• 농촌의학ㆍ지역보건
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• 제25권1호
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• pp.65-83
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• 2000

본 연구는 일부 전라북도 지역에 거주하는 노인을 대상으로 1999년 6월에서 12월까지 ADL, IADL의 정도와 이에 영향을 줄 수 있는 일반적 특성과의 관련성을 알아보고자 시도되었다. 조사대상 노인은 전체 281명이었고 이중 여자가 195명(69.6%)이었고 남자가 85명(30.4%)이었다. 남성과 여성의 평균연령은 70.8세와 71.9세 이었다. 질병유무에 있어서는 있다가 81.1%이었고 없다가 18.9%이었다. 질병의 유병률에 있어서는 운동 골관절질환은 50.1%, 기타가 15.0%, 순환기 질환이 10.5%, 소화기 질환이 9.4%, 치과질환이 8.5%, 호흡기 질환이 6.3%이었다. 최근에 이용한 의료기관에서는 병의원이 40.0%, 한방병의원이 16.8%, 보건소가 14.5% 약국이 10.9%, 기타가 10.0%, 치과의원이 7.8%이었다. 증상의 호전여부에 대해서는 보통이다가 62.3%, 호전되었다가 19.4%, 호전되지 않았다가 18.2%이었다. 건강상태에 있어서는 나쁘다가 37.1%, 좋다가 35.7%, 보통이다가 27.1%이었다. 일상생활동작능력(ADL)은 6점이 67.1%, 5점이 27.9%, 4점이 2.1%이었고 여성의 ADL이 남성보다 낮은 경향이 있었다. 수단적 일상생활동작능력(IADL)은 5점이 50.4%, 3점이 19.3% 4점이 12.1%이었고 여성의 IADL이 남성보다 낮은 경향이 있었다. 일상생활동작능력(ADL)에 있어 장해빈도가 높은 순으로 보면 실금 28.9%, 목욕 6.1%, 식사 2.9%, 집안 걸어다니기 2.5%, 화장실 1.8%, 옷 갈아입기 1.4%이었고 6항목 모두 남성보다 여성의 장해빈도가 높았다. 일상생활동작능력에서 고 ADL 67.1%, 중 ADL 32.5%, 저 ADL 0.4%로 연령의 증가에 따라 고 ADL은 감소하는 경향이 있었고 중 IADL은 증가하는 경향이 있었다. 수단적 일상생활동작능력(IADL)에 있어 장해빈도가 높은 순으로 보면 현금출납 42.9%, 청구서 지불(납부) 31.8%, 시장보기 21.1%, 식사준비 16.4%, 버스이용 11.8%이었다. 식사준비를 제외한 모든 항목에서 여성이 남성보다 IADL에 있어 장해빈도가 높았다. 수단적 일상생활동작능력에서 고 IADL 50.4%, 중 IADL 42.5%, 저 IADL 7.1%로 연령증가에 따라 고 IADL은 감소하는 경향이었고 중 IADL은 증가하는 경향이 있었다. 일반적 특성에 따른 ADL의 평균은 5.56이었고 학력과 건강상태가 통계학적으로 유의한 변수이었다. 일반적 특성에 따른 IADL의 평균은 3.76이었고 연령, 성별, 학력, 직업, 배우자 유무, 동거가족, 생활비 부담, 건강상태, ADL 분류가 통계학적으로 유의성있는 변수이었다. 단계적 중회귀분석결과 일상생활동작지수(ADL)와 종교, 건강상태 그리고 수단적 일상생활동작지수(IADL)와 교육수준, 동거가족, 생활비, 건강상태가 통계학적으로 관련성이 있는 설명변수이었다.

