• 한국농촌건축학회논문집
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• 제14권1호
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• pp.9-19
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• 2012

The object of this study is to investigate the satisfaction level of group homes for the elderly living alone in rural areas. Sixty-four elderly people, living alone, were selected from ten regions operated by the Gimje city council in Jeonlabuk-do, and then a survey was conducted during January 17 to 26 in 2011. The results of the investigation are as follows: first, roughly 90.6 percent of the participants responded that they were satisfied with cohabitation. Second, average point of satisfaction was going to bed together, which is 4.39, also each unit in all the ten regions was recorded above 4.00. Third, the satisfaction of eating together averaged highly at 4.37. Fourth, 95 percent of them were satisfied with the conditions of the residential space. Fifth, the satisfaction with the amenities, such as electricity, phone, heating and sanitation, averaged 96.9 and 98.4 percent each, which was rated highest. Through analytical research, elderly people who live in 'group homes' are satisfied with their lives. It is thought that this 'group home' can play the role of an alternative family better than existing 'senior citizen centers' and 'welfare centers for the elderly'. The study means that 'group homes' in rural areas could be established successfully.

• Tuberculosis and Respiratory Diseases
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• 제70권3호
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• pp.224-234
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• 2011

Background: Little data is available regarding hospitalized patients with nursing home-acquired pneumonia (NHAP). This is unfortunate because there is an increasing number of elderly persons who are living in nursing homes in Korea. The aim of this study was to compare clinical characteristics and treatment responses of NHAP with community-acquired pneumonia (CAP). Methods: Patients with pneumonia who were admitted from eight nursing homes or from their own homes were enrolled between May 2007 and April 2009. Their clinical characteristics and treatment responses were reviewed retrospectively, and differences between the two groups were analyzed. Results: Of 110 Patients with pneumonia, 66 (60%) were from nursing homes and their median age was 84. In the NHAP group, functional performance status was significantly poorer, classical symptoms of pneumonia were less severe, and multi-lobe involvement (on chest radiographs) was more frequent than in the CAP group. Patients with NHAP more frequently showed lymphocytopenia, anemia, hypoalbuminemia, hypoxemia, and elevated blood urea nitrogen on admission. The mean CURB-65 score was 2.2 in the NHAP group, higher than 1.7 in the CAP group (p=0.004), and multi-drug resistant pathogens were also highly identified in NHAP group (39% vs. 10%, p=0.036). The mean duration of antibiotic therapy was greater for the NHAP (12.6 days) than for the CAP group (6.6 days) (p<0.001). The mortality rate was 23% in NHAP group, which was significantly higher than 5% in the CAP group (p=0.014). Conclusion: NHAP should be more intensively investigated because of the higher frequency of multi-drug resistant pathogens and mortality than the CAP.

• 사회복지연구
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• 제37호
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• pp.345-368
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• 2008

본 연구의 목적은 장애인거주시설 중 장애유형별생활시설, 장애인공동생활가정, 장애인자립홈의 이용자 1인당 거주시설 보호비용을 산출하고, 이를 시설유형별, 세입재원별, 장애정도별로 비교하여 어떠한 차이가 있는지를 살펴보는데 있다. 보다 엄밀한 보호비용 산출을 위하여 회계분야에서 사용하는 원가분석(cost-analysis)방법을 활용하여 거주시설 이용자 1인당 연간 보호비용(단위원가)을 산출하였다. 연구결과 거주시설 유형별로 생활시설은 약 15,000천원 ~ 20,000천원, 공동생활가정은 약 10,000천원 ~ 11,000천원, 자립홈은 약 4,025천원으로 나타났다. 장애정도가 유사한 이용자들만을 별도로 선정하여 거주시설 유형별 보호비용의 차이를 살펴본 결과, 생활시설에 거주하는 이용자가 공동생활가정 이용자보다 높았고, 공동생활가정 이용자는 자립홈 이용자보다 높게 나타났다. 이로써 우리나라에서 주장되고 있는 시설보호의 '규모의 경제' 논리는 실증적인 근거에 반한다고 할 수 있다. 서비스 효과측면에서 뿐만 아니라 비용측면에서도 향후 정책방향은 소규모 지역사회시설을 중심으로 공급을 확대하는 것이 필요하다. 이와 함께 현재 턱 없이 낮게 설정되어 있는 소규모 지역사회거주시설에 대한 정부의 재정지원 수준을 높이는 일도 중요한 과제라고 할 수 있을 것이다.

