• 산업융합연구
• /
• 제20권6호
• /
• pp.17-25
• /
• 2022

정보격차와 관련된 사회문제가 증가하는 가운데 노인은 정보소외계층으로서 다양한 문제에 직면하고 있다. 특히, 가짜뉴스와 같이 디지털 환경에서 획득하는 정보를 비판적으로 이해하고 수용할 수 있는 역량을 강화할 필요성이 대두되고 있다. 이에 본 연구에서는 2020년 미디어패널조사를 활용하여, 노인의 디지털 리터러시가 정보의 비판적 수용행태에 미치는 영향을 인지욕구의 조절효과를 중심으로 분석하였다. 분석결과 디지털 기기를 조작할 수 있는 운영적 역량과 정보검색 및 활용 역량은 정보의 비판적 수용행태에 정(+)의 영향을 미치는 것으로 나타났으며, 인지욕구는 운영역량이 정보의 비판적 수용행태에 미치는 영향을 강화하고, 정보검색 및 활용 역량이 정보의 비판적 수용행태를 감소시키는 것으로 나타났다. 이러한 분석결과는 노인의 디지털 리터러시 교육의 패러다임이 접근성 강화에서 정보에 대한 판단 역량을 강화하는 방향으로 이동할 필요가 있음을 시사한다.

• 한국지역사회생활과학회지
• /
• 제26권4호
• /
• pp.683-696
• /
• 2015

This study measures patients' meal satisfaction according to the type of operation (self-operation and contract operation) and identifies improvement areas. A survey was conducted using 183 contract operation patients and 60 self-operation patients receiving general meals. The mean score for satisfaction for the whole sample was 3.42 (self-operation = 3.51; contract operation = 3.39), and self-operation satisfaction was significantly higher than contract operation satisfaction. Mean scores were 2.98 for food, 3.26 for menu composition, 3.57 for sanitation, 3.78 for distribution meal services, and 3.50 for menu information. Self-operation showed a higher satisfaction level than the contract operation in food and menu composition. The ccontract operation showed a higher level of satisfaction than self-operation in sanitation, distribution meal services, and menu information. In terms of feeling dissatisfaction with meal services, both groups showed the highest dissatisfaction with food and menus, and both groups agreed on food and menus that required the greatest improvement. Based on the results, contract operation managers should develop and apply menus considering their preferences. Dietitians of self-operation strengthen communication between meal service staff and patients by carrying out periodic and systematic service education on self-operation.

• 보건의료산업학회지
• /
• 제12권4호
• /
• pp.85-102
• /
• 2018

Objectives: In order to cope with the quality and the substantiality issues in long-term care for the elderly, we should have a wider view of long-term system components based on the understanding of health care organizations, management services, support for care providers and beneficiaries, education of the workforce, and management of finance and resources. Methods: For resolving the issues raised and offering guidance in the area of long-term care, we reviewed 20 reports and documents of the government and government-related institutions using the Internet home pages of the Australian government and the related organizations in the health care sector. These organizations are undergoing a huge system reform to implement consumer-directed care since 2015, in the areas of service, resources, finances, organization, and management. Results and conclusions: The study outcomes can have some implications for the long-term care system in Korea based on the differences in the service components. The results can provide basic information for improving the long-term care service, and can have several other implications for long-term care in Korea.

• 대한한의진단학회지
• /
• 제16권2호
• /
• pp.11-22
• /
• 2012

Objectives : This study aimed to analyze and summarize the utilization of oriental medical services in korea. Methods : From 3 Korean databases (National Assembly Library, Korea Education Research Information Sharing Service, and National Discovery for Science Leaders), published between 2001 and 2011, we were obtained 17 studies that involved the utilization of oriental medical services. Results : We found that women, elderly patients, and patients with low education levels and those with musculoskeletal and cerebrovascular diseases preferred to use oriental medical services. Other variables such as trust and kindness of staff and positive perceptions of the treatment effect were found to be significant determinants for utilizing oriental medical services. Conclusions : The utilization of oriental medical services would be related with gender, age, education levels and diseases. Also to confirm the reasons for patients to choose oriental medical services, further studies should be conducted using the highest methodological standards.

• 한국문헌정보학회지
• /
• 제41권4호
• /
• pp.49-68
• /
• 2007

이 연구에서는 우리나라 공공 도서관에서 적극적으로 수용해야할 정보취약계층에 대한 정보서비스 확산을 위해 필요한 개념과 기본적인 정보서비스 전략을 제안하였다. 공공도서관은 정보취약계층을 크게 장애인과 생활보호대상자, 노인 등으로 구분하여 각 계층의 특성을 고려한 정보서비스를 제공하여야 한다. 이들을 위한 정보서비스는 시설적 배려와 제도적 배려, 기기적 배려로 구분할 수 있다. 시설적 배려는 Information Commons 전략에 따라 정보화 기기와 시설이 통합된 공간에서 참고사서에 의해 협업하는 공간의 배치를 고려한다. 제도적 배려는 도서관에서 이용자 교육과 외부 전문가와의 협업교육을 수행하고, 정보취약계층별에 따른 개인화된 서비스를 제공해야 한다. 기기적 배려는 장애인을 위해 개발된 기기수준과 같이 다른 정보취약계층의 특성을 고려해야 한다.

