• 재활간호학회지
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• 제4권2호
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• pp.240-247
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• 2001

The history of rehabilitation of disabilities in Korea began with the foreigners and missionaries who were interested in it after Korean War. In 1981, Disabled Persons Welfare Act was enacted and the 88 Paralympics brought the nations attention to the welfare and rehabilitation of persons with disabilities. Since then, the facilities and the services for the disabled persons have expanded rapidly and the rehabilitation treatment and nursing intervention are drawing more attention. Against this background, the survey on the current status of disabilities, welfare service, facilities, and rehabilitation nursing was conducted. The results of this survey are as follows. 1. According to the 2000 census of disabilities, the number of persons with disabilities in Korea is estimated at 1,449,500, or 3.09% of the entire Korean population, 0.74% up from 2.35% in 1995. 2. Disability Types in 2000 The 2000 census showed that the persons with disabilities numbered 1,449,496 out of the total population and 1,024,371 persons are registered for disability, making up 70.7% of the estimated disabled population. Among them, physically disabled persons accounted for the largest 41.7% (605,127) and mentally retarded persons stood at the smallest 9% (13,481). 3. Percentage of Disability Presence The survey showed that more than 90% of disability were acquired. However, 44.8% of mental disability and 61.4% of hearing/speaking disability were not acquired after birth. This means that these disabilities happened by congenital cause or birth accident. 4. Yearly Figure of Registered Disabled Persons In 1989, 218,601 persons registered for disability and, in 2000, the number increased by 4.7 times to 1,024,371. These figures are different from the actual number of disabled persons. According to the 1995 census, 1,053,486 were disabled persons but only 378,323registered for disability. And, in the 2000 census, 1,024,371 out of the 1,449,496 of disabled persons registered for disability. 5. Welfare Service for Persons with Disability 62.6% of the total disabled people are registered and physically disabled persons accounted for the highest percentage of 96.7%. 26.5% of non-registered disabled people said that they didnt know the registration procedure. The rest of them replied that they didnt think they were disabled or that registration didnt seem to give any benefits. 6. Welfare Policies for Disabled Persons The welfare benefits given to the disabled are as follows: Issuance of disabled sign for car drivers, Permission to use LPG fuel, Communication fee reduction, Tax exemption related to cars, Reduction of public facility fees, Household allowance, Tax reduction or exemption, Medical allowance and education subsidy for children, and Housing. 7. Current Condition of Welfare Facilities by Disability Type The welfare institutions for disabilities numbered 188 in total and they can accommodate 16,823 persons. Categories of these institutions are physical disability(37), visual disability(10), hearing/speaking disability(14), mental retardation(59), and sanatoriums(68). 8. Human Resource of Rehabilitation of Disabilities Advanced education programs include rehabilitation nursing in its curriculum and this was selected as the program of Korean Academic Society of Nursing in 1990. In November 1997, Korean Academic Society of Rehabilitation Nursing was launched and many academic meeting and seminars were held. This organization is also making efforts to develop the education program for qualified rehabilitation nursing professionals and to develop the standards of rehabilitation nursing practice. In the professionals of the rehabilitation, there are rehabilitation specialist, physical therapist, speech therapist, occupational therapist. It is needed to come up with the measures to supply stable human resources following the demand of disabled persons and to recognize the private certificates for rehabilitation professionals as official ones after reviewing the education and training programs of private institutions. 9. Rehabilitation Nursing 1) Rehabilitation nursing was taught as an independent subject in 11 undergraduate programs and 9 graduate programs. 2) Research on rehabilitation nursing in Korea were 24 experimental research and 11 non-experimental research. The intervention of experimental research were mostly education and exercise rehabilitation programs. 3) In the three rehabilitation hospitals, nursing is divided into two categories, direct nursing and education & counseling. Direct nursing includes tracheostomy or nasogastric tube care, urination and defication, skin care, pain control, complication prevention and care, prevention of injury from a fall, etc.

