• 지역사회간호학회지
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• 제30권4호
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• pp.400-413
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• 2019

Purpose: The use of video-recording offers important advantages in observing and assessing the relationship between specific behaviors in health care settings. The purpose of this systematic review is to investigate and synthesize the methodological characteristics of studies using video-technology for measuring interactions with the older persons with dementia and staff in long-term care facilities. Methods: We searched Medline, Embase and CINHAL databases for published articles in English using a video-recording method for both staff and the residents with dementia. Quantitative research design studies (e.g., descriptive or experimental studies) were included. Results: Among 5,605 searched papers, a total of 20 studies were selected for this review. Situations of video-recording were providing personal care (n=12), mealtime (n=6), and conversation (n=3). Concepts measured by video-recording were classified into two groups: 1) Staff [care practice by staff (n=13) and communication by staff (n=11)] and 2) residents [communication by resident (n=4), activities of daily life function of resident (n=8), and behavioral and psychological symptoms of dementia (n=10)]. Conclusion: This review demonstrates that video technologies are actively used to evaluate the relationship between quality of care and health outcomes of the elderly with dementia in many international nursing studies. This study provides the foundation for a future research using video-recording technologies to examine the interactions and relationships between staff and the residents in Korean long-term care settings.

• 한국주거학회논문집
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• 제28권3호
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• pp.35-43
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• 2017

This study purposes to examine direct effects of the physical environments and indirect effects of the satisfaction with life on the settlement consciousness of the aged, using the raw data of 2015 Busan Social Survey. The 5,324 cases were selected from the raw data of those more than 65 years old. The results were as following: (1) When age, spouse with/without, diseases with/without, length of residence, and number of communicating persons were controlled, the satisfaction with housing, the number of cultural facilities, and public transportation availability affected directly on the settlement consciousness of the aged, but the levels of the satisfaction with the number of parks were not directly correlated with it. (2) The satisfaction with housing and public transportation affected indirectly on the settlement consciousness through the satisfaction with life. That is, the satisfaction with life had mediating effects on the two variables. (3) The satisfaction with parks did not affect directly on the settlement consciousness, but it affected on the settlement consciousness through the satisfaction with life. That is, the satisfaction with life shows the complete mediating effects on the settlement consciousness. These results imply that the physical environments such as housing, cultural facilities, public transportation affect on the aged's settlement consciousness so that they should be age-friendly.

• KIEAE Journal
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• 제9권2호
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• pp.17-26
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• 2009

High-rise and high-density apartment complexes have been built and supplied on a large scale in the 1st period New Town of metropolitan areas since the late 1980s. Recently it has become necessary to improve those apartment complexes which have blight problems for aging more than about 20 years accompanying simultaneity and a large scale. The purpose of this study is to analyze actual conditions of high-rise and high-density apartments in a view of sustainable regeneration. The contents and methods of this study are as follows. First, the concept of high-rise and high-density in domestic apartment developments were identified through review of literature and the law. Second, development conditions of Bundang new town and 1st period new town were studied. Third, the evelopment conditions of high-rise and high-density apartments in cases of 6 apartment complexes were analyzed from points of view of sustainable development by literature review and a field study. The results of this study are as follows. First, high-density range in domestic apartments can be conceptualized as 600 persons/ha. High-rise range in domestic apartments can be onceptualized as more than 11 stories under 30 stories. Second, characteristics and subjects based on actual conditions analysis could suggest on physio-environmental aspect and socio-economic aspect. Major characteristics and subjects of the physio-environmental aspect were 1.satisfaction of convenient facilities and public transportation service, 2.shortage of parking space, 3.uniform & blight of community facilities, 4.uniformed building layout, and 5.uniform pattern of unit plan and low flexibility by the bearing wall structure. And those of the socio-economical aspect were 1.satisfaction of current community, 2.increase and diversity of needs of the elderly by socio-demography change, 3.improvement of size and method of apartment complex development and 4.raising of economic-sufficiency.

