• 한국실내디자인학회논문집
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• 제13권6호
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• pp.184-195
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• 2004

The purpose of this study was to clarify the space use pattern and the daily living activities of the elderly with dementia in the common space (dining room, day corner) of nursing home in Japan. The subjects were six units of the 2 nursing homes in Tokyo. For this, researcher visited from September 5 to December 5 and collected data by observations of behavior of the elderly with dementia in common space and interviews with staff for the information about basic characteristics of the elderly with dementia and administration and operation of the facilities. The data were analyzed using the frequency and percentage with SPSS 11 program and recorded in the form of behavior map. The results revealed as follows: first, 6 types (self-concentration type, physical environment-interest type, passive others-interest type, staffs-interaction type, other elderly-interaction type, visitors-interaction type) of the daily living activities of the elderly with dementia in common space were founded. Second, the daily living activities of the elderly with dementia in common space tended to focus on self-concentration type and physical environment-interest type. Third, physical environmental characteristics of common space affected space usage pattern of the elderly with dementia. And it was perceived like as living oriented space, social interaction space, facility space, staff oriented space. Conclusively it was suggested to plan dining space as semi-private space, day comer as semi-public space.

• 한국농촌건축학회논문집
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• 제15권4호
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• pp.95-102
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• 2013

Recently (2010), South Korea's aging rate is 11%. and expected to be 32.3% in 2040, and Japan's aging rate in 2010 is 23%, and in 2040 is expected to be 34.5%. As aging progresses, it is increasing with the elderly person with dementia. However, elderly welfare facilities are insufficient. To take care stability of elderly people with mental and physical disabilities, we need to prepare a lot of welfare facilities for the elderly. Whenever physical conditions and service needs change of the disability elderly, Elderly are forced to move to the other facility. They move from familiar places, beloved local base to unfamiliar places. They are under a lot of stress in order to adapt to new environment. This research is to check out the possibility of the systems and the effectiveness of various services and the flexibility of management in Japan. Takurosyo is responsible for a variety function of elderly medical welfare facilities. Within a short time, our country, has entered into a super-aged society, elderly health and welfare facilities are needed. However, because it requires enormous financial, it is difficult to build a new building in reality, However, if remodeling existing buildings, We can build many low-cost small-scale multi-functional welfare facilities such as the takurosyo. Such that facility would be available to us.

• 지역사회간호학회지
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• 제30권1호
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• pp.79-89
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• 2019

Purpose: The purpose of this paper is to determine effects of auricular acupressure on knee pain, range of motion, and sleep in the elderly with knee osteoarthritis. Methods: This is an experimental study designed with randomization and single-blind in a placebo-control approach. The subjects included the elderly with knee osteoarthritis who were using an elderly welfare facility. In each of the groups, 28 subjects were assigned. For the experimental group, auricular acupressure was applied to five pressure points related to the pain caused by osteoarthritis and sleep. In the case of the placebo-control group, auricular acupressure was applied to other five points than the former. The intervention lasted eight weeks. In order to examine intervention effects of auricular acupressure, joint pain, Pressure Pain Thresholds (PPTs), and extension and flexion range of motion (ROM) were measured weekly. As for the preand post-examinations, pain, sleep quality, and the time-by-sleep stage of the patients with knee osteoarthritis were measured. Results: The VAS scores in the experimental group with auricular acupressure significantly decreased through time (p<.001) and WOMAC also significantly decreased (p<.01) compared with the placebo-control group. However, there were no significant differences in PPTs. The flexion (p<.01) and extension (p<.001) ROMs measured for eight weeks improved over time. Meanwhile, sleep quality improved significantly after the intervention termination (p<.01), but there was no significant difference found in the time-by-sleep stage. Conclusion: Auricular acupressure applied for eight weeks was found to be effective in reducing joint pain, improving knee ROM, and improving sleep quality in patients with degenerative knee arthritis.

• 한국가정과학회지
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• 제9권3호
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• pp.5-21
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• 2006

The purpose of this study was to grasp the consciousness of adolescents about their future in old aged housing. This research was executed with a questionnaire survey method. Data samples were collected from 255 students who finished first grade curriculum in high schools in Chonbuk province and Seoul city. The results were as followed. First, a healthcare plan was very highly recognized by students, and they wanted to live as couples or single in their old age. Second, the respondent students recognized elderly housing as a home for the aged, a silver town and nursing home. 72.1% of the respondents preferred a single detached house as an elderly house form. They preferred an elderly housing district with well provided convenient facilities for daily living. They wanted to live in the country or rest areas for the aged. They preferred an interior space composition with LDK with 2 bedrooms. 52.0% students wanted a neighborhood for their friends to live together. Third, 28.3% of the respondent students thought the appropriate time to move in elderly exclusive housing was 66-70 years old. And when their physical condition worsened or they needed care, they would. want to move into that housing. Also, they wanted the most convenient facility and a medical care facility in elderly exclusive housing. Forth, students' space design needs for elderly were high, more than 4 points. It was especially needed safety in space design, and this grade was 4.56(,53) points. Also the needs of safety and the convenient facilities.equipments were statistically significant by boys and girls.

• 대한간호학회지
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• 제39권2호
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• pp.166-176
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• 2009

Purpose: The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility. Methods: Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005. Results: Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding. Conclusion: It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in healthcare institutions for elders.

