• Title/Summary/Keyword: 노인간호연구

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노인간호학 교과개발을 위한 요구 사정 연구 (Needs Assessment of Nurses and Educators toward Gerontological Nursing Curriculum Development)

  • 배영숙;이갑순
    • 한국간호교육학회지
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    • 제3권2호
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    • pp.163-192
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    • 1997
  • As the population over the age of 65 increases, the demand for nurses who care for this group also continues to grow. Well-prepared nurses who are knowledgeable and skilled for the elderly can be prepared through systematic gerontological nursing curricula. This study was carried out to identify the needs for gerontological nursing curricular contents. The subjects for this study were two participant groups the educators who teach gerontological nursing in three-year and four-year baccalaureate nursing programs, and the nurses who are working with the elderly in hospitals, community health centers, social welfare agencies, and community health practioner's posts. The major findings of the study are as follows : 1. The differences between actual contents and essential contents of the educators : Concerning the actual contents that is actually taught, the educators showed the highest scores on the demographics of older adults and the lowest scores on the cultural variations affecting health care. Regarding the essential contents, the educators showed the highest scores on the demographics and the lowest scores on the economics of aging. Aside from the demographics, all of the items were found to have significant differences between essential and actual contents. This implies that all the content areas except demographics should be emphasized. 2. The differences between actual knowledge and essential knowledge of the nurses : Concerning the nurses' actual knowledge, the nurses showed the highest scores on the common health problems and their treatment and the lowest scores on the politics of aging. Regarding the essential knowledge, nurses showed the highest scores on the chronic illness and common health problems and the lowest scores on their roles and functions. However, they thought all the items to be essential. All of the items were found to have significant differences between actual and essential knowledge. The nurses who studied gerontological nursing in their school years and after graduating had more knowledge. However, they felt more knowledge was needed. This implies that the nurses need more education in all content areas of gerontological nursing. 3. The differences between educators and nurses : Concerning the essential contents, the educators showed higher scores on the demographics and growth and development than the nurses. Whereas, the nurses showed higher scores on the cultural variations, long-term care, economics of aging, politics of aging, legal and ethical issues, and common health problems than the educators. 4. Activities of nursing care for the elderly : Most common activities were related to direct nursing care such as giving physical care, counseling/teaching clients, and assessing and planning care for the clients. Nurses thought that all the items were critical, but they showed relatively low scores on the following :'serve on multidisciplinary committee', 'preparing reports', 'evaluation of outcomes of care', 'determine policy for nursing service', 'set patient care standards', and 'participate in nursing research' The constraints in providing better nursing service were time constraints, administrative restraints, social restraints, and inadequate knowledge.

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노인에 대한 간호대학생의 태도조사 연구 (A Study on Nursing Students의 Attitudes toward the Elderly)

  • 김은일
    • 대한간호학회지
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    • 제12권1호
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    • pp.1-12
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    • 1982
  • Presently, there is increasing demand for geriatric nursing care due to increasing proportion of elderly population and extended age. And, of particular importance in deforming the effectiveness of nursing care given to the elderly is the attitude of nursing personnel toward the elderly patient. This study was intendent to investigate the attitudes of baccalaureate nursing students toward the elderly, and to investigate any possible correlation between these attitudes and the following variables: the students' levels (freshman, sophomore, junior, senior), their preferences for var-ious fields of specialization in nursing after graduation, their clinical experiences with geriatric-patients, their personal experience with elderly family members, their educational experience of the elderly's health problems and geriatric nursing, and their experience with relatives and acquaintances over 60 years of age. Therefore, the purpose of this study was to compile basic data about the attitudes of nursing students toward the elderly in order to contribute to the improvement of geriatric nursing. The subjects for this study were 259 nursing students: 163 in the College of Nursing at E-womans University., and 96 in the Department of Nursing in K. College. Data was collected from the 11th of Sep., to the 8th of Oct., 1981, using the Tuckman-Lorge Attitude Questionnaire which contained 131 items excepting 6 items. The attitudes toward the elderly was scored by the use of mean and standard deviation. The relations between attitudes toward the elderly and six independent vairables were analysed by T-test. The results which were obtained are as follows : 1. The attitude score of nursing students was M=71.67 S.D= 16.18. Nursing students agreed with 54.8% of the stereotypic statements, and they had stereotypic attitudes toward the elderly relatively. (P<0.01). 2. There was a significant difference between the attitudes of nursing students toward the elderly, and sophomores had a less stereotypic attitudes than juniors and seniors (P<0.01). 3. There was significant difference between the attitudes toward the elderly and the preferences for various fields of specialization in nursing after graduation, and nursing students those who wanted maternity fields had a more stereotypic attitudes than others (P<0.05, p<0.01). 4. There was no significant difference between the attitudes toward the elderly and the clinical experience with the geriatric patients (P>0.05). 5. There was no significant difference between the attitude3 toward the elderly and the personal experience with elderly family members (F>0.05). 6. There was no significant difference between the attitudes toward the elderly and the educational experience of the elderly's health problems and geriatric nursing (P>0.05). 7. There was no significant difference between the attitudes toward the elderly and the experience with relatives and acquaintances over 60 years of age (P>0.05).

