• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2005년도 춘계학술발표대회 논문집
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• pp.187-190
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• 2005

As the population of the elderly has increased and the nuclear family has become popular, the demands of long-term care services for the elderly have arisen. However, a lot of patients, who need long-term care services, are in general hospitals because existing facilities for the elderly are not sufficient in terms of both quality and quantity. In this study, it is considered a good alternative to set geriatric wards, offering long-term care services for the elderly, in general hospitals. This study shows an analysis of geriatric wards in general hospitals, especially, based on the case of N hospital, and suggests the spacial elements of geriatric wards, which is different from other wards in the aspects of space program and operating system.

• 보건행정학회지
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• 제19권2호
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• pp.36-50
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• 2009

Korean Government had performed three pilot programs to introduce the long term care insurance system. Persons aged 65 or older who are dependent on others for daily living could use long term care services in the pilot program. The long-term care insurance covered nursing home services, home care services and cash benefits. The cash benefits are included that for elderly at home and for patients in geriatric hospital. This study investigated whether there had been any change in the medical care utilization according to cash benefits for geriatric hospitalization. This study used National Health Insurance claims and Long term Care Insurance claims 2003 through 2006. Data were composed of subjects who undertook both insurance coverage. The subjects was divided into two groups. Case group included participants with the cash benefits of geriatric hospitalization. Control group included persons without the cash benefits selected by random sampling according to the distribution of case group. This study showed that the amount of medical care utilization of the case group is more significantly increased than the control group after adjusted their health condition and functional condition. This result will be helpful for making decisions on whether the cash benefit of geriatric hospitalization can be introduced into long term care insurance system.

• Nutrition Research and Practice
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• 제6권1호
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• pp.35-44
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• 2012

This study was conducted to assess improvements in nutritional status following the application of nutrition education to elderly patients in a long-term care hospital. The study was carried out from January to May 2009, during which a preliminary survey, a pretest, the application of nutrition education, and a post-test were applied in stages. The number of subjects at pretest was 81, and the number of participants included in the final analysis was 61 (18 men, 43 women), all of whom participated in both the nutrition education program and the post-test. The survey consisted of general demographic items, health behaviors, dietary behaviors, the Nutrition Screening Initiative checklist, and nutrient intake assessment (24 hour recall method). The nutrition education program lasted for four weeks. It included a basic education program, provided once a week, and mini-education program, which was offered daily during lunch times. The survey was conducted before and after the education program using the same assessment method, although some items were included only at pretest. When analyzing the changes in elderly patients after the nutritional education program, we found that, among subjective dietary behaviors, self-rated perceptions of health (P<0.001) and of depression (P<0.001) improved significantly and that dietary behavior scores also improved significantly (P<0.001), while nutritional risk levels decreased. In terms of nutrient intake, subjects' intake of energy, protein, fat, carbohydrate, calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C all increased significantly (P<0.001). These results indicated that nutritional education is effective in improving the nutritional status of elderly patients. We hope that the results of this study can be used as preliminary data for establishing guidelines for nutrition management tailored to elderly patients in long-term care hospitals.

• 한국환경보건학회지
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• 제46권5호
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• pp.599-609
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• 2020

Objectives: Coronavirus disease 2019 (COVID-19) first emerged in December 2019 in Wuhan, China, and has rapidly become a global pandemic with over 26.4 million confirmed cases and approximately 871,000 fatalities worldwide as of this writing. In the Republic of Korea, disease clusters frequently occurred in long-term care hospitals where the majority of residents are elderly with underlying medical conditions. Despite the fact that public health authorities and local community health centers have put tremendous efforts into preventing the spread of disease, positive cases have continued to occur. Thus, the Korea Centers for Disease Control & Prevention rapid response team decided to conduct an environmental investigation of a long-term care hospital to identify whether environmental contamination has remained and contributed to the spread of COVID-19. Methods: An environmental investigation was conducted at Hospital A. The characteristics of the facility and its HVAC system were assessed by checking the layout and interviewing the people in charge. A total of 64 surface samples were collected from areas of concern, including patient rooms, toilets, elevators, and nurses' station. These samples were tested by a regional health and environmental research institute using real-time reverse transcription polymerase chain reaction. Results: All samples from Hospital A were confirmed to be negative. Through interviews with high-level personnel at the regional community health center, we found that extensive disinfection is frequently performed on potentially contaminated areas in Hospital A in accordance with government guidelines. Conclusion: The environmental control measures implemented in Hospital A had been sufficient for mitigating the risk of further infection, suggesting that such measures may also be effective for other long-term health care facilities.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2021년도 봄 학술논문 발표대회
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• pp.166-167
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• 2021

