• 보건교육건강증진학회지
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• 제7권2호
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• pp.78-88
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• 1990

The subject of this study is to review the practical approaches of Home Care Services. Included is a brief overview of its nature, providers of Home Care Services, recent history of Home Care Services, and the impact of the national movement toward cost containment in health care. The data used in this study are obtained from the Elderly Program of the Medical Services and other data on the Home Care Services in Japan. With the growing elderly population in Japan, it is to be expected that the medical care expenditure for this sector will continue to increase. With the aim of keeping expenditure for medical care within reasonable bounds, it is essential that this increasing expenditure on the elderly be used effectively. With the Health and Medical Services Law for the Aged was enforced, therefore, remuneration for medical treatment of the elderly and what is known as the staff placement standard at hospital for the elderly were rationalized. In addition to rationalization from the point of view of medical care supply, it is necessary to guarantee the appropriate treatment within the community and at home for those elderly who are bedridden but not in need of hospital care. For this it is required that Home Care Services, such as health services like visiting guidance by public health nurse in hospital of Health Center. So that the elderly can feel secure in receiving treatment within the community and at home, allowances for guidance on leaving hospital and for intermittent nursing and guidance thereafter are to be newly introduced. Home care Services in one aspect of comprehensive health care, it is comprised of health services provided to individuals and families in their homes. Its purposes include promoting, maintaining and restoring health, specifically maximazing independent functioning and minimizing the disabling effects of illness, including terminal illness. Services appropriate to the needs of clients and their families are planned, coordinated, and delivered by providers organized for the delivery of home health care through the use of contractual arrangement, employed staff, or a combination of the two.

• The Journal of Korean Physical Therapy
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• 제9권1호
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• pp.19-35
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• 1997

Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply. the author intended to develop a new supply plan for the three specialist categories. The major finding of the supply plan are as follows : First, as for the supply plan for physiatrists, the author recommends to adopt the demand estimation 1 as the most suitable. In order to prevent an oversupply of physiatrists, the supply plan 1 is recommended which annual enrollment of specialists will maintain with the quota of fixed number of 63 from the year of 1999. Second, it is estimated that there was already an oversupply of physical therapists in Korea. This oversupply is expected to continue even though there would be an increase in rehabilitation hospital beds, rehabilitation facilities for the elderly, and nursing homes, Thus, it would be desirable to cut down the number of students admitted to physical therapy schools each year. Third, there will be a high demand for occupational therapists in the near future as people become more aware of the usefulness of this therapy. Thus, it is urgent to establish a supply plan to meet the demand. Given the close relationship between physical therapy and occupational therapy, the study recommends that the universities already having the the department of physical therapy open the department of occupational therapy as well.

• 한국콘텐츠학회논문지
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• 제13권6호
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• pp.300-308
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• 2013

본 연구는 65세 이상 여성노인의 분노와 사회적 지지 정도를 파악하고 분노에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 J시 2개 노인복지회관과 3개 노인요양시설에 거주하는 65세 이상 여성노인 155명으로, 자료 수집은 2010년 6월 15일부터 7월 15일까지 이루어졌다. 수집된 자료는 SPSS Win/18.0을 이용하여 기술통계, t-test, ANOVA, 상관관계 및 다중선형회귀분석으로 분석하였다. 자료 분석 결과, 대상자의 사회적 지지와 분노 정도는 5점 만점에 각각 3.72점과 2.72점이었다. 분노에 영향을 미치는 요인은 정신과 약물이나 신체질환 약물을 복용하는 경우, 재가에 거주하는 경우, 평가적 지지가 낮은 경우로 나타났으며 설명력은 33.0%였다. 결론적으로 여성노인의 분노를 관리하기 위해서는 노인에게 맞는 정보제공과 사회적 지지 프로그램 개발 및 간호중재 개발이 필요하다.

• 디지털융복합연구
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• 제16권3호
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• pp.533-542
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• 2018

본 연구는 대체요법과 관련이 있는 분야에 종사하는 의료분야와 복지분야의 종사자을 대상으로 대체요법에 대한 인지도를 파악하고 향후 대체요법의 이용의향에 영향을 미치는 요인이 무엇인지에 대한 경험적으로 논증함으로써 향후 대체요법의 발전방향을 모색하는데 그 목적이 있다. 이를 위해 광주 전남지역의 의료계 및 복지계에 종사하는 종사자 400명을 대상으로 대체요법의 인지도 및 이용경험, 이용의향 등을 조사하였다. 분석결과를 정리하면 다음과 같다. 먼저, 대체요법의 인식은 대체의학에 대한 신뢰도 그리고 인지도와 이용경험이 유의미한 영향을 미치는 것으로 나타났다. 즉, 대체요법에 대한 신뢰도가 낮을수록 대체의학에 대해서는 긍정적인 태도보다는 부정적인 태도를 보이는 것으로 나타났고, 대체요법을 경험하지 않은 이용자보다는 대체요법을 경험한 이용자가 대체의학에 대해서 부정적인 인식이 강한 것으로 나타났다. 또한 대체요법의 이용경험이 대체요법을 활용한 향후 치료의향에도 부정적인 영향을 미치고 있는 것으로 나타났다. 이 같은 분석결과를 토대로 본 연구는 대체요법이 현대의학이 해결할 수 없는 대체 치료방법론으로서 환자와 일반시민에게 인식되기 위해서는 결국 치료의 효과성을 높이기 위한 노력이 필요하다는 점을 제언하였다.

