• 한국농촌건축학회논문집
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• 제18권1호
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• pp.1-9
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• 2016

The purpose of this research is to explore the best examples from Japan to derive spatial and institutional characteristics. This study used the field survey method for 6 elderly welfare facilities in Japan. The characteristics of local friendly facility are as follows; First of all, since elderly care facilities in South Korea are separated from local community and facility plans are large-scaled and unified which are disconnected from local area, this research set aging in community, multi-function, diversity, and intergeneration into the concept that is necessary for local friendly facilities. Secondly, residential environment plan's basic directions are 1) plan that minimizes facilities-like atmosphere, 2) spatial plan that focuses on the elderly dignity and privacy, 3) comfortable and enjoyable communal living space plan, 4) local friendly and communicating plan, 5)plan that minimizes staff's care giving burden. Thirdly, the rooms necessary for local friendly facility model are composed of bedroom, dining room, kitchen, living room, garden, toilet, laundry room, bathroom, corridor, and office based on the legal installation standards.

• 한국콘텐츠학회논문지
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• 제17권6호
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• pp.382-395
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• 2017

본 연구는 생태체계적 관점을 활용하여 성폭력 피해로 시설에서 생활하는 지적장애여성이 개인, 가족, 지역사회 등 주변 체계들과 어떠한 상호작용을 하며 생활하고 있으며, 이러한 과정에서 나타나는 특성과 욕구를 살펴보는 것을 연구목적으로 한다. 이를 위해 본 연구에서는 질적 사례 연구를 사용하였고, 성폭력 피해 장애인을 위한 시설에서 생활하고 있는 11명을 대상으로 수행한 심층면접, 초기 면접 자료, 집단 프로그램 참여 관찰, 설문지 자료 등 다양한 자료원을 분석하였다. 분석결과 개인체계에서는 성폭력으로 인한 외상 후 스트레스로 감정의 변화가 심하게 일어나며, 심리 정서적으로 어려움을 겪고 있었다. 또한 가족은 성폭력이 일어난 장소였으며, 폭력으로부터 적절한 보호를 제공하지 못한 체계였다. 시설은 참여자들에게 중요한 보호체계가 되었고, 직장과 학교체계는 이들에게 배움에 대한 즐거움과 미래에 대한 꿈을 가질 수 있는 장소였다. 그러나 퇴소 이후 시설 밖의 지역사회 체계는 여전히 성폭력에 취약한 위험 요인이 존재하고 있었다. 이를 토대로 성폭력 피해 지적장애인을 위한 심리치료 프로그램과 가족지원, 쉼터 및 그룹홈의 필요성, 다양한 교육 프로그램들을 제안하였다.

• 한국정보전자통신기술학회논문지
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• 제8권2호
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• pp.133-139
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• 2015

연구의 목적은 지적장애인 생활시설 입소자의 스트레스, 행동지수 요인이 삶의 만족도에 미치는 영향을 분석하고자 한다. 연구대상은 대전광역시 지적장애인 생활시설 지적장애인 200명을 대상으로 2014년 3월 5일부터 9월 22일 까지 설문조사를 실시하였다. 분석방법은 SPSS WIN 18.0, Amos 21.0 프로그램을 사용하여 t-test와 일원변량분석, 확인적 요인분석, 구조방정식을 실시하여 유의수준 5%에서 검증하였다. 연구결과는 첫째는 스트레스가 삶의 만족도에 영향을 미치지 않음을 알 수 있다. 둘째, 행동지수요인이 이용만족도에 영향을 미치지 않음을 알 수 있다. 셋째, 신체증상의 경우에 이용자 만족도에 의하여 삶의 만족도에 영향을 미치는 것을 알 수 있다. 향후 생활시설 지적장애인의 이용만족도와 일상생활 스트레스의 개선에 대한 정책적 기초자료에 활용이 요구된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제3권5호
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• pp.29-39
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• 1997

Elderly people should have a great load because of life in facility away from their a community. It needs careful concern for Public spaces. The mayor questions of this thesis are to seek a correlation of a Layout patterns of Public-spaces and Resident's behaviors in Public spaces ; and to seek a correlation of a Layout patterns of Public-spaces and the scale of Paid residential care facilities for Elderly people in Korea and Japan. Finally, the thesis suggests the layout patterns of public spaces that is suitable to scale of facilities and Elderly people's behaviors.

