• 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.

• 산업융합연구
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• 제21권7호
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• pp.9-17
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• 2023

이 연구는 청년 삶의 만족도를 높일 수 있는 방안을 모색하고자 청년의 삶의 만족도에 영향을 미치는 요인들을 탐색하고자 수행되었다. 이를 위해 한국청소년정책연구원의 '2021 청년 사회·경제 실태조사의 데이터를 활용하여, 2021년 기준 만 18세~34세 청년 2,041명을 연구대상으로 하였다. 청년 삶의 만족도에 영향을 미치는 다양한 변수를 탐색하기 위해 랜덤 포레스트 방법을 적용하였다. 분석에 활용된 변수는 인구·사회학적 요인과 심리·정서를 포함하는 요인으로 총 21개이다. 랜덤 포레스트를 적용한 청년 삶의 만족도에 영향을 미치는 변수들을 탐색한 결과는 다음과 같다. 첫째, 분석에 투입된 요인 21개의 예측변수는 모두 청년 삶의 만족도에 영향을 미치는 것으로 나타났다. 둘째, 청년 삶이 만족도에 가장 큰 영향을 미치는 요인은 '직업가치관'으로 나타났다. 셋째, '정치적효능감', '기성세대인식'과 같이 청년들의 사회에 대한 인식도 청년들의 삶의 만족도에 영향을 미치는 변수임을 확인할 수 있다. 이러한 연구결과를 바탕으로 청년 삶의 만족도에 영향을 미치는 변수들을 설명하고 논의점을 제시하였다.

• 치위생과학회지
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• 제23권2호
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• pp.132-141
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• 2023

Background: The purpose of this study was to identify the connection between handwashing and toothbrushing, focusing on eating habits, and to verify whether eating habits can be used as an action cue for forming health habits. Methods: This was a cross-sectional study using secondary data from the 2019 community health survey. The participants included 229,099 adults aged 19 years or older, representative of the South Korean people. We employed two dependent variables: one was washing hands, and the other was brushing teeth. Eating habits was a major independent variable. Socioeconomic variables, such as age, gender, income, occupation, economic activity, education, and residence were adjusted as confounders. Multivariate logistic regression was performed to calculate adjusted odds ratio and 95% confidence intervals. Results: Most of the participants had good health behaviors: those who wash their hands and brush their teeth were each approximately 80%. Our finding indicated that brushing teeth and washing hands can be connected with eating habits. After adjusting for confounders, it was found that people who wash their hands before meals (compared to those who did not wash their hands before meals) had a higher toothbrushing rate after meals (i.e., socioeconomic status) (Adjusted Odds Ratio: 2.0, Confidence Intervals: 1.9 to 2.1). Conclusion: Those who practice either washing hands before meals or brushing teeth after meals were found to have a connection between washing hands and brushing teeth based on the results of practicing other health behaviors. This implies that eating habits can be connected as a behavior cue to promote health habits, such as washing hands before meals and brushing teeth after meals.

• 문화기술의 융합
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• 제8권3호
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• pp.175-182
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• 2022

본 연구는 코로나19 팬데믹 시기에 독거노인을 대상으로 한 전화중재가 우울 감소에 미치는 영향을 알아보기 위해 시도되었다. 전화중재는 10주간 주 1회 실시하였으며, 전화중재 후 우울 수준의 변화를 조사하기 위해 단일 집단 사전-사후 설계를 사용하였다. 연구대상은 원주시 소재 3개 사회복지기관에 등록된 65세 이상 노인 총 114명이며, 전화중재 전후 설문지를 작성하였다. 전화 중재는 간호대학생 자원봉사자 56명에 의해 이루어졌으며, 학생 1인당 2~3명의 노인을 담당하였다. 연구결과 우울 점수는 중재 전 6.59±3.74에서 중재 후 5.01±3.34로 감소하였다(t=4.959, p<.001). 본 연구 결과, 전화중재는 코로나19 대유행 기간 동안 독거노인을 위한 정서적 지원으로 효과적인 것으로 나타났으며, 비독거노인을 포함한 다양한 대상자와 지역으로 확대하기 위해 추후 연구가 필요하다.

