• The Journal of Korean Physical Therapy
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• 제28권2호
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• pp.77-87
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• 2016

Purpose: The purpose of the study was to review functioning components of studies for measuring functional information using International Classification of Functioning, disability and health (ICF) in Korea. Methods: A literature review was conducted and eligible studies were identified via search of RISS, KISS, DBpia, KoreaMed, PubMed, and ISI databases published from 2001 to 2015. For inclusion in this review, a study should be published in a peer-review journal, must have participation of Korean researchers and/or developed in Korea, and should provide functioning data related ICF. Descriptive studies containing only ICF concepts and review studies were also excluded. Collected functioning data in each study were analyzed using frequency based on ICF domain. Data assessment was performed by two independent reviewers. Results: Eighty publications were included in the analysis. The majority of studies collected data from clinical patients (n=38) and from the disabled (n=28). Fourteen studies assessed functioning data from the elderly and students under special education. The studies reported functioning data using various tools, including ICF itself, ICF checklist, coresets, and conventional measurement tools. Body function domain was most commonly used and the least used domain was the body structure across areas. Interestingly, increasing data related to environmental factors was observed in all studied populations. Conclusion: Functioning data was collected from four domains of ICF across professional areas. The most common collected data was body function and activity and participation for which conventional measurement tools are already available. To understand clients, components of environmental factors that might influence a person's functioning should be considered.

• 임상간호연구
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• 제28권1호
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• pp.13-22
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• 2022

Purpose: Extravasation of diagnostic and therapeutic materials might occur when the intravascular solution leaks into the surrounding tissues. Injury associated with extravasation depends on various factors. It may range from mild skin reaction to severe necrosis. However, the incidence rate for extravasation is largely unknown because of the limited reporting in Korea. Therefore, this study was conducted to identify the incidence of extravasation and nurses' attitude and knowledge of extravasation for providing high-quality nursing care. Methods: Three acute care hospitals were surveyed to estimate the occurrence of extravasation. Knowledge and attitude toward extravasation were investigated from 793 nurses working in six hospitals. Results: The incidence rate of extravasation was 0.5%. Extravasation commonly occurred in elderly patients aged 66 or older (59.9%) and internal medicine (48.2%), and it happened 13.73±20.68 days after hospitalization on average. It mostly occurred in the forearm site (52.9%) and was mainly caused by parenteral nutrition (33.6%). The mean scores of nurses' knowledge and attitude were 14.63±2.86 and 28.91±36.00, respectively. There was a significant negative correlation between the subjects' knowledge and attitude (r=-.11, p=.002). Conclusion: It is necessary to have a reporting system that can accurately monitor the occurrence of extravasation for patient safety management. In addition, it is necessary to develop a protocol that can be applied to clinical practice and a nurse education program.

• Human Ecology Research
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• 제54권2호
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• pp.155-164
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• 2016

This study explored the characteristics, housing deficits and expectations for support programs of low-income renter households in housing poverty in order to provide housing policy development and improvement information. Microdata of the 2014 Korea Housing Survey was utilized as secondary data for this study. A total of 2,508,672 low-income renter households (weighted count) in the bottom 40% income ranks of entire general households living in private rental units were selected as study subjects. The major findings were as follows. (1) One point four percent of the subjects were living in non-house living quarters (e.g., shanties, vinyl greenhouses, container houses, and mud huts), 1.4% were in dosshouses, 9.9% were in basements, semi-basements or rooftop units, and 8.2% were in sub-standard units. (2) Among the households whose housing costs burdens were measurable, 75.7% were found to have housing cost burdens to pay 30% or more of their household income towards housing costs (rental costs and maintenance costs), but only 7.5% of the burdened households received a housing voucher. (3) Eighty-one percent were found to be in a housing poverty status as defined by the researcher; in addition, low-income renter households in housing poverty in Seoul tended to have a greater proportion of households headed by females, the elderly, and be persons with low-education or disabilities. (4) Households in housing poverty showed greater expectations for financial support and/or extended provisions of public rental housing than other low-income renter households.

• 한국노년학
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• 제29권3호
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• pp.1025-1041
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• 2009

본 연구는 중년층에게 시공간 제약 없이 가정에서도 노년기 준비교육을 받을 수 있도록 개발된 웹기반 노년기 준비프로그램에 대한 학습효과를 평가함으로써 예비 노년층을 위한 노년기 준비교육의 효율적인 학습전략을 위한 기초자료를 제시하고자 시도하였다. 연구대상자는 대구지역에 거주하는 만 40-59세의 중년층(실험군 36명, 대조군 34명) 70명이었으며, 자료수집기간은 2008년 3월부터 11월까지로 연구변수는 노인에 대한 지식과 태도, 노년기 생활설계를 조사하였다. 자료분석은 서술통계, χ²-test, t-test, repeated measure ANOVA 분석을 이용하였으며, 일반적 특성, 연구변수에 대한 동질성 검정과 학습효과를 파악하였다. 본 연구결과, 실험군과 대조군간 측정시기에 따른 노인에 대한 지식과 태도, 노년기 생활설계에서 측정시기별, 그룹 간과 그룹 내에서 통계적으로 유의한 변화를 나타냈다. 결론적으로 본 프로그램은 중년층으로 하여금 자신의 노년기를 예측하고 준비하여 노후설계를 할 수 있도록 지지하였으며, 원하면 언제든지 노년기 준비교육이 가능하도록 유도하였다.