The elderly population in Korea is constantly increasing. As the number of Long-Term Care hospitals increases, many fires have occurred in related facilities. In this facilities, due to the characteristics of the occupants, self-evacuation is difficult, resulting in a number of casualties. It is necessary to Life safety design that reflects the characteristics of the occupants of domestic long-term hospitals. The study attempted to suggest improvements to the standards of evacuation behavior model for occupants of domestic and overseas long-term care hospitals. As a result of the study, patients living in long-term hospitals have a problem that is difficult to evacuate on their own. It is judged that there is a need to present an evacuation behavior model database by setting evacuation priorities and evacuation plans. In addition, it is necessary to more the design factors that affect the evacuation model as well as the characteristics of the occupants of the long-term care hospital.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.458-470
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• 2016

본 연구의 목적은 요양병원 입원 노인의 성공적 노화에 대해 간호사가 어떻게 인식하는지를 파악하여 서술하는 것이다. 자료 수집을 위해 2016년 포커스 그룹 면담을 이용하였다. 포커스 그룹은 3개의 요양병원에 각각 1개씩의 포커스 그룹을 구성하여 총 3개의 포커스 그룹을 운영하였으며, 전체 14명의 간호사가 대상자로 참여하였다. 모든 면담 내용은 녹음하여 참여자가 말한 그대로 필사하였으며, 자료는 질적 내용분석을 이용해 분석하였다. 연구결과 25개의 개념이 확인되었으며, 15개의 하위범주와 5개의 범주가 도출되었다. 간호사가 인식하는 요양병원 입원 노인의 성공적 노화에 대한 5개 주요 범주는 "요양병원 삶에 익숙해지기", "주어진 상황에서 긍정적으로 살아가기", "주변과 소통하고 관계 형성하기", "가족의 관심과 지지 받기", "경제력 유지하기"로 나타났다. 요양병원 입원 노인의 성공적 노화를 위해 향후 요양병원에 입원한 노인을 대상으로 성공적 노화에 관한 심층적인 질적 연구를 수행하여 본 연구 결과와 비교 분석하고, 연구 결과를 바탕으로 요양병원 장기 입원노인의 성공적 노화를 위한 프로그램 개발 및 적용이 필요하다고 본다.

• 보건교육건강증진학회지
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• 제25권4호
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• pp.55-65
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• 2008

Objective: This study aims to investigate the relationship between dental status and oral function by analyzing those in some long-term care elderly patients. Methods: It performed oral examination and 4 oromotor function examinations such as repeated swallowing function, correct pronunciation function, saliva secretion rate and maximum mouth opening to 91 elderly patents aged 65 and older in the municipal geriatric hospital located in Cheonan. Results: Dental status of patients such as the number of dental caries, treated teeth, retained teeth and function teeth were better in mobile elderly patients than in immobile elderly patients. Attachment rate of dental plaque and the number of teeth being extracted were more in mobile patients than in immobile patients. More retained teeth, the number of function teeth and dental caries and the score in pronunciation status test were significantly higher. With more function teeth, the score in pronunciation status test was significantly higher. As saliva secretion rate is higher, repeated swallowing function was significantly better. repeated swallowing function rate is higher pronunciation status was significantly better. Conclusions: With the results of this study, it was found that among long-term care elderly patients, oral function was worse in immobile patients than in mobile patients. Therefore, it may be necessary to plan and perform an oral function improvement program preferentially for elderly patients requiring long-term care.

