• 제목/요약/키워드: independent living community

검색결과 161건 처리시간 0.031초

일개 시 보건소에 등록된 재가노인의 일상생활 동작수행 정도에 대한 조사연구 (A Study on the Level of ADL in Community Dwelling Elderly Registered in a Public Health Center)

  • 김금자;장효순;윤진;고선화;이은희
    • 지역사회간호학회지
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    • 제13권2호
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    • pp.332-342
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    • 2002
  • Purpose: The purpose of this study was to assess the level of activities of daily living (ADL) in a group of community dwelling elderly. Methods: The subjects were 100 low-income elderly registered in a public health center. The data were analyzed using the SPSS/PC program. Results: The results were as follows: 1. The basic ADLs of the subjects were scored at 7 levels, and the mean score was 6.24 out of 7 points. The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. The lowest ADL score was reported on walking up to the stairs (5.05), for which the subjects did not need physical assistance, but needed a certain degree of supervision. The highest score was reported on self eating (6.74), followed by bowel management (6.60). 2. The mean IADL score of the subjects was 1.77 out of 4 points. indicating that the subjects were very independent in performing IADLs, without help from others. 3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.65, P=.000), main activities (F=6.36, P=.001), perceived health status (P=4.66, P=.012), educational background (F=4.64, P=.03), marital status(F=4.62, P=.005), and major household income (F=4.15, P=.002). 4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=8.08, P=.001), major activities (F=7.33, P=.000), age (F=6.18, P=.000), family context (F=3.53, P=.018), religion (F=3.10, P=.019), marital status(F=2.62, P=.055), and major household income (F=2.31, P=.049).

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독립주거 거주 중증 정신장애인의 삶의 질에 영향을 미치는 요인에 관한 연구 (Factors Associated with the Quality of Life among Persons with Severe Mental Illness Living in Supported Housing)

  • 이성은
    • 사회복지연구
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    • 제36호
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    • pp.281-299
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    • 2008
  • 지역사회 정신건강 서비스 지원을 수반하는 독립주거 (Supported Housing)는 정신장애인들에게 더 나은 삶의 질, 독립성, 지역사회 통합의 기회를 제공하는 이상적이고도 실현 가능한 주거모델로 간주되어 오고 있다. 그러나 독립주거의 긍정적 결과물 가운데 하나인 삶의 질과 관련된 요인들에 대한 선행연구는 부족하다. 본 연구는 개인 및 환경적 요인들과 독립주거에 거주하는 정신장애인들의 삶의 질과의 관계에 대하여 분석하는 것이 주목적이다. 이 목적을 위해 본 연구는 미국 펜실베니아주 필라델피아시의 독립주거 프로그램인 SIL(Supported Independent Living)에 거주하는 237명의 중증 정신장애인을 연구대상으로 하고 있다. 연구자료는 연구 참여자들과의 인터뷰, 정신건강 서비스 행정데이터 및 2000년도 미국 센서스 자료가 사용되었으며 다중 회귀분석을 이용하여 인적자원, 주거환경, 지원 프로그램, 서비스 요인과 삶의 질과의 관계를 분석하였다. 연구결과 정신건강 진단, 정신질환 수준, 신체 및 정신건강 상태, 그리고 프로그램 관리자와의 우호적 관계가 삶의 질과 관련이 있는 것으로 나타났다. 본 연구에서 파악된 삶의 질과 관련된 요인들은 중증 정신장애인들의 더 나은 삶의 질을 통한 안정된 독립생활에 대한 욕구를 충족시켜 줄 수 있는 지역사회 서비스 계획 및 정책 개발에 도움을 줄 것이다.

뇌졸중 환자의 자아방어기제에 따른 스트레스와 일상생활활동 수행능력과의 상관관계 (A Correlation between Stress and Activities of Daily Living related to the Ego-defense Mechanism in Stroke patients)