• 한국콘텐츠학회논문지
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• 제17권6호
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• pp.351-361
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• 2017

우리나라는 노령인구의 급증에 따라 노인의료시설과 요양보호사 인력소요가 증가하고 있으나 요양보호사의 열악한 근무환경과 많은 신체적 정신적 소진으로 인해 요양보호사를 기피하고 있다. 따라서 본 연구에서는 요양보호사의 삶의 질을 보강하기 위한 자원탐색과 대안 모색을 위해 요양보호사 284명을 대상으로 연구 하였다. 연구결과, 첫째, 기혼여성이 미혼여성에 비해 환경적, 사회적 삶의 질 수준이 높고, 종교를 가지고 있는 요양보호사가 종교가 없는 요양보호사에 비해 환경적, 심리적, 사회적 삶의 질 수준이 높고, 연봉이 2000만원 이상 집단이 2000만 원 미만 집단 보다 환경적, 심리적, 신체적 삶의 질 수준이 높았다. 둘째, 상사 지지는 요양보호사의 환경적, 신체적 삶의 질에 긍정적 영향을 미치고, 동료 지지는 사회적, 신체적 삶의 질에 긍정적 영향을 미쳤다. 셋째, 회복탄력성에 미치는 요인은 상사 지지만 부정적 영향을 미치고, 회복탄력성 중 자기효능감과 낙관성, 원인분석력은 삶의 질에 각각 상이한 영향을 미쳤다. 넷째, 상사 지지가 요양보호사의 심리적, 사회적 삶의 질에 미치는 영향에서 요양보호사의 자기효능감은 매개역할을 하고 있었다. 본 연구결과는, 요양보호사 인력소요가 증가하는 최근 시대적 요청에 부응하여 요양보호사의 삶의 질적 수준을 높여 고품질 서비스를 증진시켜, 청년 일자리 창출에 유용한 기초자료를 제공할 것이다.

• 한국학교보건학회지
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• 제10권2호
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• pp.193-211
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• 1997

The study was designed to gain necessary basic data in order to grasp the health knowledge, attitude, and practice level of students and teachers of elementary, middle and high schools. This study was conducted through interviews of 3,400 students and 1,022 teachers attending 14 different schools large, middle and small cities and rural towns during a period of nine months (from Oct. 2 1995 to Jun. 30 1996). By the results of this study, the recommendations can be summarized as follows: 1. A school health development committee should be established of 10 members: school health related teachers (physical trainers, nurses, and teachers in charge of health), parents, persons related to health administration, local medical doctors, and student reprensentatives in order to support and immplement school health development plans. 2. Like advanced countries, a health class of 2~4 hours should beplaced in middle and high schools. A nurse majoring in health from a university should be the teacher. 3. A curriculum of health should contain the following: education on health, sex, alcohol, tabacco, the misuse of the drugs, the structure and function of human body, the growth of the body, mental health, safety and emergency care, the prevention of disease, proper eating habits and nutrition, daily health life, family health education, society health, community health, environmental pollution and individual responsibility. 4. Create a school health promotion center, with a nurse's office, and a sports center which has health machines (bars, aerobics, training, twist machine, belt massage, running machine, bench press, chest waist, hack hip extension machine) as well as a physical strength measuring machine (muscular strength, alertness, flexibility, endurance, lung functions and so on), so that the teaching staff and students can use them and train their bodies. 5. Through a refresher education program, urge teachers to understand school health promotion services. 6. Regulate a standard and establish a system of monitoring the physical enviroment of the school (the height of desks and chairs, illumination facilities, ventilation facilities, safe drinking water). 7. Create a check list of health to evaluate improvement.

• 지역사회간호학회지
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• 제14권3호
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• pp.397-406
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• 2003

The purpose of this study is to provide the basic data in order to improve the quality of charged recuperation facilities which are specialized in the old. after finding out the satisfaction degree for the services which are provided in the current charged recuperation facilities specialized in the old and surveying the services which are demanded by users. As for the research method. the subjects were 88 family members of the users in the five charged recuperation facilities, which are specialized in the old and located in Seoul and Incheon. The survey research was executed from 27th July to 15th September, 2002. Then the collected data were analyzed by using the SPSS 10.0 for windows program. The research results are as follows. Firstly, in the satisfaction degree of the user's family about the daily service showed the highest satisfaction degree for the kind service of the staff to the users. In the satisfaction degree about the specialized service of the user's family, the satisfaction degree was high in bedsore prevention, periodical health care, proper medical treatment, family counsel, and adequate disease management. In the satisfaction degree about the facility and environmental service, the satisfaction degree about the surrounding environment of the facility or safety facility, and the comfort condition was high. In the satisfaction degree about the services related to the local society, it was high in the hospital and medical-related field. Secondly, in the demanded services, the demanding degree for worship, mental and spiritual nursing, hospice, funeral service, family meeting, and support for the special vehicle were not so high, but it was shown that they were generally demanded. Thirdly, it was shown that the provided services had an overall high satisfaction degree. In the service satisfaction degree according to the general characteristics of the user's family, it was recognized that there was a significant difference between the distinction of sex and local society related services. Also, there was a significant difference in the satisfaction degree between age and specialized service. Through the above research results, detailed rehabilitation programs such as linguistic treatment and working treatment should be more and more compensated in order to supplement the insufficient points of the services provided by the charged recuperation facility specialized in the old. Additionally, the correlation with the local society such as education and training for specialized human labor, close cooperation among the facilities, and positive participation in local society events are thought to be reinforced.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제11권3호
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• pp.19-30
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• 2005

As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.

