• 지역사회간호학회지
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• 제33권4호
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

• 노동경제논집
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• 제24권2호
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• pp.163-196
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• 2001

이 논문은 지난 2년간의 생산적 복지정책을 비판적으로 평가한 후 '생산적'이라는 의미가 부각된 향후 정책과제를 제시한다. 김대중 정부는 '생산적' 의미가 결여된 전통적 복지정책을 현재 시행하고 있다. 필자는 생산적 복지를 추구하기 위해 현금지급의 전통적 복지보다는 일을 통한 복지 시행을 강조하였고, 사회적 안전망으로서의 사회보장체계는 개인의 자립능력을 지원하는 체계로 전환되어야 함을 제안하고 있다. 구체적으로 고용보험구좌제, 의료저축예금구좌제 도입, 국민연금의 소득대체율 하향조정, 퇴직금제 폐지 등이 이 논문에서 제안되었다. 마지막으로 교육 및 인간개발을 통한 복지의 정책방향을 제시하였다.

• 대한물리치료과학회지
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• 제4권3호
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• pp.491-498
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• 1997

This Research has been made through the questionnaire(enquete) sent to parents whose children are under cerebral palsy treatment in the hospitals of Daejon, Daegu and Pusan area and in other social welfare organizations such as Korea C.P. Welfare institution and Social Welfare Corporation during the period of Februay to August 1997. Form this research, we have obtained following results : 1. Mostly, the blood type of parents of cerebral palsy children is "0" type in father side (24 persons : 30%) and "A" type in mother side(28 persons : 35%), 2. For their(parents) baby-delivery, it shows that the nature delivery was adoped in most cases i. e. 50 persons(62.5%). 3. The birth weight of cerebral palsy children appears to be less than 2.4Kg in most cases(24 persons : 30%) 4. Most of parents positively want to take a medical treatment for their children with hope, but parents of 5 patients(6.3%) have a negative attitude against medical treatment and its cure. 5. Parents of 25 patients (31.7%) appear to have a sense of shame about the fact that their children are C.P. patients. 6. The 65 parents(81.3%) are depending on medical treatment and physical therapy as a means of cure.

• 지역사회간호학회지
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• 제18권3호
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• pp.410-419
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• 2007

Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

• Journal of Audiology & Otology
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• 제24권1호
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• pp.40-47
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• 2020

Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.

• 대한청각학회지
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• 제24권1호
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• pp.40-47
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• 2020

Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.

• 대한물리치료과학회지
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• 제3권2호
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• pp.1055-1064
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• 1996

To this is the concept and changes of physical treatment that intervenes the understanding and restoring cerebral infantile paralysis in the medical welfare of the social well-being areas: Cerebral palsy, originated by Littel in 1862 and reported as "The cerebral palsies" by William and Osler, come to have its name and meaning. The early stage of intervention generally accepted by the circle of physical treatment in the medical profession was introduced by Sax in 1964. In Sax' theory, cerebral palsy is defined as "the stumbling block in the bodily exercises and postures, causing by the intercurrent disease or physical, mental defect." As we have seen it is desirable that the abovementioned limited steps be removed and allow physical therapists to examine and to treat cerebral palsies. For this, first educational system should make its way to a substantial improvement and congenital abnormal Test should be rapidly expanding to great proportions the whole nation, not part of the low-income group. Physical therapists, cerebral palsies and their parents must combine to make cerebral palsies' welfare the crowning well being state. Physical therapists, cerebral palsies and their parents, forming of trinity, should combine to make cerebral palsies' welfare the Super-Welfare State existence.

• 한국인공지능학회지
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• 제10권2호
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• pp.1-6
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• 2022

In this paper, the research and development aim to strengthen the digital accessibility of the elderly by developing a kiosk incorporating AI voice recognition technology that can replace the promotional signage currently being installed and spread in the elderly and social welfare centers most frequently used by the digital underprivileged. It was intended to develop a converged system for the use of bulletin board functions, educational functions, and welfare center facilities, and to seek ways to increase the user's digital device experience through direct experience and education. Through interviews and surveys of senior citizens and social welfare centers, it was intended to collect problems and pain Points that the elderly currently experience in the process of using kiosks and apply them to the development process, and improve problems through pilot services. Through this study, it was confirmed that voice recognition technology is 2 to 6 times faster than keyboard input, so it is helpful for the elderly who are not familiar with device operation. However, it is necessary to improve the problem that there is a difference in the accuracy of the recognition rate according to the surrounding environment with noise. Through small efforts such as this study, we hope that the elderly will be a little free from digital alienation.

• 농촌의학ㆍ지역보건
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• 제42권4호
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• pp.196-208
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• 2017

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2006년도 추계학술발표대회 논문집
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• pp.205-208
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• 2006

This research investigated the public rental houses In Yangchon-gu, whose locational attribute are suitable for the public rental house and has superior position in both inhabitants' participation and public welfare program. The public rental house has several types, such as permanent lease house, public lease. And several programs, the aged support police and medical services delivery system, have been the leading models for other local governments. Also, there are residents who are in their forties and fifties in the public rental houses in Yangchon-gu. un occupied is less than 1% and it seems that there is few turnover rate. 1 household rate and 2 households rate look like similar in the number of family member, total social public welfare program is focus on family welfare, juvenile welfare, teenager welfare, handicapped person welfare local, welfare and old people welfare. Accordingly, this research is used for base data of questionnaire and the first data for grope various improvement while planning group public rental house for low income group. And this research will be improved directional grope for improve livable public rental house around residents.