• 보건의료생명과학 논문지
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• 제10권2호
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• pp.265-274
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• 2022

본 논문은 건강보험심사평가원 환자표본자료 2018년 고령환자 데이터셋을 활용하여 요양병원에 입원한 환자의 260,425건의 내역서를 이용하여 요양병원을 필요인력확보, 요양병원간호사2/3이상 확보 수가적용 여부에 따라 요양병원 가산유형을 분류하여 이용한 병원유형별 특징을 분석하였다. '필요인력확보 요양병원' 이용자는 78.9%, '필요인력 및 간호사2/3이상 확보 요양병원'이용자는 15.6%, '필요인력 및 간호사2/3 이상 미확보 요양병원'이용자는 5.5%였으며, 필요인력 및 간호사2/3이상 확보 요양병원은 호흡계통의 질환과, 의료경도의 환자가 가장 많이 입원하였다. 하지만 요양병원 간호사 2/3이상확보, 필요인력확보 수가는 상대가치점수가 산정되지 않아, 13년째 동일한 금액을 유지하고 있어 수가의 개정이 이루어 져야 할 것이다.

• Journal of Korean Biological Nursing Science
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• 제23권3호
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• pp.237-246
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• 2021

Purpose: To determine effects of family conflict mitigation documentary programs on conflicts, autonomic nerve activation (ANA), and happiness of elderly in long-term care hospitals. Methods: This study used a non-equivalent control group with a pretest-posttest design. It was conducted on 39 elderly patients (19 in the experimental group and 20 in the control group) in long-term care hospitals. The experimental group (n=19) received family conflict mitigation documentary programs. The family conflict mitigation documentary programs consisted of four sessions (40-50 minutes per session). These programs were implemented in small groups, with each group having five elderly. Data were analyzed by sing the conflict checklist, the Oxford Happiness Questionnaire, Chi-square test with Fisher's exact test, independent t-test, paired t-test, and repeated measure ANOVA using the SPSS/WIN 21.0 program. Results: The participants in the experimental group showed significantly decreased scores of conflict (t=-2.31, p=.028) and the value of sympathetic nervous system activity (t=8.36, p=.007) compared with those of the control group. The participants in the experimental group showed significantly increased the value of parasympathetic nervous system activity (t=-2.91, p=.008) and scores of happiness (t=5.46, p<.001). Conclusion: The family conflict mitigation documentary programs on conflicts, ANA, and happiness of the elderly in long-term care hospitals are effective intervention programs for mitigating conflicts between elderlies and their families and for improving happiness of the elderly in long-term care hospitals.

• 고령자･치매작업치료학회지
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• 제12권2호
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• pp.67-74
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• 2018

목적 본 연구의 목적은 텍스트 마이닝이라는 빅데이터 분석 기법 중 하나를 활용하여 노인장기요양보험에서 작업치료의 역할을 정량적으로 분석하는 것이다. 연구방법 신문기사 분석을 위해 2007~208년까지 기간 설정 후 "노인장기요양보험+작업치료"를 주제어로 수집하였다. Textom이라는 웹 크롤링(Web Crawling)을 활용해 국내 검색엔진 네이버에서 <네이버뉴스>의 데이터베이스를 활용하였다. 수집결과 노인장기요양보험+작업치료 검색에서 510편의 뉴스 데이터의 기사제목과 원문을 수집한 후 연도별 기사 빈도, 핵심어분석을 시행하였다. 연구결과 연도별 기사 발행 빈도를 살펴보면 2015년과 2017년 발행한 기사 수가 70편(13.7%)으로 가장 많았고, 핵심어 분석 상위 10개의 용어는 '치매'(344)가 가장 많았으며, 작업과 핵심어의 관례를 알아보면, 치매, 치료, 병원, 건강, 서비스, 재활, 시설, 제도, 등급, 어르신, 전문, 급여, 공단, 국민이 관련이 있는 것으로 나타났다. 결론 본 연구에서는 텍스트 마이닝 기법을 통해 11년간의 노인장기요양보험의 언론 보도 동향을 토대로 관련 핵심 키워드에서 치매와 재활에 대해 사회적 요구와 작업치료사의 역할을 보다 객관적으로 확인하였다는 점에서 의의가 있다. 이 결과를 바탕으로 다음 연구에서는 연도에 따른 다양한 분석방법을 통해 연구방법론을 보완하여야 할 것이다.