• 사물인터넷융복합논문지
• /
• 제8권4호
• /
• pp.25-40
• /
• 2022

본 연구는 초고령화사회 진입을 목전에 두고 있는 우리나라에서 지속적으로 증가하고 있는 노인학대 학술 연구 동향을 파악하기 위해서 텍스트 마이닝 기법을 활용하였다. 분석 자료는 노인보호전문기관이 설립된 2004년부터 2021년까지 18년간 국내 전문학술지에 게재된 노인학대 관련 학술논문의 제목, 주제어, 초록을 텍스트로 전환하고, 분석 시기는 3개 구간으로 세분화 하여 논문의 패턴 및 전체 데이터 속에 의미를 파악하였다. 연구 결과를 요약하면 다음과 같다. 첫째, 본 연구에서 총 249편의 논문이 선정되었고(1구간은 81편, 2구간 64편, 3구간은 104편이 논문이 각각 선정). 연 평균 13.8편으로 2014년 이후 꾸준히 증가 후 2020년부터 연 평균이하로 감소하고 있다. 둘째 노인학대 텍스트 마이닝 결과 i) 상위 주요 키워드인 단어 빈도분석 결과 모든 구간(2004년~2021년)에 공통적으로 나타난 키워드는 노인학대, 노인, 영향, 요인, 인식, 가족, 사회, 방안, 경험, 학대피해노인, 학대예방, 우울 등이다. ii) TF-IDF 분석 결과 모든 구간에 공통적으로 출현한 키워드는 영향, 인식, 사회, 방안, 학대예방, 경험, 우울 등으로 나타났고, iii) 연결중심성 분석 결과 전 구간에 공통적으로 출현한 키워드는 노인학대, 노인, 영향, 요인, 특성, 인식, 가족, 방안, 사회, 학대예방, 경험 등이다. 셋째, CONCOR 분석 결과 1구간은 5개의 군집으로, 2구간은 7개의 군집으로, 3구간은 6개의 군집으로 각각 나타났다. 상기의 분석 결과 등을 바탕으로 노인학대 학술 연구의 동향을 살펴보았고, 이를 바탕으로 향후 노인학대 학술 연구를 위한 다양한 제언을 제시하였다.

• 한국엔터테인먼트산업학회논문지
• /
• 제13권2호
• /
• pp.279-287
• /
• 2019

본 연구는 노년기의 노년초월, 가족지지, 사회적지지, 자아존중감, 죽음불안의 정도와 이들 간의 관계를 파악하는 것이다. 서울시 거주 만 60세 이상 성인 50명을 대상으로 구조화된 질문지를 이용하여 조사하여 다음과 같은 결과를 도출하였다. 일반적 특성 중 연령은 사회적지지와 죽음불안과 관계가 있었으며, 결혼상태는 가족지지와 연관이 있었고, 생활만족은 가족지지와 관련이 있었다. 노년초월과 죽음불안이 상관관계가 있었으며, 가족지지와 자아존중감과 상관관계가 있었고, 사회적 지지는 자아존중감과 죽음불안과 상관관계가 있었다. 결론적으로 이 연구를 통하여 노년기의 노년초월은 죽음불안과 연관이 있음이 밝혀졌으며, 노년기의 가족지지가 자아존중감과 생활만족에 영향을 미치는 것으로 조사되었다. 향후의 연구에서는 성인후기의 집단을 대상으로 노년초월의 정도, 생활만족과 노년초월의 관계 등을 포함한 연구들이 진행될 필요성을 가지고 있다.

