• 제목/요약/키워드: facilities for senior citizen

검색결과 29건 처리시간 0.023초

Care of the Elderly with Dementia and the Need for Group Homes from Middle and Upper Class Families in Korea

  • Choi Jung-Shin;Kim Dae-Nyun;Kwon Oh-Jung
    • International Journal of Human Ecology
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    • 제2권1호
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    • pp.39-55
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    • 2001
  • Concerns about paid-facilities for the elderly with dementia from middle and upper class families have been discussed lately in Korea. Small-scale, home-like group homes for the elderly with dementia were developed in Sweden in the 1980, but they have not been effectively introduced in Korea where they remain a comparatively new concept. The group home, however, would provide a good alternative to Koreans who feel guilty when they have to leave their frail parents in large-scale facilities or hospitals instead of caring for them at home. The aim of this paper is, first, to define the care of the demented elderly who come from upper and middle class families in Korea and, secondly, to discuss the need for group homes to help care for them. A survey was done by questionnaire and was answered by 577 respondents who belonged to middle and upper class families living in Korea in December 2000. Methods of analysis were frequency, mean, and Chi-square. The results of this study were as follows: 1) the traditional notion that the eldest son should be burdened with the primary responsibility for a demented parent has weakened remarkably; 2) a small-scale long-term care facility was considered the most desirable living environment for the demented elderly; 3) the facilities families needed for professional hospitals for victims of dementia, senior citizen centers, large and small-scale long-term care facilities, day-care centers, and short-stay and service housing. The study also revealed that there was low awareness of the group home. The most preferred type of structure for group homes was a single-family detached house, and the most preferred management system was small-scale that could create home-like atmosphere. Additionally the respondents wanted group homes to consist of 6-8 residents with 2-4 persons per room. The results of this study strongly suggest that policy makers should encourage the development of smallscale group homes as an alternative form of housing for the elderly with dementia.

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독거노인을 위한 노인공동생활시설의 유니버설 디자인 적용성 평가 연구 - 경기도 지역 '카네이션하우스'를 중심으로 - (A Study on the Application of Universal Design Principles to Collective Housing for Senior citizen who lives alone - Focused on the 'Carnation House' in Gyeounggi-do ara -)

  • 문자영;남경숙
    • 한국실내디자인학회논문집
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    • 제23권6호
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    • pp.95-104
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    • 2014
  • Today, the number of the elderly living alone without any family members is on a sharp rise, and those aged people living alone are making these social issues such as solitary death, depression and suicide more popular. In order to resolve the issues, some of the local governments have been supporting the elderly living alone in common houses that would be used by senior citizens only. This study became interested in this 'carnation house' which has been carried out targeting the elderly living alone in Gyeonggi-do, and selected elementary universal design factors that should be applied to general residential environments of the aged people and analyzed the factors. As a case study, this research investigated four carnation houses as research subjects and came up with these following ideas about how to make improvements. First, the study found out that all the entrances did not have raised letters and that UD has not been satisfactorily applied to both the thresholds and the effective widths, and that is considered something to be fixed. Second, in case of regular rooms and living rooms, none of the rooms failed to have safety doorknobs which should have been installed and plus, thresholds and stepped pulleys need to be removed, Third, it goes the same with the kitchens, and the thresholds should be eliminated while cabinets are secured. In addition, furniture that understands the elderly's measurements should be used. Fourth, in terms of restrooms, they should be designed to be spacious enough not to cause anyone in wheelchairs inconvenience, and the study suggests that the effective widths should be widened and that both the safety doorknobs and the emergency calls must be installed. Basically, after the test on the UD adaptability, the study concluded that the application rates in connection with the adaptability were low which led the study to assume that such result has been gained due to the lack of installation standards in relation to the common living facilities of the elderly. The study now argues that purposes of buildings should be first clarified and then, these detailed space planning guidelines that deal with general characteristics of the aged people should be established.

