• 대한가정학회지
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• 제42권11호
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• pp.31-45
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• 2004

The purpose of this study was to provide basic information about the facility planning to reduce elderly isolation and to improve their rehabilitation ability. Four re%archers observed the using behavior of the elderly residents in the corridor and lounge of 5 facilities. The results of the study were as follows. The using rate of the lounge wis higher than that of the corridor since most of the elderly were controlled by the staffs at the lounge. The facility could decrease the crowd of the lounge by arranging the sofa at the corridor-especially surrounding the atrium. The use rate in the lounge was very dependent on the time of the day, because its use was influenced mainly by daily schedule, and this resoled in it being largely inactive most of the time. A counter plan is needed to encourage natural interaction among the elderly. Individual or small group activities are required in addition to the regular programs. Since the furniture arrangements_(sofas and tables) at the corridor could induce elderly isolation and inactivity, various equipments should be arranged for the self-controlled activities. The indirect participation in the regular activities, which are usually conducted in the lounge, should also be considered in the corridor so that the elderly could observe them at any places.

• 한국주거학회논문집
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• 제28권3호
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• pp.75-83
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• 2017

The purpose of this study was to identify some residential characteristics of Post-retirement and characteristics of the Continuing Care Retirement Communities (CCRCs) favored by those baby-boomer generations soon retiring. A web-based online survey was conducted with middle-class baby-boomers living in the Seoul-Incheon-Gyengki capital area and the five metropolitan cities of Korea between 9th and 20th of February in 2017. A total 0f 507 responses were valid for statistical analysis. The findings obtained that they preferred living Urban outskirts after retirement; Desired area of post-retirement was differentiated depending on asset and educational attainment; 63.4% of respondents had no intentions to live with adult child; a combination of independent living and assisted living was the most preferred form of the CCRCs; Over 80% of respondents had intention to live in independent living, assisted living and nursing home; and Intention to live in assisted living and nursing home was differentiated depending on Intention to live with adult child. Among the four Community-linked types, the Hospital-based one was most popular. The University-based and Religion-based ones were then preferred by females than males. The results obtained here can be used for reflecting the residents needs when planning the CCRCs in Korea.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제5권9호
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• pp.37-45
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• 1999

Most of elderly residents who live in nursing home for a long time have been suffering from chronic sickness. Therefore, residential part should be the place to recover social relationship, to get over isolation and to be able to make communication through contact of personal activities. The purpose of this study is to offer the guideline of planning and scale of the shared place which makes better housing environment of the elderly. also, the character of the elderly and element of environments appropriate for the frail elderly people were study.

• 가정간호학회지
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• 제1권
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• pp.57-70
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• 1993

본 연구는 입원환자들의 가정간호사제도에 대한 찬반여부 및 가정간호 서비스 내용과 그 요구도를 파악하기 위하여 대구시내 3개 종합병원에서 1993년 9월 6일부터 10월 9일까지 뇌질환, 척추질환 및 근골격계질환으로 입원한 환자중 퇴원예정에 있는 환자 242명을 대상으로 설문지에 응답하도록 하여 자료를 수집하였다. 가정간호제도를 찬성한 환자는 66.1%(161명)이었으며 반대는 33.5%(81명)이었다. 환자의 일반적 특성별로는 30세에서 49세 사이가 75.5%, 중소도시에 거주하는 75.9%로 높은 찬성율을 보였다. 특히 의료보호 환자군에서는 40.0% 낮은 찬성율을 보였다. 척추손상 환자의 75.6%가 찬성한 반면 복합질 환자는 54.5%의 찬성율을 보였다. 그리고 거동 가능한 환자의 69.4%, 임종을 기다리는 환자의 80.0% 및 조기퇴원을 희망하는 환자의 73.9%가 가정 간호사제도를 찬성하였다. 가정간호사제도를 찬성하는 환자(161명)의 찬성 이유는 주치의와 계속적인 연결을 갖고 싶어서가 37.3%로 가장 높았고, 그 다음 병원에 오기가 블편해서였고 기능적 상태에 따라 찬성 이유간에는 유의한 차이가 있었다(p<0.05). 가정간호사제도를 반대하는 환자(81명)의 이유를 보면 병원보다 질이 낮을 것같다가 가장 많았고, 방문이 번거롭다 및 가정에서 가족이 돌볼 수 있어서의 순이였다. 조기퇴원을 원하는 환자는 74.8%였으며 조기퇴원 이유는 병원생활이 지루하기 때문에가 57.5%로 가장 많았고, 조기퇴원을 원하지 않는 환자는 질병상태에 대한 불안감 때문에가 54.0%로 가장 높았다. 가정간호사제도를 찬성한 환자들에게 가정간호서비스 내용을 23개 항목으로 나눈 요구 빈도에서 앞으로 수혜받기를 원하는 가정간호활동 내용은 회복촉진, 합병증예방, 상담 및 건강관리지도로 76.4%로 가장 많았으며, 그 다음의 투약관리 및 지도 (62.1%), 활력증상의 정기적인 측정(555.9%)의 순이었고 임종간호(3.7%) 및 호흡유지를 위한 간호(9.9%) 등은 요구빈도가 가장 낮았다. 가정간호서비스 항목에 있어서 진단내용, 환자의 기능적 상태, 합병증 유무 등에 따라서는 큰 차이 없이 회복촉진, 합병증예방상담 및 건강관리지도 항목에서 가장 높은 요구도를 나타냈고 나머지 간호요구는 큰 차이가 없었다.

