그림, 표, 삽화 등과 문장으로 혼합되어 기술되어 있었다. 이상의 연구 결과를 바탕으로 첫째, 일관성 있는 발명 교육 내용 체계를 유지해야 하며, 둘째, 다양한 시각에서 보다 정밀하고 체계적인 교과서 분석이 이루어져야 함을 제언한다.

• 보건행정학회지
• /
• 제7권1호
• /
• pp.55-72
• /
• 1997

The purpose of this study is to analyze the consumers' demand pattern and the feature of the market for nursing homes, the number of which is tending upwards. The survey data were obtained from the interview of 500 elderly people living in Seoul and Kyung-Ki provincial area. All respondents were 60 years of age and above. The main findings were summarized as follows: 1. The respondents who are less aged, highly educated comparatively, and living with spouse show positive response for the use of nursing homes. The aged living independently and the aged living with unmarried children show higher demand for this facility. Also, the respondents who prefer independent living away from their childrenn, urban areas as their residence and flat-type housing show more interest for the facility. The respondents who are self- supportive, who has no financial supporter, no caretaker, and no domestic helper demonstrate strong inclination to the use of the facility. The respondents who are interested in this kind of facility, acknowledge the necessity of it show strong intention of moving into it. 2. Logistic regression analysis was conducted to understand factors related to the intention of moving into the nursing homes. The group who wish to live separated from their children in the future give 1.78 times more favorable response than the opposite. The group who have an interest in the facility for elderly has 2.02 times higher intention of moving than the opposite. The group who have an intention of using the facility for elderly it is 7.34 times more likely to move into it. 3. The respondents who are the potential consumers for nursing homes can be subdivided. Within the positive group, it could be divided into the group of living independently with the preference of flat-type housing, the group living independently with the preference of separate housing, and the group wishing to live with their children. Within the negative group, the factor of the division is their concern to the facility. Following this study, it can be said that old age people, who have been regarded as one homogeneous group so far, should be recognized as one characteristic individual. This study also shows that the demand aspect yet in its initial stage shold be researched in anticipation of rapid increase. The understanding of diciding factors, the segmentation of potential market will help work out proper strategy, which will contribute to providers' benefit.

• 대한물리치료과학회지
• /
• 제13권4호
• /
• pp.43-62
• /
• 2006

The survey was conducted with participation of the 289 handicapped persons residing at the rural area OOeup-gun in Kyungbook for the period of March 2 - May 31, 2006, to study the nature in general of the handicapped and the boundaries of their need. For the nature in general of the handicapped, the study was done by gender iscrimination, age, marital status, religion, educational level, occupation, monthly income, disability cause, disabled duration, disability type, disability level. For the boundaries of their need, the study was done by demand of financial support, educational demand, demand of voluntary workers, need of rehabilitation and medical treatment, job training, improvement of living conditions, or so. Using the Win.SPSS program, we made a frequency analysis and conclusions on the nature in general of the handicapped and the boundaries of their need on a 2-test. Conclusions are : 1. Nature in general of the handicapped The existence of the handicapped shows high at the age over 51 (71.6%), male-handicapped (65.1%), primary school graduates (62.9%), farming engaging (65.2%), monthly income less than one million Won (80.5%), cause by disease (53.8%), duration more than 10 years (61.6%), disability at level 3 (39.8%), extremity disability (66.4%). 2. Correlation of nature in general with demand of the handicapped a. In demanding the financial support, support for helper’s compensation shows high (p<0.05). In demanding the necessity of voluntary workers, the male-handicapped appears high during the absence of family assistance and the female-handicapped appears differently per week and also appears high during the absence of family assistance (p<0.05). b. In educational demand of the handicapped by their age, the age below 30 demands technical-job training and the age over 31 demands medical education for health care (p<0.01). c. In demanding the financial support by educational level, support for living cost shows high (p<0.05). d. In demanding improvement of living conditions by postnatal cause of disability, improvement of house structure shows high (p<0.05). e. In demanding assistance of voluntary workers by disabled duration, "No Need" shows high in the disabled duration more than 4 years (p<0.05). f. In demanding rehabilitation and medical treatment by disability type, home-visiting treatment, oriental medical treatment and physical therapy show high (p<0.001). g. In educational demand by disability level, medical education for health care shows high (p<0.01).