캐나다의 고령자 주거복지정책의 현황과 특징에 관한 연구 (A Study on the Current Situation and Distinct Features of the Housing Welfare Policy for the Elderly in Canada)

  • 김태일;양건
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권3호
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    • pp.69-79
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    • 2010
  • Canada is a democratic country, yet it keeps a social democratic system in which the government is in charge of welfare of its people. And this is one of the most significant features about the country. Her public and private pension system has been effective since the 1920s, securing its people's fundamental income. In particular, the public medical system applies to its every citizen and performs its role. This system is called the National Medical System as well as "MEDICARE" named after its related law. However, there has been a significant change in the national medical and welfare policy due to the budget deficit. In other words, the policy was mainly implemented to welfare facilities in the past, but the policy changed to a welfare policy for the elderly with a concentration on the support for self-reliance of senior citizens since the reform. The purpose of this study is to provide data and implications for Korea through the analysis of the current situation and distinct features of the housing welfare system in Canada. This study has researched the literature on the subject with an analytic focus on three aspects that are the fundamental frame of the system, essential content (support for self-reliance and facility composition), and distinct features of the housing for the elderly. In other words, they are, first, how the fundamental frame of the housing welfare system for the elderly is composed; second, how the service for self-reliance welfare and facility service are composed; and third, what their scale and distinct spatial features of general houses for the elderly with self-reliance are. A comparative study was conducted in detail on courses and characteristics of the housing welfare system for senior citizens in Canada and the USA of North America. In particular, it reveals the scale and distinct spatial features of public houses for the elderly with self-reliance in British Columbia (BC) which is one of the main provinces of Canada.

대구광역시 노인복지시설 유형별 수요추정 (A Study on the Forecast of Bed Demand ofr Institutional Long-term Care in Taegu, Korea)

  • 김명희
    • 대한간호학회지
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    • 제30권2호
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    • pp.437-451
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    • 2000
  • The purpose of this study was to estimate the forecast of bed demand for institutional long-term care for the elderly persons in Taegu Metropolitan City. The study subject was the total 1,877 elderly persons over age 65 living in Taegu. Among them 1,441 elderly persons were sampled from community and 436 were from the elderly admitted 5 general hospitals. Data collection was carried out by interview from 25 August to 25 December 1997. The measuring instrument of this study was the modified tool of CARE, MAI, PCTC, and ADL which were examined for validity and reliability. In order to forecast bed demand of Nursing Home, this study revised prediction techniques suggested by Robin. The results were as follows : 1. OLDi of Taegu City were 122,202 by the year 1998 and number of Low-Income Elderly Persons were 3,210. 2. The Level I : Senior Citizen Home $ADEMi=\frac{AQi * ASTAYi}{365 * AOCUi}$. AQi = OLDi * LADLi * NASi * ALONi * LIADLi * AUTILi. Predicted number of bed demand for Home Based. Elderly Persons were 4,210 and Low-Income Elderly Persons were 1,081 and Total Elderly Persons were 5,291 by the year 1998, 6,343 by the year 2000 and 8,351 by the 2005. 3. The Level II : Nursing Home $BDEMi=\frac{(BQ1i+BQ2i) * BSTAYi}{365 * BOCUi}$. BQ1i = OLDi * HADLi * ALONi * HIADLi BQ2i = OLDi * HADLi * FAMi * OBEDi Predicted number of demand for Total Elderly Persons were 668 by the year 1998, 802 by the year 2000 and 1,055 by the 2005. 4. The Level III : Nursing Home $CDEMi=\frac{COLDi * HDISi * CUTILi * CSTAYi}{365 * COCUi}+OQi/10$ Predicted number of demand for Total Elderly Persons were 1,899 by the year 1998, 2,311 by the year 2000 and 3,003 by the 2005. 5. Predicted number of bed demand of long-term care facilities in the year 1998 according to Levels were 4.3% among elderly persons in Taegu by Level I, 0.5% by Level II and 1.5% by Level III. Number of elderly persons in current long-term care facilities were 458 in LevelI I,284 in Level II. 6. Deficit number of bed demand of long-term care facilities were 4,833 in Level I, 384 in Level II, 1,899 in Level III for the elderly persons in Taegu Metropolitan City.

