• 가족자원경영과 정책
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• 제23권3호
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• pp.133-148
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• 2019

This study aimed to explore the moderating effect of family support resources on family caregiver burden as it in turn affects psychological well-being among middle-aged working mothers. Through purposive sampling, the study recruited 325 married employed mothers age 40-50 years who live in Seoul and who have more than 1 child and living parents or parents-in-law. The investigation was performed April 1-30, 2018, with the participants sampled from companies, schools and religious organizations in Seoul. The collected data were statistically analyzed using the SPSS 21.0 package. The results of this study were as follows: First, of all categories of caregiver burden, the score for burden of caring for elderly parents was 3.01 (SD = .81), slightly higher than the median of 3 points; childcare burden scored 3.16 (SD = .73), also higher than the median value; and family support resources scored 3.40 (.89), higher than the median of 3. Overall psychological well-being rated 3.25 (SD = .56). Second, health and educational level, the burdens of caring for elderly parents and childcare and family support resources were found to significantly affect psychological well-being. Third, family support resources, a moderating variable, were found to significantly moderate and ease the effect of childcare burden on middle-aged working mothers' psychological well-being. Furthermore, in the analysis of their moderating effect, family support resources were confirmed to positively affect psychological well-being by moderating childcare burden experienced by middle-aged working mothers.

• 한국전문물리치료학회지
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• 제29권2호
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• pp.94-105
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• 2022

Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

• The Journal of Korean Physical Therapy
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• 제20권4호
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• pp.61-69
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• 2008

Purpose: We evaluated caregivers' understanding of patients' diseases and disuse syndrome, the understanding of exercise and massage related to rehabilitation and the necessity of education about these, the difference in education and realities of the care-giving field, and the extra services needed in the field. Methods: The survey using questionnaires was performed from June 2008 to August 2008 with 220 people participated in caregive education programme in daegu city and area near dagu city. Among the 220 submitted questionnaires, 184 which were faithfully answered were selected and they were analyzed by i-STATistics statistical program. Results: The educational focus of the first and second level caregivers, as defined by the second clause of the 29th article of the Elderly Welfare law, is on basic knowledge of diseases such as dementia, stroke, and depression. However, other diseases are not covered and the information does not include information on decreased function, complications, functional rehabilitating exercises, or preventing disuse syndrome for long term patients. The most common diseases, in order of prevalence, are stroke, dementia, diabetes mellitus, Parkinson disease, arthritis, and geriatric inertness. The general level of awareness about disuse syndrome was low, and patients, while understanding the need for massage and rehabilitative exercise, receive little education about the proper methods and therefore cannot use them. Patients also did not understand how participating in these activities could reduce medical fees, indicating that further education on massage and rehabilitative exercise is needed. Caregivers desired to include positive rehabilitation, massage, and exercise-related services in their services. Finally, differences in caregiver education and reality resulted from a lack of diversity in education. Conclusion: We suggest providing education on disuse atrophy and improving the lack of diversity in the care-giving education system.

• 한국지역사회생활과학회지
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• 제18권1호
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• pp.71-85
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• 2007

This study investigates differences by type of caregiving using data on three groups of caregivers, 177 from home stay situations, 189 from day care centers, and 138 from nursing homes. First, the result shows that characteristics of both caregivers and elders differ by type of caregiving. Second, caregivers in the home stay situation have the highest caregiving burden of the three groups. Third, from examination of the related variables, the caregiving burden of home stay caregivers is affected by family income, caregivers' health, type of job, and whether or not the elder has symptoms of dementia. Also, the study reveals that emotional services for elders reduce the aggravation of family relations and economic burden, but that instrumental services highly increase economic burden. It reveals that caregivers of elders in day care centers, especially those who are in bad health, are more likely to experience feelings of constriction, aggravation of family relations and economic burden. On the other hand, caregivers who receive more emotional services have better experiences in family relations, including relations with the elder. In case of the elders of nursing homes, if the main caregiver is a daughter-in-law, aggravation of family relations is higher than if the main caregiver is a spouse. Finally, the caregiver's burden is affected by their own health and income, and by whether the elder has symptoms of dementia or stroke.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.592-606
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• 2015