• 한국체육학회지인문사회과학편
• /
• 제57권1호
• /
• pp.405-419
• /
• 2018

이 연구는 치매행동 관련 홀니스 프로그램 적용 및 완충효과 검증 단계로 서울시에 위치한 M1과 M2 노인복지관에 개설되어 있는 주간보호시설 참여 노인 총 40명을 대상자로 선정하였다. 선정된 대상자들의 사전조사를 실시한 후 무작위로 M1노인복지관 노인 20명을 실험군으로, M2노인복지관 노인 20명을 통제군으로 배치하였다. 치매행동 관련 홀니스 프로그램 활동은 2016년 3월 14일부터 2016년 5월 30일까지 12주간, 주 2회, 60분간 수행하였다. 측정도구는 MMSE-K와 K-MBI, GDS-K를 사용하였다. 치매행동 관련 홀니스 프로그램에 참여하는 동안 치매행동 참여 전과 참여 후 총 2회를 측정하였으며 SPSS-PC(version 21.0) 통계프로그램을 이용하여 첫째, 실험군과 통제군의 동질성여부를 파악하기 위하여 독립표본 t-검증, 둘째, MMSE-K와 K-MBI, GDS-K에 대한 효과를 알아보기 위하여 사전검사와 사후검사 간 대응표본 t-검증, 셋째, 사전·사후 간 변화량을 확인하기 위하여 ANOVA를 실시하였다. 연구결과 노인의 치매행동 관련 홀니스 프로그램은 인지능력의 변화(MMSE-K), 신체능력의 변화(K-MBI), 우울수준의 변화(GDS-K)에 모두 효과가 있는 것으로 나타났다.

• 한국노년학
• /
• 제34권2호
• /
• pp.229-246
• /
• 2014

본 연구는 지역사회 내 제2형 당뇨병 노인을 대상으로 성격유형과 당뇨병 관련 스트레스에 따른 당뇨병 자기관리 행위 간의 관계를 규명하는데 목적을 두고 시행되었다. 본 연구는 서술적 조사연구로 노인복지관을 이용하는 65세 이상 노인 중 제2형 당뇨병이 있는 180명을 대상으로 실시하였다. 연구 결과, 일반적 특성과 질병 관련 특성에 따라 당뇨병 자기관리 행위의 차이가 있는 것으로 나타났다. 그리고 대상자 성격유형에 따라 당뇨병 자기관리 행위에는 유의한 차이가 있었고(p<.001), 주도형이 안정형과 신중형보다 자기관리 행위 이행수준이 낮았다. 특히, 자기관리 행위 하위영역 중 발 관리 영역에서 성격유형별 차이가 있었는데(p<.001), 주도형이 안정형과 신중형보다 유의하게 낮았다. 그리고 주도형 성격유형, 경구 혈당강하제를 투약하는 경우, 음주를 하는 경우가 당뇨병 자기관리 행위에 영향을 미치는 주요변수로 나타났다(수정된 R²=16%). 따라서 제2형 당뇨병 노인을 대상으로 하는 자기관리 교육 중재 시 성격유형, 경구 혈당강하제 투약 여부, 음주 여부가 고려되어야 하고, 자기관리 행위 이행이 상대적으로 낮은 주도형 성향을 가지고, 경구 혈당강하제 투약을 하며, 음주를 하는 당뇨병 노인을 위한 효과적인 교육중재 프로그램 개발이 필요하다.

• 서비스연구
• /
• 제13권4호
• /
• pp.113-130
• /
• 2023

본 연구는 환자와 의료진의 경험을 중심으로 상급종합병원 권역응급의료센터의 서비스디자인을 적용한 단일 사례 연구이다. 서비스디자인 기법을 활용하여 의료 서비스 경험을 측정 및 개선하고, 그 효과를 검증하는 것을 목표로 한다. 환자와 의료진으로부터 심층적인 경험 데이터를 수집하기 위해 민족지학(ethnography)과 디자인 워크숍을 중심으로 한 질적 사례 연구를 진행했다. 이 연구는 응급 의료 서비스에서 직면한 문제에 특히 중점을 두고 환자와 의료진 간의 주요 경험 차이를 확인하였으며, 권역응급의료센터 환경의 복잡한 역학을 이해하기 위해 환자와 의료진 인터뷰, 디자인씽킹 워크숍을 통해 수집된 정성 데이터를 대해 종합적으로 분석하고 디자인에 반영했다.연구 결과, 환자와 의료진의 요구를 반영한 디자인 현황을 3가지 주요 측면인 소통 개선, 환자 흐름 관리, 환경 개선의 필요성이 강조되었으며, 환자와 의료진 두 그룹의 특정 요구 사항의 차이점을 분석하여 권역응급의료센터의 서비스 개선을 위해 디자인 주도의 실행 과정을 적용 할 수 있었다. 이 연구는 의료 분야에서 디자인의 역할과 중요성을 강조하며, 이론적인 연구와 실제 디자인 실행 간의 효율적인 방법을 제시하고 있다. 이를 통해 더욱 빠르고 효과적이며 만족도가 높은 의료 서비스 환경을 만드는 데 기여할 수 것이다. 그리고 서비스디자인이 환자와 의료진 모두의 만족을 위한 새로운 혁신 과정의 핵심으로 보는 새로운 계기가 되기를 기대한다.