• 한국노년학
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• 제29권1호
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• pp.231-242
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• 2009

본 연구는 노인을 대상으로 사회적 지지, 학대, 자아통합감 간의 관계를 파악하고 사회적지지, 학대가 자아통합감에 미치는 영향을 확인하기 위하여 시도되었다. 대상자는 만 65세 이상의 재가 노인 306명 이었으며 자료 수집 기간은 2008년 3월부터 6월까지였다. 연구결과 노인의 사회적 지지가 높을수록 자아 통합감이 높은 것으로, 사회적 지지가 낮을수록 학대가 심하고, 학대가 심한수록 자아통합감이 낮은 것으로 조사되었다. 또한 노인 삶의 질을 증진시키는 주요 개념인 자아통합감에 사회적 지지와 학대가 영향을 미치는 것으로 나타났다. 사회적 지지와 학대는 노인의 건강과 안녕을 위한 주요 요소이며, 노인의 발달단계 과업의 성공적인 수행을 위한 주요 요인이므로 사회적 지지를 강화하고 학대를 예방하여 자아통합감을 성취할 수 있는 통합 프로그램이 필요하다.

• 한국노년학
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• 제29권2호
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• pp.407-424
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• 2009

본 연구의 목적은 일상생활을 독립적으로 수행하기 어려워 도움이 필요한 노인을 돌보는 가족부양자의 부양경험을 다차원적으로 평가하기 위해 서양에서 개발된 부양자반응척도(CRA)를 우리나라 가족부양자에게 적합하도록 수정하여 한국형 부양자반응척도(K-CRA)를 제시하는 것이다. 이를 위해 우리나라 가족부양자를 대상으로 부양자반응척도(CRA)를 조사한 결과를 문항분석, 탐색적 요인분석, 타당도분석 등을 실시하였다. 연구의 대상은 조사시점을 기준으로 6개월 이상동안 일주일에 최소 7시간 이상의 돌봄을 일상생활수행능력에 제약이 있는 노인에게 제공한 253명의 가족부양자이었다. 분석결과를 통해 최종적으로 수정된 한국형 부양자반응척도(K-CRA)가 만족스러운 수준의 내적신뢰도, 구조적 타당도, 기준타당도, 수렴타당도를 지닌 것으로 나타났다. 본 연구를 통해 제시된 한국형 부양자반응척도(K-CRA)는 노인복지연구와 실천현장에서 가족부양자의 경험을 다차원적으로 평가할 수 있는 도구로 활용될 것으로 기대된다.

• 사회복지연구
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• 제40권1호
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• pp.63-86
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• 2009

본 연구는 장애노인의 장애특성이 개인적 차별인식에 미치는 영향에 관해 여가활동의 매개효과를 검증하는 것을 목적으로 한다. 이를 위해 2005년도 장애인 실태조사 대상자 중 여가생활을 하는 65세 이상의 신체장애노인 1,241명을 대상으로 연구를 수행하였다. 연구 결과는 다음과 같다. 첫째, 장애특성과 개인적 차별인식의 관계에서 장애유형, 장애발생시점, IADL이 영향요인으로 검증되었다. 둘째, 장애특성과 여가유형과의 관계에서, 장애특성 중 IADL이 영향요인이었다. 셋째, 장애노인의 장애특성이 개인적 차별인식에 미치는 영향에 있어, 여가유형이 부분 매개효과를 가지는 것으로 나타났다. 따라서 본 연구를 통해 차별인식 경감을 위해 여가활동에 대한 사회적 개입의 필요성에 대한 근거를 마련하고, 장애노인의 삶의 질 향상을 위해 여가라는 개인적 욕구와 차별이라는 사회적 이슈를 함께 고려하여 사회복지적 함의를 찾는다는 데 의의가 있다.

