• 한국콘텐츠학회논문지
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• 제12권11호
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• pp.215-224
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• 2012

본 연구는 장기요양시설 입소노인을 대상으로 시설적응 특성, 시설적응과 일상생활수행능력, 자기효능감, 시설의 질과의 관계를 확인하고, 및 시설적응에 영향요인을 확인하기 위해서 시도되었다. 연구대상은 2011년 1월 2일부터 3월 15일까지, 수도권 소재 9곳 노인요양시설에 거주하는 인지기능이 정상인 65세 이상 노인 177명이었으며, 수집된 자료는 빈도, 백분율, 평균과 표준편차, t/F 검정, 상관관계분석 및 단계적 다중회귀분석을 실시하여 분석하였다. 연구결과는 다음과 같다. 첫째, 시설의 적응은 입소결정자(p=.004), 종교(p=.027), 입소동기(p=.009)에서 차이가 있었다. 둘째, 시설의 적응은 일상수행능력, 시설의 질과 약한 순상관 관계가 있는 것으로 나타났다. 셋째, 노인의 시설적응에 영향요인으로 입소결정자, 입소동기 개인면담, 종교, 지각한 건강상태가 나타났으며 22.8%의 설명력을 나타냈다. 따라서 본 연구의 결과는 시설입소 노인의 시설적응을 돕고 시설적응을 증진하기 위한 간호중재의 근거자료로 활용될 수 있을 것이다.

• 디지털융복합연구
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• 제16권4호
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• pp.371-378
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• 2018

본 연구에서는 노인장기요양기관 입소노인의 가족관계가 시설적응에 미치는 영향을 파악하는데 연구의 목적이 있다. 장기요양기관을 평가등급과 지역에 따른 할당표본을 통한 표집틀을 구성하여, 2018년 1월과 2월에 한 기관 당 입소노인 5~6명을 대상으로 설문조사를 하였으며, 최종적으로 381명의 데이터를 분석에 사용하였다. 주된 연구결과는 첫째, 노인의 시설적응수준은 높은 편이었다. '집단행동부적응'과 '이동쇼크'와 같이 부적응차원은 2점대로 낮고, '새로운 거주지 인정'과 '친구 만들기'와 같은 적응차원은 중간수준 이상을 보이고 있다. 둘째, 노인의 시설적응에는 노인의 사회인구학적 특성이나 시설관련변수의 영향력보다는 가족관계변수의 영향력이 더 컸다. 그 중에서 가족과의 친밀감 변화 변수의 영향력이 가장 컸다. 따라서 노인이 시설에 입소하기 전부터 입소 후까지 전 과정에 걸쳐 가족과의 친밀감이 유지되도록 적극적인 지원과 노력이 필요하다는 점을 제안한다.

• Human Ecology Research
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• 제54권1호
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• pp.83-95
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• 2016

This study explored the processes of parental divorce and adaptation in single-parent families as well as examined how the experience of living in family welfare facilities influences the adaptation process of such families. The research question to achieve the study objective was, "What is the adaption process for a singlefather family, and what influence does living in a single-father family welfare facility have on that process?" Data collection was conducted between June 2013 and April 2014 that included an in-depth interview process and continuous participatory observations on 14 children residing in the facility. The study results were as follows. The theme in a two-parent family period was 'changes in reduction of family: serious conflicts between parents.' Children directly witnessed intense conflicts between parents and experienced anxiety from situations that involved verbal and physical violence during the two-parent family period. The experience of children prior to entering the facility was represented by "loss and confusion experienced." The theme for children of singlefather family in entering a facility was "selecting a realistic alternative." Children's daily activities consisted of being with friends of a similar age, which allowed them to play and support each other in building social skills. The facility departure theme for the children was "hope for a new life."

• 성인간호학회지
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• 제24권2호
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• pp.99-108
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• 2012

Purpose: The study was done to identify factors influencing the quality of life of elderly in non-paid or paid assisted living facilities. Methods: Data were collected by questionnaires from 634 elderly in Seoul and Gyeonggi province. Measures were self-esteem, activities of daily living, depression, family support, health status, facility adaptation, care facility's quality, and quality of life. Data were analyzed using $x^2$-test, independent t-test, ANCOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 15.0 version. Results: The significant factors influencing quality of life of elderly in non-paid assisted living facilities were care facility's quality, depression, self-esteem, family support, education, and activity of daily living, which explained about 40.4% of the variance. The significant factors influencing quality of life of elderly in paid assisted living facilities were activity of daily living, depression, family support, education, care facility's quality, and facility adaptation, which explained about 83.9% of the variance. Conclusion: The results suggest that type of assisted living facilities in developing nursing interventions to improve quality of life of elderly should be considered.