전 연령층에 걸친 우울증 및 정신질환과 꾸준한 자살률 증가는 정부경쟁력을 크게 떨어뜨리는 심각한 사회문제이다. 정부는 정신건강을 증진시키고 자살을 예방하기 위해 다양한 정책을 실시하고 있으나 시행과정 및 연계 관리 체계 등에서 여러 문제점들이 제기된다. 본 연구는 정신건강분야에 있어 ICT 융합방안의 실태와 방향성을 파악하기 위해 국내외 사례를 살펴보았다. 미국과 영국에서는 ICT를 융합한 원격 정신치료서비스를 지역노인, 소아청소년, 취약계층 등에 제공하고 있다. 국내는 노인자살을 방지하기 위해 독거노인을 대상으로 응급알림 장치를 설치하거나 우울증과 치매 완화를 위한 기술이 개발 중에 있다. 고령화시대에 사회경제적 비용을 줄이고 보편적 복지실현을 위해 ICT 융합 정신건강관리 서비스가 필요하다. 이에 원격정신진료와 관련하여 첨예하게 갈등을 보이는 의료법과 의료기기에 대한 사회적 합의, 생애전주기에 걸쳐 이용자의 정신적 특성을 고려한 효과성 연구, 인구 밀집도와 의료접근성이 낮은 지역 중심의 특화된 정책 등이 제고되어져야한다.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.308-325
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• 2020

본 연구의 목적은 장기요양시설의 노인보호를 위한 시설안전 실태를 파악하고, 이를 바탕으로 한국의 장기요양시설 시설안전 정책의 방향을 도출하고자 하는 것이다. 이러한 연구목적을 위해 주요국의 장기요양시설 시설안전 대응정책에 대해서 검토하고, 한국의 요양시설 안전실태를 파악하였다. 분석에서는 수도권 지역(서울, 경기, 인천) 중심으로 장기요양시설의 시설안전 실태를 분석하였다. 분석결과는 다음과 같다. 첫째, 기관의 안전관리 비교결과이다. 관련 규정 및 법률 비교결과에서 장기요양시설은 사회복지시설, 어린이집, 병원 등에 비해 안전관리가 취약한 것으로 나타났다. 둘째, 입지조건 분석결과이다. 수도권 장기요양시설이 건물의 6층 이상에 위치한 시설이 많았고, 개인시설이 법인, 지자체 시설에 비해 입지조건이 취약하다는 것을 확인하였다. 셋째, 기관의 구조/설비 결과이다. 전체적으로 배연창(화재안전창문), 배연설비, 연기 질식대비 방연마스크, 방화담요 등의 배치상태가 미흡하였다. 또, 법적 필수 설치설비가 미비한 곳도 있었고, 개인시설이 지자체, 법인 시설에 비해 시설 구조/설비구조에서 대체로 미비하였다. 넷째, 안전관리 분석에서 대응매뉴얼, 화재대비훈련 등에서 개인설립 시설이 지자체설립 시설에 비해 미흡하다는 것을 확인하였다. 이상 이러한 연구결과를 토대로 본 연구는 노인장기요양보험 장기요양시설에서 입소노인의 안전한 삶을 살 수 있는 시설환경을 위한 사회복지적 함의를 제시하였다.

• 의료법학
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• 제22권3호
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• pp.125-144
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• 2021

본 연구는 '코로나19'로 인한 팬데믹 상황에서 우리 사회의 건강취약계층의 건강보장을 위한 법적 개선 방안을 제시하는 것을 목적으로 한다. 첫째, 기존의 (사회)취약계층 의미를 살펴본 뒤, 건강이라는 사회적 위험을 연계하여 확장된 개념으로서 건강취약계층을 비판적으로 고찰하였다. 취약계층이라는 용어는 전통적인 관점에서 노인, 장애인, 여성 등의 계층과 낮은 소득 등으로 인한 생활능력이 없는 조건, 이를테면 저소득층의 기준을 모두 충족하는 개념으로서 사용되었던 경향이 있다. 건강취약계층의 개념은 이러한 취약계층의 개념이 건강 위협 등 사회적 위험 등과 연계되어 확장된 개념으로 나타나고 있는 최근의 동향을 반향하고 있다는 점에서 의의가 있다. 둘째, 법률상 건강취약계층과 함께 보건의료 취약계층이라는 용어가 사용되면서 나타나는 문제점을 살펴보았다. 두 용어를 각각 사용하는 법률과 정책들로 인해서 건강 및 보건의료에 관한 사회보장제도 안에서 사각지대가 발생할 수 있는 문제점이 있었다. 셋째, 건강취약계층에 대한 건강보장을 위한 법률적 개선 방안들을 제시하였다. 건강취약계층에 대한 개념 확대와 법률적 용어의 포괄성, 통합적인 보건의료서비스를 위한 법률 간 체계성, 건강취약계층을 보호하기 위한 맞춤형 정책 및 인적 역량 강화 등을 제언하였다.