• 지역사회간호학회지
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• 제18권3호
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• pp.410-419
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• 2007

Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

• 한국주거학회논문집
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• 제11권2호
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• pp.25-36
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• 2000

The purpose of this study were; 1) to describe the present situations of dementia-related characteristics in the welfare for the elderly; 2) to explain the perception of the staffs on the effect of the features in physical living environment and to identify the variables influencing this perception; and 3) to examine the present provisions of the features in physical living environment and their effects on making a therapeutic environment. Questionnaires by 122 staffs in the welfare facilities for the elderly were used as a final sample of the analysis. Data were collected using a self-administered survey. The results of the study provided the information on the major symptoms or behaviors of demented elderly with respect to frequencies of occurances and caring and the way of manipulating the physical environment to slow down the progression of the disease and making the demented elderly live independently as much as possible to achieve their quality of life.

• 한국실내디자인학회논문집
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• 제15권2호
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• pp.91-98
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• 2006

The aged population increasing rapidly, the population rate of over 65 years old was over 7.5% in 2000 in Korea and it means that Korea is aging society. Increasing participation of woman in public affairs, becoming a nuclear family and increasing old aged people who want to stand alone brought about more the old households. But the aged welfare accommodation are still insufficient and more facilities accommodating the aged should be built. 80.5% of people according to poll by the Ministry of Health and Welfare responded the support of the aged is a serious problem in Korea. This result indicates the reality that the system for the aged are unsatisfied. Although these situations made a new concept of 'silver-town' of the welfare facility for the aged, it is under a transition in the aspect of the social system and the architectural aspect as well. This study will select good examples among facilities in the metropolitan area, analysis space and propose resonable program.

• 한국농촌건축학회논문집
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• 제18권1호
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• pp.1-9
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• 2016

The purpose of this research is to explore the best examples from Japan to derive spatial and institutional characteristics. This study used the field survey method for 6 elderly welfare facilities in Japan. The characteristics of local friendly facility are as follows; First of all, since elderly care facilities in South Korea are separated from local community and facility plans are large-scaled and unified which are disconnected from local area, this research set aging in community, multi-function, diversity, and intergeneration into the concept that is necessary for local friendly facilities. Secondly, residential environment plan's basic directions are 1) plan that minimizes facilities-like atmosphere, 2) spatial plan that focuses on the elderly dignity and privacy, 3) comfortable and enjoyable communal living space plan, 4) local friendly and communicating plan, 5)plan that minimizes staff's care giving burden. Thirdly, the rooms necessary for local friendly facility model are composed of bedroom, dining room, kitchen, living room, garden, toilet, laundry room, bathroom, corridor, and office based on the legal installation standards.

• 한국농촌건축학회논문집
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• 제18권2호
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• pp.19-27
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• 2016

This study typified the rural centers with myeon locations in Hwasun-gun which showed comprehensive and various class types through settlement class structure analysis. It is also for establishing the awareness of strengthening functions and facilities of the centers and the directions of strengthening it. Subjects of the study could be classified into three types including base type (Neungju-myeon), general type (Nam-myeon) and decline type (Dongbok-myeon) through the analysis of settlement class structure. Neungju-myeon location as the base type could function as the myeon location by itself and tended to serve education, health and welfare functions through the strengthening of central living functions. Nam-myeon location as the general type required sports facilities management based on the vicinity and accessibility to the senior's welfare functions. Dongbok-myeon location as the decline type required the accessibility to public health facilities and the security of vicinity to the facilities because of its high population of the aged.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권2호
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• pp.77-84
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• 2012

This study is to understand the architectural types and characteristics of the medical facilities during ancient period. The study is based on the research of the medical and architectural history. The medical or healthcare facilities are influenced by their social, cultural and conceptual idea, especially how they think about 'disease', 'cure' and the 'medicine'. As the results of the examination of this study can be summarized as followings. Firstly, Ancient medical facilities are classified into four types according to the ideas of 'disease' and 'cure' ; 1) God oriented facility 2) health welfare facility 3) treatment oriented facility 4) practice & educational facility. Secondly, there are three typical types of the spatial characteristics what modern hospitals have ; 1) nursing ward 2) treatment ward 3) hostel or hospice. And they are all assembled around the courtyard in common. Thirdly, their architectures are not 'designed' but 'derived' plan by reasonable other building types, and transformed by medical function. Fourthly, a consideration of the surrounding circumstances is the most important point to make the medical health facilities during ancient period.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권1호
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• pp.23-32
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• 2009