• 동서간호학연구지
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• 제26권1호
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• pp.28-38
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• 2020

Purpose: The aim of this study was to provide information on the extent and variations of elderly residents' nursing care needs, and provision of nursing care across long term care facilities. Methods: A nationwide survey was conducted on nurse managers from 1,041 long term care facilities, by e-mail or fax, from August 16 to September 30 in 2017. A self-reported questionnaire consisting of 5 domains was used to collect data. Results: Facilities with more than 30 residents were more likely to need skilled nursing services and to obtain the nursing staff such as a registered nurse and a nurse's aide. Awareness and satisfaction of hospital-based home nursing care was high in all facilities. In addition, there are some differences in nurse managers' perceptions of the level of healthcare resources and required action by facility size. Nurse managers of senior congregate housings were more likely to have considerable difficulty in dealing with healthcare needs of residents and recognizing the healthcare resource shortage. A majority of nurse managers agreed on the need to employ a registered nurse. Conclusion: This study confirmed that it is essential to increase nurse staffing level and to reform the long term care insurance for enhancing the accessibility of healthcare services, especially for the residents in small long term care facilities. There is also a need to provide diverse education and training opportunities for nursing staff working in long term care facilities.

• 대한간호학회지
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• 제43권1호
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• pp.39-49
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• 2013

Purpose: To analyze the structure of Korean nurse labor market and examine its effect on hospital nurse staffing. Methods: Secondary data were obtained from Statistics Korea, Education Statistics, and Health Insurance Review & Assessment Service and Patient Survey. Intensity of monopsony in the nurse labor market was measured by Herfindahl Hirshman Index (HHI). Hospital nurse staffing level was divided into high and low. While controlling for confounding factors such as inpatient days and severity mix of patients, effects of characteristics of nurse labor markets on nurse staffing levels were examined using multi-level logistic regressions. Results: For characteristics of nurse labor markets, metropolitan areas had high intensity of monopsony, while the capital area had competitive labor market and the unemployed nurse rate was higher than other areas. Among hospital characteristics, bed occupancy rate was significantly associated with nurse staffing levels. Among characteristics of nurse labor markets, the effect of HHI was indeterminable. Conclusion: The Korean nurse labor market has different structure between the capital and other metropolitan areas. But the effect of the structure of nurse labor market on nurse staffing levels is indeterminable. Characteristics such as occupancy rate and number of beds are significantly associated with nurse staffing levels. Further study in support of the effect of nurse labor market is needed.

• 한국식품영양학회지
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• 제34권4호
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• pp.372-380
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• 2021

In this study, data from the 7th (2016~2018) and 8th (2019) Korea National Health and Nutrition Examination Surveys were used, which included 5,325 subjects. Health behavior, dietary and nutrient intake status, physical measurement and biochemical characteristics, and risk factors for elderly related chronic diseases were classified and analyzed according to the changing composition of single households and other households in the current society. As a result, the ratio of current smokers and drinkers in young adult single households, walking less than 30 minutes per day, subjective health status was poor, breakfast rate less than three times per week, eating out frequency more than once a day, lipid intake ratio to total calories, saturation fatty acid intake were significantly higher. In addition, waist circumference, and diastolic blood pressure were significantly higher. However, dietary fiber intake level was significantly lower. The results for hypertension, which is the representative chronic disease that causes old age-related chronic diseases, were significantly higher in single households (ORs=1.400 (95% CI: 1.095, 1.791), p=0.007). Although young adults may not have showed particularly serious health problems yet, education is believed as important to recognize and prevent age-related disease risk factors.

• 정보관리학회지
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• 제37권2호
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• pp.333-352
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• 2020

본 연구는 문헌정보학에서 다뤄지는 정보격차 연구동향을 분석하기 위해서 문헌정보학관련 4개 학술지에서 발행한 195편의 논문을 수집하고, 해당 문헌을 대상으로 연구대상(11개 하위 범주), 연구목적(4개 하위 범주), 연구방법(4개 하위 범주)로 코딩하였다. 이것을 저자 키워드와 함께 패스파인더 알고리즘을 적용한 키워드 네트워크를 구축하여 분석을 진행하였다. 분석 결과, 정보취약계층(연구대상) 중 장애인, 다문화가정, 고령자에 대한 연구가 79.5%로 특정 계층에 집중되어있는 것으로 나타났다. 그리고 정보격차, 장애인, 공공도서관을 중심으로, 다문화, 고령자 등에 대한 정보취약 실태와 해소방안을 목적으로 활발히 연구가 진행되었으나, 정보취약 해소효과, 정보취약의 영향요인을 목적으로 한 연구는 고령자, 독서치료, 정보화교육, 정보활용, 독서프로그램을 구안하고 적용하여 효과를 검증하는 연구에 국한되어 있었다. 마지막으로 정보격차에서 가장 많이 활용되는 연구방법은 문헌연구와 함께 사례연구 또는 설문조사를 동시에 이용하는 것으로 나타났다.

