• 기본간호학회지
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• 제5권1호
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• pp.47-64
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• 1998

This study was conducted to collect the baseline data of physical health status and nursing needs of the elderly for developing an educational program for nursing professionals. The data was collected from 287 people who were 65 years old or older belonging to a selected 8 out of the 39 welfare centers in Pusan during the period from February 25 to November 30, 1996. Socio-demographic characteristics, frequency of hospitalization, and the prevalence of chronic illnesses were measured to assess the physical health status of the center's elderly admitted to the hospital during the period of data collection. The 5-point Likert-type scale composed of 20 items was used. The data was analyzed with the Statistical Package for the Social Sciences Program (SPSS PC+). The results were summarized as follows : 1. The proportion of elderly subjects with chronic illnesses was 73.6%. Among 6 types of chronic illnesses, hypertension was the most prevalent(23.7%), cardiovascular disease was the second(18.1%), gastrointestinal disease the third(17.1%), musculosskeletal disease the fourth(12.9%), liver and biliary disease the fifth(12.5%), and diabetes the sixth. 2. The average score of the subjects' health status was 3.649 on the 5-point Likert scale. Among the 6 factors related to physical health, personal hygiene was the strongest factor(4.612) ; elimination was the second(4.491) ; sensation the third(4.369), outside activity the fourth(3.675), digestion the fifth(3.331), and sexual life the sixth. 3. Gender, marital status, religion, educational level, family structure, living arrangements, and perceived health status were significantly related to the elderly's physical health status. 4. Among the nursing needs of the elderly, emotional support and care was the strongest need(74.2%) ; physical therapy was the second(73.2%) ; education about diease control the third(64.8%) ; medication the fourth(63.8%) ; and the range of motion exercise the fourth(61.0%).

• 지역사회간호학회지
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• 제24권1호
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• pp.51-61
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• 2013

Purpose: The aim of this study is to identify effects of emotional labor, job stress and personal resources on job satisfaction in home healthcare nurses. Methods: The subjects were 149 home healthcare nurses working for home healthcare centers at 61 hospitals. Data were collected using a structured questionnaire from November 22, 2010 to February 28, 2011 and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation, Hierarchical multiple linear regression analysis. Results: The mean score of emotional labor level was $4.23{\pm}0.95$, that of job stress level $3.39{\pm}0.57$, that of personal resources $3.38{\pm}0.36$, and that of job satisfaction $3.31{\pm}0.40$. There were positive correlations among emotional labor, job stress, personal resources and job satisfaction. After age, educational level, job position, and work period in home health care, and traffic accident were controlled, the variables, emotional labor (${\beta}$=-.198, p = .034) and personal resources (${\beta}$=.236, p = .005) turned out to account for 13.3% of the job satisfaction. But job stress was not a statistically significant predictor. Conclusion: Home healthcare nurses were needed to minimize emotional labor and revitalize personal resources in order to maintain a comparatively high level of job satisfaction. Furthermore, it is necessary to carry out systematic education and an organizational management scheme into practice.

• 재활간호학회지
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• 제6권2호
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• pp.213-225
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• 2003

The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third, the fourth, the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly, compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion, knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly, compared with that the control group. 5. HWR in the experimental group didn't decreased significantly, compared with that the control group. 6. The degree of depression in the experimental group decreased significantly, compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly, compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore, it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.

• 융합정보논문지
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• 제10권3호
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• pp.176-184
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• 2020

본 연구는 집단놀이치료가 발달장애아동의 문제행동 감소에 효과가 있는지 알아보고 위하여 연구를 실시하였다. 연구대상은 특수학교에 재학 중이며 장애인 단기보호센터를 이용하는 장애아동 5명이다. 연구기간은 2018.1. 2. - 2. 28. 까지 겨울방학을 활용하여 매주 2회 40분씩 총 12회기를 실시하였으며 측정도구는 문제행동 진단척도(K-CBCL)로 매 회기마다 행동변화를 질적으로 관찰하였다. 본 연구결과를 요약하면 다음과 같다. 첫째, 회기별 과정에서 장애아동들은 공격성, 위축, 우울, 불안 등이 유의미하게 감소하고 활동적이 모습이 증가하였다. 둘째, 집단놀이치료 개입 후 문제행동이 감소하고 외현화 문제보다 내재화 문제에서 더 많은 감소를 보였다. 본 연구의 결과는 집단놀이치료는 장애아동의 개별적인 특성에 따라 문제행동을 감소시키는데 의미가 있으므로 실천현장에 적용하고자 한다.

