• 대한간호학회지
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• 제26권4호
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• pp.768-781
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• 1996

The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

• 한국융합학회논문지
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• 제8권12호
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• pp.119-127
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• 2017

본 연구는 청주시와 대전광역시에 소재한 7개의 종합병원에서 뇌졸중으로 진단받은 입원환자의 보호자 226명을 대상으로 부양부담감 및 우울감과 신체건강관련 삶의 질을 융복합적으로 파악하고자 조사하였다. 삶의 질은 HRQoL의 단축형인 SF-8을 이용하였다. 다중회귀분석 결과, 환자의 일상생활 의존도가 가장 많은 영향을 주었다. 이러한 결과로 볼 때 뇌졸중 환자 보호자의 신체건강관련 삶의 질을 높이기 위해서는 노인 장기 요양 보험제도 및 간병인 제도와 보건복지부에서 실시하고 있는 보호자 없는 병실을 확대 운영하여 보호자의 간병시간을 줄이고, 질환에 대한 교육과 가족지지모임을 통해 회복에 대한 기대를 높일 필요가 있다.

• 한국콘텐츠학회논문지
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• 제19권12호
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• pp.113-120
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• 2019

대한민국은 인구의 10.9%가 65세 이상으로 고령화 사회에 속해 있으며 인구의 고령화는 자연스럽게 노년부양비 급증으로 연결된다. 격화되고 있는 병원경쟁 환경 속에서 각 의료기관은 체계적 경영전략을 펼치고 있다. 이에 비하여 요양병원은 장기 입원 및 요양을 하는 병원 특성 상 디자인과 경영 전략은 타병원군에 비하여 미흡한 실정이다. 본 연구에서는 늘어나는 요양병원의 수요에 알맞은 디자인 전략 수립을 위한 요양병원의 심벌마크 색채 및 형태 분석을 실시하였다. 연구 대상은 국내 요양병원 1등급을 받은 병원 131개 병원이고, 각 심벌마크를 수집하여 형태와 색채를 분석하는 방법으로 진행되었다. 심벌의 형태의 분석결과로는 인공물을 모티브로 한 마크가 가장 많았으며 그중에서도 십자가, 하트, 사람 형태를 가진 심벌이 많은 것으로 파악되었다. 색채 분석에서는 약 50% 이상이 2가지 색채로 이루어져 있었으며, 주된 색상은 파란색 계열 및 초록색 계열임을 알 수 있었다. 본 연구자료가 요양병원 심벌마크 디자인 시 참고자료로 사용되어 나날이 증가하는 요양병원의 수요와 치열화되는 병원 경쟁에 소비자의 선택과 병원경영 전략 수립에 도움이 될 수 있으리라 기대한다.