• 한국환경과학회지
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• 제17권10호
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• pp.1121-1127
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• 2008

The free-living amoeba and Acanthamoeba sp. are widely distributed in fresh water, soil, air and dust in the world. We studied distribution of amoeba from low Nakdong River(Mulgum and Maeri) and removal efficiency in water treatment process of Busan metropolitan city. During this investigation, water quality showed pH $7.4{\sim}9.6({\pm}1.1)$, water temperature $2.0{\sim}29.0({\pm}17)^{\circ}C$, turbidity $4.8{\sim}27.4({\pm}11.0)$ NTU, chlorophyll-a $10.3{\sim}109.0({\pm}44.3)\;mg/m^{3}$, BOD $1.7\sim4.9({\pm}2.6)$ mg/L, COD $3.1\sim-6.9({\pm}5.0)$ mg/L and total coliform $17\sim920({\pm}200.5)$ MPN/100 mL. The free-living amoeba were detected highly than Acanthamoeba sp., 11 out of 22 in raw water samples were positive (50%) for Acanthamoeba sp. from February 2005 to December 2005. The seasonal characteristics of tree-living amoeba and Acanthamoeba sp. in raw water were mainly distributed through the spring to the early fall. When tree-living amoeba and Acanthamoeba sp. were passed through the water treatment of pilot-plant, approximately 80% was sure to be removed through pre-ozonation, sedimentation, send filtration. 100% was removed after post-ozonation process. All of the isolated amoebas from Nakdong River were Acanthamoeba sp. AC311 18S ribosomal RNA gene with 98% nucleotide sequence homology.

• 대한간호학회지
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• 제44권3호
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• pp.328-338
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• 2014

Purpose: This study was done to explore experiences of persons living through the periods of cancer diagnosis, treatment, and self-care. Methods: With permission, texts of 29 cancer survival narratives (8 men and 21 women, winners in contests sponsored by two institutes), were analyzed using Kang's Korean-Computerized-Text-Analysis-Program where the commonly used Korean-Morphological-Analyzer and the 21st-century-Sejong-Modern-Korean-Corpora representing laymen's Korean-language-use are connected. Experiences were explored based on words included in 100 highly-used-morphemes. For interpretation, we used 'categorizing words by meaning', 'comparing use-rate by periods and to the 21st-century-Sejong-Modern-Korean-Corpora', and highly-used-morphemes that appeared only in a specific period. Results: The most highly-used-word-morpheme was first-person-pronouns followed by, diagnosis treatment-related- words, mind-expression-words, cancer, persons-in-meaningful-interaction, living and eating, information-related-verbs, emotion-expression- words, with 240 to 0.8 times for layman use-rate. 'Diagnosis-process', 'cancer-thought', 'things-to-come-after-diagnosis', 'physician husband', 'result-related-information', 'meaningful-things before diagnosis-period', and 'locus-of-cause' dominated the life of the diagnosis-period. 'Treatment', 'unreliable-body', 'husband people mother physician', 'treatment-related-uncertainty', 'hard-time', and 'waiting-time represented experiences in the treatment-period. Themes of living in the self-care-period were complex and included 'living-as-a-human', 'self-managing-of-diseased-body', 'positive-emotion', and 'connecting past present future'. Conclusion: The results show that the experience of living for persons with cancer is influenced by each period's own situational-characteristics. Experiences of the diagnosis and treatment-period are negative disease-oriented while that of the self-care period is positive present-oriented.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권1호
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• pp.25-32
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• 2018

Purpose: This study was conducted to figure out the cognitive characteristics of the elderly living in apartment complex in order to construct basic data for the design of sustainable and age friendly apartment area. Methods: Cognitive map was used to identify and analyze the elderly residents' status of residential environment cognitions. The elderly living in Gongreung-dong apartment was randomly interviewed outdoor area and requested to draw cognitive maps on their living environment. 26 valid cognitive maps collected were analyzed, classified into two different types: Line type and Dot type. The average age, cognitive distance, length of residence, number of elements in the map(complexity) were then compared by Line and Dot type, as well as by gender. Correlations among variables also were analysed. Results: Males showed a tendency to draw dot types, which means they are place-centered, and females drew line types more than males, which means they are way-centered. The average cognitive distance of male group was greater than that of female group. As the age went up, the number of perceived place and the cognitive distance decreased. Oder people tended to draw line types rather than dot types. As the cognitive distance was longer, the perceived place and the number of lines increased. Implications: The age was more related to the recognition of the residential environment. The younger the residents were, the more they recognized the elements. The points that were represented by dots in the cognitive maps are places for memories for the individuals. Creating more memorable spaces will affect the cognition of residents on living environment. It is better to improve the cognitive environments before cognitive abilities of residents decrease.

