• 지역사회간호학회지
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• 제17권1호
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• pp.5-16
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• 2006

Purpose: The purpose of this study was to show the effect of walking exercise on physiological index, physical fitness, self-esteem. depression. and life satisfaction in institutionalized elderly women aged over 70. Sample and Method: Data were collected from subjects who consented to participate in this program for eight weeks from the 2nd of July to the 27th of August 2005. The subjects were divided into two groups, 26 subjects in the experimental group who had walking exercise and 30 in the control group who did not have walking exercise. The intensity of the walking exercise allowed 50-65% of the maximum heartbeat. Results: The results of the experiment supported the hypothesis that the experimental group would have higher flexibility, left grip strength, sense of equilibrium, self-esteem and life satisfaction and lower depression than the control group. Conclusion: Walking exercise has the effect of decreasing diastolic blood pressure together with improvement in flexibility, left grip strength, sense of equilibrium, self-esteem, depression and life satisfaction for institutionalized elderly women aged over 70. According to the results presented above, walking exercise can be strongly recommended for improving the health of institutionalized elderly women.

• 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.

• 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.

• Journal of Korean Biological Nursing Science
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• 제23권2호
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• pp.151-158
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• 2021

Purpose: The purpose of this study was to investigate sleep quality in older adults in nursing home with objective data collection. Methods: Participants included 74 older adults in nursing homes in Korea aged 65 years or above. Data were collected using a wearable device (Fitbit), salivary melatonin level and Sleep Disorder Inventory (SDI). The Pearson correlation coefficient was calculated to examine whether there was any correlation between sleep-related variables such as Total Sleep Time (TST), Rapid Eye Movement (REM) sleep, shallow sleep, deep sleep, salivary melatonin level and SDI. Results: There were distortion of sleep structure, as TST comprised short REM sleep (15.93±5.47%), long shallow sleep (74.18±8.08%) and short deep sleep (9.89±5.03%). Also, salivary melatonin levels were low (15.06±7.77 pg/mL). Moreover, we found than melatonin was significantly associated with TST (r = .251, p= .044), REM sleep (r= .294, p= .020) and deep sleep (r= .391, p= .002). But there was no correlation between SDI and other sleeprelated variables. Conclusion: These findings highlight that insufficient sleep structure is associated with the salivary melatonin level among older adults in nursing home. We suggest developing programs to promote sleep quality of older adults in nursing homes.

• 대한가정학회지
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• 제38권11호
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• pp.181-191
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• 2000

This study investigated early school adjustment of institutionalized children. Subjects were 118 primary school children in 15 child-welfare facilities in Seoul(56 first and 62 second grade children; 66 boys and 52 girls). Data were analyzed with t-test, ANOVA, and Duncan test. Measures of school adjustment included relationships with leachers, relationships with peers, attitudes on school atmosphere, and observance of school regulation. Results showed that institutionalized children had the highest scores in relationships with teachers, but lowest scores in relationships with peers. Institutionalized children who perceived economic problem as the cause of entering institution showed lower adjustment scores in relationships with peers. There was no significant difference in school adjustment depending on sex, but a significant difference in altitudes on school atmosphere depending on grade.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제6권10호
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• pp.7-14
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• 2000

The aim of this study is to derive design guidelines which improve the life satisfaction of elderly residents at welfare facilities. There are many factors affecting on satisfaction with life of the institutionized elderly, but this study focuses on architectural factors. So, two factors are derived, the first factor is the behavier facilitation and the second is the social-interaction. In this study, the behavier facilitation, which was considerd by elderly's physical feature, means safety, discrimination and adaptability. The social interaction, which was considerd by elderly's psychological feature, was supported by homogeneous, approximate, privacy, territoriality, personalization, and control.

