• 제목/요약/키워드: social welfare for the aged

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서울시 찾아가는 동주민센터 방문건강관리 사업의 만족도 영향요인 (Factors influencing the community care satisfaction of the urban elderly focusing on the outreach community health service in Seoul)

  • 손창우;서다람;황종남
    • 한국보건간호학회지
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    • 제35권2호
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    • pp.254-267
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    • 2021
  • Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care. Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district. Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services. Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.

잠재계층분석을 활용한 노인의 건강 관련 삶의 질에 대한 유형화와 영향요인 분석 (Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis)

  • 장선희;염동문
    • 지역사회간호학회지
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    • 제31권2호
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    • pp.212-221
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    • 2020
  • Purpose: This study aims to identify the types of health-related quality of life (QoL) based on the EuroQoL 5 Dimensions among community older people and predict the factors affecting these types. Methods: This study used data from the 2016 Korea Health Panel Survey, whose participants included 3,848 older people. The data were analyzed using the software jamovi 1.2.17 and Mplus 8.2 for latent class analysis. Results: The subgroups of the older people's health-related QoL were identified as three latent classes: General stable type (43.9%), pain-related low type (35.0%), and general low type (21.1%). The types and characteristics of health-related QoL among the latent classes differed. Comparing the difference between the general low type and general stable type, the subjects showed higher probability of belonging to the general stable type when they were men, younger, higher education level, employment, better subjective health, lower BMI and stress level, and no suicidal ideation. A comparison between the general low type and the pain-related low type showed that the subjects were more likely to be classified as the pain-related low type when they were younger, higher education, employment, and better subjective health. Conclusion: The results showed a significant heterogeneity in the types of health-related QoL among community older people, and the predictors for each type were not the same. These findings present basic data for cultivating nursing interventions that enhance health-related QoL.

차문화치료 융합프로그램을 통한 노인의 관계적 공격성 완화 : 노인주간보호센터 이용 여성노인들을 대상으로 (Mitigate the Relational Aggressive Attitude of the Elderly through the Convergence Program of Tea Culture Treatment Program : For the elderly women who use the Senior Citizen's Day Care Center)

  • 김인숙
    • 사물인터넷융복합논문지
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    • 제6권4호
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    • pp.73-79
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    • 2020
  • 본 연구는 관계적 공격성 완화를 위한 차문화치료 융합프로그램의 효과성을 검증하기 위하여 P시 소재 노인주간보호센터를 이용하는 70세 이상의 여성노인들 10명을 연구대상으로 하여 노인의 관계적 공격성 완화를 위한 차문화치료 융합프로그램을 적용하고 그 효과를 살펴보고자 한다. 분석결과로 반응적 관계적 공격성과 주도적 관계적 공격성 점수는 사전검사 평균보다 사후검사 평균에서 0.21 낮아져 차문화치료 프로그램에 참여한 노인들의 주도적 관계적 공격성은 프로그램 참여 전보다 감소 된 결과를 보여주고 있다. 이러한 분석결과를 바탕으로 노인주간보호센터 이용노인의 관계적 공격성 완화를 위한 실천적 제언을 제시하였다.

노인의 죽음준비도와 성공적 노화의 관계 -우울 및 죽음불안의 매개효과를 중심으로- (The Relationship between the Death Preparation of the Aged and Successful Aging -Focusing on Depression and Death Anxiety as Mediators-)

  • 문남숙;남기민
    • 한국노년학
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    • 제28권4호
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    • pp.1227-1248
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    • 2008
  • 본 연구는 노인의 죽음준비도를 독립변수로, 노인의 우울 및 죽음불안을 매개변수로, 노인의 성공적 노화로서 자아통합감을 종속변수로 설정하고, 청주시에 거주하는 만 60세 이상의 노인들을 대상으로 설문조사하여 조사대상자들의 일반적 특성에 따른 연구변수들의 차이를 검증하고 이들 변수간의 영향관계를 분석해 봄으로써 성공적인 노후생활을 영위할 수 있도록 죽음준비 및 건강한 노후생활 교육 프로그램 개발을 위한 기초 자료를 마련하는 데 그 목적을 두고 있다. 분석결과 연구문제에 따라 첫째, 학력, 건강상태, 경제수준, 외부활동량에 따라서는 연구변수들의 차이가 유의미한 것으로 나타났다. 둘째, 노인의 정신적 죽음준비도는 성공적 노화로서의 자아통합감에 긍정적 영향을 미치는 것으로 나타났다. 한편 노인의 의례적 죽음준비도는 성공적 노화로서 자아통합감에 영향을 미치지 않는 것으로 나타났다. 셋째, 노인의 정신적 죽음준비도가 성공적 노화로서의 자아통합감에 미치는 영향을 노인의 우울 및 죽음불안이 부분 매개하는 것으로 나타났다.

