• 디지털융복합연구
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• 제12권12호
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• pp.61-76
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• 2014

본 연구는 노인요양병원에 입원한 환자보호자를 대상으로 소비가치와 병원 만족도 및 환자보호자의 심리적 안녕감 간의 관계를 조사하는데 목적이 있다. 본 연구를 위하여 서울 경기지역에 소재한 민간노인요양병원 10개소에 입원하고 있는 환자보호자를 대상으로 설문조사를 실시하여, 총 355부의 자료로 분석을 수행하였다. 분석방법은 SPSS 18.0을 이용하여 요인분석을 통한 타당도 분석, 신뢰성 검토와 다중회귀분석법을 시행하였다. 연구결과 노인요양병원의 소비가치 중에서 기능적 가치, 감정적 가치가 병원 만족도에 정(+)의 영향을 미쳤고, 진귀적 가치는 병원 만족도에 부(-)의 영향을 미치는 것으로 나타났다. 병원 만족도는 환자보호자의 심리적 안녕감에 정(+)의 영향을 미쳤다. 또한 가족지지가 기능적 가치와 병원 만족도 간의 관계에서 조절변수로서 역할을 하였고, 환자보호자의 심리적 안녕감에 직접적인 영향을 미치는 것으로 나타났다. 이 연구결과의 함의를 논의하고, 환자보호자의 병원 만족도와 심리적 안녕감을 향상시킬 수 있는 병원경영 연구과제를 제시하였다.

• 융합정보논문지
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• 제9권7호
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• pp.41-47
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• 2019

본 연구는 요양보호사의 감정노동과 소진이 노인 돌봄 태도에 미치는 영향요인 파악하기 위한 서술적 조사이다. 2018년 12월 1일부터 30일까지 D시, K도에서 6개월 이상 노인 돌봄으로 근무한 요양보호사 142명으로 구조화된 설문지로 자가기입방식의 설문 조사를 시행하였다. 수집된 자료는 SPSS 21.0을 이용하여 t-test, ANOVA, Pearson 상관분석 및 다중회귀분석을 시행하였다. 본 연구결과는 요양보호사의 노인 돌봄 태도에 영향을 미치는 변수로 감정노동의 주의 정도, 건강상태, 근무형태이며, 설명력은 31%였다. 즉, 요양보호사는 노인의 행동을 그대로 이해하며 받아들여야 하는 감정표현의 주의 정도에 관한 요구가 높을수록, 자가건강상태가 좋지 않을수록, 근무형태가 불안정할수록 노인 돌봄 태도에 부정적인 영향을 미치는 것으로 확인되었다. 따라서 요양보호사의 노인 돌봄 태도를 높이기 위하여 요양보호사의 안정적인 근무 환경과 더불어 사회적 인식 개선을 위한 교육프로그램의 적용이 필요하다.

• 한국학교ㆍ지역보건교육학회지
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• 제24권3호
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• 한국산학기술학회논문지
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• 제20권9호
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• pp.459-464
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• 2019

본 연구목적은 요양보호사를 대상으로 하여 감정노동, 회복 탄력성이 노인 돌봄 태도에 미치는 요인을 파악하고, 요양보호사의 노인에 대한 긍정적인 태도 형성 및 유지를 위한 전략을 제공하고자 시행된 조사연구로 D시, K도 요양보호사 142명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 결과 분석 프로그램은 SPSS/WIN 21.0 program을 이용하여 기술통계, t-test, one-way ANOVA, Pearson Correlation coefficient, Multiple regression analysis를 이용하였다. 연구결과 노인 돌봄 태도는 $3.56{\pm}0.90$점, 감정노동은 $3.23{\pm}0.74$점, 회복 탄력성은 $3.94{\pm}0.40$점이었다. 노인 돌봄 태도는 회복 탄력성(r= .294, p<.005)과 유의한 정적(+)상관을 보였고, 노인 돌봄 태도의 설명력은 15.6%로 회복 탄력성(${\beta}=.360$, p= .002), 근무 형태(${\beta}=-.282$, p= .001)가 요인으로 나타났다. 본 연구결과 요양보호사들에 관한 근무형태가 안정적일수록 자신의 직무인 노인 돌봄 태도가 증가하고 있음을 보여주고 있다. 또한, 어려운 상황을 스스로 이겨낼 수 있는 회복 탄력성에 관한 프로그램을 활용하여 이들에게 미치는 영향을 파악해 볼 필요성이 있다.