  • 류성현;최현;전지혜;최수지
    • 대한지역사회작업치료학회지
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    • 제5권2호
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    • pp.1-9
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    • 2015
  • 목적 : 본 연구는 뇌졸중 환자를 대상으로 뇌졸중 환자의 자아방어기제와 스트레스 및 일상생활활동 수행능력과의 상관관계에 대해 알아보고자 한다. 연구방법 : 2014년 3월 14일부터 2014년 5월 15일까지 대구 부산 지역 내에 위치한 1개의 대학병원과 3개의 재활전문병원에 설문조사를 실시하여 빈도분석과 독립 표본 t검정, 피어슨 상관계수를 하였다. 결과 : 연구 대상자의 자아방어기제 유형에 따른 스트레스와 일상생활활동 수행능력을 분석한 결과 미성숙한 자아방어기제 집단이 성숙한 자아방어기제 집단보다 스트레스를 많이 받는 것으로 나타났으며(p<.05), 성숙한 자아방어기제 집단이 미성숙한 자아방어기제 집단보다 일상생활활동 수행능력이 높은 것으로 나타났다(p<.05). 결론 : 뇌졸중 환자의 스트레스가 높을수록 일상생활활동 수행능력이 낮은 것을 알 수 있었다. 뇌졸중 환자의 재활에 있어서 개인의 성격이나 생활양식에 중요한 영향을 미치는 자아방어기제를 적절히 사용함으로써 뇌졸중 환자의 신체적 기능뿐 아니라 스트레스와 같은 심리 사회적 요소에 대한 재활도 가능할 것으로 생각된다.

초등학생의 신체활동, 좌식행동, 식이행동에 대한 권고사항 실천 패턴 및 상호관련성 (Patterns and Interrelationships for Meeting Recommendations of Physical Activity, and Sedentary and Dietary Behavior in Elementary School Students)

  • 김재우;공성아;이온;김성수;김연수
    • 한국지역사회생활과학회지
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    • 제20권1호
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    • pp.81-89
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    • 2009
  • The purpose of this study was to analyze the patterns and interrelationships for meeting recommendations of physical activity, sedentary behavior, and dietary behavior in elementary school students. A cross-sectional design was used to assess 259 students ages 11 to 13 years. Physical activity (moderate to vigorous physical activity $\geqq$60min/day), sedentary behavior (viewing time for TV, computer, DVD, video, etc<3hr/day), and dietary behavior (servings of fruits and vegetables$\geqq$5times/day) were categorized into two levels: meeting recommendations or not meeting recommendations. Parents' health behaviors and home environmental variables were assessed with self-reported measures. Chi-squared tests and independent t-tests were conducted to compare anthropometric variables and the prevalence of students not meeting the recommendation for the three health behaviors. Comparison between males and females and logistic linear regression were used to determine the interrelationships of three health behaviors. 25.9% of students did not meet the physical activity recommendations. 15.4% did not meet sedentary behavior recommendations, and 41.7% did not meet dietary recommendation. Only 39.8% of students met all three recommendations, but 19.0% did not meet over two recommendations. Patterns that simultaneously did not meet two recommendations were: sedentary and dietary behavior in males (8.1%), and physical activity and dietary behavior in females (10.4%). Students who did not meet dietary recommendations were at greater risk of not meeting physical activity (OR 2.76; 95% CI 1.15 to 6.64), and sedentary behavior (OR 3.07; 95% CI 1.15 to 8.16) compared with students who did meet dietary recommendations. The findings of this study support not an independent behavior approach but a multiple behavior approach taking into account gender and interrelationships among the three behaviors.

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보행 가능한 장애인의 버스 이용 경험에 관한 질적 연구 - 시골지역 거주 장애인의 버스 이용 경험을 중심으로 - (Experiences of Ambulatory People with Disabilities on the Bus -Focus on Experiences of People with Disabilities Living in Rural Areas by Bus-)

  • 유두한;박헌경;전병진
    • 대한지역사회작업치료학회지
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    • 제1권1호
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    • pp.7-17
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    • 2011
  • 목적 : 본 연구는 보행 가능한 장애인의 버스 이용에 관한 경험을 이해하고, 버스의 이용에서 성공적인 전략을 통해 심리적 어려움을 극복하는 방법을 탐색하기 위한 목적으로 실시하였다. 연구방법 : 본 연구는 보행 가능한 장애인의 버스 이용에 대한 행동과 언어 그리고 그 과정에 대한 깊은 이해를 얻기 위해 질적 연구방법 연구 중 현상학적 접근법과 해석학적 접근법을 이용하였다. 연구 참여자에 대한 인터뷰, 참여관찰을 통해 자료를 수집하였고, 현상학적 방법과 해석학적 방법을 통해 기술과 해석으로 결과를 분석하였다. 결과 : 지역사회에서 보행 가능한 장애인은 버스 이용에 대한 자신감이 지역사회에서 독립적인 이동을 가능하게 했다. 버스 탑승과 하차의 긴박한 승부의 순간에 버스 안에서 좌석을 이용하기 위한 전략을 사용하였으며, 돌발 상황에 대처하기 위해 항시 긴장을 놓지 않는 모습을 확인할 수 있었다. 또한 버스 이용 시 좌석에 앉기와 이동 시에 환자의 부담감을 살펴볼 수 있었다. 결론 : 보행 가능한 장애인의 버스 이용에 있어 자신감이 독립적인 이동에 결정적 영향을 주었으며, 항상 넘어짐에 대한 경계를 하고 여러 심리적 어려움과 돌발 상황을 예측하고 극복하며 대중교통을 이용하고 있음을 알 수 있었다.

