• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권1호
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• pp.61-71
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• 2007

The Outdoor space is an essential element among healing environments for older people. The purpose of this study is to identify outdoor design issues which can improve the health conditions of the elderly living in nursing home. At first, the design principles of outdoor space for the mentally ill have been collected from the literature survey. Secondary, outdoor design requirements for the care program in nursing homes have been explored. Thirdly, good design elements have been collected from 6 nursing homes which have good outdoor space. Finally, Basic design principles of outdoor space of nursing homes in which older people with dementia live have been proposed by analysis and synthesis on the three stages before. As a result of this study, 6 dimensions in architectural planning of outdoor space for nursing homes have been presented : safety environment, various sensual stimulation, social interactions, support physical ability, accessibility, meditation.

• 한국융합학회논문지
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• 제8권11호
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• pp.71-76
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• 2017

우리 사회는 산업 전반에 걸쳐 빠른 성장을 보이고 있으나 핵가족화와 고령화 시대에 접어들고 있어 노인에 대한 요양 서비스와 같은 사회복지 서비스의 수용가 급격하게 증가하고 있는 추세이다. 그러나 노인과 관련된 요양시설에 종사하고 있는 사회복지사들의 직무가 명확하지 않아 직무 스트레스가 발생되고 있으며, 직무 만족도가 현저하게 낮아지고 있는 상황이다. 이에 본 논문에서는 노인요양시설의 사회복지사 직무와 관련하여 복지 서비스를 실천함에 있어 보다 좋은 환경 및 표준화된 절차에 의하여 서비스에 집중할 수 있도록 직무와 융합한 지식 기반의 관리시스템을 제안한다. 제안 시스템을 통하여 사회복지사들이 자기 개발 및 정보 공유를 통하여 신속한 업무 파악과 직무 스트레스에서의 탈피에 의한 업무 만족도를 향상시킬 수 있을 것으로 기대된다.

• 한국노년학
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• 제29권2호
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• pp.611-627
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• 2009

본 연구는 한국성인자녀와 미국성인자녀의 노부모와의 관계의 질과 부양행동을 비교하였다. 이를 통하여 한국과 미국 두 나라의 성인자녀와 노부모와의 관계 및 부양에 대한 문화적인 차이를 살펴보고, 나아가 우리나라 노부모 부양의 발전 방안모색에 유용한 자료를 제공하고자 한다. 연구대상자는 만 60세 이상의 노부모가 적어도 1명이상 살아있는 성인자녀로서, 미국 캘리포니아 주의 성인자녀 320명과 한국 경상남도의 성인자녀 554명 이다. 연구결과, 성인자녀의 노부모와의 관계의 질은 미국 성인자녀가 한국 성인자녀보다 더 높게 나타났으며, 성인자녀의 노부모 부양행동은 한국 성인자녀가 미국 성인자녀보다 더 높게 나타났다. 성인자녀의 노부모부양행동에 가장 영향을 미치는 변인은 미국은 노부모부양의식으로 나타났으며, 한국은 노부모와의 관계의 질로 나타나 나라간 차이를 보였다. 본 연구 결과를 통하여 노부모 부양행동에 있어서 미국의 경우 성인자녀의 노부모부양의식의 중요성을 알 수 있었고, 우리나라의 경우 성인자녀와 노부모의 세대 간 관계의 질이 중요함을 알 수 있었으므로 향후 우리나라의 노부모 부양정책 방안과 관련하여 성인자녀- 노부모 관계의 질을 강화할 수 있는 프로그램 모색이 필요하다하겠다.

• 가정∙방문간호학회지
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• 제2권
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• pp.19-34
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• 1995

The purpose of this study was to analysis level on family caregiver's burden for the elderly with chronic disease in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales(1982), ADL by Lawton(1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 213 family caregiver of elderly with chronic disease in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows ; 1. Total burden was evaluated below average, the mean of family burden was 46.98. By the diagnostic classification, Hypertension was 27.37, DM 32.46, CVA 62.96, Dementia 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the patient's disease diagnosis (F=33.82, p<0.001), severity of dementia(F=30.52, p<0.001), the status of disease management(F=11.53, p<0.001), ADL(F=10.54, p<0.001), PADL(F=7.50, p<0.001), income(F=7.17, p<0.001), caregiver's health status(F=24.53, p<0.001), a view of patient's prognosis (F=22.17, p<0.001), relationship with the patient(F=33.82, p<0.001), the number of hours per day spent on caregiving(F=77.52, p<0.001), level of intimacy of caregiver and patients(F=8.75, p<0.001), level of helping(F=4.90, p<0.01), the frequency of caregiving activity(F=3.80, p<0.01), the number of admission(F=5.54, p<0.01), the length of caregiving(F=4.43, p<0.01), other chronic patient in family(t=2.81, p<0.01), caregiver's job(F=3.11, p<0.01), the duration of illness(F=2.98, p<0.05), caregiver's religion(F=2.93, p<0.05), medical security(F=3.89, p<0.05), caregiving's helper(t=2.42, p<0.05). 3. PADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, IADL, caregiver's health status, the length of caregiving. level of intimacy of caregiver and patients, patient's age, the patient's disease diagnosis and patient's job accounted for 76% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the diagnostic classification, number of priority care group, Hypertension was 4 (8.0%), DM 4(8.0%), CVA 34(64.1%), Dementia 45(75.0%).