• 한국재난정보학회 논문집
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• 제16권2호
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• pp.291-298
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• 2020

연구목적: 본 연구에서는 스마트시티를 추진하는 과정에서 정보통신기술의 기술적 측면뿐 아니라 사람, 사회, 문화의 중요성을 인지하여 미래의 시민 생활환경을 제고한 삶의 질 개선 및 살기 좋은 도시로 거듭날 수 있는 사회-참여 중심의 스마트시티 조성방안을 제시하고자 한다. 연구방법: 리빙랩 방식으로 시민들의 생활여건과 삶의 질 향상을 도모한 암스테르담과 문화콘텐츠와 디지털 기술을 결합한 스마트 콘텐츠 개발에 선도적인 파리의 사례를 분석하고 사회-참여 중심의 스마트 리빙랩 플랫폼 실행방안을 제시한다. 연구결과: 사회-참여 중심의 스마트시티 조성을 위한 성장전략으로는 사람 중심의 사회혁신시스템을 정립하여 스마트 플랫폼 구축, 기술 및 사회혁신분야 간 탄력통합적 상호협력체계 플랫폼 구축 등이다. 결론: 건강하고 지속가능한 커뮤니티조성, 인종 및 공간 형평성을 통한 다양한 커뮤니티와 지역사회참여, 사회경제적 불평등을 극복한 기회 창출을 위한 추진요소로 커뮤니티서비스와 도시마케팅을 설정하고 ICT에 기반한 사회-참여 중심의 스마트시티 전략을 제시하였다.

• 근관절건강학회지
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• 제6권1호
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• pp.7-21
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• 1999

This study attempts to provide the rudimentary data that might help patients with Rheumatoid Arthritis manage an independent life by the analysis of their activities of daily living(ADL). The subjects were forty patients who had been diagnosed Rheumatoid Arthritis and under drug therapy from RA clinics of the two university hospitals in Pusan. Data were collected by performing an individual interview for each of them during June 15th through July 15th 1998. Questionaires were imployed to investigate the general characteristics of patients. the traits of Rheumatoid Arthritis, and actual conditions of their activities of daily living. The questionaires utilized especially for the study of ADL is the version of Lee Eun Ok's tool which modified and complemented Katz scale (Katz, Down, Cogh and Grots 1970) and Bathel index(Bathel. 1973). It's consisted of 31 questions that each question is measured by 0-3points. The high score in the questionaire signifies the high independency in the ADL. The data were analyzed by SPSS/Win in terms of frequency, percentage, mean, and standard deviation, close connection with the contents of the personal interview. Total mean of the ADL shows $1.55{\pm}0.68$, indicating the overall activities of daily living is generally dependent. It also indicates that patients, in the condition of dependent activity. tends either to have recourse to drugs or to take negative strategy, getting help from inside or outside family member. Hence, it is necessary that patients are exposed to the introduction and instruction of self-help devies that might help them manage a comparatively independent ADL, easing their paychological burden.

• 농촌계획
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• 제14권4호
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• pp.21-32
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• 2008

The rural area has kept traditions and green open spaces highlighted in these days since the life quality elevated. Institute of Rural Resources Development has been conducting nation-wide survey project for rural amenity resources to construct the databases of rural amenity distribution and richness. Using surveyed data from the project, this study was implemented to evaluate rural amenity values based on SAW (Simple Additive Weighting) method considering two aspects including living and tourism amenity. For defining the set of evaluation criteria, the rural amenity resources were classified into almost intact nature resources(natural resources), interaction between nature and man resources(cultural resources) and man-made resources(social resources). The weighting values of the criteria were evaluated from the step wise pair-comparison results by AHP(Analytic Hierarchy Process) method. In the results of weighting values related to living amenity, social resources was the hightest ranked criterion (0.512), followed by cultural resources (0.245) and natural resources (0.243). On the other hand, the results related to tourism amenity was that weighting values of natural resources, cultural resources and social resources were 0.481, 0.340 and 0.179, respectively. The two aspects evaluation methods was applied to the selected 18 areas (Myeon administration level) in Chungcheongbuk Do. The results demonstrated the differences of amenity values for living conditions and tourism conditions and could be used for prioritizing rural amenity planning.