• 한국가족관계학회지
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• 제21권3호
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• pp.3-23
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• 2016

Objectives: The purpose of this study is to examine the effects of symptoms of dementia elderly on the primary caregiver's depression. In addition, moderating effect of family support was examined. Based on the results, the necessity for intervention in the level of social welfare as a way to mitigate primary caregiver's depression was suggested. Method: In order to accomplish these purposes, a total of 197 who are spouse and adult-children of dementia elderly using day care facilities or services in Seoul, Gyeonggi, Busan province, South Korea were utilized. Data were analyzed by frequency analysis and descriptive statistics, regression model analysis with SPSS 18.0. Results: In case of analysis results, the mean value was reported 0.9 out of four point about primary caregiver's depression and the mean value of family support was reported 3.34 out of five point. And besides, the analysis result of dementia elderly's symptoms showed that prevalence of depression/dysphoria were 62.2%, prevalence of aberrant motor were 61.3%, prevalence of apathy/indifference were 56.6%. Crucial findings are as follows: the symptoms of dementia elderly was significantly associated with the primary caregiver's depression. At the same time, family support significantly influenced lower level of the primary caregiver's depression. While, in the relationship between the symptoms of dementia elderly and the primary caregiver's depression, family support has a moderation effect by important protection factor. Conclusions: From these findings, the necessities to provide the care service for dementia elderly to help improve symptoms of dementia as well as the policy and service to manage the mental health of the family as primary caregiver were suggested. Also, the necessities to provide the family therapy program to improve the relationship with family members were suggested.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.31-47
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• 2019

본 연구는 사회복지시설, 공공기관에서 근무하는 사회복지 종사자 8명을 대상으로 감정노동에 대한 인터뷰한 결과를 주제분석 방법을 사용하여 분석하였다. 분석 결과 6개의 범주와 22개의 주제가 도출되었다. 6개의 범주는 '분풀이 대상으로서의 직장생활', '살얼음판에 놓여있음', '안전하지 않은 일터', '생활세계를 잠식하는 감정노동', '감정의 상함, 이겨내야 하는 난제', '감정노동, 함께 가야 하는 숙명'이다. 사회복지 종사자들은 실천현장에서 이용인들에게 서비스를 제공하는 상황 속에서 감정노동을 지속적으로 경험하며 폭언과 욕설을 듣기도 한다. 또한 실수를 용납할 수 없는 업무환경 속에서 업무압박감을 경험하며 안전에 취약한 근무환경 속에서 자신의 안전은 스스로 지켜야 한다. 감정노동 경험 속에서 감정노동은 종사자의 신체, 정신적 건강에 영향을 미치며 소진을 경험한다. 감정노동은 해결될 수 없는 난제이며 참고 감내할 수밖에 없다. 이러한 연구 결과를 토대로 사회복지 종사자의 안전보장을 위한 대책마련, 종사자 지원을 위한 거점시설 마련, 이용인, 보호자, 시민에게 사회복지 종사자에 대한 인식 개선 및 인권교육 실시, 슈퍼비전 체계마련, 감정노동 수준이 높은 종사자를 대상으로 하는 정신건강관리 체계 마련을 제안하였다.

• 가정과삶의질연구
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• 제25권1호
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• pp.127-144
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• 2007

