Journal of The Korean Digital Architecture Interior Association
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v.11
no.1
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pp.73-81
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2011
The purpose of this research is to analyze the emotional characteristics of community space with recently constructed apartment complexes. The designated subjects of this research are located in Dongtan the first New Town, with 500 to 1000 households and constructed as single buildings for community space are 14 apartment. The results are as follows: 1)The space for day care planned for children's emotional comfort and stability measured by symbolizing image of nature. Also, allowing children to recognize their own space by decorating the walls with the works of themselves and their friends was shown to break down extraneous feelings against other spaces, and allow intimacy for spaces. 2)The space for the aged was shown to give a secure and friendly feeling by considering the psychological and physical traits of the elderly. It can replenish the depressed bodies of aged people with vigor and stimulate their emotion. 3)The space for indoor exercise utilized various visual facilities, such as graphics and images, to bring out specific areas and create affiliation in stimulating the emotion of residents.
The fast growth of the elderly population and nuclear families have been creating substantial needs for residential facilities of aged people in Korea. In this study, reviews on housing preference and physical constraints have been performed based on previous researches. In this study, the results of the analyses propose developmental strategies for the elderly housing in Korea as follows: 1)Housing preference and other psychological trends of Korean elderly are rooted in changeable condition of the emotion and lack of knowledge. Therefore, the housing preference of the Korean elderly should not be considered a fixed reflection ; rather, it should be regarded as a continuously adjusted trends according to later experience and emotional status after residing in the elderly care facilities. 2)Design of elderly housing should be guided within two principles of easy access and high usability. The principles also require maximazation of social interactions among frail elderly residents on age-segregated structure. 3) The experiment among 201 frail elderly shows that each shower stall should accommodate 5-by-5 feet square for wheelchair u-turn, and 48 inch height for kitchen topsink. Finally, the experiment shows that ramp slope of the ederly housing should be within 1/16 and 1/20.
Since 2000, there have been many changes in the residential types, such as an intelligent apartment which integrates both resting space and production space with comfort able, pleasant and safe environments based on internet systems. As the result of the rapid decrease in the birth rate and the prolonged lifespan around the world, it is expected that we will enter into an aging society by 2026. With such the expected change in the living patterns, many issues concerning the increased number of the elderly people have emerged as major social problems such as changes of family formation, its function and values, responsibility of caring for the aged, health and medical care, habitation policies and so on, and it is required to reconsider the social awareness on the living qualities of each old person. However, we have not yet satisfied such requirements with appropriate policies for the improvement of the living environment for them. It is considered, therefore, that we need to develop a new tool that, according to our goals, can give us a broad understanding on several considerations in designing the future homes for the elder people, making it possible to check the process changed by residents' needs in real time and apply it immediately to the space. As we have seen, it is required that spatial design process and design methodology should be considered in designing the homes for the aged for the pre-occupancy design evaluation.
Purpose: This study examined the literature concerning the burdens of parents of preschool-aged children diagnosed with type 1 diabetes mellitus. Methods: We employed an integrative review methodology based on Whittemore and Knafl's framework. The literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across four electronic databases: PubMed, Web of Science, the Cumulative Index to Nursing Allied Health Literature (CINAHL), and PsycINFO. Ultimately, 18 articles were included in the review. Results: The review yielded four themes: (1) parental burdens, (2) factors related to the burdens, (3) coping strategies, and (4) implications for clinical practice. Parents experienced psychological, physical, and social burdens due to the diabetes care of their children. Several factors influenced burdens, including child-related characteristics such as age, severity of diabetes, and hospitalization experience, as well as parental factors like family income, race, and residential area. Parents initially felt burdened when their child was diagnosed with type 1 diabetes, but over time, they often adapted to the situation through support and sharing of responsibilities. Parents desired education and interventions reflecting the unique characteristics of preschoolers. Conclusion: This integrative literature review revealed that parents experience numerous burdens when their child is diagnosed with diabetes. Future research should focus on developing interventions to address parents' psychological difficulties, including tracking parental psychological changes over time. Tailored nursing interventions should also be provided to parents of preschool-aged children, as opposed to the more generic nursing interventions traditionally applied across all age groups of children in clinical settings.
This study was designed to investigate the malnutrition rate with anthropometric indices for the nutrient intake of 74 children aged 4-12 years old in three child welfare institutions in Cheonan city. The average heights and weights of the children are much lower than the Korean average height and weight. The mean BMI is $17.0{\pm}1.53$. In terms of height-for-age, 16.0% of the samples belong to below -2 standard deviation from the mean of the reference group. In terms of weight-for-age, 16.0% of the children belong to below -2 standard deviation. In terms of weight-for-height, 4.0% of the children belong to below -2 standard deviation. The standard deviation scores(Wt/Age, Ht/Age) indicate negative signs for seventy to eighty percent of the children. This is due to the lower consumption of the important nutrients that children consumed and almost all nutrients much less than the recommended daily allowances. Special nutrition welfare policies and programs targcting child welfare institutions should be developed to provide adequate nutrition for children in residential care.
The goal of This study is to predict medical fee by accidents at home and the factors of accidents, and also to suggest the conditions of housing adaptations for elderly people. As the result of in-house accidents, on average 2.97 million Korean won was to be spent for medical care. Furthermore, 2808 billion Korean Won, which was predicted by multiplying the number of older people with the reported accident rates of 2.0% by the National Health and Nutrition Survey 2005, can be estimated to pay on medical care in 2005. And in addition it is analyzed on residential conditions and 65 cases of elderly housing. According to the 65 safety problem cases, it examines that in-house accidents of older people generally happen at the steps, toilet and bathroom. It is necessary to adapt physical conditions and it is more effective. As the result of research, medical fee by accident at home has been increasing and also it could be predicted to spend 280,800million won in 2005. To reduce medical fee, it is necessary to promote physical environment by renovation. When be decided to renovate a housing, we know that it is more effective to use a checklist of space using at home. And also it is suggested to amend a checklist with other factors including physical conditions and health condition and so on to promote a correctness.