• 한국농촌간호학회지
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• 제18권2호
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• pp.113-124
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• 2023

Purpose: The number of households vulnerable to isolation increases rapidly as social ties decrease, raising concerns about the associated increase in lonely deaths. This study aimed to identify issues related to lonely deaths by analyzing South Korean news articles; and to provide evidence for their use in preventing and managing lonely deaths via community nursing. Methods: This exploratory study analyzed the structure and trends of meaning of lonely deaths by identifying the association between keywords in news articles and lonely deaths. In this study, we searched for all news articles on lonely deaths, covering the period from January 1, 2010, to May 31, 2023. Data preprocessing and purification were conducted, followed by top-keyword extraction, keyword network analysis and topic modeling. The retrieved articles were analyzed using R and Python software. Results: Four main topics were identified: "discovering and responding to lonely death cases", "lonely deaths ending in lonely funerals", "supportive policies to prevent lonely deaths among of older adults", and "local government activities to prevent lonely deaths and support vulnerable populations." Conclusion: Based on these findings, it can be concluded that lonely death is a complex social phenomenon that can be prevented if society shows concern and care. Education related to lonely deaths should be included in nursing curricula for concrete action plans and professional development.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권5호
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• pp.243-251
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• 2023

Objectives: Although a few studies have investigated the relationship between kidney and oral function (number of remaining teeth), their results remain inconclusive. Therefore, this study aimed to investigate the relationship between kidney function and oral health in community-dwelling healthy elderlies and examine the factors associated with kidney function. Materials and Methods: We used cross-sectional data from the Shimane prefecture cohort recruited by the Center for Community-Based Health Research and Education in 2019. We collected clinical data on dental status, background factors and kidney function (estimated glomerular filtration rate [eGFR], mL/min/1.73 m² and creatinine levels, mg/dL). Results: The study enrolled 481 participants, whose mean age was 66.7±7.4 years, and 223 (46.4%) participants were men. Multivariate analysis revealed significant correlations between eGFR (B=0.17, P=0.04), creatinine (B=-0.54, P<0.01), and the number of remaining teeth. The number of remaining teeth was associated with creatinine and eGFR, which are indicators of kidney function. Conclusion: This study suggests that preserving the teeth may prevent decline in kidney function. Dental professionals should provide instructions and professional care to reduce the risk of systemic diseases such as kidney dysfunction.

• International Journal of Advanced Culture Technology
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• 제11권4호
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• pp.233-243
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• 2023

The purpose of this study is to determine the effect of horseback riding participation motivation on emotional style and subjective well-being. In order to achieve this research objective, adults aged 20 or older participating in equestrian clubs in Seoul, Jeolla-do, and Gyeonggi regions in 2022 were selected as the population. The sampling method used cluster random sampling, and a total of 250 people, 180 males and 120 females, were sampled. The survey tool was modified and supplemented for this study based on a questionnaire whose reliability and validity were verified in previous studies, and all questionnaire questions were structured on a 5-point scale. For data analysis, SPSS Windows 21.0 Version was used to perform statistical processing according to the purpose of analysis. The conclusions obtained in this study through data analysis according to these methods and procedures are as follows. First, the motivation to participate in horseback riding was found to partially affect emotional style. Second, the motivation to participate in horseback riding was found to partially affect subjective well-being. Third, the emotional style of horseback riding participants was found to partially affect subjective well-being. Considering these results, it is possible to satisfy various desires in modern people's lives through leisure sports activities such as horseback riding, which allows them to communicate with nature and living things. In other words, internal motivation factors such as social relationships, satisfaction of needs, and professional development through leisure sports activities are positively or negatively related to emotional regulation, and this has a close impact on satisfaction with one's life and happiness.