• 노인간호학회지
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• 제20권3호
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• pp.193-203
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• 2018

Purpose: This study was done to develop a predictive model for quality of life of elderly residents in long-term care facilities (LTCF). The study was based on Brofenbrenner's ecological system theory and a literature review. Methods: Data were collected using a convenience sample of 205 elderly residents in 2 nursing homes located in D city and 1 nursing home located in K province. The exogenous variables were individual factors, family support, and facility environmental factors. The endogenous variables were self-esteem, accommodation adaptation and quality of life of elderly residents in LTCF. Collected data were analyzed through structural equation modeling using AMOS 20.0. Results: Eleven of the twelve hypotheses were supported, but the hypothesis that facility environment factors effect self-esteem was not supported. Quality of life of elderly residents in LTCF was explained first by facility environmental factors, followed by self-esteem, individual factors, accommodation adaptation, and family support with an explanatory power of 83.0%. Conclusion: To improve the quality of life of elderly residents in LTCF, the service and environment preparation provided by facilities is important, and it is necessary to provide emotional counseling to improve the self-esteem of these elders.

• 한국과학예술포럼
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• 제29권
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• pp.319-331
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• 2017

우리나라는 2015년 기준, 65세 이상 노인인구 비중이 13.1%로써 '고령화 사회(aging society)'에 진입하였으며, OECD 국가 중 인구 고령화 증가율 1위에 이를 정도로 급속한 노인인구 증가를 나타내고 있다. 이에 대한 대비책의 일환으로 한국정부는 2008년 7월, '노인장기요양보험제도를 시행하였고, 이후 2015년까지 노인요양시설의 규모는 무려 220.2%에 이르는 급속한 양적 신장을 나타내고 있다. 이러한 양적 증가에 대하여 환경의 질적 향상에 대한 필요성이 대두되며 색채환경은 가장 효과적인 환경개선의 방법으로 인정받고 있다. 따라서 본 연구는 양적 증가일로에 있는 한국 노인요양시설 환경의 질적 향상을 위하여, 이의 공간적 기능을 지원하는 색채환경을 파악하고, 예비수요자인 고령자들을 대상으로 노인요양시설 색채환경에 대한 의식조사 및 선호색채 조사를 실시하여, 수요자 의식 및 선호경향이 반영된 노인요양시설의 색채환경 계획의 방향 제시를 목적으로 하였다. 이를 위하여 노인요양시설의 정의 및 현황, 선행연구 동향, 그리고 공간기능별과 색채환경을 파악하고, 부산, 경남지역 60대 이상 고령자 총 100명(남자 52명, 여자 48명)을 대상으로 설문조사를 실시하여, 노인요양시설 색채환경에 대한 의식 및 기능별 선호색채를 도출하였다. 본 연구의 결과는 다음과 같다. 첫째, 노인요양시설 색채환경에 대한 '의식조사' 결과로 노인요양시설 선정 시 가장 중요하게 생각하는 요소는 서비스(37%), 의료수준(20%), 위치(19%)의 순으로 나타났으며, 실내색채 계획에 대한 중요성은 대부분 인식하지 못한 것으로 나타났다. 그러나 노인요양시설 실내색채계획에 대한 필요성은, '그렇다'(32%), '매우 그렇다'(25%)의 순으로 나타나 요양시설의 색채도입이 필요함을 시사하고 있다. 둘째, 노인요양시설 실내색채에 대한 설문조사 결과, 거주공간기능(침실)에 대한 선호색상은 R, P, G의 순으로, 간호공간기능(프로그램실)에 대한 선호색상은 G, R, Y의 순으로, 공용공간기능(로비)에 대한 선호색상은 R, G, Y의 순으로 나타나, 전반적으로 R계열의 색상을 선호하는 것으로 나타났다.