• 한국주거학회논문집
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• 제19권3호
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• pp.21-29
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• 2008

To investigate the actual conditions on the living environment of group-homes for the elderly and their living environment, 4 group-homes were surveyed. As the results, conditions of location for the group-home of the elderly looked positive, on the other hand, safety for criminal prevention, accessability and convenient facilities were not on level satisfied. The average area of each space in the group-home indicated that the bed room was $11.21\;m^2$, the living room $28.13\;m^2$, the kitchen $23.59\;m^2$, and the bath room had an integrated type of bath room and toilet $7.63\;m^2$. The physical environments of each space in the group-home were investigated, In bed room, door, windows and illumination were relatively good but safety was extremely inferior. Living room mostly looked good except the doorsill which needs refurbishment. In kitchen, cooking table, windows, illumination, ventilator were somewhat satisfactory but gas-warning device should have been installed. In addition, in bath room and toilet, location, door, window, illumination and finished material were satisfactory. But the stepped difference between the bath room and other space, safety-bar, emergency bell and floor heating system were seriously deteriorated and must be improved for the safety of the elderly. Conclusively, living environment of group-home for the elderly is mainly satisfactory but it was necessary to take a consideration for their safety.

• 지역사회간호학회지
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• 제19권4호
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• pp.575-586
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• 2008

Purpose: The purpose of this study is to identify factors affecting the constipation of the elderly at nursing homes. Method: A total of 184 elders at 7 nursing homes in P City participated. Information about constipation status (Constipation Assessment Scale). functional status (Katz' Activities of Daily Living). nutritional status (Mini-Nutritional Assessment). and depressive symptoms (Geriatric Depression Scale Short Form Korea version) were collected through interviews. Descriptive statistics. Chi-square test. and t-test were used to describe and compare the non constipation group and the constipation group. Multiple logistic regression analysis was used to determine factors affecting constipation status. Results: The prevalence of constipation was 47.5% (Men 37%. women 51%). Elders suffering from a disease (P=.021) and having low sleep satisfaction (P= .000) were more likely to be constipated than those who did not. The factors affecting the constipation of the elderly at nursing homes were gender (OR=3.558), sleep satisfaction (OR=.580), and depressive symptoms (OR=1.132). Conclusion: According to the result, to reduce the constipation rate of old women at nursing homes, we have to develop guidelines that can solve problems related to constipation cause by sleep-satisfaction and depressive symptoms.

• 한국주거학회논문집
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• 제24권3호
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• pp.85-94
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• 2013

This research investigates and characterizes lifestyles and housing preferences of Korean-American Baby Boomers in the USA, and proposes future housing design and planning directions to meet their needs. A questionnaire survey was conducted from June to September 2012 examining lifestyles and preferred characteristics of postretirement homes. We targeted Korean-Americans born from 1955 to 1963 in either Korea or the USA who currently reside in New York, Washington DC, Chicago, Dallas, Detroit, Lansing, Grand Rapids, and San Francisco. To analyze the 247 responses, we employed factor analysis, cluster analysis, one-way ANOVA, and crosstabs. Respondents preferred three-bedroom, singlefamily housing types with a size of 26-35 pyong, favoring city outskirts or suburbs over urban areas. Four groups having different lifestyle types were identified: innovators, believers, fashion experiencers, and makers. Housing preference differed depending on lifestyle types. The 'innovator' group desired homes 56 pyong or larger, while the other groups preferred 26-36 pyong. The four lifestyle groups did not show statistically significant differences in most of preferred housing features, community facilities, or indoor environmental characteristics. Each group still showed slightly different preferences in some housing planning characteristics, which future planners can refer to when providing postretirement homes for them.

• 대한가정학회지
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• 제38권5호
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• pp.153-166
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• 2000

The purpose of this study was to determine the extent to which Swedish group home for elderly people with dementia coed be applied to the situation in Korea. One hundred and ninety six Korean subjects, responsible for supporting a member of their family afflicted with such an illness in their own homes, comprised the sample population for this study. Data was collected using questionnaires. frequency distribution, mean, and chi-square tests were used to analyze the data. The results of this study indicated a great possibility for adapting these kinds of group home in Korea. The respondents showed positive opinions with the basic concepts and space plans of Swedish group homes excepts for some details, like the number of residents per room. The respondents felt that a group home for dementia with the fellowing features was desirable : smart scale, single-family detached house,3-4 rooms, a total of 6-8 residents, managed by non-profit organizations or the government at a monthly cost of 530,000-1,000,000 won. In order to develope these group homes for dementia people in Korea, political assistance, combined with economic support, are strongly needed. The successful establishment of a group home will contribute not only to the welfare of elderly people with dementia but to their families as well.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권3호
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• pp.49-56
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• 2010