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재가.방문 건강관리 통합정보시스템 구축을 위한 관련 서식지 항목 매핑 연구 (Data Mapping of the Terms for Developing an Integrated Information System in Home and Visiting Healthcare Documents)

  • 김정은;박성애;윤순녕;이인숙;박현애;김진현;이경순
    • Perspectives in Nursing Science
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    • 제8권1호
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    • pp.32-41
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    • 2011
  • Purpose: This study sought to determine the possibility of developing the data-sharing infrastructure of an integrated information system to improve the quality of home and visit-based healthcare services. Methods: The articles of study here were the forms used by a visiting healthcare agency, a home healthcare system of a home healthcare agency, and those used in long-term care insurance for elderly. We visited a visit-based healthcare agency and a home healthcare agency to survey their forms and interviewed relevant practitioners, and we searched for forms associated with long-term care insurance for the elderly on the Internet. We then organized the terms in each form and mapped them among the form after analyzing the concepts as a whole to inquiry into the possibility of integration. Results: The mapping procedure divided the terms into those related to personal information, problems and interventions. Mapping between the standard system (Omaha system) and the type of form was also done. Conclusion: In this study, we found that programs were configured differently depending on the objectives of the service. It is necessary to develop the program with an integrated information system by comparing the three services in terms of their distinct advantages, after which such a service should be utilized. The results of this study can serve as a database for the creation of a new integrated system.

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여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과 (The Development and Effects of The Integrated Dementia Prevention Program for Life in the Elderly Women Living alone)

  • 선정주;오숙희
    • 융합정보논문지
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    • 제7권3호
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    • pp.55-64
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    • 2017
  • 본 연구는 여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과를 확인하기 위한 비동등성 대조군 전-후 설계의 유사 실험연구이다. 연구 대상은 J군 여성독거노인 56명(실험군 28명, 대조군 28명)을 대상으로 실험군은 12주 동안 집단학습과 개별학습의 치매예방통합프로그램을 제공받았다. 치매예방 통합교육프로그램은 교수체계설계의 주요 개발단계인 ADDIE모형에 근거하여 개발하였다. 연구결과, 실험군은 대조군에 비해 인지기능이 향상되었고, 우울이 완화 되었으며, 삶의 질도 향상되었다. 이에 본 프로그램은 자가 실천이 가능한 치매예방 통합프로그램으로 사료되며 향후 이 프로그램을 수정 보완하여 지역사회에 확대하여 대상자들이 지속적으로 자가 실천할 수 있는 간호중재 전략 모색이 필요하다고 생각된다.

아토피피부염 평생의사진단율의 지역별 변이 분석 (Analysis of regional variation in the lifetime physician diagnosis rate of atopic dermatitis)

  • 고금복;황지영;박일수
    • 디지털융복합연구
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    • 제17권1호
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    • pp.403-412
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    • 2019
  • 본 연구는 아토피피부염 발생의 시 군 구 단위별로 시공간적 변이를 분석하고, 이에 대한 주요 요인을 파악하는 것이다. 연구에 활용한 자료는 2009년~2013년까지의 지역사회건강조사와 통계청의 통계포털시스템 등에서 수집한 자료로 시 군 구 단위의 데이터베이스를 구축한 뒤, 기술통계 및 지리적 가중회귀모형을 이용하여 분석하였다. 분석결과, 지역별 아토피피부염 진단율은 5년간 지속적으로 증가하였으며, 지역 간 차이도 큰 것으로 나타났다. 아토피피부염 진단에 미치는 요인은 노인비율, 우울증 경험률, 기초생활 수급자 비율, 고위험 음주율, 담배 소매업 수, 폐수배출업소 수, 패스트푸드 음식점 업수로 나타났다. 본 연구는 아토피피부염과 관련된 지역적 특성을 고려한 보건정책에 기초 자료를 제공하고, 지역별 건강사업 우선순위 결정에 대한 정보를 제시하였다는 점에서 의의를 가진다.