Among welfare facilities for the elderly, necessity for the elderly welfare with diverse advantages is rising in the Small-scale Elderly Care Facilities. The government is expecting great demand in the future. However, current the Facilities lack construction plans that consider characteristics of the elderly. Accordingly, 14 case facilities located in JeollaNamdo and Gwangju were selected to comprehensively analyze the circulation of seniors at care facilities by computing spatial depth and visible area variables. As a result of this study, average spatial depth of bathroom, resting room, physical therapy room and dining hall that seniors frequently get in contact with was found to be deep, but visible area appropriate for the function of space was not available. It showed that the circulation for the elderly was deep spatially and long physically, and the spatial rank along circulation which is perceived visually by the admitted the elderly was clear, thus, providing them abundant visual experience supported by high openness as they move from private space to public space. The obtained visibility, however, was observed not to be matched with the function of each space. Since the Small-scale Elderly Care Facilities require various spaces within small surface area, actual functions of each space must be taken into consideration with hierarchical space organization to obtain an environment that stimulates senses such as vision and hearing. In addition, since the circulation of seniors using facilities must consider aging characteristics and delicate care on spatial depth and physical distances, in-depth studies on planning of the circulation in care facilities are deemed necessary.

• Perspectives in Nursing Science
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• 제15권2호
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• pp.81-91
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• 2018

Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

• 산업융합연구
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• 제17권1호
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• pp.7-16
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• 2019

2000년 고령화 사회에 진입한 우리나라는 17년이 지난 2017년말에 예상보다 빠르게 고령사회로 진입하게 되었다. 이러한 추세에 비하여 아직 노인주거시설에 관한 인식은 사회에 정착하지 못하고 있으며, 다양한 이유 중 가장 큰 이유는 시설의 건축과 경영에 대한 이해가 부족하여 노인주거시설의 활성화가 이루어지지 못한 것이라 할 수 있다. 더불어 정부의 정책 또한 뒷받침을 하지 못하는 면도 무시할 수 없다. 노인의 주거는 단순한 주거 공간 뿐 만이 아니라 의료의 문제와 연관지어서 생각해야 한다는 점과 지속적인 케어의 문제를 함께 고려해야 한다. 그래서 노인주거의 추세는 연속보호형 시설(Continuing Care Retirement Commuity)을 추구하고 있다고 할 수 있다. 이에 본 연구는 기존의 노인주거시설의 정책과 기존 노인주거를 외국의 정책 및 주거와의 비교를 통하여 분석한다. 이 결과를 바탕으로 노인주거시설의 운영을 중심으로 경제적 부담을 최소화하기 위해 기본UNIT의 유지, 시설의 용도변경을 통한 융통성의 확보, 공용공간의 쉐어, 운영비의 현실화 등을 통해 노인주거시설의 적합한 주거디자인의 유형의 특성과 방향성을 제시하고 증가하는 노인인구에 대처할 수 있는 사회복지적 방안을 연구함에 의의를 두고자 한다.

• Asian Journal of Atmospheric Environment
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• 제5권2호
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• pp.121-133
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• 2011

This study suggests criteria to conduct a risk assessment of VOCs and formaldehyde in uncontrolled public facilities. Pollutants and facilities were selected based on two years of monitoring data and exposure scenarios in 573 uncontrolled public facilities, composed of 10 types of public institutions. With the exception of social welfare facilities, lifetime ECRs of formaldehyde and benzene in each facility were higher in employees than in users, except in social welfare facilities. In social welfare facilities, the risk of benzene for users ($1{\times}10^{-5}$) was higher than that of workers ($1{\times}10^{-6}$) because facility users live in the facility 24 hours per day, compared to workers who spend an average of 8 hours per day in the facility. The risk of benzene to workers in restaurants, academies, performance halls, internet cafe and pubs were estimated as high as $1{\times}10^{-4}$ and the risk to workers in the theaters and karaoke bars were recorded as $1{\times}10^{-5}$. Because lifetime ECRs of carcinogens exceeded $1{\times}10^{-4}$ for workers and users in most facilities, risk management of formaldehyde and benzene in these facilities is necessary. Although HQs of toluene and xylenes did not exceed 1.0, their HQs did exceed 0.1 in some facilities, so they were evaluated as potentially harmful materials. Additionally, criteria for health protection in IAQ by facility are suggested at $60-100\;{\mu}g/m^3$ for formaldehyde, $400-500\;{\mu}g/m^3$ for TVOCs, $10-20\;{\mu}g/m^3$ for benzene, $150-170\;{\mu}g/m^3$ for toluene and $100\;{\mu}g/m^3$ for xylenes, based on the survey on IAQ and HRA methodology. The excess rates of IAQ to health protection criteria in all facilities were 16% for formaldehyde, 8% for TVOCs and benzene, 9% for toulene, and 5% for xylenes.