• The Journal of the Korean dental association
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• v.53 no.10
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• pp.696-704
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• 2015

The coverage of the National Health Insurance for the elderly is expanding to denture and implants. Although the National Long-Term Care Insurance was just being settled, Oral health service was not provided to the Elderly in Long-Term Care Facilities. The long-term care facilities had part-time facility doctors. However, there is no dentist in the long-term care facility because of lack of long-term care insurance-related legislations. The amendments of long-term care insurance-related legislations for the introduction of part-time facility dentists are needed because the elderly in long-term care facility are vulnerable to oral health. For the substantial management of the National Long-Term Care Insurance, the development of oral health service model for the elderly and education materials for the dental team will be needed. Also, adequate dental service fee of the National longterm care insurance will be needed.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.5-18
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• 1999

The aim of this study is the development of a fee - based model day care center for the elderly by inquiring into the current condition of facilities in America and in Korea, and in surveying the opinion of domestic elderly about day care facilities. A field trip to U.S. day care services was held between July 5 and July 15 in 1997, and an on-the-spot study for domestic facilities took place during March in 1998. Our research reveals that the overall supply of day care facilities can not meet future demand in terms of quality and quantity. Therefore a model must be created for day care centers of a that consists of a director from a professional group. an adequate environment, and a standardized in order to offer a qualified public health service linked to the home and community in Korea. The director of a day care center is a critical variable in determining the quality of service. Professional skills related to the needs of the elderly and the person's quality of service should be considered in appointing director for the center. This study belleves that a professional nurse should be the director of a day care center. The operating environment of a day care facility should be made up of considerable space comparable to the number of residents, should be in a comfortable and safe location, and should have equipment that provides a qualified, safe service to the elderly. Our model is designed for 20 persons and allocates 4 Peng per person. This model is comprised of a reading room. a craft room, a health room, a room for physical therapy, a dining room, a staff office, and a multi -purpose room connected to other rooms. Day care service should be a comprehensive service program meeting the multidimensional needs of the elderly. A comprehensive service program needs a team of various professionals made up of the elderly family, participants, nurses, social workers, physical therapists, nutritionists, and medical doctors. The program will also include health care service, physical therapy, speech therapy. diet, occupational therapy, transportation service, health and an education program, etc. In conclusion, a model of a day care center is developed with the following components: a professional director and an environment and program, that considers the physical, mental, and social characteristics of the elderly. A model should also motivate self-reliance self-fulfillment in the elderly in order to fulfill their health needs and to prevent isolation from society and mental depression. Furthermore, This facility will be a beneficial factor in reducing a family's burden on caring for the elderly that includes unnecessary hospital expenses. The following is a suggestion based on results this study: A service program should be developed to fit the conditions of the elderly in Korea by specifically analyzing the needs of the elderly.

• The Journal of the Acoustical Society of Korea
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• v.40 no.1
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• pp.18-30
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• 2021

The ultimate goal of the present study is to establish the acoustical performance standards of classroom for the elderly who are incomplete hearing people. As a pilot survey, the present study was conducted to investigate the listening environment and the actual condition of speech perception performance of education facilities for elderly, Acoustic performances of two education facilities for elderly in Cheongju were measured and questionnaire survey was done to elderly people. Also, speech intelligibility tests were undertaken by Consonant Vowel Consonant (CVC) and Phonetically Balanced Words (PBW) methods. The questionnaire survey showed that the elderly were satisfied with the listening environment of the educational facilities in general. Also, it was found that acoustical performances satisfy with the acoustic criteria of general classrooms in Korea. However, the results of the speech intelligibility test showed that the scores of elderly were significantly lower than twenties with normal hearing. It was also revealed that the scores are reduced as the age increases. Thus, it was concluded that the acoustical performance standards of educational facilities for the normal hearing were not suitable for educational facilities for the elderly.

• The Journal of Korean Physical Therapy
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• v.35 no.2
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• pp.37-42
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• 2023

Purpose: Compared to cities, rural areas are in a medical blind spot and face difficulties in accessing medical services due to inconvenient transportation facilities, lack of medical facilities, and the heavy burden of medical expenses. This study was carried out to identify the problems relating to the musculoskeletal system of the elderly in rural and fishing villages, which are medically vulnerable areas, and sought to present a regionally differentiated healthcare model. Methods: The study was conducted in 80 elderly people in two rural villages and two fishing villages after seeking inputs regarding medically vulnerable groups in the Gyeongnam Province. Postural balance and muscle flexibility were assessed and postural evaluation was conducted to identify musculoskeletal problems and gait stability. Strength and range of motion for each body segment were assessed for evaluating functional motion. Results: The elderly in both rural areas showed forward head posture characteristics. The strength level of the elderly in both rural areas was higher than the average, but their flexibility and balance ability were lower than the average. Conclusion: The musculoskeletal problems of the elderly in rural and fishing villages in this study did not show regional characteristics according to the area of residence. However, overall flexibility and balance ability appeared to be reduced. Therefore, a new management model connecting the region and the university is necessary in preparation for the coming era of community care.