• 한국콘텐츠학회논문지
• /
• 제18권1호
• /
• pp.370-380
• /
• 2018

본 연구의 목적은 노인복지관이 위치한 지역적 특성에 따른 프로그램을 분석하여 향후 노인복지관의 발전방향에 대해 제시하는 것이다. 분석대상은 전국 노인복지관 344개소를 대상으로 설문조사를 실시하였고, 회수된 304개의 설문을 분석에 사용하였다. 노인복지관의 지역특성에 따라 3개 유형을 도출하여 실시 중인 프로그램을 분석하였다. 분석결과, 첫째, 노인복지관의 지역특성에 따라 차이를 보인 기본사업은 기능회복 사업, 상담사업, 정서지원사업이었고 선택사업 중에서는 지역복지연계사업이었다. 둘째, 노인복지관의 사업별 세부프로그램을 지역에 따른 차이를 분석한 결과, 기본사업에서는 외국어교실, 교양교실, 인문학교실, 예비노인 프로그램, 물리치료, 양 한방요법, 치매예방 프로그램, 노인일반상담, 심리상담, 집단프로그램, 자조모임으로 나타났다. 선택사업의 경우 이 미용서비스, 취업지원교육, 경제교육, 은퇴준비, 가정봉사원파견사업, 세대통합프로그램, 이동복지사업, 지역협력사업이 지역특성에 따른 차이를 보인 것으로 드러났다. 이러한 결과를 바탕으로 노인복지관의 발전방향에 대한 함의는 지역특성에 따른 노인복지관의 프로그램 개발이 필요하다는 점과 노인복지관이 지역특성과 지역노인들의 특성을 반영한 프로그램을 운영할 수 있도록 자율권을 보장해야 한다는 점이다.

• 한국노년학
• /
• 제31권2호
• /
• pp.195-209
• /
• 2011

이 연구는 지역사회에 거주하고 있는 중고령자의 미충족 돌봄요구 현황을 파악하고 관련요인을 밝히고자 수행한 이차자료 분석연구로, 전국의 45세 이상 일반가구 거주자를 대표하는 표본(n=10,254)을 표집하여 조사한 2006년 제 1차 고령화연구패널을 이용하였다. 미충족 돌봄요구는 기본적 일상생활수행과 도구적 일상생활수행에 있어 다른 사람의 도움을 필요로 하는 상태임에도 돌봐줄 수 있는 사람이 없는 경우로 정의하였다. 모든 분석은 대상 인구집단을 대표하는 추정 통계치를 구하고자 가중치를 적용하여 수행하였다. 연구 결과, 중장년의 7.3%, 젊은 노인의 14.5%, 그리고 고령 노인의 41.8%가 돌봄을 필요로 하는 상태였으나, 이 중 각각 34%, 33%, 24%가 돌봄요구를 충족받고 있지 못한 것으로 나타났다. 미충족 돌봄요구 관련요인은 연령 그룹에 따라 달랐는데, 중장년에서는 교육과 소득수준이 미충족 돌봄요구와 음의 상관관계를 갖고 있었던 반면, 젊은 노인과 고령 노인층에서는 독거만이 음의 상관관계를 가진 요인이었다. 결론적으로, 우리나라 지역사회 거주 중고령자 중 상당수가 미충족 돌봄요구가 있으며, 그 관련요인은 생애주기에 따라 차이가 있었다. 연구결과는 지역 사회 거주 중고령자의 미충족 돌봄요구를 최소화할 수 있도록 지역사회기반 재가서비스의 확충이 시급하며, 특히 교육수준이 낮은 중장년과 독거노인 대상의 서비스 개발 및 보급이 중요함을 시사한다.