재가노인의 장기요양예방과 자립지원에 관한 연구: 예방·자립지원 모형설계 방안제언 (A Study on a Prevention of Long-term Care self-reliance Support for the Elderly in Home: Proposal of an Prevention and Support for Self-reliance Support Model)

  • 김현실;황성자
    • 한국노년학
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    • 제30권4호
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    • pp.1359-1375
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    • 2010
  • 본 연구는 고령사회에 따른 장기요양재가노인 인구의 증가 현상을 예견하면서, 요양급여 의존 증을 최소화하고, 예방·자립지원의 유효성을 높이기 위하여 예방·자립지원 모형의 기초를 제시함으로 예방·자립지원의 실천적 함의를 얻고자 함이다. 연구방법으로는 첫째, 이론적 문헌연구를 통하여 장기요양노인에게 예방·자립지원에 대한 개념을 명확히 하며, 둘째, 표준장기요양이용계획서와 연구대상자가 소속된 노인복지센터의 장기요양급여 관련문서 분석을 통하여 예방·자립지원에 저해하는 요소를 분석하고, 셋째, 요양급여 이용자들의 요양급여이용실제에서 예방·자립지원을 저해하는 요소와 실제 욕구를 조사하여 이 세 가지의 질적 연구결과를 바탕으로 예방·자립지원 모형의 방향을 제시함으로써 예방·자립지원의 유효성을 높이기 위한 실천적 함의를 얻고자 하였다. 따라서 D시에 있는 주간보호센터와 노인복지센터의 사업자와 전문사회복지사의 협력과 승낙을 얻어 문서자료 수집과 연구 참여자에게 심층면접을 실시하였다. 연구 결과 문헌연구에서는 장기요양 예방·자립지원은 장기요양급여노인에게도 자신이 삶의 주체가 되어 살아가도록 이용자의 권리를 지원하는 '이용자 중심의 지원체계의 강화'로 전개되어야하는 것으로 분석되었다. 문서분석에서는 보건의료와 관련한 급여제공이 부재한 것으로 나타났고, 예방·자립지원을 위한 사회적지지체계의 미비 등이 나타났으며, 심층면접조사결과에서 장기요양급여이용노인의 예방·자립과 관련된 서비스의 강화가 요구되었으며 예방·자립을 위한 요양급여이용노인의 절실한 욕구는 ①고독감, 외로움, 불안, 공포 ② 자녀와 사람에 대한 그리움과 걱정, ③이동, 외출, ④ 보건·의료서비스·재활프로그램, ⑤ 주간보호이용욕구, ⑥주택구조의 불편, ⑦식사메뉴의 욕구, ⑧폐용증후군(disuse syndrome)의 발생 등이 도출되었다. 따라서 예방·자립지원모형은 ①이용자 중심의 지원체계의 강화, ②보건의료연계지원체계의 강화, ③사회적지지 체계강화의 3가지 축을 중심으로 예방·자립지원모형설계의 기초를 제시하고자 했다.

Antioxidant Status and its Relationship to Plasma Cytokine Levels in Korean Elderly Women Living in Seoul