• 한국노년학
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• 제29권4호
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• pp.1539-1557
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• 2009

본 연구는 이용시설 참여노인을 대상으로 노인의 삶의 질 요인을 분류하고, 노인특성에 따른 삶의 질의 차이를 분석하고, 노인의 삶의 질에 영향을 미치는 이용시설 프로그램 참여도 및 자아존중감, 우울의 영향을 분석함으로써, 이용시설 프로그램의 문제점과 향후 바람직한 프로그램의 대안을 제시하여 노인의 삶의 질 향상에 도움을 주는데 그 목적이 있다. 연구목적을 달성하기 위하여 경남지역에 위치한 노인이용시설 6곳을 이용하는 노인 269명을 대상으로 분석하였다. 그 결과 첫째, 노인의 삶의 질 요인을 분석한 결과 경제생활에 대한 삶의 질, 이웃에 대한 삶의 질, 건강에 대한 삶의 질, 배우자에 대한 삶의 질 등 4가지 요인으로 분류되었다. 삶의 질 척도에서 이웃에 대한 삶의 질이 가장 높았고, 건강에 대한 삶의 질, 경제생활에 대한 삶의 질 순으로 나타났으며, 이 중 배우자에 대한 삶의 질이 가장 낮게 나타났다. 둘째, 노인특성에 따른 삶의 질의 차이를 분석한 결과, 경제생활에 대한 삶의 질은 노인특성에 따라 통계적으로 의미 있는 차이는 없는 것으로 나타났다. 이웃에 대한 삶의 질은 남성이 높았으며, 학력이 낮을수록 삶의 질이 높게 나타났다. 건강에 대한 삶의 질은 신체적 건강에서 건강한 편일 때 삶의 질이 높았다. 배우자에 대한 삶의 질은 남성이, 학력이 높을 때, 동거상태에서는 부부만 살 때, 결혼상태에서는 부부가 함께 살고 있을 때, 용돈수준이 높을 때 삶의 질이 높은 것으로 나타났다. 셋째, 노인의 삶의 질에 영향을 미치는 영향요인을 분석한 결과, 자아존중감은 경제생활에 대한 삶의 질에 정적인 영향을 미치는 것으로 나타난 반면, 우울은 부적인 영향으로 나타내었다. 우울과 후생복지사업 프로그램 참여는 이웃에 대한 삶의 질에 부적인 영향을 나타난 반면 지역사회활동 프로그램 참여는 이웃에 대한 삶의 질에 긍정적인 영향을 주는 것으로 나타났다. 우울과 재활프로그램은 건강에 대한 삶의 질에 부적인 영향을 미치는 변인으로 나타났다. 교양교육 프로그램은 배우자에 대한 삶의 질에 정적인 영향을 미치는 것으로 나타난 반면, 건강증진 프로그램은 부적인 영향을 미치는 변인으로 나타났다. 본 연구의 결과는 이용시설 프로그램의 문제점과 향후 바람직한 프로그램의 대안을 제시하여 노인의 삶의 질 향상을 위한 기초자료로 의미가 있다.

• 한국융합학회논문지
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• 제7권6호
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• pp.213-218
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• 2016

최근 한국에서는 고령화가 본격적으로 진행되어 가족이나 개인중심의 노인돌봄시스템이 한계에 도달하였다. 본 연구는 장기요양등급자로 재가서비스를 받고 있거나 등급외자로 돌봄서비스를 받고 있는 노인을 대상으로 하는 재활 및 건강증진, 삶의 질 향상을 위한 적절한 서비스를 개발하는 목적을 갖는다. 특히 공급자입장의 품질 관리 측면에서 접근하였으며 서비스관리공급자인 기관 및 서비스제공자인 요양보호사를 대상으로 FGI 조사를 실시하고, 지역사회복지사와 방문간호사 대상 심층면접을 실시하였다. 연구결과에서는 서비스 공급자 및 제공자 간 서비스 내용에 대한 의식차이가 나타났고 또한 적절한 서비스를 제공하기 위해서는 지역사회에서 영역별로 분리되어 있는 케어서비스를 융합하기 위한 통합 교육 및 팀워크 훈련 등이 필요한 것으로 나타났다.