• 제목/요약/키워드: aged social welfare facilities

검색결과 90건 처리시간 0.027초

노인의 반려동물 소유에 영향을 미치는 요인에 관한 다수준 분석 (A Multilevel Analysis on Factors Affecting Companion Animal Ownership among Elderly Persons)

  • 이성은
    • 예술인문사회 융합 멀티미디어 논문지
    • /
    • 제7권7호
    • /
    • pp.599-608
    • /
    • 2017
  • 본 연구는 개인수준의 변수와 지역수준의 변수가 도시노인의 반려동물 소유에 어떠한 영향을 미치는지 확인하였다. 분석을 위해 2014년 서울 서베이 가구용 데이터를 활용하였으며, 60세 이상 노인 총 4,717명을 분석대상으로 하였다. 지역수준의 변수는 2014년도 서울통계로부터 데이터를 추출하였으며, 서울시 25개 자치구별 지역 환경 변수와 지역 여가자원 변수로 1인당 공원면적, 노인 여가복지시설 수, 공공 체육시설 수를 포함하였다. 분석으로는 반려동물 소유 노인과 비소유 노인의 특성의 차이를 비교하기 위해 t-test와 chi-square test를 실시하였으며, 반려동물 소유에 영향을 미치는 개인적, 지역적 요인을 파악하기 위해 다수준 로지스틱 회귀분석을 실시하였다. 분석결과 개인 수준의 변수 중 성별, 혼인상태, 소득, 가구원 수, 주택형태와 지역수준의 변수 중 1인당 공원면적이 노인의 반려동물 소유에 영향을 미치는 요인인 것으로 나타났다. 이러한 분석결과를 바탕으로 본 연구의 함의 및 추후 연구를 위한 제언을 제시하였다.

한국형 호스피스 케어 개발을 위한 기초 조사 연구 (The National Hospice Care Service Development in Korea)

  • 이소우;이은옥;안효섭;허대석;김달숙;김현숙;이혜자
    • 대한간호
    • /
    • 제36권3호
    • /
    • pp.49-69
    • /
    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

  • PDF

건강타운 이용노인의 삶의 질 변화 결정요인 (Factors Determining the Quality of Life of Elders Using the Health Town)

  • 이형하
    • 한국컴퓨터정보학회논문지
    • /
    • 제17권6호
    • /
    • pp.201-209
    • /
    • 2012
  • 이 연구는 지역사회 노인 여가시설의 이용에 따른 삶의 질 변화에 영향을 미치는 요인들을 실증적으로 분석하기 위한 것이다. 이을 위해 광주광역시 노인건강타운을 이용하는 노인들을 대상으로 건강타운의 시설환경, 직원과 강사의 역량, 프로그램 만족도 등의 요인이 이용노인들의 삶의 질 변화에 영향을 미치는지를 규명하여, 이용노인들의 삶의질 변화에 기여할수 있는 다각적이고 실천적 대안을 제공하고자 하였다. 조사방법은 광주광역시 노인건강타운을 이용하는 만60세 이상의 1,038명을 대상으로 설문지에 의한 자기기입방식과 조사원의 면접조사를 병행하여 실시하였다. 조사기간은2010년 12월 10일부터 12월15일까지였다. 분석결과, 노인들의 삶의 질 변화에 영향을 미치는 변인으로 학력(B=-.074, p<0.05), 강사만족도(B=.172, p<0.001), 직원만족도(B=.104, p<0.01), 시설 및 환경만족도(B=.217, p<0.001)였다. 즉, 학력이 낮은 노인일수록, 강사만족도가 높을수록, 직원만족도가 높을수록, 시설 및 환경만족도가 높을수록 삶의 질 변화에 정(+)적인 영향을 미치는 것으로 분석되었다. 특히, 시설 및 환경만족도의 영향력이 상대적으로 높게 나타나 노인들의 삶의 질 변화를 위해서는 지역사회 노인이용 문화여가시설의 현대화와 쾌적한 환경조성이 병행되어야 함을 시사하고 있다.