• 한국노년학
• /
• 제41권2호
• /
• pp.271-284
• /
• 2021

이 연구는 한국형 커뮤니티 케어의 기초가 되는 서울시 찾아가는 동주민센터 방문건강관리 사업을 중심으로, 만성질환 유병상태에 따른 노인 방문건강관리 서비스 만족도 영향요인을 도출하고, 향후 효과적인 커뮤니티 케어 모형 개발을 위한 기초자료로 활용되고자 수행되었다. 이 연구는 찾아가는 동주민센터 3단계('17년 7월 ~ '18년 6월) 및 4단계('18년 7월 ~ '19년 6월)에 참여한 만 65세, 만 70세 노인을 모집단으로 하여, 자치구별 비례할당 방식으로 추출한 2,200명(3단계 24개구 1,100명, 4단계 25개구 1,100명)을 대상으로 가구방문 면접 조사를 실시하였다. 이후 불성실 응답 180건을 제외한 2,020명을 최종 분석대상에 포함하였다. 만성질환 유병상태를 기준으로 하위집단을 나누었고, 방문건강관리 서비스 만족도 영향요인을 도출하기 위하여 로지스틱 회귀분석을 실시하였다. 연구결과, 만성질환이 없는 노인들은 건강교육 및 상담 서비스를, 만성질환을 1개 가지고 있는 단일 만성질환 노인은 지역사회자원 연계서비스를, 만성질환을 2개 이상 가지고 있는 복합 만성질환 노인은 자신의 건강상태평가 및 지역사회자원 연계서비스를 제공받은 경우 서비스 만족도가 통계적으로 유의하게 높아지는 것을 확인하였다. 한편, 만성질환 유병상태와 상관없이 노인이 인식하고 있는 서비스 제공시간은 방문건강관리 서비스 만족도를 높이는 요인이었으며, 설명 이해도는 단일, 복합 만성질환자 모두에게 만족도를 높이는 요인이었다. 지역사회를 중심으로 한 방문건강관리 서비스는 현재 추진되고 있는 커뮤니티 케어의 핵심 요소이므로 향후 커뮤니티 케어의 지속성과 효과성을 증대하기 위하여, 노인의 만성질환 유병상태에 따른 지역사회 중심의 맞춤형 건강관리서비스가 제공되어야 하겠다. 다만, 보다 효과적인 서비스 제공을 위하여, 첫째, 국민건강보험공단이 보유하고 있는 대상자의 건강정보를 지자체로 공유하는 연계시스템 구축과 둘째, 방문건강관리 서비스의 질향상을 위한 방문간호사 역량강화 교육이 병행될 필요가 있다. 이 연구의 결과와 제언이 향후 커뮤니티케어의 성공적 정착을 위한 기초자료로 활용되기를 기대한다.

• 대한지역사회영양학회지
• /
• 제3권1호
• /
• pp.76-93
• /
• 1998

Three hundred sixty-two(male 131, female 231) elderly aged over 65 in Chungb- uk area were interviewed to determine the disease states and drug usage patterns. The prebalence of disease was 78% and women reported more chronic diseases(83%) than men(71%). Elderly who live with spouse and have an occupation have a lower rate of disease. Average number of diseases of the elderly was $1.8\pm{1.1}$, and women$(2.1\pm{1.3)}$ have significantly higher average number of diseases than that of men$(1.4\pm{0.7)}$. Also the elderly in urban areas$(2.1\pm{1.4)}$ have significantly higher number of diseases than that of the elderly in rural areas$(1.6\pm{0.9)}$. Arthritis, hypertension, cardiovascular and gastric diseases were the most frequently listed chronic diseases in order for both men and women. Anemia and fracture of bone were relatively higher in women than in men. Particularly, the arthritis of the urban elderly have a rate of 1.5 times higher than that of the rural elderly. Fifty-two percent of the elderly were currently using drugs ; among drug users 71.2% used prescription drugs and 20.5% used nonprescription drugs. The average number taken per person was 2.1$\pm$1.4 and there was no sex or age difference. However, the elderly in rural areas $(2.7\pm{1.7)}$ consumed a significantly higher number of drugs than those in urban areas$(1.7\pm{0.7)}$. The average number of prescripti- on drugs taken was 2.0$\pm$1.4 while the average of nonprescription drugs taken was $(1.3\pm{0.6)}$. Analgesics and antihypertensive drugs were most commonly used. Vitamin and analgesics were the most frequently used self-prescribed drugs. It was noted that potential adverse drug interaction by concominant drug consumption for arthritis and antihypensive drug, abuse of digestants and antiacid without treatment of the underlying disease, and misuse of quick-acting bowel medications were problematic for the elderly. In addition drugs used for the elderly have some adverse effect on the digestive system. The types and composition of drugs used by the elderly were identified and presented. Medication compliance was poor and 13.5% reported adverse reactions such as edema, heartburn, nausea, and difficulty with eating. Seventeen percent of the elderly obtained drugs arranged by those other than medical staff. Also, even among those elderly who obtained drugs prescribed by a doctor, 69.1% of subjects had not receive instruction about potential adverse reactions. These results suggest that nutritional problems related to drug usage might exist and so dietitians, either individually or as members of health teams, need to have a better understanding of drug-nutrient interaction and closer supervision, and drug information/education service should therefore be provided to prevent or minimize adverse drug reaction in elderly users of medication.

