• 한국농촌간호학회지
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• 제12권1호
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• pp.13-27
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• 2017

Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권1호
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• pp.15-22
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• 2011

Nowadays, a proportion of healthcare service for the elderly has been improved due to the factors, such as a prolonged life expectancy, a growth of aging population and a change of member of family. For these factors, it is necessary for the elderly to receive treatment for multidisciplinary diseases, associated with psychological care of sociological concept. It is quite difficult in an acute-care hospital to accommodate the elderly patient because of the fact that an acute-care hospital is required to maintain a high level of medical care and technical standard. That is why specialized medical service is needed for the elderly. In the case of Germany, they are at the stage of the change from large scale facilities to specialized facilities applying the integrated concept. This paper addresses the medical environmental factor and distinction of medical facilities for the elderly through survey and analysis relating to all change in Germany. Therefore, it aims to suggest a fundamental resource for architectural planning and network of medical facilities for the elderly.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권3호
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• pp.25-33
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• 2007

This study is about change a necessary and natural change from institutionalized hospital based health care to a more patient centered, accessible health care. Rapidly change of social and medical facts such as growing aging population, malady, changing of medical policy are made new paradigm. This paradigm is both required to the hospital ; consolidate department and service; architectural change. Benefit to patient and hospital are many, so there are many challenges in Korean general hospital. The purpose of this study is find architectural design guideline to Korean general hospital which is struggling to change from to functional organization to the patient based care center. As a result, the type is divided into three classes, consultation type(C), some of examinations are added on consultation type(EAC), consultation and examination are fully integrated type(CEI). Each type has different organization and the proportion of area, group unit, process of treatment.

• 한국보육지원학회지
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• 제17권4호
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• pp.111-128
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• 2021

Objective: The purposes of this research are to analyze former research papers regarding Dream Start according to academic field in an attempt to better understand their services and to present additional directions. Methods: The 66 research papers regarding Dream Start from 2008 to 2020 were analyzed by three categories: welfare, child care(education) and health. In each category, this research analyzed the research papers by year, research type, research subject and the research topic. Results: First, the research papers regarding Dream Start were most actively published between 2010 and 2017 and the number of research papers decreased after 2018. Second, the results regarding the type of study showed that quantitative studies were mostly performed in all, but the detailed methods used mainly differed. Third, the subjects of the study commonly included guardians. Fourth, the research topics were focused on business content, operations, and direction. Conclusion/Implications: Based on these results, welfare, child care(education) and health sectors need to make more efforts for balanced development, and integrated research and longitudinal studies are necessary. Second, further research is needed to enhance the professionalism of teachers and nurses working in the Dream Start. Third, more research is needed for the integration and coordination of resource management.

• Child Health Nursing Research
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• 제28권3호
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• pp.197-207
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• 2022

Purpose: The purpose of this study was to investigate how pediatric intensive care unit (PICU) nurses and the mothers of hospitalized children perceived their partnership and identify the detailed differences in the common domains of partnership between them. Methods: A qualitative descriptive design with semi-structured and open-ended interviews was used. Interviews with mothers of hospitalized children and nurses in the PICU were conducted at a national university hospital in South Korea. Results: Five integrated categories were identified concerning nurses' and mothers' perceptions of partnership. Five common domains were derived by merging the partnership categories perceived by each PICU mother and nurse: expectation of trust, sharing and communication, participation in care, equality in the relationship, and coordination of opinion However, there were significant differences in the composition of the categories of these common domains. Conclusion: These results may facilitate more effective partnerships between parents and PICU nurses. Efforts should be taken to promote the formation of trust between nurses and parents and create an environment that is conductive to regular open communication in particular, steps should be taken to reduce gaps in awareness concerning this partnership and information sharing, nursing methods, and decision-making.