• Architectural research
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• 제14권3호
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• pp.85-92
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• 2012

In Japan, there are over the 100's fires in the social welfare organs every years. People are interested in fire protection who live in an institution for the aged or weak person's places and worried about it. I surveyed the social welfare organs were safety from fire to firewarden who worked at an institution for the aged in Tokyo. In the paper, I asked how do you think about the fire safety problems and condition of the facilities. And base on firewarden's view, I reviewed(examined) the fire prevention measures, each facility's problems and how to improve the fire protection.

• 가정과삶의질연구
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• 제21권3호
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• pp.1-13
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• 2003

The purpose of this study is to understand the importance of exterior environments and to identify the design guidelines for the therapeutic garden for cognitively impaired seniors with Alzheimer's disease and related dementias. The data was collected from 4 Adult Day Care Centers, 2 Nursing Homes, & 1 Assisted living in the U.S.A. from 2001 to 2002 by interview and the floor plan about the outdoor space. Although some may believe that patients with Alzheimer's disease and related disorders are unresponsive to environment, evidence shows that environments especially designed for cognitively impaired seniors can maintain or increase their level of functioning. The use of specially designed exterior environments nay have in reducing incidents of aggressive behavior, and contributing significantly to a wanderer management program. The checklist includes 6 dimensions： safety environment, various sensual stimulations, social interactions, wandering, privacy, and support orientation and reality. The results indicated that the exterior environment have to support wandering behavior, orientation and reality.

• 지역사회간호학회지
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• 제21권1호
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• pp.12-20
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• 2010

Purpose: The purpose of this study was to identify the predictors of health-related quality of life and to examine their effects in frail elderly. Methods: This was a correlation study. The subjects were 680 frail elders aged over 65 who were receiving home care from one of 253 public health centers in 16 provinces, and data were collected from the 1st to 30th of April, 2008. Results: The mean health-related quality of life in the subjects was $6.0{\pm}2.0$. The predictors identified in this study significantly explained 41.3% of health-related quality of life. Self-rated health was the most significant predictor of health-related quality of life. ADL and depression had an effect on health-related quality of life. Conclusion: Self-rated health, ADL and depression were the predictors of health-related quality of life in the frail elderly.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2017년도 제55차 동계학술대회논문집 25권1호
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• pp.97-98
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• 2017

우리나라의 대표적인 노인여가활동 프로그램의 중심인 경로당은 노인여가복지시설로 노인복지법 제36조에 의거 만65세 이상인 지역노인이 자율적으로 친목을 도모하고 취미활동과 공동작업장을 운영한다. 또한 각종 정보교환과 기타 여가활동을 할 수 있도록 하는 장소를 제공함을 목적으로 하는 시설이다. 그러나 선행연구들에 의하면 가장 가까이에 있는 시설이지만 여러 가지 이유로 활성화되지 못하고 있는 실정이다. 이에 본 연구에서는 노인여가활동 프로그램과 관련된 연구들의 결과를 토대로 현황을 분석하고, 노인여가활동 프로그램의 가치를 극대화하고 지속가능성을 확보하기 위한 방안에 대하여 제안하고자 한다.

• Journal of Korean Biological Nursing Science
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• 제21권4호
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• pp.292-299
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• 2019

Purpose: The purpose of this study was to determine whether poor preoperative nutritional status in elderly patients exhibited a negative influence on postoperative clinical outcomes. Methods: The medical records of 645 elderly patients were examined retrospectively. The patients had undergone major surgery between January 2017 and January 2018. Their nutritional status was measured using the Nutritional Risk Screening 2002. The data were analyzed using the chi-squared test, the Mann-Whitney U test, logistic regression, linear regression, Cox proportional hazards regression, and the Kaplan-Meier analysis. Results: Preoperative malnutrition was found in 73 patients (11.3%). Poor preoperative nutritional status was significantly associated with pressure ulcers, length of hospitalization, discharge to patient care facilities rather than home, and mortality rate at three months. Conclusion: Preoperative malnutrition in elderly patients was associated with negative postoperative clinical outcomes. These results indicate that an effective nutritional program before surgery can lead to a more rapid postoperative recovery.

• 가정과삶의질연구
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• 제20권1호
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• pp.65-73
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• 2002

The purpose of this study was to describe 1) the prevalence of caregiving among adult men and women in Korea and 2) the characteristics of caregiving context. The main results were as follows: 1) About 1 in 6 adults reported that they provided care for the relatives and friends during the previous year. 2) The proportion of male to female caregivers was similar, indicating a higher prevalence of male involvement than previous studies indicated. Yet, the relationships to care recipients and types of care were found to be different by gender of caregiver 3) Adult caregivers are most likely to provide care for the elderly, but continue to provide care for younger persons as well. 4) A nontrivial proportion of the respondents reported providing care for more than one person, suggesting the need to pay special attention to these multiple caregivers.