• 한국직업건강간호학회지
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• 제21권3호
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• pp.290-298
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• 2012

Purpose: The purpose of this study was identify the influences of occupational stress and burnout on turnover intention of caregivers in geriatric hospitals. Methods: The data were collected from 176 caregivers working at three geriatric hospitals located in Gyeonggi province. A self-reported questionnaires was used to assess the level of occupational stress, burnout and turnover intention. The data were analyzed with descriptive statistics, t-test, ANOVA and Pearson correlation coefficients and multiple regression by SPSS/WIN 18.0 program. Results: The turnover intention was positively correlated with occupational stress(r=.438, p<.01) and burnout(r=.418, p<.01). The influencing factors of turnover intention were occupational stress(${\beta}$=.290, p<.001), burnout(${\beta}$=.253, p=.001) and education level(${\beta}$=.182, p=.006). Conclusion: The results of this study indicate that it is necessary to develop stress management program so that caregivers in geriatric hospitals can reduce occupational stress and burnout.

• 한국생활과학회지
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• 제17권1호
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• pp.127-139
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• 2008

The purpose of this study is to examin wearing satisfaction and needs of the caregivers' uniforms. The questionnaire survey was conducted on 303 who are serving in the geriatric hospital and general hospitals in Seoul and Gyeonggi, Chungcheong region. It was coherently found on the whole that the irrelevance to the fitness of size system influenced the discomfort, and the relation between discomfort and satisfaction revealed negative-correlation, and the higher the discomfort is and the lower satisfaction is, the higher their improvement needs are. Particularly, the higher the discomfort on the fitness of size system is and the lower its satisfaction is, the higher the improvement needs on the size system and activities are. As a result, the clothing construction and the selection of materials for the complement of the fitness and discomfort's incongruity is required. Namely, the yoke of the back area and the various detail for the activity, the materials satisfying stretch, good-touch, antibiotic functionality, and the expansion of the size system are needed.

• The Journal of Korean Physical Therapy
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• 제20권4호
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• pp.61-69
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• 2008

Purpose: We evaluated caregivers' understanding of patients' diseases and disuse syndrome, the understanding of exercise and massage related to rehabilitation and the necessity of education about these, the difference in education and realities of the care-giving field, and the extra services needed in the field. Methods: The survey using questionnaires was performed from June 2008 to August 2008 with 220 people participated in caregive education programme in daegu city and area near dagu city. Among the 220 submitted questionnaires, 184 which were faithfully answered were selected and they were analyzed by i-STATistics statistical program. Results: The educational focus of the first and second level caregivers, as defined by the second clause of the 29th article of the Elderly Welfare law, is on basic knowledge of diseases such as dementia, stroke, and depression. However, other diseases are not covered and the information does not include information on decreased function, complications, functional rehabilitating exercises, or preventing disuse syndrome for long term patients. The most common diseases, in order of prevalence, are stroke, dementia, diabetes mellitus, Parkinson disease, arthritis, and geriatric inertness. The general level of awareness about disuse syndrome was low, and patients, while understanding the need for massage and rehabilitative exercise, receive little education about the proper methods and therefore cannot use them. Patients also did not understand how participating in these activities could reduce medical fees, indicating that further education on massage and rehabilitative exercise is needed. Caregivers desired to include positive rehabilitation, massage, and exercise-related services in their services. Finally, differences in caregiver education and reality resulted from a lack of diversity in education. Conclusion: We suggest providing education on disuse atrophy and improving the lack of diversity in the care-giving education system.