• 대한간호학회지
• /
• 제24권1호
• /
• pp.58-69
• /
• 1994

In order to see the development of Nursing related research activities in Korea over the last three decades, abstracts of almost all of the Master and Ph.D theses that appeared from 1961 up to August 1991 were collected. The number of theses was 2354, from which an index of key words has been constructed. Key words were defined as those terms in each thesis title that convey major objectives of the given thesis study and the important nursing concepts dealt with in the thesis. Although all the key words were picked from the thesis title only, full use was made of the abstracts in deciding the principal objectives and essential contents of the thesis studies and their important concepts as well. In total, 539 kinds of key words were identified from the 2354 titles, and the identified words were all found to be in the International Nursing Index. On an average each title has two key words. Which key words were most frequently used, how they have changed with time, what kind of concept is preferably dealt with by each graduate school, and the concepts to which a given key word is likely to be connected were examined. The results are summerized below : 1) For each decade the theses numbers were as follows : 54(2.3%) from the 60’s, 413(17.5%) from the 70’s, 1523(64.7%) from the 80’s, and 364(15.5%) from the 90’s. Master’s thesis contributed 96% (2252) of the papers and Ph. D’s theses filled the remaining 4%(102). 2) A total of 539 key words were used, averaging about 2 for each thesis. The most frequently used key words were ‘Nurse’, ‘Anxiety’, ‘Knowledge / Attitude /Practice’, ‘Stress /Stressor’, ‘Attitude’, ‘Job-Satisfaction’, ‘Mental Disorder’, ‘Operation’, ‘Elderly’, ‘Nursing Role’. 3) Each decades key words can be classified as : the 60’s : ‘Nursing Education’, ‘Pulmonary Tuberculosis’, ‘Mother-Child Health’, ‘Growth & Development’, ‘Public Facilities’, ‘Mental Disorder’ : the 70’s : ‘Nurse’, ‘Family Planning’, ‘Attitude’ / ‘Knowledge, Attitude / Practice’, ‘Curriculum in Nursing Education’, ‘Clinical Practice in Nursing’, ‘Analysis of the Work of the Nurse’, ‘Health Education of School’, : the 80’s : ‘Nurse’, ‘Anxiety’, ‘Stress /Stressor’, ‘Operation’, ‘Nursing Role’, ‘Job Satisfaction’ : the 90’s : ‘Nurse’, ‘Elderly’, ‘Family-Support’, ‘Stress /Stressor’, ‘Home Care’. Key word ‘Nurse’ appears continuously and most frequently through the years, which indicates that there has been active study of the characteristics of nurses and related fields. The concept ‘Anxiety’ has been studied steadly from the 80’s and it shows that interest in health and disease are increasing Which comes as a result of society changing to an industrial and informational community. 4) Looking into each graduate school’s study area key words ‘Anxiety’, ‘Nurse’, ‘Mental Disorder’, ‘Stress /Stressor’, ‘Operation’, ‘Attitude’, ‘Hemo-dialysis’, were studied in the regular graduate school : ‘Family Planning /Contraception’, ‘Knowledge / Attitude /Practice’, ‘Physical Health-State /Physical Health Examination’, ‘Nurse’, ‘Using Clinical Facilities’, ‘Health Education of School’, were studied in the Graduate School of Public Health’ ; ‘Nurse’, ‘Anxiety’, ‘Stress / Stressor’, ‘Job-Satisfaction’, ‘Clinical Practice Education’, ‘Nursing Education’, were studied in the Graduate School of Education : ‘Nurse’, ‘Job Satisfaction’, ‘Nursing Role’, ‘Administration - Employment /Employment Management’, ‘Leadership’, ‘Personnel Profile’, ‘Nursing Manpower / Changing Working Place’, were studied in the Graduate School of Public Administration. 5) The Connection between key words were : ‘Nurse Job Satisfaction’, ‘Stress / Stressor ⇔ Coping / Ajustment’, ‘Nurse ⇔ Nursing Role’, ‘Anxiety ⇔ Giving Information’, ‘Nurse ⇔ Stress / Stressor’, ‘Anxiety ⇔ Operation’, ‘Nurse ⇔ Burnout’, ‘Knowledge, Attitude, Practice ⇔ Family Planning’, ‘Nurse Administration ⇔ Employment’, ‘Anxiety Muscle ⇔ Relaxation Technic’, ‘Anxiety ⇔ Mental Disorder’. From the above it can be noted that many nursing concepts were handled in the thesis titles. But there were more than enough papers on the characteristics of the nurse. It is suggested that in depth research be made on ‘Nursing Accidents’, t-‘Ethics’, ‘Nurse - Patient Interactions’, ‘Spritual Care’, ‘Dying’, ‘Hospice’, ‘Resident Helper’ and that there should be in depth research relating to the physical and mental development of youth and in particular physical concepts like ‘Drug - Abuse’, ‘Child -Abuse and Teaching’.