노인환자와 가족의 임종의료결정 권리 및 사회복지사 역할 이해도 - 장기요양 입소 시설 사회복지사를 대상으로 - (A Study of Social Workers' Understanding of Elderly Patients' and Family Caregivers' Rights to End-of-Life Care Decisions and of Their Own Roles in the Process)

  • 한수연
    • Journal of Hospice and Palliative Care
    • /
    • 제18권1호
    • /
    • pp.42-50
    • /
    • 2015
  • 목적: 본 연구는 장기요양 입소시설의 사회복지사를 대상으로 임종의료결정 권리, 사회복지사의 역할 이해도를 분석하고, 이들의 상관관계를 분석하고자 한다. 방법: 본 연구는 설문지를 사용하여 수집된 자료 334부 중 분석에 포함하기 어려운 37부를 제외한 297부를 SPSS 20.0을 이용하여 T-test, 분산분석, 상관관계분석 등을 실시하였다. 결과: 사회복지사가 이해하는 노인환자와 가족의 임종의료결정 권리 이해도는 5점 만점에 $3.46{\pm}0.69$, 사회복지사 역할 이해도는 $3.48{\pm}0.84$이다. 사회복지사의 사전의료의향서 및 연명치료 결정 도움 경험, 임종의료결정 도움 업무, 근무 경력, 침상 수 등에 따라 임종의료 결정 권리 및 사회복지사 역할 이해도에 의미 있는 수준에서 집단 간 차이를 보였다. 임종의료결정 권리와 사회복지사 역할 이해도와의 상관관계는 의미 있는 수준에서 긍정적인 상관관계를 보였다(Pearson r=0.329, P<0.001). 결론: 장기요양 입소시설에서 노인환자와 가족에게 사전의료의향서 및 연명치료 결정 도움을 제공하는 사회복지사 역할의 중요성을 인식하고, 노인환자와 가족의 임종의료결정 권리를 보호하기 위하여 임종의료결정에서의 사회복지사 역할 수행을 위한 교육이나 훈련 프로그램의 개발이 필요하다.

보건계열 대학생의 봉사활동에 대한 지역사회 노인의 욕구 및 인식차이 조사 : 울산광역시 중심으로 (The Need and Perception about Volunteer of Student from Department of Health Care for the Old in the Community : Focus on Ulsan City)

  • 홍은경;김경미
    • 대한지역사회작업치료학회지
    • /
    • 제2권2호
    • /
    • pp.71-80
    • /
    • 2012
  • 목적 : 본 연구의 목적은 지역사회 내 보건의료관련 봉사활동에 참여한 경험이 있는 노인 그룹과 경험이 없는 노인 그룹에서 보건계열 대학생의 봉사활동에 대한 욕구 및 인식 차이를 알아보고자 하였다. 연구방법 : 2010년 8월부터 2010년 11월까지 노인복지관과 경로당을 이용하는 노인 79명을 대상으로 개별면접 방법으로 조사하였다. 결과 : 노인의 현재 건강상태에 대한 만족도를 알아본 결과, 보통의 응답이 가장 높은 비율을 차지하였고 현재 앓고 있는 질환을 알아본 결과, 재활의학과, 순환기내과, 앓고 있는 질환이 없음의 순으로 높게 나타났다. 보건계열 대학생의 봉사활동에 대한 노인의 인식 정도를 알아본 결과, 이전에 보건의료관련 봉사활동에 참여한 경험이 있는 그룹과 경험이 없는 그룹 모두에서 긍정적이었다. 그러나 이전에 봉사활동에 참여한 경험이 있는 그룹과 경험이 없는 그룹 사이에 보건계열 대학생의 봉사활동에 대한 인식에는 통계학적인 차이가 없었다. 노인이 참여하고 싶은 보건계열 대학생의 봉사활동은 재활의학과 서비스에서 가장 높게 나타났다. 결론 : 지역사회 내 의료사각지대에 있는 노인에게 필요한 보건의료서비스를 제공하기 위해 보건계열 대학생의 체계적이고 지속적인 봉사활동이 필요하다.