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초고령 사회의 노인 돌봄 정책에 관한 융복합 연구 (A Study on the Care Policy for the Elderly in Super-aged Society)

  • 김동건
    • 디지털융복합연구
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    • 제22권2호
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    • pp.21-28
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    • 2024
  • 본 연구는 초고령 사회로 진입한 우리나라의 당면한 돌봄 정책의 현황과 노인 문제를 분석하여 바람직한 융복합 정책에 관한 개선 방안을 제시하고자 하였다. 우리나라의 노인 문제는 가족 개념, 가치관, 사회경제적인 구조의 변화로 노인의 건강 문제, 빈곤 문제, 역할상실의 문제, 돌봄 문제로 나타났다. 또한, 빈곤한 노인은 일자리와 취업 정책이 필요하며, 건강한 중산층 노인들은 여가생활과 자원봉사 활동을 할 수 있는 정책적인 개발이 필요하다. 특히 지역사회의 돌봄 정책을 통하여 노인요양시설과 노인 요양 병원 등 여생을 보낼 수 있는 정책적인 수립이 필요하다. 초고령 사회는 65세 이상 노인인구 중 총인구의 20% 이상을 차지하며, 통계청의 예상으로 2025년이면 초고령 사회로 진입할 것으로 보인다. 노인 복지정책은 다양한 프로그램과 노인 돌봄의 필요성과 서비스가 제공되어야 하며 향후, 초고령 사회는 많은 재원의 확보와 재원을 충당해 줄 생산인구의 유지가 필요하다. 즉 인간의 생애 주기는 출생에서 사망까지 노인의 자연 사망자와 출생 유아의 비율이 적절할 때 그 사회와 국가는 안정적이며, 활기가 있는 건강한 사회를 이룰 수 있다고 볼 수 있다.

건축물 단열 진단을 통한 에너지 효율 개선에 관한 연구 (A Study on Energy Efficiency Improvement through Building Insulation Diagnosis)

  • 조광문
    • 사물인터넷융복합논문지
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    • 제7권3호
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    • pp.9-14
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    • 2021
  • 본 논문에서는 주택이나 건물의 단열 진단을 통하여 에너지 손실 요인을 발견하고 이에 따른 에너지 효율 개선에 대한 방향을 제시하고 있다. 건축물의 에너지 효율 요소는 단열 진단, 열교 진단, 창호 진단, 기밀 진단, 설비 진단 등으로 구성된다. 에너지 복지 사각지대 주민 및 시설 중 전라남도 나주시에 위치한 한 경로당 건물을 대상으로 하여 에너지 효율 진단을 실시하고 단열 시공을 한 후의 에너지 효율 진단을 실시하였다. 에너지 측정과 진단 및 분석은 IoT 기반 통합 유무선 에너지 진단 플랫폼인 에너지 파인더를 이용하였다. 비교 결과 전체적으로 16.38%의 에너지 절감률을 달성하였다. 연간 단위 면적당 난방 에너지 소요량은 시공 전 333.51kWh에서 시공 후 277.35kWh로 감소되었고, 연간 단위 면적당 냉방 에너지 소요량은 시공 전 5.51kWh에서 시공 후 5.22kWh로 감소되었다. 연간 단위 면적당 1차 에너지 소요량은 시공 전 464.52kWh 였으나 시공 후 403.69kWh로 감소되었으며, 연간 에너지 사용 비용은 시공 전 3,063,307.14원이었으나 시공 후 2,641,072.49원으로 절감되었다. 단열 이외의 에너지 효율에 영향을 미치는 기준들에 대한 추가적인 개선 작업이 필요하다고 판단된다.