• 한국실내디자인학회논문집
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• 제14권5호
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• pp.185-192
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• 2005

The purpose of this study was to clarify spatial composition of the staffs at nursing homes for the elderly with dementia. For this, the data was taken from the staffs in 2 nursing homes in Tokyo by the questionnaire from December4 to 28 in 2004. Replicated MDS (Multi-dimensional Scaling) was employed for data analysis. The results of the study were following. Staffs perceived nursing home by four spatial compositions; facility spaces as like sanitation room, laundry, bathroom, washroom, washbowl, social interaction spaces as like training room, inner court/balcony, living room, staff related spaces as like room for staff, treatment room, fundamental living spaces as like bedroom, dining room. According to two-dimensional perceptual map, sanitation room was wanted near by laundry, treatment room was wanted near by room for staff, bedroom was wanted near by dining room, and training room, living room were wanted near by inner court/balcony. On the other hand, washbowl and washroom were desired somewhere near by every spaces. Therefore, simple shaped washbowls are desired to install in dining room, living room, hallways. And sanitation room and laundry were desired somewhere remote by dining room, bedroom, and living room. Responding upper results, it is recommended planning for visual and sense of smell isolation in case of having difficulty in floor structure and circulation.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제12권1호
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• pp.17-26
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• 2006

The demand for long-term care is continuously on the rise as number of elders among the population increases. Due to the rapid growing demand for long-term care in Korea, there have been discussions for the introduction of new long-term care system into Korean society. The purpose of this study in to analyze changes of elderly care facilities in Japan after the beginning of long-term care system in 2000. The functional and architectural changes of Japanese facilities were researched to be used as references for predicting changes in Korean facilities. In Japan, after the execution of long term care system, the alterative aspect of facilities is divided into some categories; in sum, the change of environment for long term care, the effort to spread specialized facilities in a whole community, and the tendency to complex a variety of function of facilities such as an facility for home care service, and the like.

• 한국주거학회논문집
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• 제14권2호
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• pp.121-132
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• 2003

This study has been performed to explore main reasons for staying in paid elderly residential care facilities among the residents. In this study, five males and seven females aged 65 to 82 were asked about main reasons for staying in the facilities. The answers of the qualitative interview were drawn as follows; first, some residents had suddenly decided to move into the facility due to critical life events such as bereavement, serious illness, or supporting problems. Second, some residents had taken a long period of considerations on whether staying home or in the facilities, because their health and family supports gradually diminished over the long life span. On the other hand, a few of them voluntarily chose to stay at the facilities, because they recognized supervised group activities, nutritionally well-planned meals, and health care as major inconveniences. In this study, suggestions were made as follows: first, guiding and settlement programs should be developed for the residents of the sudden events, particularly at early stage of admission. Second, intensive nursing care units should be in separation from healthy independent groups, so that the residents are relieved from stressful contacts with extremely ill patients in the residential area.

• 한국보건간호학회지
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• 제20권2호
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• pp.119-129
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• 2006

Purpose: This study was conducted to investigate the status of depression and the cognitive function among the elderly over 65 years of age who use the welfare facilities for the aged in the community. Methods: For this study the data were collected from March 27, 2006 to April 14, 2006. Subjects were 92 elderly over 65 years old. The level of depression was estimated with the Beck Depression Inventory, and the cognitive function with the modified Mental Status Questionnaire (MSQ). The Data were analyzed using frequencies, t-test, and Pearson's correlation coefficient with the SPSS/PC program. Results: The results of this study are summarized as follows. 1. The mean score was 13.09 for depression and 8.27 for cognitive function. 2. Analysis according to the demographic characteristics confirmed a statistically significant difference on the level of cognitive function between the elderly who live alone and those who live together(f=4.293, p<0.01) 3. The percentage of the severely and mildly impaired in cognitive function was 7.6% and 6.5%, respectively. 4. The variables of age(f=11.17, p<0.01), educational level(f=15.23, p<0.01), martial status(f=4.084, p<0.01), and economic activity(t=4.41, p<0.01) showed a significant effect on cognitive function. 5. There was no relationship between depression and cognitive function. Conclusion: Social support and a variety of programs at welfare facilities in the community were recommended in order to reduce depression and cognitive impairment in the elderly.

• Physical Therapy Rehabilitation Science
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• 제9권4호
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• pp.261-268
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• 2020

Objective: This study was conducted to provide basic data on physical function improvement activities of elderly care facilities by identifying the degree of physical improvement activities of elderly caregivers. Design: Descriptive correlational study. Methods: The instrument of this study consisted of 12 questions on the general characteristics of the subject. For the assessment of improvement in physical function activities, the measuring tool used for the elderly consisted of a total of 20 questions. For data analysis, Pearson's correlation coefficient & Spearman's rho and multiple regression were used. Results: The higher the age of the subjects, the lower their educational background (r=-0.273, p<0.05), and the higher the probability of having a religion (r=-0.258, p<0.05), the more stable the employment type (r=-0.333, p<0.05). The higher the level of education, the higher the monthly income (r=0.187, p<0.01), and the shorter the career (r=-0.204, p<0.05). The more stable employment, the more unstable duty (r=-0.245, p<0.05), and the more unstable work, the higher the monthly income (r=-0.206, p<0.05) and the longer the career, the higher the monthly income (r=0.247, p<0.05). The more stable the employment, the more activities to improve physical function were found (r=0.341, p<0.05), and the more unstable the duty, the more activities to improve physical function were found (r=0.321, p<0.05), and the higher monthly income, the less physical function improvement activities (r=-0.196, p<0.05). Conclusions: It is necessary to provide regular services by a dedicated physical therapist for physical function improvement activities in order to improve the quality of life of the elderly in the future.