• 한국콘텐츠학회논문지
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• 제21권5호
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• pp.808-823
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• 2021

본 연구는 노인요양시설이라는 사회적 돌봄 환경에서 노인의 시설 거주경험은 어떠하며 그 의미는 무엇인지에 대하여 심층적으로 탐색하고 시설거주 노인의 질적 돌봄을 위한 가족과 사회의 역할, 사회복지적 실천 방안을 모색하고자 한다. 이를 위해 서울, 인천, 그리고 경기 지역에 위치한 노인요양시설 4곳에서 거주하는 남녀 노인 8명을 대상으로 심층면담과 참여관찰을 실시하여 질적 연구 자료를 수집하였다. 수집된 자료는 Giorgi의 현상학적 연구 방법을 이용하여 분석하였다. 분석 결과 노인요양시설 노인의 시설 거주경험에서 33개의 의미단위, 14개의 하위 구성요소, 그리고 4개의 상위 구성요소가 도출되었다. 상위 구성요소 4개는 「무너진 나의존재」, 「낯선 환경 속에 던져진 삶」, 「불편함과 고마움이 공존하는 새로운 관계」, 「찾고 싶은 나의 삶」으로 도출되었으며 이 중에서 「찾고 싶은 나의 삶」이 노인요양시설 노인의 시설 거주경험의 본질로 나타났다. 본 연구를 통하여 노인의 시설입소 준비 프로그램 제공 환경 마련, 다양한 가족참여 프로그램 개발 및 활성화, 지역사회 거주를 지속할 수 있는 조건 마련, 그리고 지역사회 자원 연계 프로그램 개발 및 활성화 방안 등을 제언하였다.

• 한국지역지리학회지
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• 제21권2호
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• pp.242-258
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• 2015

본 연구는 수도권 실버타운의 공간적 분포 특성을 살펴보았고, 수도권 실버타운에 거주하고 있는 노인들을 대상으로 심층 면담을 실시하여 실버타운에 대한 인식을 알아보았다. 최근에는 가족과의 교류가 용이하며, 의료시설과 접근성이 좋은 도심이나 도시 근교 지역을 선호하는 노인들이 증가함에 따라 수도권에 실버타운이 집중 분포하고 있다. 이들 시설은 주로 서울의 북쪽과 경부 고속도로를 축으로 한 경기도의 남쪽에 위치하고 있다. 따라서 이용자들이 실버타운을 선택할 때 시설의 위치와 접근성이 중요하게 작용한다는 점을 알 수 있었다. 실버타운에서 노인들은 가사 노동에서 해방되어 의미 있는 일을 하면서 여생을 보낼 수 있고, 사회적 계층이 유사한 사람들과 원만하게 교류하며 긍정적인 자아정체감을 가질 수 있다. 이러한 측면에서 80세 이상의 이용자들은 실버타운을 집으로 인식하고 뿌리내림하고 있는 경우가 많았다. 반면에 60~70대의 비교적 젊은 노인들은 실버타운에 입소하여 자신만의 고유한 특성이나 자기결정권이 제한되는 것에 불편을 느끼고 다른 주거 공간으로 이주하는 것을 고려하기도 하였다.

• 한국컴퓨터정보학회논문지
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• 제27권3호
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• pp.239-249
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• 2022

이 연구는 국내 및 해외의 스쿠버다이빙리조트 활성화 요인을 도출하고 비교 분석하는데 목적이 있다. 국내와 해외 스쿠버다이빙리조트의 경영대표, 교육팀장 등 운영에 관련된 전문가 30명을 대상으로 3차례에 델파이 조사를 진행하였다. 국내와 해외의 활성화 요인을 비교 분석한 결과 공공다이빙 장소의 편의시설 확충, 다이버들을 위한 안전시설 및 의료시설 설치, AED, 산소 등 응급처치 시스템 구축, 다이빙 보트 내 입·출수 리프트, 화장실 등 편의시설 필요, 다이빙 보트 스크루 안전망 설치, 지역 보트 운항 가이드 라인, 스쿠버다이빙 정규 코스 교육 프로그램, 전문 스쿠버다이빙 강사 및 가이드 고용, 다양한 SNS를 이용한 소통 및 홍보, 다이버의 입소문을 통한 홍보, 지역 다이빙 리조트 연합회 활동, 한인 다이빙 연합회 활동, 지역 어촌계와의 소통 및 상생 정책, 지역 관광산업과 연계정책이 공통적인 중요 활성화 요인으로 나타났다.