The purpose of this study is to analyze that change of social environment, disability perspective and rehabilitation paradigm of Korea rehabilitation for the past 60 years and to propose future direction for rehabilitation of Korea. The major results of this study are summarized as follow : First of all, there is a disparity of 30 years between persons with disabilities and persons without disabilities for the perspective of social inclusion in Korea. Second, social environment is one of the most important effective variable on rehabilitation for persons with disabilities in Korea, it has been rapidly changed from agrarian society, going through industrial society and intellectual society, to convergence society. Third, disability perspective has been changing to universalist model with change of the social environment and also paradigm of the rehabilitation has been changing from the target of treat, education and training to the member of society that can empower and support persons with disabilities. Forth, rehabilitation policies have been changing from the welfare policies to the empowerment policies in company with change of paradigm. On the basis of the results, the following suggestions can be made : First, universalist model have to be permeated in the society at large. Second, rehabilitation paradigm should change to emphasize the holistic and universalist perspective. Third, the main purpose of rehabilitation policies are equality, mean and target of the policies are to emphasize universal services.
This study aims to identify factors of life satisfaction of the adults with developmental disabilities, focusing on the comparison between young and old. Data are collected through in-depth interview of the adults with developmental disabilities as well as via workers proxy responses at the group home. Regression model analysis is conducted based on 387 cases. The result shows that the young adults with developmental disabilities are more likely to satisfied with life when they evaluate job performance of workers at the group home and when they are more actively involved in community activities. For the old adults with developmental disabilities, life satisfaction is positively associated with their evaluation of job performance of workers at the group home as in the young adults. In addition, life satisfaction of the old adults is higher when they feel less fatigue. It is also higher for those with more choices on residence and higher level of social activities. The findings reveals that enhancement of life satisfaction for the old adults with developmental disabilities dwelling at group home require supports and services for health and social activities different from other ages. It shares the general ideas that service efforts should be made for needs and desires of the recipients. The present study suggests to expand our research interests to include the disabled in danger of early aging, such as the persons with Down Syndrome and the persons with intellectual disability and cerebral palsy, and look into their particular needs.
The purpose of this study is to investigate the determinants of job satisfaction among care givers. Finding out the determinants of job satisfaction among care givers, the dependent variables were defined 3 groups with 9 sub-factors, such as personal factors of growth needs and self-efficacy, job factors of job diversity, job autonomy, job importance, role clarity and workload, organizational factors of comradeship, education & training. For the study, data were collected form 479 care givers working in 52 care facilities of Chung Nam Province and analyzed them by regression analysis technique using the SPSS 20.0 statistical package. The results are as followings, job diversity, job importance, comradeship, education & training have positive effects on job satisfaction respectively, workload effects on it negatively, but growth needs, self-efficacy, job autonomy, role clarity no effectiveness on job satisfaction. Based on the results of study, theoretical implications are discussed for care givers to promote the job satisfaction and suggested the directions for further study. Further more, the findings provide the basic sources for care giver human resource management in long term care facilities which are suffering from recruiting of care giver, and it also contribute to successful management of long term care insurance system as a meaningful suggestion.
This research aimed to examine the problems in a current national emergency management system that does not consider the disabled in the face of manmade catastrophes and natural disasters, and to conduct an expert opinion survey to explore the direction of disabled-inclusive public disaster management system. As a result of the analysis, the respondents of the survey revealed a need for a designated government department for disaster management systems for the disabled and the experts preferred the Ministry of Public Safety and Security (50%) than the Ministry of Health and Welfare (37.5%). However, 12.5% of the surveyed experts perceived cooperation between the two Ministries, rather than selecting a certain ministry, as necessary to establish a disaster management system for the disabled. Additionally, the experts recognized the response period (43.8%) of the disaster management life cycle to be the most important phase. Thus, at the disaster response period, the experts suggested utilizing an emergency alarm system to effectively rescue the disabled in the face of disaster. Based on this discussion, the paper explores ways to establish a disabled-inclusive public disaster management system.
This research aims to examine whether depression has mediating effects in the effects of socioeconomic deprivation, especially of lower variables of socioeconomic deprivation on life satisfaction of the elderly. For this purpose, the 12th year(2017) data of the Korea Welfare Panel Study were used. The mediated effect analysis method of Baron and Kenny(1986) were used, and mediating effect of depression was validated through Sobel Test. The results of this research are as follows. Firstly, the lower variables of socioeconomic deprivation of the elderly -deprivation of housing, deprivation of dietary life, social deprivation, deprivation of employment, and deprivation of healthcare- had partial mediating effects of depression in life satisfaction. It was verified that as the elderly experienced deprivation of housing, deprivation of dietary life, social deprivation, deprivation of employment and deprivation of healthcare, depression increased and life satisfaction was lowered. Therefore, it was suggested that to enhance the living satisfactions of the elderly, policies and services reflecting the personal characteristics of socioeconomic deprivation and depression must be made, and that criteria to identify the multidimensional poverty and deprivation experienced in everyday life must be prepared in addition to poverty focusing on income.
The purpose of this study was to investigate the effect of helplessness, depression, subjective health status, family support, and social support on health promoting behaviors of elderly people over 65 years old. The subjects of this study were 3 welfare centers in G city and C city, 3 senior citizen center and 225 elderly people in 2 geriatric hospital, and this study was analyzed with descriptive statistics, reliability, correlation, confirmatory factor analysis, fitness test, total effect, direct effect, and indirect effect. The direct effects of variables affecting health promoting behaviors were social support, depression, family support, subjective health status, and helplessness. These variables accounted for 66% of health promoting behaviors. Depression, helplessness had a significant indirect effect on family support and social support, and subjective health status had a significant indirect effect on social support, but didn't have a significant indirect effect on family support. In this paper, we propose a new approach to elderly's health promoting behaviors and it is recommended that an intervention program be developed and applied to on personal situation should be necessary for elder's depression, helplessness and subjective health status.