• 의학교육논단
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• 제22권3호
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• pp.146-152
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• 2020

Hospice and palliative care (HPC) education is an essential component of undergraduate medical education. Since February 4th, 2018, withholding and withdrawing life-sustaining treatment at the end of life (EOL) has been permitted in Korea as put forth by law, the "Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life." Therefore, Korean medical schools have faced a challenge in providing comprehensive HPC education in order to better prepare medical students to be competent physicians in fulfilling their role in caring for patients at the EOL. There have been considerable variations in the evolution and organization of HPC education across Korean medical schools for the past 20 years. In 2016, all medical schools taught HPC curriculum as a separate course or integrated courses, with the most frequently taught topics including: delivering bad news, pain management, and the concept of palliative medicine. However, the content, time allocation, learning format, and clinical skills practice training of HPC education have been insufficient, inconsistent, and diverse. For this reason, we propose a HPC curriculum containing seven domains with 60 learning objectives in a course duration of over 20 hours based on the Palliative Education Assessment Tool (PEAT) as standard HPC curriculum. Furthermore, we recommend development of a national curriculum for HPC/EOL care education to be organized by the HPC board and managed under the accreditation criteria of the Korea Institute of Medical Education and Evaluation.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.27-41
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• 2023

Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning. Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family. Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning: reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery. Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.

• 한국보육지원학회지
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• 제6권3호
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• pp.103-125
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• 2010

본 연구는 보육시설에서 이루어지는 영아 감각활동을 가정과 연계하여 실시함으로써 영아의 신체발달과 영아-부모 상호작용에 미치는 효과를 알아보고 이를 통해 영아의 발달과 부모의 자녀양육에 도움을 주고자 하였다. 본 연구의 연구대상은 K시의 S어린이집과 D어린이집에 재원중인 만 1 2세 영아 56명과 영아의 어머니 또는 아버지 56명이다. 연구도구는 교사용 1 2세 영아발달평가도구(이영자, 이종숙, 신은수, 곽향림, 이정욱, 2002)중 일부와 Assessment Profile for Early Childhood Program(APECP)(Abbott-Shim & Sibely, 1987)를 수정하여 사용한 선행연구(강숙현, 2002)를 참고하여 영아-부모 상호작용 설문지를 작성하여 사용하였다. 보육시설-가정연계 감각활동은 표준보육과정에 근거하여 육아정책개발센터(2007)에서 개발한 프로그램과 삼성복지재단(2003)의 영아프로그램을 바탕으로 선정된 감각활동을 보육시설의 월간 계획안에 반영하여 1주일에 3회씩 총 8주에 걸쳐 24회 실시하였다. 연구결과, 첫째, 보육시설-가정연계 감각활동을 적용한 집단은 통제집단보다 영아의 신체발달에서 부분적으로 효과가 있는 것으로 나타났다. 둘째, 보육시설-가정연계 감각활동을 적용한 집단은 통제집단에 비해 전체적으로 영아-부모 상호작용 증진에 효과가 있는 것으로 나타났다.

• 보건의료생명과학 논문지
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• 제9권2호
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• pp.285-295
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• 2021

교사양성 대학에서는 예비교사들의 통합교육에 대한 긍정적인 인식과 통합교육 수행 능력 향상을 위해 특수교육학개론을 교직소양 필수과목으로 이수토록 하고 있다. 이에 본 연구에서는 특수교육학개론의 수강을 통해 초등예비교사들의 통합교육에 대한 인식과 통합교육 수행 능력에 대한 인식의 변화가 있는지를 살펴보았다. 본 연구의 대상은 대학에서 특수교육학개론을 수강하는 55명의 4학년 학생이며, 수강 전과 후 두 차례에 걸쳐 통합교육에 대한 인식과 통합교육 수행 능력에 대한 인식 설문지에 응답하도록 하였다. 연구결과는 다음과 같다. 첫째, 초등예비교사들의 통합교육에 대한 인식은 모든 영역과 총점에서 통계적으로 유의하게 긍정적으로 변화하였다. 둘째, 초등예비교사들의 통합교육 수행 능력에 대한 인식이 통계적으로 유의하게 향상되었다. 이러한 긍정적인 연구결과는 초등예비교사들에게 특수교육학개론을 이수하도록 하는 것이 성공적인 통합교육의 발판이 될 수 있음을 보여준다.

• 동의신경정신과학회지
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• 제35권2호
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• pp.191-203
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• 2024

Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.