• 대한간호학회지
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• 제27권3호
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• pp.601-613
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• 1997

This project was conducted using a survey method and through interviewing with four persons aged 60 years and over. An interview with an open-ended questionnaire was also used for elderly persons, families, oriental medicine doctor and nurses. topic-related literature review was also done. In total, 382 statements were derived. For content validity, nursing professionals were involved in this study, From that 48 items are developed. The subjects were 340 elderly persons over 60 years old. Data were collected duicing February and March 1997 and analyzed using the SPSS package The result are as follows. 1. Items with low Cronbach Coefficient alpha which means low correlation with total items were removed. 2. Factor analysis was done in order to confirm construct validity and eight factors were obtained from the results. The first factor, 'positive cognition of the aging process', the second factor, 'relationship network' the third factor, 'maintanence of physical functioning, the fourth factor', 'maintanence of peaceful mind' the fifth factor, 'keeping up with daily tasks' the sixth factor, 'continuous adequate body movement' the seventh factor,'involvement of religion in the elderly person's life and the eight factor', 'appropriate resting'. Cronbach Coefficient alpha for the 33 items was .9127 Based on the result, the following is suggested 1. It is anrticipated that the fundamental health of elderly person could be promoted by assessing healthy behaviors of elderly person with this assessment tool. 2. Further studies could be derived from this research. 3. Validity of this assessment tool should be further tested with and a larger sample of elderly person including in-patient elderly persons as well as nursing home residents.

• 대한간호학회지
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• 제32권5호
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• pp.624-632
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• 2002

The number of residents in elderly institution has been increasing due to the change of the family support system. This study was focused on understanding the process of adjustment of the institutionalized elderly using the Grounded Theory approach. Method: There were seven participants, 4 men and 3 women living in 3 different elderly facilities. The data was collected through in-depth interviews and participant observation from June 20, 1999 to January 10, 2000 and analyzed by the Strauss and Corbin's analysis method. Result: 125 concepts were found and grouped into 30 sub-categories and then grouped into 13 categories. These categories are , , , , , , , , , , , and , which were synthesized into the process of adjustment. being the core category. The adjustment process of the facility elderly consisted of : 1. expressive phase of 'reluctance' 2. control phase of 'reluctance' 3. latent phase of 'reluctance' Conclusion: This study offers better understandings on the adjustment process of the institutionalized elderly and provides more appropriate nursing care to the New Comers of these facilities.

• 대한간호학회지
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• 제25권3호
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• pp.472-484
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• 1995