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노후적응에 관한 연구 - 생활만족도 및 가족의 교류도를 중심으로- (A study on the adjustment problems of the aged)

  • 서병숙
    • 대한가정학회지
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    • 제27권2호
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    • pp.133-148
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    • 1989
  • This study attempts of analyze empirically the living status of the elderly in Korea by finding out the problems of it in the family and by clarifying the influences of the family environmental variables and the values on the adjustment of the aged. To carryout the aim of this study, the causes and the patterns of the problems for the aged had been found out through the review of literature. Based on them the questionnaire was prepared including the questions of the values, family environmental vriables as well as the degree of satisfaction of thier liver and the extent of life interchange. The former variables were taken as independent and the latter were taken as dependent variables, so that the relationship between the two variables could be exemplified. The 400 aged over 60 living in Seoul and the other cities were selected through the purposive sampling and interviewed. The answers of the 376 respondents, 94% of the sample, were analyzed for this study. The following results have been found out through the various statistical analysis such as frequency distribution, chi-square test, pearson's correlation, analysis of variance and cluster analysis. At first, the results from the examination of the frequency distribution regarding the living status of the aged are; I) sixteen percent of the respondents living with their married offspring were receiving economical support, though they pointed out the problems of the extended family are the inconveniences with their children (60%) and simpleness (20%) of their livers. It seems that the aged in Korea are poor and have negative opinion on the relationship with their offspring even if they live in the same house. Secondly, it has been found out that the family environmental variables, especially such as sex, occupation, residence, education, level, living ability and the family type, play and important role not only on the degree of satisfaction of their liver but also on the extent of interchange of their lives. However, the variables such as religion and whether the spouse is alive or not do not play and important role. Thirdly, the reported main reasons of their delightness were healthy life (1.87%), the well-being of their offspring (2.08%), the spouse's long life (3.38%), religious activity (5.05%), the hobby activity (4.31%) and the participation in the social activity (5.05%). While, they mainly concern about the illness (1.98%), offspring (2.00%), econmic difficulties (3.39%), inharmonious home (3.81%) and the despicable treatment (3.81%). The respondents wer classified into two groups, they are dependent and independent, using cluster analysis. Health, social activity, offspiring, religion, couple's long life among the factors which lead them to be delighted were turned out to be statistically signhificant at 0.01 significance level between the two groups. As far as their worrisome matters are concerned, health and economic difficulties were significantly different between the two groups. Fourthly, regarding the life interchange, it has been proved that there is a statistically significant differences betwwen the two groups in the economic and the emotional satisfaction, help for ordinary life, status in the family, subjective and objective relationship with offspring, but not in economic dependency and the activity status. Fifthly, it has been noted that there is a high correlation between the degree of life's satisfaction and the extent of life interchange. On the basis of the results mentioned above, it could be concluded taht; i) The majority of the aged in Korea are not economically active, and thus they live with their married offspring even of they have a negative opinion on the subjective relationship with them. This can be pointed out as the main problem of the aged and thus it needs to be studied further. ii) the environmental variables such as age, sex education level, family type and occuption (which can not be changed by their effrot) turned out to give an important effect on the extent of the life interchange among the aged. iii) The respondents who are identified as independent group have a higher degree of life satisfaction and family status than the group identified as defendent. Thus, it can be inferred that it is possible for them to adjust their life by making an effort to modify themselves. iv) The high correlation between the extent of life interchange and the degree of life satisfaction indicates that the elderly themselves can adjust in order to obtain the higher degree of life satisfaction. Therefore, the following suggestions are derived from this study. First of all, the aged should try to be psychologically independent. Second, they need to control themselves in order to achieve self-assurance. Third, the community have to prepare a program of self-development for the aged. Fourth, the social welfare policy that can solve the problem of illness and poverty of the elderly should be introduced, so that their minimum requirements can be satisfied.