  • PDF

노인의 생활 만족도 영향 요인: 체계적 문헌고찰 및 메타분석 (Correlates of life satisfaction in the Elderly : Systematic Review and Meta-analysis)

  • 모진아;이경희
    • 한국산학기술학회논문지
    • /
    • 제19권1호
    • /
    • pp.517-526
    • /
    • 2018
  • 본 연구는 최근 10년간 해외 학술지에 게재된 복지관 이용 노인의 생활만족도에 영향을 미치는 요인들의 체계적 문헌 고찰 및 메타분석을 통해 노인의 생활만족도를 증진하기 위한 한국형 노인 생활만족도 도구 개발 및 복지관 운영 및 정책 개발 시 기초 자료로 제시하고자 한다. 분석에 사용된 문헌은 2017년 11월 1일까지 게제 된 국외 논문을 Medline complete, Pubmed central, Scopus를 통해 검색하였다. 검색 용어는 "Elderly. OR aged/) AND Personal Satisfaction/ or life satisfaction. mp"를 사용하였고, 검색된 595편의 초록을 통해 최종 6편의 연구를 분석 대상으로 선정하였다. 각 연구의 내용을 정성적으로 분석한 후 3편 이상의 정량값이 있는 요인들은 메타분석을 시행하였다. 연구 결과 노인 생활 만족도에 영향을 주는 요인으로는 신체적 건강(통합효과크기 0.582, p=.000), 정신적 건강(통합효과크기 0.423, p=.000), 경제적인 문제(r=.51, p=.001), 사회활동, 일상생활정도가 영향요인을 분석되었다. 본 연구를 통해 노인의 생활 만족도의 폭넓은 이해뿐만 아니라 초고령화 사회를 대비한 고령자 취업의 사회적인 함의 및 체계적인 건강관리를 통해 생활만족도를 높이는데 기여할 수 있을 것이다.

한국(韓國) 위도(蝟島)와 일본(日本) 리도(離島)의 현황(現況)과 비교(比較) (The Status of and Comparision between Ui-do Island of Korea and Ri-do Island of Japan)

  • 정흥기
    • 수산해양교육연구
    • /
    • 제9권1호
    • /
    • pp.49-56
    • /
    • 1997
  • It is the developing policy of fishing village of korea that the fishermen are not to leave their fishing village by the construction of abandant and rich fishing village in the social, cultural and economic side of view. The government has promoted the project to improve the fishing and agrarian village from 1992 year, but it is not so helpful to solve the problem of the island and fishing village. Therefore, it has to improve the structure of fishing village and to develope the vital and lively fishing village, Japan had enacted the special law for the promotion of out-island which was called the law for the promotion of Ri-do isalnd, and commenced to develop the Ri-do island. The law for the promotion of Ri-do island is limited to 10 years, but it was amended 10 times and Japanese government has invested as many as budget to Ri-do isalnd during 30 years. Korean government also had enacted and enforced the special law for the promotion of out-isalnd developement referring to Japanese system. However, it is neccessary at first to improve the system that the fishing village is able to develope the fishing port in order to make higher the efficiency of investment. Moverover, the earning differentials bewteen the city and the fishing village has to decrease by the developement of transport convenience and pavement of the road of the out-isalnd and remote fishing village. Otherwise, it is requested rapidily to set up the welfare policy for the aged people because the inhabitants of fishing village become to great age, and inhabitants could be at least diagnose one time every week in the good medical facilities. The ministry of marine and fisheries has to permit the sports fishing business by the small fishing vessel in order to increase the income of inhabitants of fishing village and put a lot of the fishing reefs which are constructed to 2-3 story into the sea. And then the sports fishing business will be flourish by the small fishing vessel.

  • PDF

인력수급 대책을 위한 치과기공사의 보건지소 진출에 관한 연구 - 2012년 틀니보험화 정책을 중심으로 - (The study on the entry of dental technicians in the public health center for a manpower supply and demand plane (Centering around a denture insurance policy in 2012))

  • 이종도;김정숙;박광식
    • 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.

태극운동이 낙상 위험 노인의 신체적, 심리적 기능 및 낙상발생에 미치는 효과 (The Effects of Tai Chi Exercise on Physiologic, Psychological Functions, and Falls among Fall-Prone Elderly)