• Architectural research
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• 제9권1호
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• pp.9-18
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• 2007

The objective of this research study was twofold; 1) to explore and identify health supportive design factors in Swedish elderly care homes and 2) to understand their usefulness and suggest implication in Korean elderly care settings. A descriptive and explorative method was applied using a combination of field studies and semi-structured interviews. Three study trips were carried out during Sept. $14^{th}$ and Oct. $12^{th}$ 2005; two facilities situated in Stockholm suburbs and one in the south of Sweden. According to this research, the valuable factors to support health and well-being for the elderly are as follows; 1) Community integration: These elderly care homes are generally places close to a residential area center or a city center. Services are often shared between residents and community members at large, consequently there is a flow of "visitors" of all ages connecting with the facility on a daily basis. 2) Homelike environment: A noteworthy aspect of Swedish elderly care homes is keeping the facility appearance as homelike as possible. The associations with home may be explored through the appearance and configuration of both the exterior and interior of the building. These homes seemed to be designed with a conscious aim to create a homelike setting. 3) Small scale approach: Clustering of resident rooms is one method through which the small scale approach can be achieved in larger facilities. With unit clusters, the facility can foster opportunities for social interactions among resident. 4) Accessibility to garden and nature: The courtyard is a well developed concept in planning elderly care homes in Sweden. They are generally safe and easily accessible to the residents. Studying Swedish models may provide practical knowledge of how the physical setting may improve resident's health in Korean elderly care homes.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2002년도 추계학술발표대회
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• pp.161-166
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• 2002

Functional ability is an important criterion to predict the capability of older persons to maintain independent living in the community setting. This study focused on the effect of built-environment features to ameliorate declines in functional ability and reduce the likelihood of relocation. Using longitudinal data from the Asset and Health Dynamics Among the Oldest Old (1993, 1995), relocation was analyzed for 6,225 respondents aged 70 or older. Findings are that while functional decline in household activities of daily living among older persons increased their residential moves in the community, functional declines in basic activities of daily living, household activities of daily living, and advanced activities of daily living among them increased their entrance into an institutional care facility However, they were less likely to enter an institutional care facility when their home was equipped with built-environment features such as street level ramps, special railings, modifications to allow someone in a wheelchair, grab bars or shower seat in the bathroom, and special call device or system to get help.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2006년도 춘계학술논문발표회 논문집
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• pp.29-40
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• 2006

Everybody may be vulnerable to fires depending on the time, place, and circumstances. Fire statistics show that the occurrence of fire death depends not only on the severity of a fire itself, but also largely on the conditions of occupants such as physical functions, the environment around occupants, and the type of facility where are fire occurs. The review of fire safety from the viewpoint of vulnerable populations does not simply mean additional special attention and care only to high risk groups, but instead it means significant review of fire safety design and systems for all people from a more universal standpoint. Therefore, in order to examine the strategies of a fire death-reduction program, safety measures suitable for the relevant high-risk groups considering the type of vulnerable person, the type of fire, and the type of building in residential occupancies. Solutions will require strenuous multilateral effort and flexibility.