• 한국농촌간호학회지
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• 제3권1호
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• pp.34-43
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• 2008

Purpose: The purpose of this study was to suggest new direction for domiciliary care for elders provided by public institutions in rural areas. Method: The participants in the study were elders using one of 11 public health care institutions, of which 8 operated day care services exclusively, and 3 operated both day care and short-term respite care services. A survey was conducted using a structured questionnaire that included items on general characteristics of the service users, conditions of the services, personnel, financial status, facilities, and perception of the tasks of the staff. Result: The service content of the day care centers included Western and Chinese medical service, physical services, activities of ADL, nursing care services, meal services and transportation services. Domiciliary care centers provided a wide variety of health and social welfare service for elders. Personnel consisted of 3 to 8 staff for day care centers and 7 to 10 for domiciliary care centers. Both types of centers rely on financial support from local government for operation. The perception of the staff was the need for operation of these centers by public health facilities such as public health centers and sub-centers. Conclusion: The result suggest a need to activate the function of public institutions to provide domiciliary care for elders. For this new change, the role as a social support system must be developed.

• 디자인학연구
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• 제18권3호
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• pp.181-190
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• 2005

노인들의 수명 연장에 따른 노인의 여가생활을 위하여 정부는 다양한 서비스 및 시설 확충에 대한 계획안을 마련하여 실행하고 있으나, 아직 노인들의 욕구를 충족시키지 못하고 있다. 이것은 단기간에 양적 증가에만 치중하고 있어 수요자인 노인들의 특성과 행태를 고려한 수준 높은 노인복지시설은 거의 전무한 실정이다. 본 연구는 현재 노인복지회관이 실내환경에서 노인의 행태와 특성을 반영하여 디자인하고 있는가를 실내공간체크리스트를 통해 현황을 파악하고자 한다. 실내공간체크리스트를 위한 이론적 기초는 노인환경심리와 행태에 따른 관련 문헌과 디자인 측면에서의 유니버설디자인 자료를 분석하여 기초자료를 7가지 분석 기준안을 토대로 실내공간체크리스트를 제시하였다. 공간분류로는 공동공간과 개별서비스공간으로 분류하여 각 회관별로 실내공간체크리스트를 통하여 조사 분석하여, 광주광역시 각 노인복지회관 적용하여 노인의 행태 관련된 디자인 특성내용들을 추출하였다. 분석된 결과를 기반으로 하여 광주지역 뿐만 아니라 전국에서 노인복지회관 건립 시, 노인복지와 여가의 질을 향상 시켜줄 수 있는 실내공간을 조성하는데 있어 기초자료를 제공하고자한다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권1호
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• pp.89-103
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• 2014

Objectives: The purpose of the study was to clarify the relationship between parenting, job related stress and child care using data from working mother's in Korea and Japan. Methods: In this study, we conducted a survey of 125 Korean mothers who used childcare facilities in two cities and 170 Japan mothers who used childcare facilities in two cities. The questionnaire sought information about the mother's age, age of the youngest child, family composition, mother's occupation, parenting stress, job stress, appropriate parenting behavior and child maltreatment. Based on this survey data, it was tried to reveal the effective paths between parenting stress, job stress, appropriate parenting behavior and child maltreatment in order to provide the rationale for intervention by using SEM. Results: Child care was statistically significantly affected by parenting stress and job stress for both Korean and Japanese working mother's. Conclusions: The results of the research suggest the need to establish work-life balance policies to improve the balanced lives of working mother's.

• 문화기술의 융합
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• 제5권4호
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• pp.99-104
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• 2019

이 연구의 필요성은 노인요양시설 종사자의 근무환경의 질, 복지개선이 시설이용 어르신들의 양질의 서비스 제공을 위해 노인요양시설 종사자들을 대상으로 감정노동행동이 직무소진과 서비스품질에 미치는 영향과 감성리더십을 중심으로 효과를 규명하는데 있다. 연구결과를 요약하면 다음과 같다. 첫째, 감정노동행동 중 내면행동이 직무소진의 부의 영향을 미치는 것으로 나타났으며, 표면행동에는 정의 영향을 미치는 것으로 나타났다. 또한, 감정노동행동이 서비스품질에도 정의 영향을 미치는 것으로 나타났다. 둘째, 감성리더십은 감정노동행동 중 내면행동에서 정서적 고갈과 개인적 성취감저하에서만 조절효과를 보였으며, 표면행동에는 비인격화에서 조절효과가 나타났다. 셋째, 감성리더십은 감정노동행동 중 표면행동과 서비스 품질에서는 유형성, 신뢰성, 확신성 요인에서 감성리더십의 조절효과가 나타났다. 따라서 노인요양시설 종사자의 근무여건 개선과 노인요양시설 이용 노인들의 서비스 품질 향상을 위한 앞으로도 많은 연구들이 이루어져야 하겠다.

