• 한국농촌건축학회논문집
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• 제11권4호
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• pp.51-58
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• 2009

The senior adults which are a central manpower of economic activity of the nation decreased and the elderly sustenance allowance already went over 10%. And the economic activity participation of the woman which are the supporter of the unpaid the elderly within the family is increasing. This big change is expected to support awareness. To respond to these changes, the improvement of social welfare system for elderly with the job of retirement lifestyles of the elderly, a figure that is needed for the ceremony. The elderly medical treatment facility that began in 2008 the elderly long-term medical treatment law enforcement because of the demand is expected to grow. It is forecast with the fact that the data which is fundamental is most important will become that old person medical treatment facility of the middle-aged layer which is a central role of the protector who decides the facility use of the preliminary consumer of the elderly care facility and currently the very the elderly and manhood ceremony and the preference to plan of the elderly welfare facility. The purpose of this study is to present the fundamental data about the elderly care facility for comparative analysis the awareness & perfernces of the elderly care facilities of the senior adults & the elderly.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권11호
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• pp.1015-1026
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• 2019

본 연구에서는 노인장기요양시설 평가지표개발과 관련된 선행연구의 평가현장 적용성 및 실효성이 미흡하다는 문제의식하에, 노인장기요양기관(시설급여) 평가의 품질향상을 위한 평가지표를 개발하는 데 연구의 목적이 있었다. 이를 위해 2018년도 노인장기요양기관(시설급여) 평가지표에 대한 분석적 고찰, 일본의 노인특별요양홈 평가지표에 대한 분석, 한국의 노인장기요양시설 종사자와 일본의 노인특별요양홈 종사자를 대상으로 한 평가지표 및 평가체계에 관한 FGI를 실시하였다. 연구결과를 토대로 하여 이용자가 양질의 서비스를 제공 받을 수 있도록 지원하는 측면에서 평가지표를 개발하였다. 노인의 특성, 즉 유지 및 호전되기 어려운 노인성 질환의 특성과 기관운영의 방향 및 투명성, 그리고 종말기 케어의 필요성 등을 반영하였다. 기관운영, 환경 및 안전, 수급자 권리보장, 급여제공과정, 급여제공결과를 포괄하는 43개의 평가지표를 제시하였다. 또한, 중복되고, 불필요한 평가과정을 개선하여 평가의 과정 효율성을 증가시킬 수 있는 4단계 다층평가시스템을 제안하였다.

• 융합정보논문지
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• 제10권3호
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• pp.134-140
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• 2020

본 연구의 목적은 노인요양시설 거주 노인과 비거주 노인의 구강건강상태를 비교하는 것이었다. 연령, 성별, 기초생활수급상태가 동일한 469명을 매칭하여 구강건강상태를 비교분석하였다. 노인요양시설 거주 노인들은 시설 비거주 노인보다 치아우식 우병률(p=0.019), 우식영구치수(p=0.001), 상실영구치수(p=0.047)가 더 높았고 충전영구치수(p<0.001)는 더 낮은 것으로 확인되었다. 시설 거주 노인들은 비거주 노인들보다 치아우식에 유병될 확률이 1.93배 더 높았고, 충전치아를 가지게 될 확률은 0.73배였다. 의치를 장착하게 될 확률은 상악이 0.15배, 하악이 0.13배였으며, 의치필요도는 상악이 5.61배, 하악이 5.65배였다. 의치 장착여부 및 필요도에 대한 보정된 오즈비는 모두 유의한 것으로 나타났다. 이 결과를 바탕으로 노인요양시설 거주 노인의 구강건강증진을 위한 구강보건정책 수립을 위한 근거 자료로 활용할 수 있을 것으로 생각된다.

• 한국실내디자인학회논문집
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• 제14권2호
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• pp.142-152
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• 2005

It is estimated that the need to build health facilities for the elderly will grow in the near future as the Korean society is aging. Thus the study on the spatial composition of 22 facilities as well as on the cases of health facilities for the elderly in Japan, where public health and medicare for aged people are well taken care of, was conducted and the following are the results: 1. As of 2000, there was one facility for every 8,000 and 1,100 aged citizen under long-term care, and these facilities secured beds enough for $8\%$ of those who need long-term care. 2. The spatial composition was categorized into general living space, long-term care, management, provision, and home assistance, and housing was provided. Moreover, the space was divided according to their nature of use, the arrangement, the form of entrance into the building, moving line inside, the relationship with the health facilities and their characteristics are analyzed based on different users, managers, moving line including that of provision of food, the relationship between different spaces with different functions as well as on the relationship between locations of each space. 3. The total capacity, building area and actual area of the welfare facilities for the elderly are analyzed, and area per person, detailed area for each space, percentage of each living space for long-term care patients and characteristics of recuperation room are suggested.