• 대한간호학회지
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• 제48권2호
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• pp.143-153
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• 2018

Purpose: The purpose of this study was to identify factors predicting behavioral and psychological symptoms of dementia (BPSD) in persons with dementia. Factors including the patient, caregiver, and environment based on the multi-dimensional behavioral model were tested. Methods: The subjects of the study were 139 pairs of persons with dementia and their caregivers selected from four geriatric long-term care facilities located in S city, G province, Korea. Data analysis included descriptive statistics, inverse normal transformations, Pearson correlation coefficients, Spearman's correlation coefficients and hierarchical multiple regression with the SPSS Statistics 22.0 for Windows program. Results: Mean score for BPSD was 40.16. Depression (${\beta}=.42$, p<.001), exposure to noise in the evening noise (${\beta}=-.20$, p=.014), and gender (${\beta}=.17$, p=.042) were factors predicting BPSD in long-term care facilities, which explained 25.2% of the variance in the model. Conclusion: To decrease BPSD in persons with dementia, integrated nursing interventions should consider factors of the patient, caregiver, and environment.

• Asian Pacific Journal of Cancer Prevention
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• 제15권4호
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• pp.1643-1648
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• 2014

Family caregivers of older cancer patients face many challenges in managing illness. The burden impacts physical, emotional, spiritual, and social health. The objective of this study was to identify burden among caregivers of older patients with advanced cancer, and associated factors. Materials and Methods: Caregivers of older cancer patients were randomly interviewed from March-September 2012. Information on baseline characteristics and caregiver burden using the Zarit Burden Inventory (ZBI) was collected. Descriptive statistics were used to analyze baseline data, with univariate and multiple linear regression to analyze factors associated with higher burden. Results: One hundred and fifty participants were assessed. The mean ZBI was $19.2{\pm}12.9$ (95%CI, 17.1, 21.2). Two-thirds of caregivers reported no burden (63%) and the main impact variable on ZBI was guilt. High burdens were associated with single caregiver, relationship with the patient as siblings, presence of migraines, and cancer types of the patients. Conclusions: Caregiver burden of Thai cancer patients is low. This unexpected small number could be the result of the socio-cultural viewpoint. Assessment of caregivers and focusing on related factors should be incorporated into treatment plans.

• 한국노년학
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• 제31권1호
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• pp.129-141
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• 2011

본 연구의 목적은 맞춤형 작업 활동 프로그램이 지역사회 거주하는 치매환자의 일상생활수행능력, 인지기능과 우울수준, 그리고 보호자 부담 정도에 미치는 효과를 알아보고자 하였다. 연구방법은 2009년 10월부터 2010년 5월까지 경기도 Y시 치매예방관리센터에 내소한 지역사회에 거주하는 치매환자 15명과 보호자 15명을 대상으로 하였다. 맞춤형 작업 활동 프로그램은 목표활동과 과제를 통해 습득한 기술을 습관화하고 규칙적으로 일상화 할 수 있도록 구성되어 있으며, 전 후 평가를 포함하여 7주 동안 주 2회(1회 가정방문, 1회 전화점검), 총14회를 치매환자와 보호자에게 실시하였다. 연구결과는 운동 및 처리기술평가에서 운동기술은 1.10±1.14점에서 1.34±1.2점으로, 처리기술은 0.32±0.55점에서 0.77±0.66점으로, 인지수준판별검사는 3.86±0.65점에서 4.17±0.64점으로, 간이정신상태검사는 17.33±4.6점에서 19.33±4.97점으로, 우울수준은 11.73±6.87점에서 8.53±7.09점으로, 보호자 부담은 31.80±20.06점에서 26.13±18.07점으로 맞춤형 작업 활동 프로그램 실시 전에 비하여 실시 후에 치매환자의 일상생활 수행능력, 인지기능이 증가하였으며 치매환자의 우울수준과 보호자의 부담이 감소하였다(p<0.05). 이러한 연구결과는 지역사회에 거주하는 치매환자에 있어 맞춤형 작업 활동 프로그램은 인지기능 향상, 우울 수준의 감소로 인해 일상생활 수행능력이 증가하였고, 그로 인해 보호자 부담 감소에 효과적인 것으로 보인다. 향후 지역 사회에 거주하는 치매환자의 기능향상과 보호자 부담 감소를 위한 보다 다양한 맞춤형 작업 활동 프로그램의 치료효과에 대한 연구가 필요하다.