The purpose of this study was to develop a home health care model in the public health system and to test the effectiveness of the model. Seven com-munity health practitioners in Yon- Cheon county. Kyunggi province, carried out home health care service for this research. The subjects of the home health care were a total of 111 community residents with chronic health problems and risk-prone infants and children; 29 persons with hypertension, 18 persons with diabetes, 12 persons with neurologic problems, 12 elderly, and 40 infants and children. During the period of study, from December, 1993 to March, 1995, a demonstrative home health care model was developed in the Yon-Cheon County community health centers with the cooperation of the Yon-Cheon Medical Center and Yon-Cheon Public Health Center for the first six months. A home care practice manual and recording system for home visits were also co-developed by the researchers and community health practitioners. Four workshops and monthly conferences were held for this purpose. Actual home care practice took place for two months, and on-going evaluation and replanning accompanied this process. The result of the evaluation of home care service were as follows. 1) For persons with hypertension, diabetes, neurologic problems, there was significant improvement in knowledge of disease and care, but no significant difference was seen in health behavior or symptoms after home care service. 2) No significant difference was seen in level of self esteem or depression after reminiscence therapy among 12 elderly subjects. 3) There were significant differences in satis-faction toward child rearing and parental sup-port, but no significant difference In education needs for parental role after home care service among parents of infants and children. 4) There was significant improvement in the quality of life among the subjects after the home care service. 5) Subjects responded that they were highly satisfied with the home care service given by the community health practitioners. Although, the actual implementation period was very short, and not all of the evaluation outcomes showed significant improvement, the home health care model of community health practitioners was, in general, positively evaluated. Through this re-search, the possibility of community health practitioners working as active home care personnel in the public health care system is supported. Further research with an expanded area and subjects for a longer period is recommended. Cost effectiveness research is also needed.

• International Journal of Human Ecology
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• 제8권2호
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• pp.29-46
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• 2007

The purpose of this study was to analyze characteristics of the bedroom environment of nursing homes for the elderly in Korea. Field case research was performed using a structured checklist and measurements, from Oct. 28th to Dec. 2nd, 2006. Collected data were analyzed for cognitive efficiency, privacy, safety, supportiveness and amenity. Based on nursing homes for the elderly nationwide (Ministry of Health and Welfare, 2006), we choose 43 facilities in which Seoul and six megalopolis areas that had answered our questionnaire in 2006. We then narrowed the list to 14 facilities, balanced them in terms of regional population. The contents of investigation consisted of eight categories: that general characteristics of the bedrooms (including number of residents per room, using a bed or floor mat, the size and shape of the chamber, space for wheelchair turning, signage), door of bedroom (including door, doorknob, door sill/level difference), windows in the bedroom(including type of window, window sill height, window treatment, window safety device/shape, view/daylight), furniture (including personal furniture and lock), finishes (material, character and color of wall, floor, ceiling), lighting (including types of lighting, night lighting, switch), bathroom in the bedroom (including signage, door size/type, doorknob shape, height of the washbowl, size of toilet bowl, handrail, finishes), and other facilities (including outlet and handrails).

• 가정간호학회지
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• 제31권1호
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• pp.77-88
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• 2024

Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher's exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.

• 한국산학기술학회논문지
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• 제17권5호
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• pp.459-469
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• 2016

본 연구는 요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감 정도 차이를 파악하고자 시도되었으며, 자료 수집은 2014년 6월 1일부터 12월 31일까지 5개 노인요양시설에서 실시하였다. 총 214명(알츠하이머형 치매노인 131명, 혈관성 치매노인 83명)이 연구에 참여하였으며, 행동심리증상 특성과 간호제공자의 업무 부담감은 NPI-NH (Neuropsychiatric Inventory Nursing Home Version)를 활용하여 측정하였다. 연구 결과, 알츠하이머형 치매군과 혈관성 치매군 모두에서 무감동/무관심의 발생빈도가 가장 높았으며, 알츠하이머형 치매군이 혈관성 치매군에 비하여 불안, 들뜬 기분/다행감, 과민/불안정의 발생빈도가 유의하게 높았다. 전체 행동심리증상 점수는 알츠하이머형 치매군과 혈관성 치매군에서 유의한 차이가 없었으나, 세부영역에서 초조/공격성 점수는 알츠하이머형 치매군이 혈관성 치매군보다 유의하게 높았다. 전체 간호제공자의 업무 부담감은 알츠하이머형 치매군이 혈관성 치매군보다 유의하게 높았고, 특히, 알츠하이머형 치매군에서 초조/공격성의 업무 부담감 부분이 의미 있게 높았다. 결론적으로 요양시설 치매노인은 치매유형에 따라 행동심리증상정도에 차이가 있으므로 차별화된 간호가 필요하며, 간호제공자의 업무 부담감 감소를 위한 다양한 프로그램 개발 및 전략이 필요한 것으로 사료된다.