• The Journal of the Korea Contents Association
• /
• v.22 no.5
• /
• pp.788-797
• /
• 2022

The purpose of this study is to identify the satisfaction with medical services of the disabled elderly who have the highest need for medical services. For this purpose, the effect of health characteristics and medical service characteristics of the disabled elderly on medical service satisfaction was verified. The subjects of analysis were 3,323 persons with disabilities aged 65 or older who were taken from the national survey of people with disabilities in 2017. For statistical analysis, descriptive analysis, correlation analysis, and regression analysis were performed using the SPSS 26.0 program. The results of the study showed as follows. As a result of the regression analysis, gender (β= -.045, p<.05) and residence status (β= -.048, p<.05) among the demographic characteristics as control variables had a statistically significant effect on the level of medical service satisfaction. Among the health characteristics, IADL (β=-.044, p<.05) had a statistically significant effect on medical service satisfaction level. In the case of medical service characteristics, satisfaction with medical facilities and equipment (β = .290, p< .001), medical staff's level of understanding of disability (β = .404, p< .001), health-related service use (β = .182, p<.05) had a statistically significant effect on the level of medical service satisfaction. Based on the results, practical alternatives to ensure health equity in the community medical system were suggested in the discussion to enhance the health management and self-determination capabilities of the disabled elderly.

• The Journal of the Korea Contents Association
• /
• v.17 no.5
• /
• pp.273-284
• /
• 2017

As these days people spend most of time at inner space, indoor air quality affect human life seriously. Government manage indoor air quality of various facilities based on different laws. Government released that they would try to protect environment for vulnerable people such children and seniors from indoor air pollutants in 2015. But social welfare facilities are exception under current legal systems. Clients of social welfare residential facilities are the disables, the elderly, homeless and children and they usually stay inner space very long time. The purpose of this study is explore workers' attitude and related factors about indoor air quality management of social welfare facilities. 69.5% of respondents agree to government's indoor air quality management, 80.9% of respondents think social welfare facilities must be included in legal system for indoor air quality management. Environmental awareness and law awareness were related with attitude to indoor air quality management. Based on the results of the analysis, I propose the amendment of law on indoor air quality of the Ministry of Environment, cost burden of central or local government and the necessity of education and research on indoor air quality management in social welfare facilities.

• Journal of the Korean Academy of Esthetic Dentistry
• /
• v.28 no.2
• /
• pp.116-126
• /
• 2019

Objectives: Currently, oral health of the disabled is taken care of by the social workers, not by dental hygienists, who are the oral health professional in this area. Therefore, we aim to enhance the equity of oral health for the disabled by providing the correct oral health care method to social workers residing in the welfare facility for the disabled. Methods: Four dental hygienists and four social workers were given the class I intellectual disabilities living in 'o' welfare facilities for disabled people in Songpa-gu, Seoul from April 13, 2019 to April 20, 2019. Patient Hygiene Performance(PHP) Index were measured and compared. In advance, the social workers were taught brushing (Rolling method), and the method of brushing and measuring tools were integrated. Results: Twice a total of dental hygienists and social workers practiced toothbrushing(Rolling method) for the class I intellectual disabilities who is a person to be brushed. When comparing the Patient Hygiene Performance(PHP) Index after the second round, the result shows that both the first and second dental hygienists' Patient Hygiene Performance(PHP) Index is lower. Conclusions: Comparing oral health knowledge level and Patient Hygiene Performance(PHP) index of dental hygienist and social workers, the result shows that dental hygienist has higher oral health care ability. Therefore, the dental hygienist should be placed in welfare facility for the disabled as an expert in oral health management to create an environment in which the disabled and social workers can be trained. In addition, the curriculum of the college that nurtures the dental hygienists should have a course to understand the characteristics of the disabled person in order to enhance the professionalism of dental hygienists.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.4
• /
• pp.2609-2619
• /
• 2015

The purpose of this study was to investigate relationship among the depression, physical condition, daily living activities, and sleep state among old people at elderly care facilities. The subjects include old people aged 65 or older residing at an elderly care facility. At elderly care facilities, the depression of old people was related with the state of vision, mastication ability, quality of sleep, and sleep state. The degree of relation was high in the group with a poor vision, the one with a bad condition of teeth, the one that considered their quality of sleep to be poor, and the one with somnipathy. Their depression had negative correlations with age and positive ones with mastication ability and assessment of quality of sleep. At elderly care facilities, the depression of old people was highly connected with the state of vision, mastication ability, sleep state, and hearing ability. In short, the depression of old people at elderly care facilities is highly connected to the health state perceived individually. The findings point to the importance of close interest in individual health state and management of old people in poor vision, mastication ability in healthcare and nursing intervention.

• Korean Journal of Social Welfare
• /
• v.56 no.3
• /
• pp.89-112
• /
• 2004

The purpose of this study is to systemize volunteer program for the people with chronic mental health problems to participate in helping the community as service providers not receivers, and then to examine empowerment effects of this volunteer program. The distinctive feature of this program was to volunteer the mental ill to help other people. Therefore, this volunteer program had specially strengthened preliminary stage which make not only the mental ill be ready to work but also the community to use them as volunteer, and to invite general citizen of the community as co-volunteers. The result showed this program empowered the mental disorders to have more positive self-concept. It revealed that co-volunteer's attitude toward the mental disorders was changed positively through this program, also. These results told us not only the chronic mental ill could be volunteers helping others using their abilities, but also this activity would make their self-image better and citizen's perception toward mental disorder less prejudiced. The volunteer program presented in this paper was expected to be useful for their empowerment and social integration.