In Japan, a lot of elderly housing types have been developed in order to meet various needs of the older person and the change of social situations. Elderly housings can be divided into three categories elderly housings for healthy older persons, elderly care homes for the healthy and elderly care facilities for the unhealthy. Elderly housings include public and private rental housings. Sometimes they can be designated only for the elderly. Elderly care homes for the healthy elderly include full fee charging elderly housing, elderly homes, low fee charging elderly homes and care houses. Elderly care facilities for the unhealthy elderly consist of full fee charging elderly care homes, group homes for the dementia, elderly health facilities, nursing homes, elderly hospitals, and so on. However "elderly care facilities" have been proved not to be efficient for the delivery of elderly welfare services nor satisfactory to the frail older person. Therefore, based on the concept of the "Normalization", daily services have been provided for the elderly in order that they can live at their own home in the community for themselves. As a result, Japan aims not only to reduce elderly welfare expenses but also to increase elderly users' satisfaction. Emphasis on non-institutionalization and in-home services, regional characterization, harmony between Hard and Soft, user oriented services, substantiality, universal design and so on are sought for the sake of those goals.

• 한국식품조리과학회지
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• 제29권5호
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• pp.511-523
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• 2013

This research involved a survey on the dietary patterns of children and adolescents living in group homes, to find out their wrong eating habits and to devise measures for correcting their problems. The BMIs of the subject children and adolescents in group homes were measured, and the result showed that although many of them appeared to have normal weights, about 42.2% were actually underweight. Most of them had meals regularly, three times a day at fixed times. However, half of them frequently skipped breakfast because of the lack of time in the morning. In addition, more than half of them had the habit of having imbalanced diets, especially with low vegetable intake. The score for their satisfaction toward meals at group homes were highest (3.97) with the taste of food, while it was relatively lower (3.61) with the variety of food than with the other items. The average score for their snack intake was 3.47, showing that the majority of them had the habit of eating snacks, while the largest portion (26.0%) of them preferred bread and cookies. According to the result of the analysis on their food intake, overall calorie intake was about 82~96% of estimated energy requirements, while that of the male subjects aged 12 or older was about 82% of the standard energy requirements. Their overall intake of calcium and potassium was lower than recommended nutrition intake, but sodium intake was higher than 3 times recommended intake. Especially, in addition to calcium and potassium, the male subjects aged 15 or older showed low intake of dietary fiber, iron, zinc, riboflavin, niacin, vitamin C and folate also; whereas the female subjects aged 15 or older showed low intake of iron, zinc, riboflavin and folate also. Taken together, it was concluded that government level of dietary life-related support and management would be necessary for the healthy growth and development of children and adolescents in group homes.

• 한국실내디자인학회논문집
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• 제23권4호
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• pp.248-256
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• 2014

According to data from the national office of Statistics Korea and Ministry of Health and Welfare, as the elderly population increases, the dementia elderly population continues to increase and its future population growth rate is expected to be even faster. In particular, the Dementia Management Act has been in effect since February 2012, and active efforts has been made for a policy for the dementia management. The purpose of this study is to establish standards on building plans based on the appropriate scale and spatial configuration on facilities planning for the elderly with dementia. Specifically, the basic data were collected with a request for a total of 103 points on the basis of a database of group homes in the survey managed by the Japan Association of Group Homes. Specific information of the research includes the management body of facilities operation, scale of the facilities, number of units and configuration of personal living space, and the collected survey data and drawings were statistically proceed and analyzed using the SPSS WIN 20.0. analysis results are summarized as follows. first, most of the group homes come to the small size of the 1-2 story home ; the approximate number of units is one or two per home, and each unit consists of nine rooms. second, a number of group homes with the building area of $300m^2$ have the U-shaped arrangement which is advantageous in the extension and facilities maintenance. In conclusion, this study is to be the fundamental data for judgments that can be used to establish standards for the facilities for the dementia elderly whose population continues to increase. In addition, further study is necessary to establish suitable design conditions of our country.