Purpose: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. Method: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. Results: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. Conclusion: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.
International Journal of Advanced Culture Technology
/
제12권2호
/
pp.270-280
/
2024
This study aims to explore innovative measures for community policing activities of the Korean police in the context of the newly implemented autonomous police system and the increasing demand for community-oriented policing. By conducting an in-depth analysis of advanced community policing practices in the United States, Japan, and the United Kingdom, this research identifies key characteristics such as resident participation, communication, scientific crime analysis, and customized policing services. The study reveals the need for the Korean police to establish a collaborative governance system that actively involves residents, strengthen scientific policing capabilities utilizing advanced technologies, and provide policing services tailored to local characteristics. Organizational and personnel management reforms, including the substantiation of the local police officer system and the establishment of an institutional foundation for resident participation, are proposed. Furthermore, this study emphasizes the importance of developing a creative community policing model suitable for the Korean context, rather than directly transplanting overseas practices. Continuous research and efforts to build a new policing paradigm that reflects the changing social environment and policing demands are suggested. Ultimately, the success of community policing lies in the active participation and cooperation of all members of society, including the police, government, local communities, and residents.
The deteriorated apartments make a social problem in now a days. After all, a new alternative plan for deteriorated apartments such as the remodelling concept must be considered. This study aims to survey the perception levels among residents in deteriorated apartments relating to remodelling. It might be provide the basic data which could be used for the analysis of consumers in the future implementation of deteriorated remodelling projects. The analytical methods adopted in this study were factor analysis, 1-test, one-way ANOVA, post-hoc estimation(Scheffe test) by the SPSS 10.1 for Windows program. Through the factor analysis for the perception types regarding remodelling, the factors were named ‘function improvement orientation’ , ‘property value orientation’, ‘individual-household improvement orientation’, and ‘negative attitude to remodelling’. The analysis of the perception types regarding remodelling, by the family characteristics, socio-economic characteristics, residence characteristics, apartment block variables, resident's value orientation, and resident's satisfaction level, indicated that the perception degree of the ‘property value orientation’was the highest, followed by the ‘function improvement orientation’.
The purpose of this research is to determine the deterioration characteristics of high-rise and high-density apartment complexes in 1st period new towns in order to regenerate apartments as sustainable residential environments in Korea. For this purpose, the level of deterioration was evaluated by using 'evaluating indicators of the level of deterioration of high-rise and high-density apartments'. The deterioration characteristics were determined inclusively and concretely based on evaluation results. In addition, the deterioration level according to residents' awareness of the deterioration of their apartment was evaluated. This study was conducted by methods of field data collection, staff interview, field measurement, and resident survey according to the measurement of the evaluating indicators. And the re-organized questionnaire based on the evaluating indicators was utilized for a survey of resident's awareness. The results are as follows: In the physical dimensions of apartments, the deterioration characteristics included deteriorated equipment and a decline in structural performance due to the aging of the apartment, a shortage of parking spaces, and the low flexibility of the bearing wall structure, etc. In terms of the social dimensions, the apartments showed an increase in the number of elderly households, a shortage of community facilities, and a lack of the opportunity for community participation etc. In terms of the economic dimensions, the apartments showed limitations in maintenance & repair and a lack of environmentally friendly features.
The purpose of this study was to assess the needs for nutrition programs in the public health centers by general characteristics and body mass index (BMI) of community residents. Information of general characteristics of study participants including age, education, income, marital status, residence, and job, and resident's interest in nutrition programs, the preferred educational methods and the willingness to participate in nutrition programs were collected by an interview. Weight and height were measured and were used to calculate the BMI. The program that resident's were most interested in was 'diet therapy for chronic disease and counseling' ($28.5\%$), followed by 'nutritional management for the elderly' ($21.1\%$), and 'obesity and weight control' ($17.1\%$). 'Education and counseling by nutrition professionals' was the most preferred educational method. Among the programs that the subjects would participate in, if they were offered in public health centers, $65.8\%$ subjects would participate in 'diet therapy for chronic disease and counseling' programs, $64.9\%$ would participate in 'nutritional management for the elderly' programs and $52.2\%$ would participate in 'obesity and weight control' programs. The contents of programs that the subjects were interested in, the preferred methods and their willingness to participate nutrition programs differed significantly by age, income, education, marital status, and body mass index. The results imply that the planning of nutrition interventions in the public health centers must be tailored and targeted group specific by taking the participants general characteristics and body mass index into consideration. This would surely increase the nutrition program's effectiveness
There is a growing demand for public rental housing since housing price increased rapidly and socially vulnerable people need more stable housing. The purpose of this study is to investigate housing evaluation (satisfaction), moving plan, and residential service according to the type of the public rental housing and the characteristics of the resident, and to suggest the development direction for comprehensive housing services including the community level. Data used for analysis in this study are from 2016 Seoul panel survey of public rental housing residents. A total of 3009 questionnaire from public rental households were collected in 2016 Seoul panel survey. In order to investigate housing requirements, we analyzed household characteristics, housing satisfaction, moving plans, welfare services, residential activities and community facilities, social environment. In this study, the difference of residential satisfaction, moving plan, and residential service according to the type of the public rental housing and the characteristics of the resident is analyzed to identify their housing demands. As a result, there were differences in residential satisfaction, moving plan, and residential service depending on type of public rental housing and characteristics of residents. Residents in public rental housing modified from the multi-family housing after purchase showed lower residential satisfaction, and higher intention for moving plan compared to residents living in other type of public rental housing. In the residential service, residents in permanent lease type have higher experience of housing service as well as demand on housing service. Especially single household, elderly household, female household, or household with handicapped person indicated higher demand for housing services.