  • Kim, Mi-Joung;Kim, Jung-Hee
    • Journal of Community Nutrition
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    • 제6권2호
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    • pp.103-109
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    • 2004
  • Body antioxidant status is an important factor for the prevention of many chronic diseases in the elderly. This study was done to investigate antioxidant status and its relationship to immune response by measuring plasma cytokine (IL-2 and IL-6) levels in elderly women. Subjects were 76 elderly women aged over 60 years, visiting Jangwhi Social Welfare Center of Seongbook-Gu in Seoul. Subjects were divided into 3 groups according to age (< 65, 65 - 74, > 75). Dietary intakes were assessed by semi-quantitative food frequency questionnaires (SFFQ). Plasma vitamin C level was measured by 2,4-dinitrophenylhydrazine method and plasma levels of vitamin E, A and ${\beta}$-carotene were measured by HPLC. Plasma levels of IL-2 and IL-6 were determined with a solid phase sandwich enzyme linked-immuno-sorbent assay (ELISA) using commercial kits. The average intakes of antioxidant vitamins were 96.3mg (137.5% of RDA) for vitamin C and 523.3 ${\mu}$gRE (74.8% of RDA) for vitamin A in elderly women. All of the average plasma levels of antioxidant vitamins were within normal range. However the percentage of the elderly women with deficiency plus marginal values were 7.9% in vitamin C, 9.2% in vitamin A and 7.9% in vitamin E. Plasma levels of IL-2 and IL-6 were 27.1${\pm}$7.1pg/ml and 5.9${\pm}$5.3pg/ml in elderly women. Correlation data showed that plasma IL-2 level was negatively correlated with plasma vitamin C level. In addition, IL-6 level was also negatively correlated with plasma vitamin C, A and E levels, respectively. There was a significant positive correlation between erythrocyte thiobarbituric acid-reactive substance(TB-ARS) level and plasma IL-2 or IL-6 levels. In addition, erythrocyte TBARS level showed a significant positive correlation with plasma total antioxidant status (TAS) level and a significant negative correlation with plasma vitamin C level. Overall results might imply that the decreased levels of antioxidant vitamins result in an increase in oxidative stress and thereby increase cytokine production such as IL-2 and IL-6. However further research is required to elucidate these relationships.

노인주간보호시설의 운영을 위한 기초조사 (A Basic Survey for Management of Elderly Day Care Centers)

  • 남기석;황옥남;황혜연;윤숙례
    • 재활간호학회지
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    • 제5권2호
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    • pp.180-192
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    • 2002
  • The purpose of this study was to survey basic data for management of elderly day care centers. In this study, occupation, leisure life, and food, clothing and habituation, as well as social relationship, health state and behavior, and general characteristics of subjects were examined to identify the factors affecting their cognition, need and preference of the day care centers. The subjects of this study were 392 elderly, aged 60 years or over, living in Gangnung and neighboring districts. Data were collected by educated interviewers from November 4 through November 22, 2002. The subjects were interviewed face to face, one for one after the interviewee's agreements on the survey. The collected data were analysed with logistic regression analysis by SAS (statistical analysis system). Logistic regression analysis was done to identify affecting factors for cognition, need and preference of the elderly day care centers. The major findings are as follows: 1. The factors affecting cognition for the day care centers were analysed. The subjects with an occupation and a lower satisfaction level of living environment and friendship, who were economically secure enough to manage a sudden accident, showed a higher level of cognition of the day care centers. The subjects with a higher level of mental health state and a lower level of IADL also showed a higher level of cognition. On the general characteristics younger female subjects showed a higher level of cognition. 2. The subjects with a lower level of perceived economic condition who did not own their housing and were not economically safe enough to manage a sudden accident, had showed a higher level of need for the day care centers. It showed that the subjects with a high level of mental health state, a bad eye sight and dental condition, a good perceived health condition, and a lower level of IADL, needed the centers. 3. The subjects who had an occupation, however, not capable of making their own daily expenses, and a low occupation satisfaction level, and who did not own their housing, and were economically poor not enough to manage a sudden accident, showed a higher preference for the day care centers. The subjects with higher levels of friendship satisfaction and perceived health condition, not living with their spouse, and a higher education level, showed a higher preference for the centers. In conclusion, the common factors affecting their cognition, need and preference of the day care centers were occupation, economic security enough to manage accidents, and friendship satisfaction level. Especially, the subjects who had an occupation, however, not economically secure enough to manage accidents, and who did not live in their own housing with a good perceived health condition, showed high levels of need and preference for the day care centers. These results can be used as basic data to develop the efficient elderly day care centers, thus contribute to the elderly welfare in a local community.