• 한국가정과교육학회지
• /
• 제20권3호
• /
• pp.17-30
• /
• 2008

본 연구는 학교급식 영양사들의 한국의 전통음식과 절식에 대한 인식을 파악하여 전통음식과 절식을 학교급식에 적극적으로 활용하기 위한 기초자료를 제공하고자 하였다. 조사 대상자는 전남지역 초등학교 영양사 239명이었고, 수집된 자료는 SAS program을 이용하여 빈도, 백분율, 평균, 표준편차를 산출하였다. 주요 연구 결과는 다음과 같다. 전통음식과 절식에 대한 선호도는 영양사의 경력이 많을수록 높았다. 학생들에게 실시하는 전통음식과 절식에 대한 교육은 매월 또는 6개월마다 실시하였고, 교육방법은 학교 홈페이지 활용, 학교급식 게시판을 활용하였으며, 교육 장소는 학교와 가정에서 우선되어져야 한다고 하였다. 영양사의 대부분이 전통음식과 절식을 학교급식에 활용하여 계승발전 시켜야 한다고 긍정적인 반응을 보였으며, 전통음식과 절식의 전통을 계승발전 시켜야 하는 이유는 "우리의 미풍양속이므로'에서만 학교급식 유형에 따라 유의한 차이를 나타내었다.

• 대한지역사회영양학회지
• /
• 제13권4호
• /
• pp.540-554
• /
• 2008

The purpose of this study was to analyze task performance and importance level of the dietitian who is working in the public health nutrition area. Work oriented job analysis methodology was employed for the study purpose. Subjects of 38 dietitians currently working at health centers in 2002 were recruited. Based on the focus group interview with 7 public health nutritionists and 7 professors, information about task elements was collected. Questionnaires measuring work performance and self-perception of importance of the selected task elements were administered. The results of this study can be summarized as follows; 1) The tasks with high performance and importance level among 20 tasks are developing nutrition education material (B1), nutrition services for adults and the elderly (C3), writing the proposal for nutrition services (A2), evaluating service effect (A4), improving professionalism (E1), and self management (E2). 2) The task elements with high performance and importance level among weekly task elements are nutrition education for diabetes (C56), nutrition counseling for adults (C47), nutrition for hypertension (C53), managing and keeping records (C80), nutrition education for kindergarten and nursery school children (C42), searching for nutrition education materials (B26), and searching for media (B27). 3) The number of task elements with high performance and importance level among monthly task elements are 13 in the planning and evaluation of public health nutrition service, and 5 in developing nutrition education materials. The tasks of a dietitian in the public health center show a very wide spectrum. However dietitians recognize most of the tasks are important even though they cannot perform those tasks adequately.

• The Journal of Korean Physical Therapy
• /
• 제20권4호
• /
• pp.61-69
• /
• 2008

Purpose: We evaluated caregivers' understanding of patients' diseases and disuse syndrome, the understanding of exercise and massage related to rehabilitation and the necessity of education about these, the difference in education and realities of the care-giving field, and the extra services needed in the field. Methods: The survey using questionnaires was performed from June 2008 to August 2008 with 220 people participated in caregive education programme in daegu city and area near dagu city. Among the 220 submitted questionnaires, 184 which were faithfully answered were selected and they were analyzed by i-STATistics statistical program. Results: The educational focus of the first and second level caregivers, as defined by the second clause of the 29th article of the Elderly Welfare law, is on basic knowledge of diseases such as dementia, stroke, and depression. However, other diseases are not covered and the information does not include information on decreased function, complications, functional rehabilitating exercises, or preventing disuse syndrome for long term patients. The most common diseases, in order of prevalence, are stroke, dementia, diabetes mellitus, Parkinson disease, arthritis, and geriatric inertness. The general level of awareness about disuse syndrome was low, and patients, while understanding the need for massage and rehabilitative exercise, receive little education about the proper methods and therefore cannot use them. Patients also did not understand how participating in these activities could reduce medical fees, indicating that further education on massage and rehabilitative exercise is needed. Caregivers desired to include positive rehabilitation, massage, and exercise-related services in their services. Finally, differences in caregiver education and reality resulted from a lack of diversity in education. Conclusion: We suggest providing education on disuse atrophy and improving the lack of diversity in the care-giving education system.