This study was conducted for the purpose of analyzing volunteer workers' perceptions of and attitudes toward the behavior problems of the elderly residents after caring for the residents voluntarily at low-income nursing homes. Eleven male and female volunteers ranging from age 19 to 52 were asked how they felt about the elderly residents' behavior problems and what kind of behavioral problems they had experienced after doing volunteer works in the three chosen facilities. In particular, they were expected to explain what emotional changes they experienced during their volunteer service. In this study, it was observed that most of the elderly subjects experienced three categories of behavior problems: habitual, repetitious and unreasonable activities caused by the elderly residents' life span backgrounds, unexpected and/or abrupt behaviors resulting from gradual cognitive impairments, and physiological, awkward activities caused from gradual senility. The volunteers tend to believe that the elderly residents are naturally expected to act positively, since they have been provided with well- planned, regular care services such as bathing, counseling, activity programs, and religious guidances. On the other hand, some respondents stated that their experiences at the nursing homes caused them to form negative images of the elderly; they feel that the elderly are not helpful for giving advices on critical decisions, guiding and encouraging their daily lives, and offering any positive influences toward their own lives. Rather, they find themselves getting too much stressed as a result of their intimate contacts with demented or senile residents. Overall, in this study, it is proposed that education for confronting sudden abrupt behavior problems should be intensified more for female volunteers, since they tend to be more susceptible to emotional harassment resulting from the problem behaviors. It is also proposed that young volunteers who have not been systematically trained for confronting aggressive behaviors need to be separately assigned their roles in order to minimize the potential of confronting unseemly situations resulting from male residents whose mental health has deteriorated. Furthermore, it is also suggested that the combination of leisure-related activities for healthy residents and stressful intimate services for the frail residents be systematically planned and implanted for the volunteer program so that the volunteers can lessen the chances of suddenly finding themselves confronted with extremely abrupt agitations.

• Journal of Yeungnam Medical Science
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• 제2권1호
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• pp.191-202
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• 1985

우리 나라에서는 과거 20년간 경제사정이 호전되고 과학기술이 발달됨에 따라 국민 평균수명이 크게 연장 되였으며, 따라서 노인인구도 증가하게 되었다. 이와 같은 인구분포의 변화로 야기되는 여러 가지 문제중, 노령인구의 보건의학적인 현실성을 고찰하였다. 한국의 65세 이상 노인인구는 162만명으로 전체 인구의 4.0%를 차지하여 과거에 비하여 빨리 증가하였으나 8.9%, 10.3%, 15.8%의 일본, 미국 및 영국에 비해서는 아직 훨씬 낮은 편이다. 65세 이상 노인들의 25% 이상에서 진료를 요하는 높은 질환율을 나타내었으며, 질병별로는 순환기계질환 30.9%, 호흡기계질환 17.1%, 소화기계질환 8.6%, 정신장애 8.4%, 악성신생물 7.0% 등의 순이었다. 의료수혜 현황으로는 의료보호와 의료보험을 합하여 51%의 노인인구가 전액 혹은 일부 의료비 보조혜택을 받을 수 있으나 보험수혜노인의 수진율은 극히 낮아(1981년에 2.0%) 노인들의 진료 기피의 한국적 특색을 보여주고 있다. 노인들에 많은 성인병들은 만성진행형이어서 조기진단, 전문적관리 및 장기진료가 필요하나, 노인전문 진료기관, 장기수용시설 및 전문인력은 전무한 실정이다. 급속히 증가하는 노인인구의 보건을 위하여 양로시설과 장애노인수용소의 조속한 확충과 가정방문 간호원제도, 노인의료수혜 확장, 무료 신체검사, 성인병 예방운동 등 정부차원의 제도적 개선과 적극적 지원이 지금부터라도 시행되어야 되겠다.

• 한국콘텐츠학회논문지
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• 제22권2호
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• pp.752-761
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• 2022

본 연구는 의성지역 내에서 치매 노인시설 중 요양병원 3곳에 종사하는 간병인을 대상으로 치매노인의 문제행동에 대한 간병인의 보호관리 실태와 문제점을 파악함으로써 대상자 중심 돌봄을 개발하기 위한 기초 자료를 제시하려는 데 그 목적이 있다. 2021년 1월부터 2021년 7월까지 요양병원에 근무하는 임상에서 치매노인들의 돌봄을 직접 하고 있는 1년차 미만 간병인 1명과 1-3년차 간병인 5명, 4년차 이상 간병인 2명, 이들을 관리, 감독하는 간호사 3명, 사무국장 2명 등 총 13명을 대상으로 하였다. 질적 사례 연구로 치매노인의 문제행동에 대한 간병인의 보호관리 실태를 정신적인 측면, 신체적인 측면, 관계적인 측면으로 결과를 나열하였으며, 간호사 및 병원관리자 입장에서의 간병인의 보호관리 실태에서는 간호사의 돌봄과정에서의 갈등, 병원 관리자와의 돌봄과정에서의 갈등의 결과를 사례 중심으로 나열하였다. 보다 구체적으로 치매노인 문제행동을 이해하고 이를 바탕으로 하여 실제적인 관리 방법을 고안하고 검증하고자 하는 연구자들의 노력과 열정이 절실히 필요하며, 치매 노인의 문제행동과 그 실태에 대해 심도 있게 파악하기 위해 질적 연구방법을 통한 임상에서의 다양한 사례 연구의 데이터를 확보할 필요가 있을 것이다.