• 한국사회복지학
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• 제65권3호
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• pp.155-182
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• 2013

본 연구는 장기요양보호대상노인의 시설생활 적응과정은 어떠한지, 어떻게 경험하고, 어떠한 행태적 특징을 보이는지를 살펴보는데 그 목적이 있다. 노인요양시설에서 생활하는 노인 15명을 대상으로 심층면담을 한 내용을 Strauss 와 Corbin(1998)이 제시한 근거이론을 활용하여 분석하였다. 분석결과, 15개의 범주와 42개의 하위범주 그리고 170개의 개념이 추출되었다. 장기요양보호대상노인의 시설적응 과정에서 경험하는 중심현상은 '내버려짐'으로 나타났다. 이에 대한 인과적조건, 맥락적조건, 중재적조건, 작용/상호작용 전략과 결과를 통합한 핵심범주는 '받아들임'으로 구체화되었으며, 그 유형에 따라 운명-체념형, 현실-수용형, 자발적-선택형으로 구분되는 것으로 확인 하였다. 연구 결과를 바탕으로 노인을 둘러싸고 있는 상호작용요인으로써 시설환경과 종사자, 시설 내 다른 노인과의 대인관계, 가족의 지지가 강화되도록 실천적 대안을 제시하였다.

• 한국건설관리학회논문집
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• 제20권2호
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• pp.44-52
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• 2019

기후변화로 인해 극한 기후 사상이 야기하는 피해의 빈도와 세기가 증가하고 있다. 사회기반시설물이 기후변화로 인한 위험에 대비되어 있지 않으면 시설물 자체와 그 주변 지역의 자산 손실이 발생할 수 있다. 따라서 기존의 기후에 근거하여 설계된 사회기반시설물들에 기후변화 적응기술을 도입하여 미래에 발생할 손실을 낮추어야 한다. 정책 결정자는 적응기술을 도입하기 위해 각 기술의 경제적 파급효과를 이해해야 한다. 기후변화 적응의 경제적 파급효과를 올바르게 이해하려면, 시설물에 직접적인 피해인 1차 피해와 기후 사상으로 인해 주변지역에 미치는 피해인 2차 피해를 모두 파악하여야 한다. 본 논문은 기후변화 적응기술들이 저감하는 1차 및 2차 피해액을 도출하기 위한 방법론을 제시하여, 각 사회기반시설물에 특화된 기후변화 적응기술 가치평가 방법을 제안하였다.

• 대한간호학회지
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• 제39권2호
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• pp.177-185
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• 2009

Purpose: The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from 148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February 28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion: The study suggested that during the decision making period of nursing home admission, older adults should have enough time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

• 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.

• 대한간호학회지
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• 제46권6호
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• pp.858-870
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• 2016

Purpose: The purpose of the study was to explore and describe the adaptation process of older people to group homes. Methods: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. Results: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was 'gradually giving up'. Causal conditions were 'good-for-nothing body', contextual conditions were 'pushed', 'beleaguered'. Intervening conditions were 'reliable pillar: children', 'having affection (情) more than having it from family: facility workers', 'comfort - like feeling at home', 'relieved: system'. Action/interaction strategies were 'facing the unfamiliar reality', 'building relationships with other people', 'accepting reality'. Consequences were 'a good place, more than expected', 'hope for the remaining days', 'waiting for a peaceful death'. Conclusion: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.

• 한국보건간호학회지
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• 제36권2호
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• pp.212-226
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• 2022

Purpose: The purpose of this study was to explore nurses' experience of the role adaptation process and barriers in long-term care (LTC) facilities including nursing homes, daycare centers, and home visit nursing centers. Methods: After in-depth interviews with 13 nurses who were working at the LTC facilities in G province, the data were analyzed using Colaizzi's phenomenological methodology. Results: 17 themes with 6 theme clusters, and 2 categories emerged: nursing role adaptation process in the LTC (role expectation and readiness, role perception and performance, limits of role performance), and barriers to nursing role adaptation in the LTC facility (organizational, situational, and institutional-environmental barriers). Conclusion: The results showed that it is critical to establish the nurses' role in caring for the health of the elderly and maintaining the quality of care in the LTC facilities. In response to the growing demand for quality care in the LTC facilities, more institutional and environmental changes are needed to address the current barriers that prevent nurses from performing their appropriate roles.