HSEP를 적용한 낙상예방프로그램이 재가노인의 신체균형과 보행, 하지근력, 낙상공포 및 낙상효능감에 미치는 효과 (Effects of Fall Prevention Program applying HSEP on Physical Balance and Gait, Leg Strength, Fear of Falling and Falls Efficacy of Community-dwelling Elderly)

  • 유인영
    • 한국노년학
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    • 제29권1호
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    • pp.259-273
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    • 2009
  • 본 연구의 목적은 지역사회 재가노인을 대상으로 Home Support Exercise Program(HSEP)을 적용한 다면적 낙상예방프로그램 실시 후 노인의 신체균형과 보행정도, 하지근력, 낙상공포 및 낙상효능감에 미치는 영향을 파악하기 위한 것이다. 연구 설계는 비동등성 대조군 사전, 사후 유사 실험연구이다. 연구대상자는 충북 지역 내 일개 시의 2개 경로당을 이용하는 65세 이상 노인을 대상으로 하였다. 최종연구대상자는 실험군 20명, 대조군 21명으로 총 41명이었다. 자료수집은 일대일 면담 측정을 통하여 수집하였으며 사전조사, 실험처지, 사후조사 순으로 진행하였다. 낙상예방프로그램은 HSEP와 낙상예방 교육으로 구성되어 있으며, 경로당에서 8주간 주 1회 1시간씩 HSEP 운동과 함께 낙상예방 지식을 교육하였고, 가정에서 주 2회 자가 운동을 수행하도록 하여 총 3회/1주의 HSEP 운동을 하도록 하였다. 낙상예방프로그램 실시 후 실험군이 대조군보다 신체균형감과 보행정도, 하지근력(대퇴신전근과 굴곡근, 무릎 굴곡근, 발목관절 족저굴곡근과 족배굴곡근), 낙상효능감이 통계적으로 유의하게 증진되었다. 결론적으로 HSEP를 적용한 낙상예방프로그램은 재가노인의 낙상예방을 위해 효과적이었으므로 경로당, 노인복지관, 노인시설 등 다양한 낙상위험 환경에 처해있는 노인을 대상으로 낙상 예방 프로그램을 적용하여 효과를 검증하는 연구가 확대되어야 할 것이다.

한국 노인의 객관적·주관적 저작능력 평가에 영향을 미치는 요인 (Factors affecting objective and subjective masticatory ability assessment of Korean elderly people)

  • 정효정;민영광;김효정;이주영;이은송;김백일;안형준
    • Journal of Korean Academy of Oral Health
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    • 제42권4호
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    • pp.216-223
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    • 2018
  • 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.

인력수급 대책을 위한 치과기공사의 보건지소 진출에 관한 연구 - 2012년 틀니보험화 정책을 중심으로 - (The study on the entry of dental technicians in the public health center for a manpower supply and demand plane (Centering around a denture insurance policy in 2012))