• 지역사회간호학회지
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• 제21권2호
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• pp.263-272
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• 2010

Purpose: This study was to identify health needs of the elderly at nursing homes by long-term care grade. Methods: The health needs of 116 elders at two nursing homes in Seoul were measured with resident assessment protocols (RAPs), activities of daily living (ADL), and cognitive performance scale (CPS), and pain and depression were measured by resident assessment instrument (RAI). Results: With regard to RAPs, 11 out of 18 items had different distribution in the 3 groups significantly. The 1st-grade elders had a higher percentage of 9 items than the 2nd- and 3rd-grade ones but the 3rd-grade ones had the highest health needs related with activity. The 2nd-grade elders had similar health needs to the 1st-grade ones. In terms of functional level, the 1st-grade elders had the highest percentage of CPS and ADL but the 3rd-grade ones had the highest score of pain and depression out of the 3 groups. The standardized assessment instrument to identify specific health needs by the 3 groups should be developed. Therefore, care plans to meet health needs of the 3 groups will be made. Conclusion: It is suggested that nursing care is required to the elderly of the 1st- and 2nd-grade and safe activity and environment to the 3rd-graded ones.

• 대한간호학회지
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• 제37권5호
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• pp.724-735
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• 2007

Purpose: The purpose of this study was to explore and describe the experiences of the family caregivers using a nursing home for their elderly family members. Method: Participants for this study were 1 man and 9 women caregivers. Data was collected through in-depth interviews from October, 2005 to April, 2006 and analyzed using Strauss and Corbin's grounded theory methodology. Results: "Finding a way to live together" emerged as a core category and it reflected expanding consciousness allowing them to see each other in a more positive view. The basic social process of "finding a way to live together" includes 3 phases: 1) recognizing the problems, 2) finding solutions to the problems, and 3) accepting the changes in their surrounding. Lack of privacy, family troubles, extreme distress, and unavailable caregivers are reflected in the process of recognizing the problems. The process of finding solutions was making a decision, obtaining family agreement, choosing the best nursing home, and enduring the financial burden. Possible outcomes of the last phase include recovering peace of mind and continuing conflict. Conclusion: Findings from this study offer suggestions for developing a strategy to help not only the elderly but also the family caregivers.

• 한국보건간호학회지
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• 제30권3호
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• pp.512-525
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• 2016

Purpose: Ageing in place may improve the quality of life of frail elderly and decrease their costs of services. The purpose of this study was to examine the factors that influence the institutionalization of elderly using home care services in a Korean long-term care insurance system. Methods: This study used the data of '2009 Satisfaction survey of Korean long-term care system'. The survey proceeded to use a sampling data based on region, level of long-term care need, and insurance type among the beneficiaries between August and September 2009. The onset dates of institutionalization of 1,095 participants were ascertained from long-term care insurance claim data. This study calculated the hazard ratio through the Cox Proportional Hazard Model. Results: A total of 176 subjects who were institutionalized in nursing homes were included. There were higher risks in the group that included those who were 85 years and over, had dementia or fracture, used home-visit nursing service, and were not supported by direct family. Conclusion: The results of this study have policy implications to supplement the home care service system and postpone nursing home institutionalization of elderly.

• 디지털융복합연구
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• 제11권12호
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• pp.507-513
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• 2013

본 연구는 정신요양시설 간호사의 업무활동, 직무스트레스 및 직무만족도 정도를 파악하고 직무만족도에 영향을 미치는 요인을 확인하기 위해 시도되었다. 본 연구의 대상은 2012년 보건복지부에 등록된 전국 59개 정신요양시설에 근무하고 있는 간호사 201명이다. 자료수집기간은 2011년 7월 1일에서 8월 31일까지였으며, 수집된 자료는 서술통계, t-test, x 2-test, multiple regression을 이용하여 분석하였다. 연구결과, 정신요양시설 간호사의 직무만족도에 영향을 미치는 요인은 지각된 건강상태, 직무스트레스, 간호업무활동 중 일생생활관리 정도로 나타났으며 이들 전체 변수의 설명력은 21%였다. 따라서 정신간호사들의 전문성을 높이고 직무스트레스를 효율적으로 관리할 수 있는 역량강화프로그램의 개발과 제공이 요구된다.

• 가정∙방문간호학회지
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• 제31권1호
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• pp.77-88
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• 2024

Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher's exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.