Purpose: The purpose of this study was to investigate the activities of daily living (ADL) and instrumental activities of daily living (IADL) of residential home dwelling elderly and home for the aged dwelling elderly. In attempt to address medical professional caring the elderly, this comparative study examines the factors associated with dependence in the ADL and IADL in two samples of elderly people living in two different environments. Methods: The instrument of ADL and IADL widely used Katz ADL and IADL. Katz ADL and IADL was not a perfect fit for Korean. In concern with cultural factors Won developed K(Korean)-ADL and K-IADL scale reflecting Korean's own language expression and cultural factors in year of 2002. The assessment tool of this study was K-ADL and K-IADL. Differences of ADL and IADL were tested for statistical significance using group t-test and x2 test for comparisons between the residential home dwelling elderly and the home for the aged dwelling elderly. Results: Comparison of assessment for K-ADL and K-IADL in two different dwelling types was significant. Performance of ADL and IADL depend upon their living environment such as social status, number of children, income, present illness as well as age group. This study also showed significant differences of performance in some activities of ADL and IADL between the elderly who live in their own home and live in home for the aged. Comparison of performance of ADL and IADL in different dwelling types revealed that only one item of ADL was significant but only one item of IADL was not significant. It means that IADL is more difficult activities in the home for the aged dwelling elderly than the residential home dwelling elderly. The coupled elderly has more independent in some ADL and IADL activities compared with the single elderly. Conclusion: Using K-ADL and K-IADL is more convenient for Korean elderly. Medical professional consider some factors like dwelling style, social status, existing diseases and disabilities in order to care the elderly and train him/her activities of daily living as well as instrumental activities of daily living. Medical professional, especially physical and occupational therapist emphasize the training items which are bathing of ADL and grooming, housework, preparing meals, laundry, traveling, public transportation, shopping, using telephone and taking medicine of IADL based on the result of this study.
Journal of the Korea Academia-Industrial cooperation Society
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v.15
no.2
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pp.706-716
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2014
This research aimed to empirically investigate the effects of satisfaction in Elderly Care Facilities (ECF) and daily stresses of aged people on their depression and self-esteem. Subjects were 271 visitors to 8 ECFs located in Central Korea including Seoul. The data was collected by the survey on them, conducted from March 3 to August 25, 2013. By analyzing the data, we found that the satisfaction with service utilization in ECF can reduce depression, while the satisfaction with medical rehabilitation service may increase depression and that the satisfaction with physical environment can reduce self-esteem. Also, the results showed that the stress related to family relationship has a positive effect on depression and a negative effect on self-esteem. and that the stress concerning residential environment can decrease self-esteem. Depression and self-esteem of the elderly can be predicted by satisfaction in ECFs, but not better than by their daily stresses. Among the predictors of depression and self-esteem, in this study, stress concerning family relationship is the most significant and the strongest.
This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.
This study of purpose was to define the relationship between the stress and climacteric symptoms of middle-aged women in order to provide basic data for the development of women's health care program as nursing intervention. The research tools used were a Soon-Young Park's stress questionnaire (4 points scale) and a self diagnostic MENSI scale (3 points scale) developed by a research team of Ill-Yang Pharmacy Co. This research was conducted in Korea in Muan-Gun. Chonnam province, from 22th November to 20th December 1999. The research used a survey design. Seven hundred eleven healthy middle-aged women, aged 40 to 64, and were a convenience sample by stratified ratio using the matching fixed residential and aging blocks. The data were analyzed by GLM. Pearson correlation coefficient and Scheffe test using SAS/ PC+. The results were summarized as follows : 1. The percentage of psychological stress with the following items was: fatigue and enervation, 70.0%; nervous, 61.8%; weakness, 58.5%; The percentage of physical stress with the following items were ; fatigue of eye. 82.3%; backache, 78.0%; headache, 73.8%. 2. The level of psychological stress was 40% of below average level (0-5 points), 31.7 of average level (6-12points), 20.8% of precaution level (13-19 points), and 7.5% of warning level (over 20points). The level of physical stress were 20.1% of below average level (0-5 points), 34.8 of average level (6-12 points), 29.4 of precaution level (13-19 points), and 15.7% of warning level (over 20 points). There were higher physical stress level than psychological stress level of the subjects. 3. The percentage of climacteric symptoms with the following items were : numbness, 75.3%; forgetfulness, 71.0%; pain of joints, 71.0%. The level of climacteric symptoms were 61.8% of mild level 1(10-15 points), 33.0% of moderate level (16-30 points), 5.2% of severe level (over 31 points). 4. There were high positive correlations significantly between the climacteric symptoms and the psychological stress (r=.564. P<0.000), and between the climacteric symptoms and the physical stress of the subjects(r=.678, P<0.000). 5. There were significant differences in the climacteric symptoms of the subjects among below average level, average level, precaution level, and warning level of the psychological stress (F=74.108. P<0.000. Scheffe test). 6. There were significant differences in the climacteric symptoms of the subjects among below average level, average level and precaution level, and warning level of the physical stress ((F=128.181, P<0.000, Scheffe test). In summary, climacteric symptoms complained by middle-aged women are high positive correlated to the level of the stress. Also climacteric symptoms were affected by stress.
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