• 한국노년학
• /
• 제29권4호
• /
• pp.1361-1381
• /
• 2009

최근 우리 사회는 급격한 사회변동으로 다양한 사회문제를 경험하여 왔다. 특히 치매노인이 접근하기 쉽지 않은 대상이라는 특성 때문에 치매노인의 삶의 질에 대한 심층적인 연구가 제대로 이루어지지 않고 있다. 이 연구의 목적은 치매노인의 삶의 질을 조사하고, 치매노인의 삶의 질과 시설 환경과의 관계 분석을 통해 치매노인의 시설 환경에 적합한(compatible) 프로그램 개발이나 다양한 정책적 및 실천적 방안을 구성하는 데 필요한 기초 자료를 제시하고자 하며, 이를 통하여 치매노인의 삶의 질 향상과 시설 환경적 문제해결 방안을 모색하는 것이다. 이를 위하여 대구 및 경북지역의 노인주거복지시설 및 노인의료복지시설의 치매노인을 대상으로 하였으며 수집된 자료는 SPSS 12.0 통계 프로그램을 이용하여 빈도 및 교차분석과 다항로지스틱회귀분석을 하였다. 그 결과 시설의 환경이 치매노인의 삶의 질에 유의한 영향을 미치는 변인으로 밝혀졌다. 이를 위한 방안으로는 첫째, 치매노인이 만족하는 삶의 질을 위해서는 치매노인의 특성을 충분히 고려한 환경을 마련하고 치매노인의 잠재능력에 대한 인식전환이 필요하다. 둘째, 주수발자가 치매노인의 삶의 질에 영향을 주는 것으로 나타난 결과를 미루어 볼 때, 주수발자와의 관계 향상을 위한 프로그램이 필요하다. 셋째, 시설환경의 변화가 필요하다. 시설들이 치매노인의 증상에 잘 대처해 나갈 수 있도록 준비하고 시설의 접근성이 다소 떨어지는 것에 대해서는 오프라인(off-line)보다는 온라인(on-line)을 통해 치매노인요양시설과 전담인력 등 인프라를 확충하고, 지역사회가 긴밀히 협력하여 요양보호를 필요로 하는 어르신께 양질의 요양보호서비스를 제공할 수 있도록 해야 한다.

