• 대한지리학회지
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• 제48권5호
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• pp.709-727
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• 2013

최근 전 세계적으로 고령자 주거정책의 기본철학으로 AIP(Aging in place) 이념이 대두되고 있다. 그러나 AIP에 대한 보편적 정의는 모호한 측면이 있어서, 정책적 편의에 따라 그 의미가 정의되는 경향이 강하다. 이 글은 초고령사회에 접어든 일본을 대상으로 하여, 고령자 거주문제 및 주거정책이 제기되어 온 과정을 분석하고, 그 과정에서 부여된 AIP의 의미를 비판적으로 고찰하는 것을 목적으로 하였다. 지난 20년 동안 일본의 복지정책은 고령자의 돌봄 담당자를 가족에서 사회로, 나아가 사회에서 지역으로 전환하는 정책이 추진되었는데, 이에 따라 고령자 주거정책도 3세대 동거 전략에서 민간 임대주택의 공급을 통한 지역거주 전략으로 전환되었다. 그런데 이러한 전환은 고령자의 삶의 질의 향상보다 정부의 재정적자 완화를 일차적인 목표로 추진되었고, 이에 따라 고령자 주거문제는 먼 곳에 입지한 시설이냐 지역 내에 입지한 재택이냐의 양자택일의 문제로 환원되고 있다. 이 글은 고령자 주거정책이 진정한 AIP 이념을 추구해야 하며, 이를 위해서는 고령자 주거의 시간적 연속성, 공간적 범주, 장소경험의 역동성, 장소의 의미, 공동체의 능력을 복합적으로 고려해야 한다고 제안하였다.

• 지역사회간호학회지
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• 제33권4호
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

• 한국가구학회지
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• 제24권1호
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• pp.70-78
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• 2013

Indoor air quality control has been strengthened within childcare facilities and welfare communities for the elderly and infirm. I have researched the indoor air quality of kids caf$\acute{e}$s. The quality was determined by the measurement of $CO_2$ and HCHO, and the result was used in understanding of the current status of indoor air quality control. The higher level of $CO_2$ and HCHO were found in the playground area where children use compared to the area for guardians in kids caf$\acute{e}$s. And the more people in the caf$\acute{e}$s, the more $CO_2$ and HCHO were generated. It is judged that kids furniture produce harmful substances for children. Hence, the government regulations for kids caf$\acute{e}$s should be improved by reinforcing the indoor air quality control, considering that the main customers are children not adults.

• 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).

• 지역사회간호학회지
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• 제9권2호
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• pp.324-335
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• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.

• 한국노년학
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• 제31권1호
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• pp.97-109
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• 2011

이 연구는 노인장기요양보호 인력의 소진 예측 요인을 살펴보고, 노인장기요양서비스 인력의 소진 예방을 위한 대안을 제시하고 있다. 노인장기요양보호는 고령이나 노인성 질병으로 인하여 일상생활을 혼자 수행하기 어려운 노인 등에게 신체활동 또는 가사지원 등의 서비스를 제공하는 것이다. 연구 대상은 전남지역 노인장기 요양시설에 근무하는 직원 216명이고, 자료수집은 자기기입식 방법의 설문지를 이용하였으며, 분석방법은 SPSS 12.0을 이용하여 회귀분석을 실시하였다. 노인장기요양서비스 인력의 소진 척도는 22개 항목의 3가지 하위척도, 즉 정서적 고갈, 탈인격화, 자아성취감의 감소로 구성된 MBI를 사용하였다. 분석 결과에 의하면 직무요인인 클라이언트 요인, 업무과중, 역할갈등, 수급자 가족과 갈등이 소진에 유의미한 영향을 끼쳤고, 동료의 정서적 지지가 소진을 감소시키는 효과가 있는 것으로 나타났다. 연구 결과를 통해 노인장기요양보호 인력의 전문적 지위와 평판을 강화하기 위한 제도 보완과 소진을 예방하는데 동료의 정서적 지지 체계가 중요한 요인임을 확인하였다. 결론으로 이 연구결과를 바탕으로 노인장기요양서비스 인력의 소진 예방을 위한 제도적 실천적 함의를 제언하였다.