• 대한영양사협회학술지
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• 제17권3호
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• pp.243-258
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• 2011

The purpose of this study was to investigate the effects of an oral health care education program for care providers on the nutritional status of the elderly in a long-term care facility. This study was conducted at a long-term care facility located in K metropolitan city using a nonequivalent control group non-synchronized design. Fifty-four nursing home residents aged 65 years or older were assigned either to the intervention group (n=27) or the control group (n=24). The intervention group received oral health care from the care providers' intervention group, who provided oral health care for 6 weeks after 6 weeks of oral health care education. Data were collected from the control group and intervention group at the baseline 6 and 12 weeks after oral care education and were analyzed using SPSS windows 16.0. The halitosis was lower in the intervention group than the control group at 12 weeks (P<0.01). Body mass index of the intervention group at 12 weeks was higher than that at 6 weeks. Iron intake of the intervention group at 12 weeks was lower than that at baseline. At baseline, the intakes of riboflavin, folate, and potassium were lower than 75% of dietary reference intakes. In conclusion, an oral care education program for care providers was effective in improving the oral hygiene of nursing home residents, and dietary plans are needed to improve the nutritional status of them.

• 한국보건간호학회지
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• 제35권1호
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• pp.33-46
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• 2021

Purpose: The purpose of this study was to understand the experiences of those who take care of the elderly at a long-term care facility during the COVID-19 pandemic. Methods: Colaizzi's phenomenological research method was applied to describe the meaning and nature of the experiences of eight workers in an elderly care facility during the COVID-19 crisis. Results: Studies have shown that these workers experienced 'fear from infectious disease' and had the opportunity to 'reflect upon life changed by infectious disease.' They also worked together to overcome the crisis by 'protect nursing home with the nurses at COVID-19 sites' and felt 'safety from the nursing home,' and experienced 'a strong sense of calling for the job' through the crisis. Conclusion: This study is the first of its kind conducted in Korea on workers in an elderly care facility. The results indicate that it is necessary to supports these workers with practical useful education, counseling, and emotional support during the epidemic.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권2호
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• pp.55-64
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• 2010

The Japanese elderly welfare policy has focused on facility policy for the aged and preventive care service for healthy elderly people. This paper has conducted a comparative analysis on Geriatric Gealth Services Facility and Special Nursing Home for the Elderly. For this, each service function has been divided into six categories; daily life / nursing and caring / medical service / management / supply / miscellaneous. Then the change in real structure by category has been analyzed through a plan analysis on case facilities. In the Geriatric Health Services Facility, the biggest change was observed in 'livelihood' among six categories. In the Special Nursing Home for the Elderly, 'the nursing and care parts' and 'medical service part' are decreased since 1999. At that time, the facilities started to be individualized and divided into a unit. To pursue home-like care instead of unit care, there was a change in construction planning to help the aged with dementia live a self-sufficient life.

• 보건행정학회지
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• 제15권4호
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• pp.136-160
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• 2005

Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.

• 성인간호학회지
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• 제21권2호
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• pp.179-186
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• 2009

Purpose: The purpose of this study was to examine the effects of hand massage on fatigue, sleep satisfaction and blood pressure of the aged in a long-term care facility. Methods: The data were collected from June to August 2008. The subjects were randomly recruited from a long-term care facility in Junnam Providence and were randomly assigned to the experimental group (n=22) or control group (n=22). Hand massage was carried out every other day in the evening for two weeks. Massage was administered to each forearm and hand for 10 minutes. Descriptive statistics, $x^2$-test and t-test were performed using SAS program. Results: In the experimental group, the fatigue (p=.017) was significantly lower and the sleep satisfaction (p=.043) was significantly higher than for the control group. Conclusion: On the basis of the results of the study, hand massage can be recommended for the elderly with sleep disturbance to reduce fatigue.

• Journal of Korean Biological Nursing Science
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• 제16권3호
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• pp.244-250
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• 2014

Purpose: The purpose of this study was to investigate medication and related factors including: gender, age, duration of hospitalization, MMSE, and ADL in elderly who were hospitalized in long-term care facilities. Methods: A total of 282 elderly people who were hospitalized for more than a month were asked to fill in a structured questionnaire which was used to collect data regarding their gender, age, duration of hospitalization, MMSE, ADL, and medication. Results: The average number of drugs per patient was 7.50. Subjects taking 6-7 medications were the highest ranking (23.7%). According to multiple regression analysis, the most significant factor relating to the number of drugs prescribed for each subject were the ages of the subjects (p=.007). Conclusion: We found that the number of prescribed drugs taken by those who were hospitalized were related to age. A tailored strategy is needed to decrease the number of drugs according to age and to control the medicines prescribed to the elderly who are hospitalized in long-term care facilities.