• 한국사회복지학회:학술대회논문집
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• 한국사회복지학회 2004년도 춘계학술대회 자료집
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• pp.261-297
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• 2004

Social welfare facilities where provide the socially disadvantaged with proper social services, face financial difficulties. This is because not only of the lack of governmental support, but also of social welfare facilities' lack of skills in developing abundant resources from the private sector. In this context, this study tried to find factors affecting resource mobilization of the social welfare facilities to devise policies in resource development. Mail survey was conducted with the structured questionnaire. Employees in charge of community resource development were asked to answer the questionnaire. The study population were two types of welfare facilities: community welfare centers and residential care facilities. A total of 293 community welfare centers and 632 residential care facilities responded to the survey. The response rate was about 62%. The dependent variable of the study was the amount of resource mobilization in the year 2001 which was measured as the number of donors, the total amount of donation, and estimated amount of gift-in-kind. Three types models were constructed per each welfare facility. Independent variables were selected based on the previous research findings: community environment factor, structural factor, and resource development factor. Multiple regression was utilized to analyze the data. The resource development factor turned out to be significant variable in various models. In the models of donors, the amount of donation, and the amount of gift-in-kind, at least one out of four variables in the resource development factor was significant. Welfare centers which establish the resource development department or hire employees to take care of resource development, and adopt computer software in managing donors, receive more donations than their counterparts. Interestingly, the centers where employees take the responsibility of resource development as well as other responsibilities (dual duty), did not have more resources mobilized than those with no employees for resource development. Using computer software in managing donors turned out to be a significant variable in many models, except for the donor model. In addition, residential care facilities located in urban area have more donors and donations, and among residential facilities those for the elderly, children, and the mentally retarded and those hiring more employees, receive more donations than those for the disabled and those hiring less employees. As for the gift-in-kind model, the centers located in high income area and residential facilities for the elderly, women and mentally retarded receive less gift-in-kind than those for the disabled. Based on the above findings, this study suggested that to mobilize resources the welfare centers as well residential care facilities need to have community resource development department or resource development staffs, and adopt computer software to systematically organize donors.

• 재활복지
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• 제21권3호
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• pp.49-63
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• 2017

본 연구는 장기요양시설에 거주하는 노인의 기능장애가 자아통합감과 우울에 미치는 영향을 파악하고, 기능장애와 우울과의 관계에서 자아통합감의 매개효과를 분석하기 위해, D지역과 K지역에 위치한 장기요양시설 거주 노인 247명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 21.0을 이용하여 분석하였으며, 분석결과, 장기요양시설 노인의 일상생활수행장애와 도구적 일상생활수행장애는 우울과 정적으로 유의한 관계를 가지는 반면, 자아통합감과는 부적 관계를 가지는 것으로 나타났다. 또한, 노인의 연령, 경제수준, 요양등급을 통제한 후, 기능장애가 자아통합감과 우울에 미치는 영향을 분석한 결과, 기능장애는 자아통합감과 우울에 유의한 영향을 미치는 것으로 제시되었으며, 자아통합감은 기능장애와 우울에 통계적으로 유의한 부분매개효과를 가지는 것으로 제시되었다. 이러한 연구결과바탕으로, 장기요양시설 노인의 기능장애와 자아통합감과 관련된 정신건강 증진을 위한 함의 및 후속연구를 위한 방향을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제54권5호
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• pp.370-375
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• 2021

Objectives: The number of cases of hepatitis A virus (HAV) infections has sharply increased in Korea, especially among young adults. In this study, an HAV outbreak in a facility for disabled people was investigated, and we found epidemiological differences both between 2 different generations and between generally abled and disabled groups. Methods: We analyzed the incubation period and attack rate of an HAV outbreak and investigated the prevalence of HAV antibodies among the staff and residents of a facility for the disabled. We performed a retrospective cohort study during the HAV outbreak, which lasted from February 8 to 25, 2019, including examinations of HAV antibody tests and post-exposure HAV vaccination for the staff or residents of the facility. Results: There were 9 confirmed cases in 2 staff members and 7 residents. Among 53 people (30 staff and 23 residents), except for the 9 confirmed cases and 1 staff member with a known history of HAV infection, HAV seroprevalence was seen in 16.7% of the staff under 40 years of age and 95.2% of those over 40 years of age, while the corresponding rates in the residents were 0.0% and 58.8%, respectively. Conclusions: This result implies that it is necessary to prioritize HAV vaccination for vulnerable groups and workers of residential care facilities.