• 가족자원경영과 정책
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• 제15권3호
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• pp.117-129
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• 2011

This study investigated the job stress and job satisfaction of caregivers who work to substitute the care of family. The purpose was to improve the quality of elderly welfare services and maintain a healthy family. Data were collected from 239 caregivers working in long-term care facilities in Gwangyang in Jeonnam in October 2010. They were analyzed using the SPSS 18.0 program. The statistics used for analysis were correlation and regression. The results of this study are as follows. First, most of the subjects were women in their forties or fifties. Most of them worked to support their families and, on average, earned less than 1.5 million won. The relation of job stress and job satisfaction appeared negative. The stress of relationships, income, and the number of clients had significant effects on job satisfaction. First and foremost, these results mean that a reduction in the job stress of caregivers is essential to provide them. So it is suggested that wage increases and more professional education or interpersonal skills training should be provided and a standardized test to assess job stress and job satisfaction should be prepared to improve the quality of caregivers.

• 한국콘텐츠학회논문지
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• 제19권8호
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• pp.525-534
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• 2019

우리나라는 경제발전과 보건의료의 발달로 인한 평균수명의 연장과 저출산 등으로 세계에서 가장 급속도로 인구구조의 고령화 문제에 직면하고 있다. 정부는 이러한 사회적 구조 및 노인문제를 해결하기 위하여 장기요양대상 노인의 삶의 질 향상과 가족부양 부담의 완화 등을 목적으로 노인장기요양보험법을 제정 시행 중에 있다. 하지만, 노인장기요양보험제도의 시행결과, 시설의 민영화와 난립으로 서비스의 공적 책임과 시설의 질 제고에 대한 요청이 확산되고 있다. 이 밖에, 저임금 요양인력의 양산, 질 개선에 관한 과제, 재원조달 방식에 관한 문제, 등의 대비가 다각도로 필요하다. 이에 노인장기요양보험제도가 장기 지속적으로 유지 발전하기 위해서는 시대적인 사회환경의 변화에 따라 법 제도적 측면의 개선방안의 모색과 더불어 노인복지서비스가 신체적 건강뿐만 아니라 노후 생활의 안정을 위한 정신적 심리적 조치를 강구하는 방안을 검토한다.

• 한국치위생학회지
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• 제12권5호
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• pp.921-932
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• 2012

Objectives : The purpose of the this study was to obtain necessary source data for development of oral health improvement and promotion programs for the elderly by investigating the actual situations of oral health education related experience and needs that senior citizens had in Korea. Methods : In this study, convenience sampling was conducted in 430 senior citizens aged 65 years who lived in Seoul and Gyeonggi-do in Korea, for about six months from December 2011 to May 2012. For data collection, the structured questionnaire was used. Community-based senior citizens' welfare facilities and centres, as well as nearby churches were visited to inform them of the information on this study. Then, the senior citizens who agreed to participate in this study were given the questionnaire sheets. Excluding 33 copies of inadequately completed questionnaire sheets, 397 copies (92.3% of the entire collected data) were analyzed. Results : 1. In terms of the experience with oral health education, the number of elderly respondents who have not received oral health education was 202 (50.9%), whereas the number of those who have received oral health education was 195 (49.1%), which indicates that the latter shows a slightly higher proportion. 2. Examining the necessity for oral health education, the overall mean was 3.67 points based on 5 points as full marks, which suggests that senior citizens have high awareness of the necessity for oral health education. 3. Regarding the willingness to participate in oral health education, the number of those who answered that if any opportunity to receive oral health education is given, they would be willing to receive such the education was 211 (53.1%). Conclusions : Based upon the results mentioned above, we conclude that it is required to develop more systematic and sustained, life-long oral health education programs at the levels of senior citizen's welfare facilities and centres, in order to guide senior citizens to desirable oral health care practice.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제11권3호
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• pp.19-30
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• 2005

As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.