  • 최정현;문정순;송경애
    • 근관절건강학회지
    • /
    • 제10권1호
    • /
    • pp.62-76
    • /
    • 2003
  • This study was a quasi-experimental study of non-equivalent control group pretest and posttest design. The purpose of this study was to determine the effect of Tai Chi exercise program on physical functions, psychological functions, and fall among the fall-prone elderly. The data were collected from September 19, 2001 to January 31, 2002. The study, conducted at two facilities located in Kwang-ju, was targeted to the ambulatory aged 60 years or older who had at least one of the key fall risk factors. Experimental group participated in Tai Chi exercise for 40 minutes per one time and three times a week for 12weeks at an auditorium. Fifty nine fall-prone elderly were assigned to 12-week Tai Chi exercise program (n=29) and control group (n=30). They underwent tests of lower muscle strength, time for chair stand, balance, flexibility, depression, falls efficacy, fear of falling, and numbers of fall at the baseline and at the 12th week. Numbers of fall and fall injuries were monitored for 16 weeks(12-weeks intervention plus 4-week follow-up periods) using fall calendar. Each participant was given a calendar to record the numbers of fall per day for a month. The calendars were collected at the last week of each month. 1. Tai Chi exercisers showed significant improvement in the strength of knee flexors, and ankle dorsiflexors and plantarflexors compared to the control group. The experimental group had improvement in the strength of knee extensors while the control group did not, with no statistical significance. 2. Tai Chi exercisers reported positive change in the average time of chair stand as compared to the control group. 3. Tai Chi exercisers had significant improvement in flexibility as compared to the control group. 4. There was no significant difference in the depression between the two groups, even though the Tai Chi exercisers maintained depression score in the same level while the others were increased. 5. Tai Chi exercisers showed significant improvements in the falls efficacy as compared to the control group. The falls efficacy was significantly improved among the experimental group while the opposite was identified among the control group. 6. The experimental group reported the significant reduction of the fear of fall, whereas control group reported the opposite. 7. Of the 59 subjects for 16weeks(12weeks intervention period and 4weeks follow up), 9 (31.0%) of the 29 in exercise group and 15 (50%) of the 30 in the control group fell (relative risk=0.62. 95% CI 0.32-1.19), even with no statistical difference. The results suggest that the Tai Chi exercise program can improve the strength of knee flexors, ankle dorsiflexors and plantarflexors, chair stand. flexibility, falls efficacy, and fear of falling for the fall-prone elderly.

  • PDF

한국(韓國)의 급격(急激)한 이촌향도형(離村向都型) 인구이동(人口移動)과 농촌경제(農村經濟) (Rapid Rural-Urban Migration and the Rural Economy in Korea)

  • 이번송
    • KDI Journal of Economic Policy
    • /
    • 제12권3호
    • /
    • pp.27-45
    • /
    • 1990
  • 이촌향도형(離村向都型) 인구이동(人口移動) 농촌지역경제(農村地域經濟)에 미치는 영향(影響)에 관해 두가지 상반(相反)된 견해(見解)가 있다. 신고전학파적(新古典學派的) 낙관론(樂觀論) 따르면 이농현상(離農現象)은 농촌지역(農村地域)의 소득(所得)이나 후생수준(厚生水準)을 저해(沮害)하지 않는다고 보는 반면 Lipton (1980)은 그 반대의 견해(見解)를 취하고 있다. 본고(本稿)에서는 비교역재(非交易財)(nontraded goods)에 대한 국제무역이론(國濟貿易理論)과 화란병(和蘭病)(Dutch Disease)의 이론(理論)을 원용하여 농촌(農村)에서 도시(都市)로의 인구이동모형을 개발했다. 이 모형은 이농인구이동(離農人口移動)이 농촌지역(農村地域)의 소득(所得)과 후생수준(厚生水準)을 저해(沮害)한다는 점에서는 Lipton의 견해(見解)와 일치하나 소득(所得)을 감소(減少)시키는 요인들은 Lipton의 모형(模型)에서 지적(指摘)된 것들과는 다르다. 본고(本稿)는 이농현상(離農現象)이 농촌소득(農村所得)을 감소(減少)시키는 이유가 농업생산성(農業生産性)의 하락(下落) 때문이 아니라 농촌노동 및 소비인구의 격감으로 인한 농업부문(農業部門)의 이윤감소(利潤減少)와 농촌(農村) 서비스부문(部門)와 쇠퇴(衰退)때문이라고 주장한다. 1966, 1970, 1975, 1980 및 1985년의 한국인구(韓國人口)센서스 통계자료(統計資料)를 이용하여 주요가설(主要假說)들에 대해 실증분석(實證分析)을 한 결과 신고전학파(新古典學派)의 주장(主張)이나 Lipton의 견해(見解)보다 본(本) 연구모형(硏究模型)의 설명력(說明力)이 더 높은 것으로 밝혀졌다.

  • PDF