• Journal of Families and Better Life
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• v.20 no.2
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• pp.83-95
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• 2002

The objectives of this study were 1) to analyze the attitudes about Elderly Assisted Living(EAL), 2) to consider the policy implications for elderly communal housing according to socio-economic status(income, occupation and education). The survey was undertaken from August to September, 2000 in Seoul and Kyunggi-Do(Ilsan, Bundang). The data were analyzed by SPSS Window program. The major findings were as follows: Most of the respondents prefered to live in EAL(over 56%), under 10 units and desired to be serviced(housework.leisure medical program.meal service). The upper class respondents preferred high-rise apartment style inner city or suburban and prefered paid services in EAL. They would willingly to pay over 800,000 won for living expenses and more than 200 million won for buying their own EAL. The middle class respondents prefered 5 stories multi-family house style with common facilities as a number. And they prefered to common facilities opening to public if the quality of facilities were better. The low class respondents prefered 5 stories multi-family house style and prefered to live within 30 minutes apart from their families and friends. They would pay under 300,000~600,000won for monthly living expenses and under 100 million won for their own EAL.

• Health Policy and Management
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• v.13 no.1
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• pp.1-22
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• 2003

The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

• The Journal of Korean society of community based occupational therapy
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• v.11 no.1
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• pp.1-10
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• 2021

Objective : This study is to know how the internal and external control of the elderly in care facilities affect the relational aggression's perception. Methods : I analyzed the internal and external control and the relational aggression's perception through a survey of the elderly in care facilities. For data collection, 148 of 165 questionnaires, excluding 17 questionnaires with missing questionnaire and middle-level abandonment, were used for the final analysis. Independent variables were the internal and external control, dependent variables were the relational aggression of negative and bullying behaviors, and controlled variables were general sociological characteristics of the elderly. Results : The results were as follows: First, there was a significant difference internal and external control depending on the length of a care facility. Second, there were significant differences in the recognition of relational aggression depending on the level of education, the period of admission, the presence of spouses, and the level of economy. Third, there was a significant difference in comparison of relational aggression perceptions according to internal and external control. Fourth, internal and external control affected the recognition of relational aggression. Conclusion : According to the demographic characteristics, there was a difference in the internal and external control and relational aggression perception of the elderly living in the facilities, and the internal and external control affected the level of relational aggression perception of the elderly in the facilities.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.30 no.6D
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• pp.685-695
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• 2010

This is the study on the current status and system of the elderly medical and welfare facilities with the subjects in Busan. I investigated the problems related to those by analysing the current status and implementing a survey and then suggested a new facility system as a salvation. At present, the elderly medical and welfare facilities can not receive variety of inmates and also they are operated separatedly so the elderly is not able to receive special treatment and nursing at the same time in one facility. Some nursing facilities can give special treatment by connecting specific hospital when it is necessary, but the connection is not activated than our expectancy at the present. On the base of these problems, this study suggested 'one-stop service system' that can afford to give nursing and special treatment in a place ranging wider areas as the solution. The five types of facility system by integrating the results of survey are as followings. 1) Free special nursing facility + The geriatric hospital. 2) The profit special nursing facility + The geriatric hospital. 3) The geriatric hospital + The hospital rooms with silver town residence type. 4) The actual expense special nursing facility + The geriatric hospital + The hospital rooms with silver town residence type. 5) The geriatric hospital + The residential welfare service. It seems that the preparation for the elderly is urgent when considering the facilities related to those are not special any more because every one is supposed to use them some day. The kinds and the degree of elderly's diseases will be more duplicated and significant afterwards. Therefore it is expected that more various and specialized facilities are to be required.

• Korean Journal of Occupational Health Nursing
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• v.24 no.4
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• pp.352-362
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• 2015

Purpose: The purpose of this study was to investigate the effects of job stress and support from supervisors on depression of care givers in elderly care facilities. Methods: Subjects were 191 care givers working in elderly care facilities in K-Province in Korea. Data were collected from self-administered questionnaires. Descriptive statistics, ${\chi}^2$ test, t-test, F-test, Pearson's and Spearman's correlation coefficients, and hierarchical multiple logistic regression with dummy variables were used for statistical analysis of data. Results: Job stress measured with Korean Occupational Stress Scale was $56.16{\pm}5.88$. Emotional and instrumental support from supervisors were $37.05{\pm}7.30$ and $32.39{\pm}7.34$, respectively. After controlling for general characteristics, job stress was significantly related to depression (OR: 1.07, 95% CI: 1.01~1.14). However, job stress became non-significant in the model that included instrumental support from supervisors. Not emotional but instrumental support from supervisors was significantly related to depression of care givers (OR: 0.93, 95% CI: 0.88~0.99). Conclusion: Results of this study suggest that job stress has negative effects and instrumental support from supervisors has protective effects on depression of care givers in elderly care facilities. Therefore, measures to increase instrumental support by supervisors should be developed to improve psychological health of care givers in elderly care facilities.

• Journal of Korea Entertainment Industry Association
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• v.13 no.2
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• pp.169-176
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• 2019

The purpose of this study was to investigate attitudes toward aging and depression among elderly welfare facility users. For this purpose, a questionnaire-based survey was conducted with 280 elderly participants in the facilities of 15 institutions in Gyeonggi-do. In total, 258 data points were used for analysis. The measuring instruments used an attitude scale and depression scale for aging. The results of this study are as follows. First, there was no difference in attitude toward aging and depression among elderly welfare institution users by gender. Second, attitudes toward aging among elderly welfare facility users were also assessed according to final educational background. Positive attitudes in general (lack of depression) and positive attitudes toward aging were found to be higher with a higher rate of final academic completion. Third, attitudes toward aging were assessed according to experience with welfare facilities among the elderly, and it was found that depression has a significant impact on perceptions of physical change caused by aging. As a result, even when attitudes toward aging are generally negative, an elderly person cannot be judged to be depressed because this is highly related to final academic completion. Therapists working in welfare facilities for the elderly are more likely to have negative attitudes toward aging and depression when the number of facilities used is lower.