Recent mass construction of high-rise apartments across the country are questionable whether this housing type is appropriate for Korean families as one of housing alternatives. Therefore, cross-cultural analysis is needed for the evaluation of high-rise apartment living. The purpose of this study is to identify factors related to the evaluation of residential satisfaction, and to examine the differences of satisfaction between Korean and American high-rise resident groups on these factors and personal characteristics. The review of literature and factor analysis identified six important environmental factors. 413 subjects were selected from the major two resident groups in major U.S. cities, and Seoul, Korea. An examination by major factors indicated that five except for neighborhood environmental qualities were significant relationship. It was also found that personal characteristics of these two groups were significantly different. Multiple-regression analysis found that both physical quality of dwelling unit and management/maintenance were important predictors of residential satisfaction.
Since the village maintenance type public housing project was introduced in 2015, the resident needs for regional revitalization and pleasant living conditions are not being met due to the poor performance of the public housing complexes that reflect the surrounding area maintenance plan (village plan) and regional characteristics. The purpose of this study is to suggest a plan to revitalize the village maintenance type public housing project in consideration of regional characteristics as a result of analyzing the needs of local residents through the problems of the village maintenance type public housing project being promoted so far and resident satisfaction. As a result of the analysis based on the public housing project implementation status analysis and resident satisfaction, the plans to activate the village maintenance type public housing project are as follows. First, in order to secure the effectiveness of the village plan, it is desirable to promote the public housing project and the village plan at the same time. It is necessary to secure a budget according to the selection of public offering projects in the village plan, such as promoting public housing projects without setbacks by prioritizing land purchases for public housing sites and establishing specialized strategies considering regional characteristics. Second, a public housing project that responds to local demand is required. The evaluation factors such as continuous promotion of the urban architecture integration plan and strengthening of regional linkage plans such as specialization of regionally tailored designs should be supplemented so that regional resources and village plans are linked with the public housing specialization plan. Third, surrounding area maintenance plan (village plan) should be secured by the strengthen of the legal status or establishing related provisions. It is also necessary to promote system improvement for area maintenance plan (village plan) when selecting a publicly funded public project.
Purpose: This study was to classify elderly in long-term care hospitals for using Resource Utilization Group(RUG-III) and to consider feasibility of payment method based on RUG-III classification system in Korea. Method: This study designed by measuring resident characteristics using the Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. The data were collected from 382 elderly over sixty-year old, inpatient in the five long-term care hospitals. Staff time was converted into standard time based on the average wage of nurse and aids. Result: The subjects were classified into 4 groups. The group of Clinically Complex was the largest(46.3%), Reduced Physical Function(27.2%), Behavior Problem(17.0%), and Impaired Cognition(9.4%). The average resource use for one resident in terms of care time(nurses, aids) was 183.7 minutes a day. Relative resource use was expressed as a case mix index(CMI) calculated as a proportion of mean resource use. The CMI of Clinically Complex group was the largest(1.10), and then Reduced Physical Function(0.93), Behavior Problem(0.93), and Impaired Cognition(0.83) followed. The difference of the resource use showed statistical significance between major groups(p<0.0001). Conclusion: The results of this study showed that the RUG-III classification system differentiates resources provided to elderly in long-term care hospitals in Korea.
Understand that forming urban images and improving urban identity play an important role in the competitiveness of cities with resident-participating villages, local governments began to focus on selection and management of physical components to form urban identity. Recently, when the quality of urban scenes is posed as a problem, urban beautification projects including urban environment reorganization and scenery management are being actively conducted in many cities. The purpose of this study is to compare and analyze the characteristics of cases of Japan, England, and USA in which the local governments conduct resident-participating villages to establish a frame of analysis, to classify the purposes, directions, contents and properties of projects, scenes, and formation of villages based on the established frame of analysis, to deduce suggestions from the view of urban scenes and formation of villages, and to present basic measures for developing projects with which local residents can form villages centered on urban scenes subjectively and autonomously in Korean local communities in the near future.
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