• 대한치과기공학회지
• /
• 제32권4호
• /
• pp.417-433
• /
• 2010

Purpose: This study evaluated the manpower planning of dental technicians. Methods: Methods : Survey was conducted regarding subject's general characteristics, characteristics of dental technician's occupational view and working conditions, and reason to enter into branches of the public health enter. The survey sample consisted of 323 dental technicians (221 male/ 102 female). Survey was conducted for one month from August 1 to September 1 in 2010. Following results were obtained. Results: 1. Regarding general characteristics of the subjects, there was a slight male predilection with 68.4%. Subjects in their 40s occupied the highest proportion of 32.2%. Majority of subjects worked in the big cities (71.5%). Favored working places were dental laboratory (57.6%) and dental hospital or dental clinic (19.5%). Although no position is available in the public sector such as public health center or health care civil servant, 9.3% preferred working in the public health center. Public sector is more favored than 2-year technical colleges or dental supply and equipment companies. In respect to education, 57% of the subjects graduated college. 67.8% were married. Subjects who specialize in the porcelain or all-ceramic were 57.9%. With regard to current position, head of the dental laboratory was most common. 2. Following occupation characteristics were found. Economic reason took the highest proportion when deciding their occupation (39.9%) followed by gaining social experience (36.5%). Majority of the subjects (76.5%) wanted to work as dental technicians until their retirement. 71.5% pursuit to become a manager of the dental laboratory. 76.1% agreed on opening a dental technician position in the public health center. Regarding an authority to lead developing the dental technician position in the public sector, majority of the subject chose ministry of health and welfare (35.6%) and Korean dental technologist association (34.7%). Employment (average, 30%) and turnover rate (average, 36.5%) of dental technology college graduates ranged from 40% to 60%. Most important factors for the employment were practical experience (41.2%) and competency (34.4%). With regard to job satisfaction, so-so as 46.7% and satisfactory was 42.7% 3. In respect to the reason for opening a position in the public health center, 'It is needed to continue denture rogram for elderly patients' obtained the highest score (4.14 point). 'Institutional devices are required to open a position for dental technicians as a public healthcare provider' received high score (4.11 point). 4. Concerning the working conditions, 'professional knowledge is required' received the highest score (4.23) followed by 'too short maternity and parental leave' (4.21). 5. Relationship between general characteristics of the subjects and favor of working in the public health center was investigated. Significant differences were found according to the current and favored working area, favored occupation, education level, marital status, and specialty. Working in the public health center was favored by following subjects: working in mid- or small-sized cities (4.16 point, p<0.05); PhD degree-holder (4.59 point, p<0.01). 6. Among general characteristics of the subjects, significant difference of working conditions was found in the following factors: gender; working areas; favored working areas; favored working positions, and education level. Majority of subjects favored working in big cities and currently work in big cities although satisfaction was comparatively low (3.75 score). 7. Future plan to work in public health center was evaluated according to occupational characteristics. Subject's intention to work in the public healthcare center was significantly affected by opening of dental technician position, leading authority, average turnover rate, and factors affecting employment. Working in the public health care center was favored by the following subjects: Dental technicians who actively supported opening of the dental technician position (4.34 point, p<0.001); subjects who thought the Korean dental technologist association is responsible for the opening of positions in the public sector (4.26 point, p<0.001); and subjects who thought that attitude and character are important for the employment (p<0.001). 8. Concerning difference of working conditions according to the occupational characteristics, significant difference was demonstrated by factors such as a reason to choose to be a dental technician, work plan, pursuing position, responsible authority, average employment rate, and job satisfaction. High standard of working conditions was required in subjects who selected to be a dental technician for the leisure time after work (s.05 point, p<0.01), who planted to work until their marriage (4.25 point, p<0.001), and who pursuit to be a manager (3.98, p<0.05). 9. In respect to influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.068 and age affected the working condition with significant difference according to the pvalue. 10. Regarding influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.335 and work plan, opening of dental technician position in the public sector, and responsible authority had significant influence over the subject's intention to work in the public health center according to the p-value. 11. With regard to the influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.091 and reason to choose to be a dental technician, work plan, and responsible authority significantly affected subject's working conditions. Conclusion: Korean society is becoming a super-aged society according to several statistics. As aged population is rapidly increasing, national health insurance plans to cover denture for senior citizen over 75 years old from 2012. Therefore, dental technicians are urgently needed in the public health centers all over the nation. Many subjects in this study planed to work until their retirement and recognized dental technician's expertise. Ministry of health and welfare and Korean dental technologist association should co-operate each other to prepare foundation and institutional devices for dental technicians to advance into the public health center. This will improve oral health of the population. This study showed urgency of medical facilities and services which meets increasing number of aged population and welfare of the population.