요양시설 종사자의 코로나 19 대응 전·후 직종별 직무스트레스 차이 (Differences in Job Stress by Occupation Before and After the Reaction to COVID-19 among Care Facility for the Elderly)

  • 오두남;김정재
    • 한국융합학회논문지
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    • 제13권4호
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    • pp.531-540
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    • 2022
  • 본 연구는 요양시설 종사자의 코로나 19 대응 전·후 직종별 스트레스 차이를 알아보고자 시도된 서술적 조사연구이다. 본 연구에서는 2021년 3월 22일에서 4월 25일까지 충청남도와 경기도 지역의 요양시설 종사자들에게 설문조사를 시행하였다. 총 220부의 설문지 중 206부의 설문지가 수거되었으며 자료는 t-test, One way ANOVA, chi-square test 등을 통해 분석되었다. 연구결과에서 요양시설 종사자의 코로나 19 대응 전·후 직무 스트레스 하부영역 차이를 보면 간호사는 직무요구(t=-3.90, p<.001), 직무불안정(t=-3.30, p=.002)에서 간호조무사는 직무요구(t=-2.45, p=.018), 요양보호사는 직무자율(t=-3.34, p=.001)에서 유의한 차이를 나타냈다. 따라서 코로나 19 시기에 요양시설 종사자의 직종별 직무 스트레스를 효과적으로 해결하기 위해서는 직종에 따른 스트레스 완화 프로그램을 알맞게 제공해야 한다.

직무요구-자원모형을 기반으로 한 요양병원 간호사의 소진에 대한 영향요인 분석 (Analysis of Factors Influencing Burnout of Nurses in Long-term Care Hospitals Based on Job Demand -Resource Model)

  • 양은옥;구미옥
    • 한국산학기술학회논문지
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    • 제20권4호
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    • pp.137-148
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    • 2019
  • 본 연구는 Xanthopoulou 등(2007)의 확장된 직무요구-자원모형을 기반으로 요양병원 간호사의 소진에 미치는 영향요인을 규명하기 위해 시도되었다. 요양병원 간호사 167명을 대상으로 설문지를 이용하여 2018년 8월 25일부터 2018년 9월 6일까지 자료를 수집하였다. 연구도구는 Maslach Burnout Inventory, Copenhagen Psyco-social Questionnaire version II, Connor-Davidson Resilience Scale 및 Thomas & Ganster (1995)가 개발한 도구를 사용하였다. SPSS WIN 23.0 프로그램을 이용하여 빈도, t-test, ANOVA, 피어슨 상관계수, 위계적 회귀분석으로 분석하였다. 연구결과 요양병원 간호사의 소진은 직무 요구(r=.24, p=.002)와는 정적 상관관계를 보이고, 회복탄력성(r=-.43, p<.001)과 사회적지지(r=-.41, p<.001)와는 부적 상관관계를 보였다. 요양병원 간호사의 소진에 회복탄력성(${\beta}=-.28$, p<.001), 사회적 지지(${\beta}=-.20$, p=.016), 직무요구(${\beta}=.17$, p=.016) 순으로 유의한 영향을 미쳤고, 이들 변수의 설명력은 32.0%로 나타났다. 따라서 요양병원 간호사의 소진 예방 및 감소를 위해 직무요구를 줄이고 회복탄력성과 사회적 지지를 향상시킬 수 있는 중재의 수행을 적극적으로 권장한다

알코올사용장애 환자의 취업의지에 미치는 영향요인 (The Factors Influence upon Employment Volition in Alcohol Use Disorder)

  • 노인숙;조경아
    • 한국산학기술학회논문지
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    • 제20권7호
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    • pp.272-280
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    • 2019
  • 본 연구는 알코올사용장애 환자의 가족지지, 자아탄력성, 취업의지의 관계를 파악하고, 취업의지에 영향을 미치는 요인을 확인하기 위한 서술적 조사연구이다. 자료수집은 알코올사용장애로 진단받고 입원 및 외래 치료를 받은 경험이 있는 20세 이상의 남성 128명을 대상으로 구조화된 설문지를 이용하였다. 자료분석은 SPSS 22.0 program을 이용하여 기술통계, 일원분산분석, 피어슨 상관계수, 다중회귀분석을 이용하였다. 연구결과 가족지지는 5점 만점에 4.30점, 자아탄력성은 4점 만점에 2.37점, 취업의지는 5점 만점에 4.06점이었다. 가족지지는 주거형태에 따라 자가소유 주택 거주자가 임대형 주택 거주자보다 높고($x^2=4.747$, p=.01), 자아탄력성은 교육정도에 따라 초대졸 이상이 중졸이하보다 높았으며(F=4.389, p=.01), 취업의지는 연령에 따라 40대 이하가 50대 이상보다 높았다(F=4.778, p=.01). 취업의지는 자아탄력성과 유의한 양의 상관관계가 나타나 자아탄력성이 높을수록 취업의지도 높았다.(r=.309, p<.01). 취업의지에 영향을 미치는 요인은 자아탄력성(${\beta}=-.314$, p<.01)과 연령(${\beta}=-.253$, p<.01)이며 16.3%의 설명력을 나타냈다. 연구결과를 토대로 알코올사용장애 환자의 취업의지를 향상시키기 위해 연령수준에 따른 접근이 필요하며 자아탄력성을 증진시킬 수 있는 프로그램이 개발되어 활용되기를 기대한다.