• 한국사회복지학
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• 제62권3호
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• pp.109-139
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• 2010

노인인구의 증가에 따라 사회보험제도가 출현하였고 이에 한국과 일본 양국에서는 전문적인 요양보호사와 개호복지사의 양성이 중요한 이슈로 이야기되었다. 본 연구의 목적은 한국과 일본의 케어워커에 대한 제도인식과 직무만족도를 비교연구 한 것이다. 연구대상으로 한국은 요양시설과 재가시설에서 근무하는 경남지역 요양보호사, 일본은 양로시설과 특별양로홈에서 근무하는 오사카지역의 개호복지사로 2009년 12월 20일에서 2010년 1월 5일까지 각각 150부씩 총 300부 설문조사하였다. 본 연구의 결과는 보험제도에 관한 인식은 낮은 편이고 반면 직무만족도는 높게 나타난 편이다. 하지만 업무스트레스는 상당히 높은 것으로 조사되었다. 또한 직무만족도와 직무스트레스는 한국과 일본 케어워커가 유의미한 차이를 보였으며, 다만 직무만족도와 직무스트레스에 개인의 특성과 업무특성에 따라 의미 있게 나타지 않았다.

• 한국치위생학회지
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• 제9권4호
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• pp.795-807
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• 2009

Objectives : This study was to examine the satisfaction level of participants in a oral exercise program geared toward the improvement of oral function, their reuse intention of the program and their willingness of recommendation in an effort to facilitate the advancement of the program. Methods : The subjects in this study were 85 senior citizens who used senior welfare centers and nursing homes in Seoul. A oral exercise program was implemented 24 times from April to June 2009, twice a week, and the selected elderly people participated in the program 20 times or more. An interview survey was conducted by two trained dental hygienists, and the collected data were analyzed. Results : 1. As for satisfaction level with each part of the program, the elderly people investigated expressed the best satisfaction with the service supplier(a mean of 3.81), followed by the usefulness of the procedure of the program(3.77) and oral exercise(3.64). 2. The satisfaction level with oral exercise had a significant impact on their overall satisfaction with the program, reuse intention and willingness of recommendation, and the entire satisfaction level with the program was correlated to reuse intention and willingness of recommendation(p<0.001). 3. Out of the demographic characteristics, marital status and whether to live with their families or not made a significant difference to their satisfaction level with oral exercise(p<0.05). Conclusions : It took 20 minutes to get oral exercise, which consisted of warming-up, exercise for each part of oral and cooking-down, and they found it appropriate to spend that time and had no difficulties in repeating after the instructor.

• 한국호스피스완화의료학회:학술대회논문집
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• 한국호스피스완화의료학회 2000년도 동계학술대회
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• pp.162-174
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• 2000

The purpose of this hermeneutic study was to investigate the meaning of "good dying" of Chinese terminally ill cancer patients in Taiwan; the factors related to this morning; and the strategies cancer patients used to ensure "good dying". Indepth unstructured interviews, prolonged participant observations, and review of clinical records were selected as the methods for data collection. In the four and one-half month period of data collection, the researcher was in the role of a full time clinical nurse specialist who directly took care of the subject patients in 4 hospitals and in patients' homes. The 20 subject were selected purposively according to selection criteria and various demographic backgrounds. Interview transcripts and field notes comprised the data for analysis. The results were composed by 3 constitutive patterns and 12 themes. Achieving inner peace appeared to herald the good dying state. The "good dying" for Chinese terminally ill cancer patients in Taiwan meant peace of body, peace of mind, and peace of thought. The constitutive pattern of peace of body included 4 themes: (1)minimizing the agony of physical symptoms; (2)short period of dying process without lingering death; (3) cleanliness, neatness, and integrity of the body; and (4) mobility. The constitutive pattern of peace of mind included 5 themes: (1) yielding; (2) non-attachment; (3) not to be lonely; (4) settle down all affairs; and (5) being in a preferred environment and enjoying nature. The third constitutive pattern of peace of thought included 3 themes: (1) getting through day by day without thinking; (2) meaningful life; and (3) expectation that the suffering would be ending. Through understanding of the terminally ill cancer patient' needs in their meanings of "good dying", recommendations can be made for humanistic care. The findings of this study have recommendations for care givers daily contact with dying patients and for medical and nursing education.