• 한국실내디자인학회논문집
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• 제23권5호
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• pp.192-201
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• 2014

This study conducted a survey of residents living in senior housing in the outskirts of Tokyo metropolitan area where the demand for senior housing is rising. The study examined their motives for moving into senior housing, criteria for housing selection, and their degree of satisfaction with living in senior housing. The analysis results are as follows. First, the majority of respondents gave reasons for moving into senior housing such as wanting to live with more comfort and freedom and not wanting to live with their spouse any longer. Second, in choosing conditions their senior housing, the respondents put priority on the credibility of a management company, and they also valued easy accessibility to the place. In addition, they wanted the environment to be suitable for a stroll. Third, as for the degree of satisfaction with the living facilities, the respondents expressed dissatisfaction with kitchen and storage areas most frequently. This suggests that it is necessary to consider the physical characteristics of elderly people when planning senior housing by securing kitchen facilities that support independent living and provide more storage space. Fourth, in terms of the level of satisfaction with residential services, the respondents were quite content with their consulting services, response to their complaints, and the surrounding environment. However, they were less satisfied with events organized by the management company, or the in-house medical service.

• 대한가정학회지
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• 제27권4호
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• pp.167-191
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• 1989

The present study was conducted to devlop and appropriate retirement home model for the elderly in terms of clothing and textiles; nutrition, health, and foodservice; housing and environment; and psychological adaptation. Specifically, the purposes of the study were: 1) to provide basic guidelines for clothing by comparing the clothing behavior of the elderly living in the retirement home and those living in their own homes with family, 2) to provide basic guidelines for balanced diet and effective foodservice, 3) to develop an ideal life space and facilities, and 4) to assess the psychological characteristics of the elderly. Questionnaires, observation, experimental method, and survey of literature were used for the study. Clothing behavior showed that the elderly were much concerned about clothing, and they preferred comfortable as well as fashionable designs. The elderly in the retirement homes complained of a lack of quantity and variety in clothing. They preferred natural fiber rather than blended fabrics. Flame resistance, thermal insulation, and flexibility of textile fabrics were found to be prime considerations in manufacturing and selecting clothing materials for the elderly. The health status of the surveyed elderly was generally good, but some poor eating habits were observed. Dietary nutrients intakes were generally sufficient, but several nutrients intakes were insufficient. The level of equipment in the kitchens of the institutions was low. Furthermore, the employment rate of dietitians in institutional settings was extremely low. This resulted in a lack of systematic foodservice management. Residents in the institution were generally satisfied with present life space and facilities but this was mainly because of abandonment, adaptation, and past experience. Optimal allocation of residents per bedroom and an adequate design for storage, bathroom, utility room, and dining room were recommended. The comparison of psychological status of the elderly living at home was more stable than those living in an institution. The emotional state of the elderly living in the institution was characterized by loneliness; they did not have close interpersonal relationships or future plans. An appropriate model for the elderly was developed on the basis of these findings.

• 성인간호학회지
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• 제17권4호
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• pp.656-667
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• 2005

Purpose: This study examined the mood state, activities of daily living, and attitude toward aging in the elderly according to the existence of a spouse and investigated the relation between these factors. Method: The subjects consisted of 190 elderly people, who were classified into two groups: those with and without a spouse. The data was collected from March to December 2004 using a structured questionnaire that included general characteristics, mood states, instrumental activities of daily living (IADL), and an attitude toward aging scale. The collected data was analyzed using the program SPSS, including descriptive statistics, $x^2-test$, ANOVA, Scheff's test, and the Pearson correlation coefficient. Result: 1. There were significant differences between the two groups in mood state (t=-3.349, p=.001), anxiety-depression (t=-3.350, p=.001), and anger (t=p=.003) in the mood state subscales, and in attitude toward aging (t=2.514, p=.013). 2. There was a significant positive correlation between vigor and IADL (r=.253, p=.012) in the elderly with a spouse. 3. When there was a spouse, there was a significant difference according to gender (t=2.587, p=.012) in IADL. Without a spouse, there were significant differences in mood states according to education level (F=3.315, p=.023), in anxiety-depression according to the presence of illness (t=2.156, p=.033), in vigor according to age (F=3.439, p=.020) and education level (F=5.285, p=.002), and in IADL according to monthly income (F=3.322, p=.023) and the presence of illness (t=2.172, p=.032). Conclusion: An individualized approach is needed for elderly people that considers living arrangements and the existence of a spouse.