• Journal of Preventive Medicine and Public Health
• /
• 제31권4호
• /
• pp.857-874
• /
• 1998

The objective of this study is to collect the opinions on the present condition and the improvement directions of urban health centers from and to make a comparison. Samples were drawn from the various sources of a district in seoul. 53 persons involved in district health's administration(the Members of a District Parliament, the senior officials of a District office, village chief) and 84 health center workers were surveyed with anonymous postal questionaires and 427 district private medical personnels with postal questionaires and 625 users of a health center with direct questionaires, from November 18 to 25, 1996. Additionally, 12,151 households were surveyed with self-reported questionaires including priorities on special district health services of health center, from September 1 to 7, 1996. The major findings were as follows : 1) Although the persons involved in district health administration tend to put lower priority on health service over other community activities, they well acknowledged the importance of health center. But health center workers strongly acknowledged the importance of both health service and heath center. 2) As to the level of human resoureces, equipments and ammenities of Health Center commpared with private medical institute, the persons involved in district health's administration and health center workers responded that health center was higher in following order : 54.9%, 41.6%, 36.5% and 88.0%, 80.7%, 44.1%. 3) Concerning the priorities of health center's improvement, the persons involved in district health's administration replied in the order of reinforcement of proffesional health workers (43.3%), improvement of equipments and ammenities(28.3%), and the health center workers replied in the order of reconstruction of organization(24.1%), public health education and promotion(22.8%), reinforcement of proffesional health workers(21.0%). 4) Both the persons involved in district health's administration and health center workers replied that Ministry Health and Welfare, District office, health center were essential as the most critical organizations in the activation of Health Center's Function. 5) Persons involved in district health's administration and health center workers chose, as the most important health center's Function, medical treatment and prevention of infectious disease, and prevention of acute and chrone disease control and special district health service, respectively. Both Groups replied that fammily planning and parasite control are no longer in need. 6) As the future health service requiring reinforcement, every human resources parties considered health conselling, health line, sex education as the most imortant elements in public health education. Concerning the reinforement of other health services such as medical checkup and visiting nurses, every human resources parties showed more than 80% approval rate, but for oriental medical care service, the private medical personels showed relatively low approval rate(52.9%). Therefore the planning for reinforcement of health center's function requires the reflection of human resources party's opinion and the implication of system which can control and combine the differences in party's opinions.

• 한국치위생학회지
• /
• 제10권2호
• /
• pp.375-392
• /
• 2010

Objectives : Dental hygienist's work satisfaction and stress affect the overall quality of work life(QWL). Therefore, this research is intended to suggest fundamental data to improve QWL by finding out characteristics of each work satisfaction and stress element. To this end, a total of 327 dental hygienists working at general hospitals, university hospitals, dental hospitals and dental clinics across Seoul, Gyeonggi and Incheon were surveyed. Results of survey are as follows. Methods : The collected data were analyzed by using an SPSS 12.0 statistical program, obtaining the following results. The collected data conducted a questionnaire survey for 327 dental hygienists who work at the hospitals, university hospitals, dental hospitals, and dental clinics located at Seoul, Gyeonggi-do, and Incheon district from January until March, 2009, and drew the conclusions as follows. Result : 1. Demographic characteristics, income from 1.5 to 1.99 million were the whole lot, more than 2 million to less than 1.5 million was similar. Marital status Married Unmarried higher than the atheist religion, Christianity, Catholicism, Buddhism, and other, respectively. Classification by level of education in the college graduate, university graduate, graduate diploma, respectively. 2. Are working in a job-related characteristics of dentistry, dental hospital, general and university hospital, respectively. The making in position, Mount, contractor, responsible, senior, was an intern in the order. The five-day workweek whether working at night and is not going to care whether the conduct was similar. Classification of working hours and 8 hours, 8 hours, 8 hours or less orderly, and total of less than 1-3 years of clinical experience, 5 years, less than one year, less than 3-5 years, respectively. 3. There comes out a significant difference according to age, income, position, gross clinical experience, and whether to put night shift into practice in job stability in terms of the quality subsequent to general characteristics(p<.05). 4. There comes out a significant difference according to marital status, one's place of work, position, whether to put a five-day workweek into practice in work environment and benefits package in terms of the quality subsequent to general characteristics (p<.05). 5. There comes out a significant difference according to age, marital status, income, position, and gross clinical experience in education & training and benefits packages in terms of the quality subsequent to general characteristics(p<.05). 6. There comes out a significant difference according to whether to put night medical treatment into practice in social usefulness in terms of the quality subsequent to general characteristics(p<.05). 7. There comes out a significant difference according to marital status, income, one's place of work, gross clinical experience, work hours, and whether to put a five-day workweek into practice in leisure activity in terms of the quality subsequent to general characteristics(p<.05). 8. There comes out a significant difference according to income, one's place of work, and position in wage level in terms of the quality subsequent to general characteristics(p<.05). 9. There was no significant difference in all items related to human relations and free communication in terms of the quality subsequent to general characteristics(p>.05). Conclusions : It is necessary to analyze factors related to work satisfaction and stress in order to improve dental hygienist's quality of work life. Hospitals must support them systematically and institutionally and related organizations must conduct practical research.