• 한국식생활문화학회지
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• 제12권3호
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• pp.331-339
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• 1997

With increases in senior citizens and changes in family structure, the need for long-term care system for elderly is increasing, however, the capacity and environment of Korean facilities are very limited. Health and nutritional status of long-term care residents are worse than free-living elderly. In this study, general food service management and health care practices in long-term care systems were investigated. Questionnaire were sent to the directors of all 162 long-term care facilities in Korea and 81 returned the complete answers. The results showed 1) There are slow but steady increase in long-term care systems in Korea, however, the capacity is far from adequate. Less than 10,000 elderly were resided in the facilities. Most of the systems were free-nursing homes and supported by the goverment. Staffing structure revealed that most of the facilities had a director, a secretary, nurses, but only 21% of the systerm hired a dietitian. It showed the shortage of nurses, physical therapists, and dietitians. Therefore, food purchasing, menu planning, food delivery, and the other food service management processes are handled by non-professionals, such as director, secretary, or cooks. Modified fool frequency questionnaire were used to get the frequencies of each food items used in menu and a menu-analysis was made on the one-day menu provided by the facilities. The results showed relatively satisfactory in nutrients content and food frequencies., however, this was about what was used in menu, not what was eaten by the residents. Therefore this results did not tell that the food intake status of individuals. In most facilities general health checkup was done on a regular basis, and had residents with various chronic degenerative diseases, such as hypertension, neuralgia, stroke, arthritis, diabetes. But the items checked on health checkup included weight, height, blood and urine tests, X-ray test, which suggested that the checkup lists should be revised to accomodate the health problem of the aged today.

• 한국사회복지학
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• 제46권
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• pp.377-403
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• 2001

The purpose of this study is to measure the social worker's knowledge about facts on aging and attitude toward the elderly between Korea and Japan. and to find out the variables that may influence their attitude. Four hundred and sixty two social workers working in nursing homes were given the questionnaire containing the Kyung San Facts on Aging Quiz to measure the level of knowledge about aging and Yoon (1988)'s scale to find the direction of attitude toward the elderly. The results of this study are analyzed as follows: (1) The Korean social worker's level of knowledge about aging was 63.0%, which was lower than Japanese social worker's level (67.6%). (2) Using 5 points scale. mean of the Korean social worker's attitude toward the elderly was 2.2 (44.8%), which was significantly different from the Japanese social worker's attitude 3.2 (63.4%). (3) Using multiple regression analysis, the social worker's level of knowledge about aging was the most significant predictor to explain the social worker's attitude toward the elderly. The other variables that are also statistically significant predictors of the social workers' attitude were country, personal experience with the elderly. and voluntary experience for the elderly. Especially the significant predictors to explain the Korean social workers' attitude were their levels of knowledge about aging. age, and classification of social worker license. On the other hand. the significant predictors to explain the Japanese social workers' attitude were their levels of knowledge about aging and periods of activity, Based on the research results, implications for practice and education methods for making social workers' attitude toward the elderly more positive are also suggested.

• 대한치과의사협회지
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• 제54권12호
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• pp.1035-1044
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• 2016

Purpose : The purpose of this study was to compare the plaque removal effects of vacuum oral cleaner developed for the patients with limited mobility with those of manual toothbrushes and high pressure injection oral cleaner (dental water jet). Meterials and methods : Thirty human subjects were measured with Patient Hygiene Performance index (PHP index) and O'Leary index before and after the use of toothbrush, high pressure injection oral cleaner and vacuum oral cleaner. These three different oral hygiene methods were conducted with seven-day intermittence. Then the statistical analysis was carried out to define plaque removal rate of three different oral hygiene methods (${\alpha}=.05$). Results : According to the efficacy analysis of plaque removal before and after the oral cleaning using each of three methods, significant reduction in plaque after the treatment compared to the previous state when using toothbrush, high pressure injection oral cleaner, and vacuum oral cleaner was observed (P < 0.001). PHP index of tooth brushing was higher than that of the high pressure injection oral cleaner, while PHP index of vacuum oral cleaner did not show significant difference from either of the other two methods. There was no significance difference in O'Leary index among the three methods. Conclusion : Effect of plaque removal using the vacuum oral cleaner is comparable to that of manual tooth brush or high pressure injection oral cleaner, so it will be helpful for self-oral hygiene care of the patients with limited mobility.