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사례관리 수행요소와 지역거주 정신장애인의 소비자 만족도 및 삶의 질 사이의 경로 탐색 (A Path Analysis of the Case Management Implementation Factors with Client Satisfaction and Quality of Life among the Mentally Ill Persons in the Community)

  • 민소영
    • 한국사회복지학
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    • 제61권3호
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    • pp.103-127
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    • 2009
  • 사례관리의 수행요소가 지역거주 정신장애인의 삶의 질에 미치는 영향이 소비자 만족도에 의해 어떻게 매개되는지를 분석하였다. 분석대상은 지역사회정신보건서비스 기관 중 사례관리를 수행하는 18개 기관과, 이 기관의 서비스를 이용하는 381명의 정신장애인이다. 설문조사를 실시하였으며, 클라이언트 수준과 기관 수준의 자료를 동시에 고려하는 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 주요한 연구 결과는 실무자의 담당 사례량이 삶의 질에 직접적 영향을 주었다. 사례관리팀 접근은 소비자 만족도에 직접적 영향을 미친 반면, 소비자 만족도를 매개하여 삶의 질에 이르는 간접적 영향은 미미하였다. 적절한 사례량의 확보 및 사례관리자 확대, 팀접근의 유용성에 대한 실천적 함의를 제안하였다.

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강원도 보건진료원의 업무분석 (Job Analysis of the CHP Program in the Kangwon Area)

  • 김성실
    • 지역사회간호학회지
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    • 제15권3호
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    • pp.376-384
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    • 2004
  • Purpose: The CHP program has been evaluated as one of the most successful program in the public health area in Korea. The objects of this study were as follows: 1) to evaluate the job activities of the CHP program, using service contents analysis. 2) to figure out personal factors and the outcome of CHP's activities. Method: Data were collected by sending questionnaires to 130 subjects through the mail from May to December 2003. The response rate was 48.0%. The Data were analyzed by the SPSS WIN program with t test and Pearson correlation coefficient. In using these methods. independent variables are CHP's personal factors (age, experience, certification of specialty) and regional factors (geographical classification, aged population, village workers, cooperation of community leaders, work-conditions), and a dependent variable is the outcome of CHP's job activities. Result: The results of t test analysis show that regional differences between factors are influential in the welfare service, the routine job, and the consultation. As a whole, this is shown that CHPs represent experience, the number of village workers and CHPs living condition of work and most of the categories of jobs that influenced over statistical meaning of differences (t=2.417, p=1.043, t=6.123, p=.004, t=4.309, p=.000). There is a significant positive relation between the routine job and the consultation(r=.455, p=.000), the consultation and the education(r=.461, p=.000). Conclusion: Finally, according to the results of this study, the CHP program should be developed and continue to meet the basic health care needs of the residents in accordance with the philosophy of their own primary health care.

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주거취약계층 매입임대주택의 사례관리자 경험 (Experience of Case Management Practice for the housing vulnerable group living in public low-income housing in Seoul)

  • 민소영;김소영
    • 사회복지연구
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    • 제49권1호
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    • pp.263-296
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    • 2018
  • 본 연구는 주거취약계층 매입임대주택에서 수행되는 사례관리자의 실천 경험을 파악하는 데 목적이 있다. 노숙경험이 있는 주거취약계층에게 집이 가지는 중요성은 절대적이며, 그들이 지역사회 내에서 주민으로 살 수 있도록 지원하는 사례 관리 역시 매우 중요하다. 그럼에도 이제까지의 연구는 저렴주거 공급, 주거환경, 입주자의 삶의 질과 건강에 집중되어 있었지만 사례관리에 대한 관심은 부족하였다. 본 연구에서는 10명의 주거취약계층 매입임대주택 사례관리자의 FGI를 통하여 어떤 경험을 하였는지를 탐색하였다. 연구결과 사례관리자의 경험은 '시설 이후 독립주택생활 지원의 딜레마', '임대료 관리와 사례관리 사이의 역할 경합', '지역 연계와 협력을 향한 외로운 실천', '이중고용관계와 열악한 작업 환경'의 4가지 주제로 도출되었다. 이들의 경험을 토대로 매입임대주택 사례관리 운영을 위한 정책적 실천적 제언을 제시하였다.

취업 정신장애인의 직업 유지 과정: 근거이론적용 (Job Retention Process among Working People with Mental Illness: A Grounded Theory Approach)

  • 현명선;남경아;김현례;김수영
    • 대한간호학회지
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    • 제51권3호
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    • pp.320-333
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    • 2021
  • Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.