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남녀 장애노인의 일상생활만족도 비교분석 (A Comparative Analysis on Daily Life Satisfaction of the Elderly with Disability by Gender Difference)

  • 송미영
    • 한국노년학
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    • 제31권1호
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    • pp.143-155
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    • 2011
  • 본 연구에서는 장애문제와 노인문제를 동시에 경험하는 취약한 집단인 장애노인을 대상으로 9가지 일상생활만족도와 일상생활만족도에 영향을 주는 요인에 성별차이가 있는지 살펴보았다. 이를 분석하기 위하여 '제1차 장애인고용패널조사(2008)' 중 만65세 장애노인 386명을 추출하였다. 연구질문을 확인하기 위한 분석방법은 독립표본티검정, 다중회귀분석방법을 활용하였다. 분석결과, 장애노인의 9가지 일상생활만족도 차원 중 6가지 차원이 성별차이가 있는 것으로 파악되었다. 그리고 장애노인의 일상생활만족도에 영향을 주는 요인을 비교 분석한 결과, 여성 장애노인과 남성장애노인은 일상생활만족도 영향요인의 차이가 있는 것으로 파악되었다. 공통적으로 '사회경제적 지위: 하층', '건강상태: 나쁜 편', '만성질병 있음', '가족과 타인의 도움필요', '장애정도: 중증'이 일상생활만족도에 통계적으로 유의미한 영향을 주는 요인으로 나타났다. 이러한 연구결과로부터 남녀장애노인에 대한 건강지원정책 및 프로그램을 제공, 장애인활동보조서비스 확대, 중증장애노인에 대한 보다 적극적인 정책 및 실천적으로 지원할 수 방안을 제언하였다. 반면에 차별영향 요인은 연령과 교육수준으로 분석되었다. 즉, 여성 장애노인은 연령이 높을수록 일상생활만족도가 낮은 것으로 나타났다. 반면에 남성 장애 노인은 교육수준이 무학일 경우보다 중졸과 고졸이상일수록 생활만족도가 높게 나타났다.

한방병원 입원환자의 진료비와 이에 영향을 미치는 요인 분석 (An Analysis of Medical Expenses for In-patients in an Oriental Medical Hospital and Factors Affecting Them)

  • 고민석;최준영
    • 대한예방한의학회지
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    • 제15권1호
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    • pp.71-87
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    • 2011
  • Objective : The present study is aimed at providing basic data to help oriental medical hospitals devise efficient operational plans by analyzing the medical expenses of in-patients in an oriental medical hospital and the factors affecting such expenses. Methods : PASW 18.0 was used to analyze the medical insurance program data of 929 patients who were discharged from a university oriental medical hospital(with 105 sick-beds) during the period from January 1 to December 31, 2010 after treatment under the coverage of health insurance and medical aid. Results : 1) Of all the patients hospitalized, 63.3% were females, their mean age was 52.73 years old, and 87.7% was covered by the health insurance program. The biggest number or 31.2% of the patients were treated by the department of acupuncture, 31.5% suffered mainly from the diseases of musculoskeletal system and connective tissues, and the average length of stay at the hospital was 19.49 days. 2) There were statistically significant differences in total medical expenses by age, clinical department in charge, principal diagnosis, and number of days hospitalized while daily average medical expenses differed depending on age, type of medical security, clinical department, principal diagnosis, and number of days staying at the hospital. 3) Total medical expenses were found significantly influenced by age, type of medical security, clinical department, principal diagnosis, and number of days hospitalized(explanatory power : 95.9%), whereas type of medical security, clinical department and principal diagnosis turned out to exercise significant influence on the daily average medical expenses(explanatory power : 26.9%). Conclusion : Oriental medical hospitals are suggested to make efforts to ensure geographical and economical accessibility for their main clients, the elderly and middle-aged, as well as to improve satisfaction of the clients with the medical service provided. They are also encouraged to work out systems to specialize in treatment with a focus on chronic degenerative and adult diseases. In addition, they are expected to try to enhance people's awareness of oriental medicine in an attempt to diversify the brackets of clients and increase frequency of their utilization.

지역사회중심 가정간호사업 개발 및 평가 (Development & Evaluation of Community-Based Home Care Nursing Service Program)

  • 이원희;김조자;강규숙;오의금;박희옥;조원정
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.209-217
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    • 2004
  • Purpose: The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity. Method: There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed. Result: According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client. nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%). impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%). Conclusion: Several strategies are suggested from this study: first, activate a referral system within the national health care system: second, increase public information on home care nursing: third, develop home care nursing services for elderly people: and fourth, construct a cooperation system between home care services and social welfare services.

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