• Korean Journal of Gerontological Social Welfare
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• v.74 no.1
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• pp.61-90
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• 2019

본 연구의 목적은 Anderson의 행동모형에 따라 설계된 예측요인들 중 가능성요인이 노인들의 돌봄 유형 선호에 미치는 영향을 분석하는 것이다. 노인들의 돌봄 유형은 돌봄 제공주체자에 따라 '자기 돌봄', '가족 돌봄', '전문적 돌봄'으로 구분하였고, 전국 노인 2,064명을 대상으로 실시된 설문자료를 다항로지스틱회귀분석을 통해 분석하였다. 분석 결과는 다음과 같다. 각각의 돌봄 유형 선호에 영향을 미치는 요인에 대한 분석을 실시한 결과, 노인의 돌봄 유형 선호를 결정하는 데 있어 주요하게 작용하는 공통적인 가능성요인은 동거 가족 수와 사회관계망으로 나타났다. 구체적으로 배우자 유무와 동거 가족 수, 사회관계망은 가족 돌봄 선호와 자기 돌봄 선호를 구분하는 요인으로 확인되었으며, 배우자 유무와 동거 가족 수, 사회적지지, 사회관계망이 가족 돌봄 선호와 전문적 돌봄 선호를 구분하는 요인으로 확인되었다. 또한 동거 가족 수와 거주 지역, 사회관계망이 자기 돌봄 선호와 전문적 돌봄 선호를 구분하는 요인으로 확인되었다. 이러한 연구결과를 토대로 체계적이고 효과적인 지역사회 통합 돌봄 정책설계를 위한 정책적 시사점을 제시하였다.

• 한국노년학
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• v.40 no.4
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• pp.707-727
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• 2020

This study aims to empirically analyze the role that perception of the probability of lonely death among the elderly people living alone plays in the relationship between perceived social support and preference for institutional care based on Andersen's expanded Behavioral Model (2002). The subjects (n=676) of this study were the elderly people living alone, extracted from the "2018 Seoul Aging Survey." With "perceived social support" as an independent variable, "preference for institutional care" as a dependent variable, and "perception of the probability of lonely death" as a mediator variable, we conducted a Binary Logistic Regression to follow the three steps of analyzing mediation effect, as suggested by Baron and Kenny (1986). The results showed that perceived social support has a negative effect on the preference for institutional care and perception of the probability of lonely death among the elderly people living alone; at the same time, perception of the probability of lonely death was found to have a positive effect on their preference for institutional care. Lastly, perception of the probability of lonely death was found to partially mediate the effect of perceived social support among the elderly people living alone in terms of their preference for institutional care. Based on these findings, the practical implications of this study can be summarized as follows. First, various programs and support should be provided to the elderly people living alone in order to enhance the level of perceived social support, a factor that has been confirmed to increase preference for institutional care among the elderly people living alone. Second, as the perception of the probability of lonely death was confirmed to be a psychosocial factor of the preference for institutional care, we need to promote education and support for older people living alone to prepare them for lonely death. These efforts are expected to form a foundations for implementing a community-based integrated care system, "Aging in Place," which is the policy direction required for older people care.

• 한국노년학
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• v.38 no.4
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• pp.1035-1055
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• 2018

The purpose of this study is to investigate the relationship between public care and family care. Public care for older adults began in 2008 with the implementation of the Long-Term Care insurance in South Korea. Although the expansion of public care has the purpose of reducing the care burden for the family, it is not easy to say whether the developments of public care system reduce the amount of family care for older family members. Theoretically, public care and family care are expected to have various relationships depending on the degree of the role and function(substitution, hierarchical compensatory, task specific, supplementation, complementarity). And literatures have showed inconsistent results depending on the country, data, and methods. In this study, we analyzed the relationship between two care types focusing on home care services for older persons. Analyses were based on data from the second(2008) to sixth(2016) waves of Korean Longitudinal Study of Ageing(KLoSA). To investigate elderly care dynamics in the households, we pooled the data for four changes between two periods(2008-2010, 2010-2012, 2012-2014, and 2014-2016). This study used an analytic sample of 262 older adults, who are aged 55 over and experienced public care at least one point of time. We used Fixed-Effects(FE) model to analyze the differences within the same individuals under the condition that time-invariant unobserved factors are controlled. This study distinguished the cases of entry into public care and other cases of exiting public care. The results showed that older people who are dependent on public care are less dependent on family care than before. In both entry and exit groups, negative relations were maintained, but in the entering stage of public care, the degree of negative relations was relatively small, whereas in the stage of maintaining or departing from public care, relatively negative relations were strong. At the beginning periods, even though public care increased, family care did not decrease significantly. On the other hand, at the time of ending public care and relying on family care, family care increased significantly. The results of this study show that the relationship between public care and family care is close to hierarchical compensatory model and varies according to the stage of caring transition. Also, it was found that the cases of transition from public care to family care have the biggest burden of elderly care than other groups.

• The Journal of the Korea Contents Association
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• v.16 no.12
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• pp.213-222
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• 2016

The purpose of this study was to investigate the knowledge and attitude toward the elderly, aging anxiety, and attitude toward caring the elderly and to identify influencing factors of attitude toward caring the elderly in nursing students. Participants were 227 nursing students from three college of nursing in D-city and K region. Data was collected by structured questionnaire on subjects' characteristics, knowledge toward the elderly, attitude toward the elderly, aging anxiety, and attitude toward caring the elderly. Data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficient, and stepwise multiple regression analysis with SPSS/WIN 19.0 program. The average score of knowledge, aging anxiety, attitude toward the elderly, and attitude toward caring the elderly of participants were 14.78, 2.88, 4.09, 5.16. Factors significantly affecting attitude toward caring the elderly were attitude toward the elderly, preference of caring for the elderly, aging anxiety, favorable type to be support as a parent. Explanatory power of the model was 24.7%. The results of this study suggest that interventions may be necessary to improve attitude toward caring the elderly among nursing students. It is essential to develop the strategy of providing positive experience with the elderly for nursing students as well as geriatric nursing education.

• Journal of Digital Convergence
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• v.20 no.5
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• pp.281-289
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• 2022

As the aging of our society gradually deepens, the quality of the elderly care environment based on the elderly care model of the Silver Town space is gradually becoming the focus of everyone's attention. This study mainly studies and discusses the visual and behavioral characteristics of the elderly. In order to pay more attention to the special needs of the elderly in order to optimize the spatial environment, the design of visual experience design in the living environment of the elderly in Silver Town is designed. explore in depth Through this, the environment of the space is optimized so that the elderly can enjoy their old age in a comfortable environment. This study is based on visual psychology, environmental psychology, gerontology and other theories. Through the collection of related literature and field research on the elderly, the function and overall combination of the living environment of the elderly in Silver Town is studied, and the environment is organized. Based on the behavioral and visual needs of middle-aged and older people, a design method was proposed to strengthen the visual connection in space. In terms of visual experience, the lighting, colors, and materials of the environment are studied. Through a combination of theory and research and experiments, it is concluded that the elderly prefer plants with warm colors, high brightness colors, and geometric patterns. The design principle and design method of the visual experience in the Silver Town space are summarized.