• 한국콘텐츠학회논문지
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• 제18권3호
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• pp.421-431
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• 2018

본 연구는 요양보호사를 위한 기저귀위생간호 교육프로그램을 개발하고, 기저귀 위생간호에 관한 지식과 수행능력에 미치는 효과를 파악하기 위함이다. 연구설계는 비동등성 대조군 전후 유사 실험연구이다. 충청남도 Y군의 장기요양기관에 근무하는 요양보호사 중 실험군 25명과 대조군 25명의 총 50명을 대상자로 선정하였다. 수집된 자료는 SPSS Window 22 version을 이용하여 분석하였으며, 기저귀 위생간호 교육프로그램은 총 4회기로 구성되었다. 교육프로그램의 실험 결과, 기저귀 위생간호 지식은 사전점수($M{\pm}SD=4.64{\pm}0.23$)에 비해 사후점수($M{\pm}SD=4.88{\pm}0.23$)가 증가하였으나, 두 군 간에 통계적으로는 유의하지 않았다(t=1.253, p=.216). 기저귀 위생간호 수행능력은 사전점수($M{\pm}SD=1.86{\pm}0.18$)에 비해 사후점수($M{\pm}SD=2.89{\pm}0.15$)가 증가하였고, 두 군 간에 통계적으로 유의한 차이가 있었다(t=12.694, p=.001). 따라서, 개발된 기저귀 위생간호 교육프로그램은 요양보호사의 기저귀 위생간호 실무능력을 향상시키는데 기여할 수 있을 것으로 기대된다.

• 가정∙방문간호학회지
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• 제26권2호
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• pp.166-179
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• 2019

Purpose: The purpose of this study was to identify the job performance and educational needs, and recognition of professionalism among care workers, and to organize educational programs according to the priorities of care workers. Methods: The participants were 119 care workers who were working in long-term care facilities. Data were collected from May 31 to June 7, 2019 using self-report questionnaires. Collected data were analyzed using t-tests, ANOVA, and Spearman's Correlation Coefficients. Results: The performance aspects of the job were as follows: care for safety and infection-related, communication and leisure support, and excretion. The most demanded educational needs were in first-aid. Care workers had more than average professional recognition. Job performance and educational needs, and recognition of professionalism differed significantly according to several general characteristics. Conclusions: The educational needs of the areas with low frequency of job performance were high. First-aid is low in frequency, but it is important to cope with emergencies, so it is necessary to continue education. Also, there is a difference in recognition of professionalism according to the career. It will be necessary to develop individualized education programs to meet the needs of care workers.

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.317-328
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• 2015

본 연구는 요양시설 직접돌봄제공자의 기능유지간호에 대한 자기효능감 및 결과기대감 도구를 번역한 한국판 기능유지간호에 대한 자기효능감 및 결과기대감 도구의 타당도 및 신뢰도 분석을 통해 문화적인 차이가 있는 원 도구를 한국의 노인 요양시설에 근무하는 간호사에게 적용할 수 있는지 검증하는데 그 목적이 있다. 본 연구의 대상자는 전국 69개의 요양시설에 근무하는 간호사 187명으로 자료수집은 구조화된 설문지를 이용하였다. 수집된 자료는 SPSS/WIN 21.0과 AMOS 22.0을 이용하여 분석하였으며 구성타당도 검정은 확인적 요인분석으로 시행하였고, 준거타당도 검증을 위해 기능유지간호에 대한 자기효능감 및 결과기대감과 기능유지간호에 대한 지식, 직무만족과의 상관관계를 이용하였다. 연구결과 확인적 요인분석을 통해 구성타당도가 입증되었고, 준거타당도가 검증되었다. 또한, 신뢰도 분석을 통해 도구의 신뢰도가 확인되었다. 본 연구를 통해 번역된 한국어판 기능유지간호에 대한 자기효능감 및 결과기대감 도구가 국내에서 사용할 수 있는 도구임이 검증되었고, 추후 시설 입소노인의 기능유지간호를 위한 초석이 될 것으로 사료된다.