• 한국임상약학회지
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• 제32권4호
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• pp.321-327
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• 2022

Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents in Korean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newly developed tool and to evaluate the drug related problems (DRPs) identified by pharmacists' medication review in NH setting. Methods: This study was carried out in two NHs in Korea. The elderly residents (65 or older) using 5 or more medications were eligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) based on the newly developed tool. Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about 55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54 DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases or conditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. 'Continued use or regular daily use of hypnotics' was the most highly detected item (9 cases) followed by 'multiple prescriptions within each class of hypnotics/sedatives' (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were accepted in 18 cases (46.1%). Conclusion: This pilot study demonstrated that newly developed tool is feasible for the nursing home residents. However, further studies with larger population are warranted.

• 한국컴퓨터정보학회논문지
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• 제14권2호
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• pp.129-138
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• 2009

고령화 사회를 넘어 고령사회를 눈앞에 두고 있는 우리나라에서 노인 문제는 더욱 심각할 것으로 예상되고 있다. 본 연구에서는 집 또는 복지/요양 시설에서 생활하고 있는 거주자들의 일상생활 행동 모형을 정립하는 연구를 수행하였다. 이를 위해 본 연구에서는 사건 발생을 중심으로 하는 일상 행동 모형 $W_{ip}(n)$을 제안하였다. 본 연구에서는 제안된 행동 모형을 기반으로 조도/온도 센서로 구성된 무선 센서 네트워크 시스템을 구축하였다. 본 연구에서 구축한 시스템에서 거주자들의 일상 행동 양상에 대하여 실험을 수행하였다. 실험을 통해서 거주자의 일상생활이 정규적인 범위에 있는지 벗어나 있는지 구분하고자 시도하였다. 제안된 일상 행동 모형이 미래에 집이나 사회복지 시설의 거주자들을 효과적으로 보살피는데 매우 잘 적용될 것임을 실험 결과들이 알려주고 있다.

• 한국노년학
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• 제38권4호
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• pp.891-903
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• 2018

본 연구는 허약의 고위험군인 후기노인의 건강관련 삶의 질 향상을 위한 기초자료를 제공하고자 허약, 사회적 지지 및 건강관련 삶의 질 간의 관계를 조사하였다. 서술적 조사연구인 본 연구를 위하여 2016년 03월 01일부터 03월 31일까지 K군에 소재하는 노인복지시설에서 75세 이상 노인을 대상으로 구조화된 설문지를 이용하는 일대일 면담을 통해 총 211명의 자료를 수집하였다. 수집된 자료는 SPSS/WIN과 Amos 18.0 프로그램으로 t-test, Pearson's correlation coefficient 및 경로분석을 사용하여 분석하였다. 80세를 기준으로 한 연령집단 간 차이검정결과, 80세 이상인 경우 유의하게 허약수준이 더 높고(t=-2.51, p=.013), 건강관련 삶의 질이 낮았으나(t=3.29, p=.001), 사회적 지지는 유의한 차이를 보이지 않았다(t=1.28, p=.201). 허약, 사회적지지, 건강관련 삶의 질 간의 상관관계 분석결과, 허약수준이 높을수록 사회적 지지(r=-.21, p=.003)와 건강관련 삶의 질이 유의하게 낮았고(r=-.65, p<.001), 건강관련 삶의 질은 사회적 지지가 높을수록 유의하게 높았다(r=.18, p=.010). 사회적 지지와 건강관련 삶의 질 사이에서 허약의 매개효과를 조사한 결과, 사회적 지지는 허약에(${\beta}=-.21$, p=.016) 허약은 건강관련 삶의 질에 유의한 직접효과를 미치나(${\beta}=-.06$, p=.004), 사회적 지지는 건강관련 삶의 질에 유의한 직접효과를 미치지 않고(${\beta}=.00$, p=.562) 허약을 매개하여 유의한 간접효과를 미쳐(${\beta}=.01$, p=.012) 사회적 지지와 건강관련 삶의 질 사이에서 허약의 완전매개효과가 있었다. 사회적 지지는 허약을 예방하고 허약수준의 개선은 건강관련 삶의 질을 증진시킨다. 그러므로 후기노인의 건강관련 삶의 질 제고를 위해 연령별 사회적 지지 방안을 포함하는 다면적인 허약 예방 프로그램의 개발이 필요하다.