Objectives: The purpose of the study was to investigate factors affecting the assessment of objective and subjective masticatory ability in the elderly, and to evaluate masticatory ability assessment more accurately. Methods: A total of 112 participants were recruited after oral examination in senior citizen welfare facilities. The participants' masticatory ability was evaluated objectively (Mixing ability index; MAI), and subjectively (Key food intake ability; KFIA). Participants' general characteristics and oral health-related variables were also recorded. Based on masticatory ability assessment, participants were classified as either high or low. IBM SPSS Statistics Ver.23.0 was used for all analyses, including descriptive statistics, Chi-square test, Mann-Whitney U test, Spearman rank correlation, and Logistic regression analysis. Results: Higher masticatory ability was positively correlated with higher scores on MAI and KFIA. Additionally, there was a significant positive correlation between MAI and KFIA. When analyzing factors affecting objective and subjective masticatory ability assessments, Functional tooth units (FTUs) were revealed as a related factor. In subjective masticatory ability assessment, oral moisture, difficulty in chewing, and the Geriatric Oral Health Assessment Index (GOHAI) were also influential factors. Conclusions: In order to accurately assess masticatory ability, it is necessary to use both objective and subjective measures. Additionally, to improve the masticatory ability in the elderly, treatment should be provided to improve overall oral health and satisfaction.
Journal of the Korea Academia-Industrial cooperation Society
/
v.19
no.11
/
pp.244-252
/
2018
The purpose of this study is to empirically analyse determinants of elders' life satisfaction by gender and discuss policy implications for the findings. Data was obtained from the Social Statistics Survey conducted by the Korea National Statistical Office in 2013. From this dataset, 9,456 elders aged 60 and above (4,113 male, 5,343 female) were selected for this study. Results of ordered logit analysis found differences for determinants of elders' life satisfaction by gender. Results of this study can be summarized as follows: First, age has a significant positive effect on only male elders' life satisfaction. Second, education level has a significant positive effect on both male and female elders' life satisfaction. Third, having a spouse has a significant positive effect on only male elders' life satisfaction. Fourth, household income has a significant positive effect on both male and female elders' life satisfaction. Fifth, consumption life satisfaction has a significant positive effect on both male and female elders' life satisfaction. Sixth, house ownership has a significant positive effect on both male and female elders' life satisfaction. Seventh, preparation for aging has a significant positive effect on both male and female elders' life satisfaction. Eighth, each of three types of social support has a significant positive effect on both male and female elders' life satisfaction. Ninth, cohabitation with children has a significant negative effect on both male and female elders' life satisfaction. Tenth, volunteerism has a significant positive effect on only male elders' life satisfaction. Eleventh, social group participation has a significant positive effect on both male and female elders' life satisfaction.
This study was conducted to identify correlations in clinical nurses' personality, resilience and happiness index to provide basic resources for nurses' happiness at work. Methods: From May 1 to 15, 2019, self-report questionnaires were distributed and collected from 307 of clinical nurses in 10 hospitals located in P-metropolitan city and K-province. Analyses included descriptive statistics, t-test, Analysis of Variance, Pearson's correlation coefficient, and multiple regression, conducted using IBM SPSS/WIN 24.0. Mean scores were nurses' personality 3.67, resilience 3.28, and happiness index 3.28. There were significant differences on the happiness index for: clinical experience, type of work, and leisure activities and a positive correlation between personality and resilience, between personality and happiness index and between happiness index and resilience. Happiness index was influenced by clinical experience 'Less than 1-5' (${\beta}=-.41$), '${\geq}10$' ${\beta}=-.39$), 'Less than 5-10' (${\beta}=-.34$), resilience (${\beta}=.35$), personality (${\beta}=.29$), type of work '3 shifts' (${\beta}=.12$), leisure activities (${\beta}=.10$). Explanatory power of these variables was 41%. Conclusion: Based on the findings of this study, so it is necessary to operated the career management, work management, personality training, support for resilience promotion program and leisure activities in order to increase the happiness index of hospital nurses.
Objective: The purpose of this study is to identify the strengths and problems of the current in-service education system, and suggest ways to improve it in the future by looking at the current status of in-service education to strengthen the expertise of teachers and directors of childcare centers. In particular, I would like to search the current status of in-service education, including on-line special job competency education, which is responsible for one of the pillars of in-service education, and present the problems and measures to improve them. Methods: To that end, the present study conducted an analysis of issues based on the previous research on in-service education of childcare teachers' education, and conducted a literature examination focusing on laws, policies, and foreign cases related to in-service education. Results: In-service education for childcare teachers was categorized into educational process diversification and professionalism, educational method diversification, qualification management, and educational support, which were again organized into 14 core tasks. In addition, as a recent phenomenon that has not been discussed in detail in the preceding study, the phenomenon of increased participation in on-line special job competency education at the site of in-service education was analyzed and the problems were presented. Conclusion/Implications: Based on the results of this study, I proposed development measures such as changing the term 'in-service education' and recognizing the diversity of job competency education, the credit rating banking system for job competency education, the provision of on-line job competency education curriculum (basic courses/enhancing courses) for collective education courses, the expansion of education support for promotion to a higher grade courses and the conversion of the mandatory evaluation system for in-service educational institutions.
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