  • 이종도;김정숙;박광식
    • 대한치과기공학회지
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    • 제32권4호
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    • pp.417-433
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    • 2010
  • Purpose: This study evaluated the manpower planning of dental technicians. Methods: Methods : Survey was conducted regarding subject's general characteristics, characteristics of dental technician's occupational view and working conditions, and reason to enter into branches of the public health enter. The survey sample consisted of 323 dental technicians (221 male/ 102 female). Survey was conducted for one month from August 1 to September 1 in 2010. Following results were obtained. Results: 1. Regarding general characteristics of the subjects, there was a slight male predilection with 68.4%. Subjects in their 40s occupied the highest proportion of 32.2%. Majority of subjects worked in the big cities (71.5%). Favored working places were dental laboratory (57.6%) and dental hospital or dental clinic (19.5%). Although no position is available in the public sector such as public health center or health care civil servant, 9.3% preferred working in the public health center. Public sector is more favored than 2-year technical colleges or dental supply and equipment companies. In respect to education, 57% of the subjects graduated college. 67.8% were married. Subjects who specialize in the porcelain or all-ceramic were 57.9%. With regard to current position, head of the dental laboratory was most common. 2. Following occupation characteristics were found. Economic reason took the highest proportion when deciding their occupation (39.9%) followed by gaining social experience (36.5%). Majority of the subjects (76.5%) wanted to work as dental technicians until their retirement. 71.5% pursuit to become a manager of the dental laboratory. 76.1% agreed on opening a dental technician position in the public health center. Regarding an authority to lead developing the dental technician position in the public sector, majority of the subject chose ministry of health and welfare (35.6%) and Korean dental technologist association (34.7%). Employment (average, 30%) and turnover rate (average, 36.5%) of dental technology college graduates ranged from 40% to 60%. Most important factors for the employment were practical experience (41.2%) and competency (34.4%). With regard to job satisfaction, so-so as 46.7% and satisfactory was 42.7% 3. In respect to the reason for opening a position in the public health center, 'It is needed to continue denture rogram for elderly patients' obtained the highest score (4.14 point). 'Institutional devices are required to open a position for dental technicians as a public healthcare provider' received high score (4.11 point). 4. Concerning the working conditions, 'professional knowledge is required' received the highest score (4.23) followed by 'too short maternity and parental leave' (4.21). 5. Relationship between general characteristics of the subjects and favor of working in the public health center was investigated. Significant differences were found according to the current and favored working area, favored occupation, education level, marital status, and specialty. Working in the public health center was favored by following subjects: working in mid- or small-sized cities (4.16 point, p<0.05); PhD degree-holder (4.59 point, p<0.01). 6. Among general characteristics of the subjects, significant difference of working conditions was found in the following factors: gender; working areas; favored working areas; favored working positions, and education level. Majority of subjects favored working in big cities and currently work in big cities although satisfaction was comparatively low (3.75 score). 7. Future plan to work in public health center was evaluated according to occupational characteristics. Subject's intention to work in the public healthcare center was significantly affected by opening of dental technician position, leading authority, average turnover rate, and factors affecting employment. Working in the public health care center was favored by the following subjects: Dental technicians who actively supported opening of the dental technician position (4.34 point, p<0.001); subjects who thought the Korean dental technologist association is responsible for the opening of positions in the public sector (4.26 point, p<0.001); and subjects who thought that attitude and character are important for the employment (p<0.001). 8. Concerning difference of working conditions according to the occupational characteristics, significant difference was demonstrated by factors such as a reason to choose to be a dental technician, work plan, pursuing position, responsible authority, average employment rate, and job satisfaction. High standard of working conditions was required in subjects who selected to be a dental technician for the leisure time after work (s.05 point, p<0.01), who planted to work until their marriage (4.25 point, p<0.001), and who pursuit to be a manager (3.98, p<0.05). 9. In respect to influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.068 and age affected the working condition with significant difference according to the pvalue. 10. Regarding influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.335 and work plan, opening of dental technician position in the public sector, and responsible authority had significant influence over the subject's intention to work in the public health center according to the p-value. 11. With regard to the influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.091 and reason to choose to be a dental technician, work plan, and responsible authority significantly affected subject's working conditions. Conclusion: Korean society is becoming a super-aged society according to several statistics. As aged population is rapidly increasing, national health insurance plans to cover denture for senior citizen over 75 years old from 2012. Therefore, dental technicians are urgently needed in the public health centers all over the nation. Many subjects in this study planed to work until their retirement and recognized dental technician's expertise. Ministry of health and welfare and Korean dental technologist association should co-operate each other to prepare foundation and institutional devices for dental technicians to advance into the public health center. This will improve oral health of the population. This study showed urgency of medical facilities and services which meets increasing number of aged population and welfare of the population.