• Fire Science and Engineering
• /
• v.22 no.4
• /
• pp.33-41
• /
• 2008

Presently, there is no legal regulation pertaining to the installation, maintenance, management and operation of fire-fighting facilities in single housing in Korea, relying instead on the awareness of the residents which hopefully will prevent fire. Likewise, accident prevention effort is very limiting and weak. Accordingly, this research examines current situation in which fire results, identifies root causes and studies application of regulations and develop design measures centered on the single housing that is most afflicted with fire. As part of the measure to prevent fire that afflict housing, it is necessary to classify single housing as specific target for fire fighting just like the joint housing among the types of the building structures that are classified according to the usage on the "Appendix Chart I of the Enforcement Ordinance of the Construction Law" for management purpose. Moreover, it is necessary to make the installation of fire-fighting facilities such as simple sprinkler facility for residential area, fire extinguisher, warning system and others for the sake of the senior citizens and disabled people who reside in single housing, mandatory.

• Korean Journal of Community Nutrition
• /
• v.8 no.1
• /
• pp.112-119
• /
• 2003

We studied the nutritional status of on mentally handicapped children living at home or in institutions since early teenage years are nutritionally important. The subjects of 7 to 12 year old mentally retarded children attenending a special education school in Seoul were surveyed with questionnaires as well as 2-day dietary recall records, with the help of persons of their care-giver when needed. Among the 64 children,54.7% are living in institutions and the rest of them are living at home. They were ranged from the trainable (64.1%) , the educable (26.6%) , and the non-trainable (9.4%) . Their average daily intake of energy intakes (%RDA) was 2,070.1 kcal (94.1%) , Ca 603.9 mg (75.5%) , Fe 11.1 mg (92.5%), Vt.A 507.5 RE (84.6%) , Vt. B$_2$.1g (88.2%), niacin 14.1 g (93.6%) and Vt. C 58.2 g (83.1%) . Their average intakes of these nutrients were significantly higher in subjects of institutions than at home. The nutrients consumed at a much higher level than the RDh of the normal children were Vt. B, (1.6 g,146.8%) and protein (75.3g, 136.9%) . The higher percentage of children at home were under consumed of several nutrients (< 75% RDA) than ones in institutions. When comparing the degree of handicap, energy and nutrient intakes except Vt. C were highest in educable children than trainable ones or Dawn's children. MAR of the diets of the subjects was 0.84. Children at home showed lower MAR as well as NAR of each nutrients, whereas children belonged to INQ < 1 were less at home. Handicapped children at home were snacking higher amount relative to their calorie intake and too frequently, that may lead to their poor nutrition. There was positive correlations between factors of nutrition and physical and dietary behaviors, but there were no correlations between factors of nutrition and health-related habits. Nutritional caring mentally handicapped children in institutions seemed to be more effectively managed.

• Journal of muscle and joint health
• /
• v.30 no.3
• /
• pp.230-241
• /
• 2023

Purpose: This study aimed to verify the effects of a swallowing training program on swallowing function and depression for nursing home residents with dysphagia after stroke. Methods: This is a quasi-experimental study with non-equivalent control group pre-post test design. The program (oro-facial muscle strengthening exercises, swallowing exercises, expiratory muscle strengthening exercises, and brain stimulation exercises) applied to the experimental group three times per week for eight weeks, 40-45 minutes for each intervention. The final data from 42 people (21 experimental and 21 control) were analyzed by SPSS/WIN 25.0 using descriptive statistics. 𝜒² test, t-test, Wilcoxon rank sum test, and Friedman test. Results: The experimental group was significantly improved than control group in oro-facial muscle strength, swallowing symptoms (Z=-2.22, p=.026), and oral intake function level (Z=-2.00, p=.046). However, there was no significant difference between two groups in depression. Conclusion: This study is meaningful in that it reorganized and mediated a swallowing training program as a safe, non-invasive exercise that nurses can implement in a nursing facility with limited medical personnel and it could be easily followed by older adults.

• Journal of the Korea Convergence Society
• /
• v.11 no.1
• /
• pp.187-194
• /
• 2020

When a human being grew older, followed by visually and perceptually impaired, and dementia, it jeopardizes safety and life unless supportive design is secured for a living environment. This supportive space is based on universal design concept which offers safe-oriented, and simple use by incorporating gender and physical/mental limitation. The study of purppose was to examine the appropriateness of barrier-free standard for seniors' living in apartment through IPA. Chi-square analysis found that satisfaction with BF space is lowered as aging is continued and for female group. Regression analysis indicated that sink was the prime predictor in satisfaction, and stair/elevator was the most important variable. IPA concluded that sink, bath, shower/locker and alert/egress were prime BF indexes to be improved among 14 elements, implying careful design in sanitation area for seniors.

• Korean Journal of Culture and Social Issue
• /
• v.16 no.3
• /
• pp.241-265
• /
• 2010

This study reviewed the present state and differences of rehabilitation programs of the gambling addiction by comparing with other psychiatric disorder(including psychotic disability and alcohol addiction). This study also intended to suggest necessities, meanings and inherent fields of the rehabilitation in gambling addiction. First of all, the government and a few gambling industries run clinic centers for gamblers and their families, but have been lacked rehabilitation services for social comeback and adaptation or devaluated rehabilitation services than therapies. Gambling addict didn't have impairments of the cognitive function and their daily abilities was better than any other psychiatric disorders. But Damage of social role or function of gambling addiction was severe. And it is caused by nonadaptive nature of gambling behavior, personality/emotional change through gambling addiction process, and previous personality problem etc. There are many severe failure of social role and its attendant bankrupcy, family's problems and social poverty in gambling addiction, Therefore, important fields in the rehabilitation of gambling addiction should be services for basic social comeback support service, credit recovery support, monetary management, support of rehabilitation of family and vocational rehabilitation. Finally, the significance and critical points of the current study has been discussed as well.