• 한국간호교육학회지
• /
• 제3권
• /
• pp.78-98
• /
• 1997

Health education, as the most fundamental concept for national health promotion, alms for developing the self-care ability of the general public. High school days are regarded as the period when most important physical, mental and social developments occur, and most health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw in that health-related subjects are divided and taught under various subjects areas at school. In order to achieve the goal of school health education, it is essential to make a systematic assessment of the learner's concerns connected with his health and life, and the factors affecting them. So far, most of the research projects that had been carried out for improving high school health education were limited in their concerns to a particular aspect of health. Even though some had been done in view of comprehensive school health education, they failed to Include a health assessment of the learner. Therefore, in this study the high school students' concerns related to health and life were investigated in the first place on the basis of the PRECEDE model, developed by Green and others for the purpose of a comprehensive diagnostic research on high school health education. This study was done in two steps : one was the basic study for developing research instrument and the other was the main one. The former was conducted at five high schools in Seoul and Cheongju for 2 months-beginning in March, 1996. The students were asked to respond to questions related to their health and lives in unstructured open-ended question forms. On the basis of analysis of the basic study, the diagnostic instruments for the quality of life, health problems, health behavior and educational factors were constructed to be used for the collection of data for main study. An expert panel and the pilot study were used to improve content validity and reliability of the instruments. The reliability of the instruments was measured at between .7697 and .9611 by the Cronbach $\alpha$. The data for this study were collected from the sample consisted of the junior and senior classes of twenty general and vocational high schools in Seoul and Cheongju for two months period beginning in July, 1996. In analyzing the data, both t-test and $X^2$-test were done by using SAS-$PC^+$ Program to compare data between the sexes of the high school students and the types of high school. A canonical correlation analysis was carried out to determine the relationships among the diagnostic variables, and a multivariate multiple regression analysis was conducted by using LISREL 8.03 to ascertain the influences of variables on the high school students' health and quality of life. The results were as follows : 1) The findings of the hypothesis tests (1) The canonical correlation between the educational diagnosis variables and behavioral, epidemiological, social diagnosis variables was .7221, which was significant at the level of p<.001. (2) The canonical correlation between the educational diagnosis variables and the behavior variables was .6851, which also was significant (p<.001). (3) The canonical correlation between the behavioral diagnosis variables and the epidemiological variables was 4295, which was significant (p<.001). (4) The canonical correlation between the epidemiological diagnosis variables and the social variables was .6005, which was also significant (p<.001). Therefore, the relationship between each diagnosis variable suggested by the PRECEDE model had been experimentally proven to be valid, supporting the conceptual framework of the study as appropriate for assessing the multi-dimensional factors affecting high school students' health and quality of life. Health behavior self-efficacy, the level of parents' interest and knowledge of health, and the level of the perception of school health education, all of which are the educational diagnostic variables, are the most influential variables in students' health and quality of life. In particular, health behavior self-efficacy, a causative factor, was one of the main influential variables in their health and quality of life. Other diagnostic variables suggested in the steps of the PRECEDE model were found to have reciprocal relations rather than a unidirectional causative relationship. The significance of this research is that it has diagnosed the needs of high school health education by the learner-centered assessment of variety of factors related to the health and the life of the students. This research findings suggest an integrated system of school health education to be contrived to enhance the effectiveness of the education by strengthening the influential factors such as self-efficacy to improve the health and quality of the lives of high school students.