요양보호사의 자기효능감과 직무스트레스가 서비스 질에 미치는 영향 (The Effect of Self-Efficacy and Job Stress on Quality of Service of Care Givers)

  • 성지아
    • 융합정보논문지
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    • 제10권12호
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    • pp.82-90
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    • 2020
  • 본 연구의 목적은 자기효능감과 직무스트레스가 서비스 질에 미치는 영향을 조사하기 위함이다. 자료수집은 구조화된 설문지를 이용하여 2019년 5월 1일부터 8월 30일까지 이루어졌다. 자료는 SPSS/WIN 25.0 프로그램을 이용하여 independent t-test, one way ANOVA, Pearson's correlational coefficient, multiple regression을 분석하였다. 분석결과 변수들은 서비스 질을 총 42.0% 설명하였으며, 산출된 서비스 질의 회귀모형은 유의하였으며(F=13.86, p=<.001). 요양보호사의 서비스 질에 유의한 영향을 미치는 요인은 자기효능감(β=0.56, p=<.001)으로 확인되었다. 이 연구결과는 요양보호사의 자기효능감을 향상시키기 위한 교육프로그램이 개발되어야 하고 그 효과에 대해 추후 연구가 수행되어야 한다.

시설노인과 재가노인의 가족지지, 자존감 및 건강상태 비교연구 (A Comparative Study on Family Support, Self-esteem, and Health Status between the Institutionalized Elderly People and the Home-staying Ones)

  • 김귀분;이경호
    • 동서간호학연구지
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    • 제5권1호
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    • pp.36-49
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    • 2000
  • This study aims to provide the fundamental data for substantial nursing intervention in the elderly through a comparative appreciation on family support, self-esteem, and health status between the institutionalized elderly people and the home-staying ones. The subjects of this study are the institutionalized 108 elderly people of E and C Public Homes and the home-staying 109 elderly ones of O-Nho In Jeong(a kind of public recreational facilities for the aged) over the age of 65. The instruments for this research are based upon the tool(11 items, 5 points for each) for measuring family support developed by Choi, Young Hee(1984), a self-esteem scale done by Rosenberg (1965), the tools(20 items) for checking the health status of the elderly done by Lee, Young-Ja(1989). The sampling for this study has been carried on from July, 2000 until November, 2000. Questionnaire data were drawn up by personal interviews. The analyses of collected data are based on general characteristics calculated at the rate of 100 percentage to the average, t-test, ANOVA(some difference on a level with p<.05 being subsequently confirmed by DMR) for family support, self-esteem and health status, and Pearson Correlation to verify the hypothetical correlation among the subjects' family support, self-esteem and health status. The results of this study are as follows: 1. The difference between two groups in the light of family support, self-esteem and health status. (1) Family support - The rate of the family support that the institutionalized elderly people perceive turned out to be 22.13, that of the home-staying ones 30.99. (2) Self-esteem - The rate of the self-esteem that the former perceives proved to be 25.59, that of the latter 32.28. (3) Health Status - The rate of the health status that the former perceives turned out to be 39.67, that of the latter 51.60. 2. Family support, self-esteem, health status in terms of demographic characteristic (1) Family support - The group of institutionalized elderly people shows a tendency to be chiefly influenced by the death or life of the spouse and the number of the children; the group of the home staying ones to be chiefly influenced by the educational level (2) Self-esteem - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by the amount of pocket money, the pocket money provider and the family main supporter. (3) Health Status - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by age, the death or life of spouse, religion, and the educational level. 3. Correlation among family support, self-esteem, and health status The rate of correlation between family support and health status proved to be the highest (r=.549). After came the rate of correlation between health status and self-esteem, which turned out to be(r=.506). The last came the rate of correlation between family support and self-esteem, which proved to be(r=.406). According to this study, there is a conspicuously close correlation among family support, self-esteem, and health status for the elderly. Thus, it would be indispensable to seek out a variety of nursing intervention ways how the elderly could promote family support, self-esteem, and health status.

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