• 한국융합학회논문지
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• 제11권3호
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• pp.237-244
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• 2020

초고령사회에 진입한 일본은 의료 및 복지에 대한 수요증가에 대응하기 위해서 정부의 다양한 정책적 방안들이 논의되고 있다. 특히 개호인력 확보 및 인력양성을 위해 일본정부와 지자체가 1) 인프라 구축, 2) 개호복지사 수학자금 등 대출제도, 3)외국인 유학생 개호인력유입 등 다양한 방면으로 전문 인력 확보 대책을 추진하고 있다. 또한, 교육기관인 대학에서도 커뮤니티케어 교육연구센터를 설립하여 의료, 복지, 교육에 관한 전문인재 육성의 질적 향상을 도모하고, 직업교육을 통해 개호전문인력을 지속적으로 육성하고 있다. 한국도 급속한 고령화와 의료기술의 진보 등 보건의료를 둘러싼 환경이 크게 변화하면서 고령자에 대한 개호 수요가 증가할 것으로 전망되고 있다. 개호요구의 급증에 비해 노동 인구의 감소로 심각한 인력부족을 겪고 있는 일본의 선 경험에 비추어 보건인력 확보에 대한 정책방안의 논의가 이루어져 할 것이다.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.418-425
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• 2017

본 연구는 청소년 상담 기관 조직의 조직원들의 의사소통능력 척도를 개발 타당화하는데 목적을 두었다. 연구 대상은 청소년 상담 복지센터에서 근무하는 상담자, 사회복지사, 관리자 등 131명이며, SPSS 12.0로 탐색적 요인분석과 이후 척도 타당화를 위한 상관관계분석, AMOS 20.0 프로그램을 사용하여 확인적 요인 분석을 실시하였다. 연구결과로 공식적 의사소통 능력 8문항과 비공식적 의사소통능력 8문항의 2요인으로 척도를 구성하고 타당화 하였다. 총 14문항에 대한 신뢰도는 내적 합치도를 통해 확보되었다. 본 척도의 타당도 확보를 위해 기존의 대인관계 의사소통 능력과의 상관관계 분석을 실시하였다. 본 연구에서 개발된 척도는 아동, 청소년 관련된 상담기관에서 의사소통과 관련된 연구를 진행하는데 도움이 될 것이라고 기대된다.

• 한국치위생학회지
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• 제13권5호
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• pp.759-767
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• 2013

Objectives : The purpose of this study was to investigate the relationship between the oral health status of elderly people and their oral health-related quality of life. Methods : The subjects were the elderly people over 65 years old in Busan. A total of 479 elderly people participated in the study from general hospital, two research institutes, eight dental clinics, six welfare institutions, sixteen senior centers, and three nursing homes. The oral health impact profile-14 (OHIP-14) was used in the routine dental checkups of the elderly people. Results : Those who had no oral symptoms had a better oral health-related quality of life. Among the subfactors of the OHIP-14, significant differences were shown in functional limitation(p=0.001), physical pain(p<0.001), emotional discomfort(p<0.001), physical disability(p=0.001), emotional disability (p=0.001), social disability(p=0.005), physical handicap(p=0.003) and total OHIP-14(p<0.001). Those who had 18 sound teeth(natural teeth) or more had a better oral health-related quality of life. Among the subfactors of the OHIP-14, significant differences were shown in functional limitation(p<0.001), physical pain(p=0.007), emotional discomfort(p=0.019), physical disability(p=0.018), Emotional disability(p=.032) and total OHIP-14 (p=0.006). Conclusions : The results revealed a close relationship between oral health status and oral health-related quality of life. The number of sound teeth(natural teeth) and frequency of toothbrushing had a more positive influence. Therefore oral health programs for the elderly people can preserve remaining teeth. Toothbrushing is the best way to improve the quality of life in the elderly people.

• 융합정보논문지
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• 제11권10호
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• pp.277-292
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• 2021

본 연구는 발달장애인 현장종사자들이 현장에서 어떤 경험을 하고 있으며 그 경험이 가진 의미는 무엇인지를 알아보기 위해 발달장애인 미술교육 현장종사자 5인의 심층 면담을 통해 질적 연구로써 Clandinin과 Connelly가 제시한 내러티브 탐구를 수행하였다. 연구 목적에 따라 개인의 교육경험을 통해 생기는 개인적 내러티브, 그들이 속한 문화적, 사회적 내러티브, 교육기관인 학교, 복지관, 아동방문미술교육기관의 제도적 내러티브를 살펴보았다. 본 연구는 아동기부터 성인기까지의 발달장애인 미술교육 연구에 이바지하는 기초자료로 의미가 있으며 현장종사자들이 제시한 발달장애인 미술교육의 방향을 통해 논의가 확장되길 제언한다.

• 한국융합학회논문지
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• 제10권5호
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• pp.297-311
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• 2019

본 연구는 복지관을 이용하는 장애부모를 둔 비장애 아동들을 대상으로 현상학적 연구방법을 통해 장애부모를 둔 비장애 아동의 행복한 삶의 본질적 의미를 밝히고자 시도되었다. 그 결과 행복한 삶과 관련된 76개 의미 있는 진술, 20개의 주제 8개의 범주가 도출 되었으며 아동이 행복한 삶의 본질적인 의미로는 '부모님이 행복해 하는 삶', '부모가 인정받는 삶', '부모님이 건강한 삶' '다른 가족과 다를 것이 없는 삶' 4개의 범주로 나타났고, 아동이 행복한 삶을 살기 조건으로는 '경제적으로 안정된 삶', '장애에 대한 인식이 긍정적인 사람과의 만남의 삶' '함께 여행하는 삶', '아동으로 인정받는 삶' 으로 나타났다. 이를 통해 볼 때 아동들에게는 이 시기가 중요한 만큼 더욱더 행복한 삶을 느낄 수 있는 개입방안과 장애인을 바라보는 인식개선 및 옹호자의 역할이 절실히 필요하다고 본다.

• 한국보건간호학회지
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• 제35권2호
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• pp.254-267
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• 2021

Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care. Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district. Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services. Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.