• 한국농촌간호학회지
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• 제19권1호
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• pp.66-74
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• 2024

Purpose: This study evaluates the effectiveness of providing frailty prevention services by living support workers through a case of community resource connection centered on living support workers to revitalize frailty prevention programs for vulnerable elderly people. Methods: This is a research study using secondary data from a neighborhood health-sharing project among the integrated health promotion projects of one public health center in Daegu Metropolitan City. To assess frailty effects pre-assessments were conducted in August, and post-assessments were conducted in November. Frailty was measured using a 20-item frailty instrument used in home healthcare projects. Data were analyzed using the chi-square, independent t-test, and paired t-test. Results: Preliminary measurements showed that older elderly had higher frailty scores than younger elderly. However, among the elderly aged 75 or older the total frailty score decreased statistically significantly from 5.97 points to 5.30 points (t=3.03, p=.003). Conclusion: The older elderly showed greater effect of frailty prevention than the younger elderly.

• 한국컴퓨터정보학회논문지
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• 제17권11호
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• pp.179-188
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• 2012

본 논문은 노인 장기 요양기관에서 노인들의 우울증에 영향을 미치는 요인에 관한 연구로서 서울시에 소재하며 노인 장기요인시설에 수용되어 있는 360여 명의 노인을 대상으로 설문조사를 실시하였다. 한국노인복지학회의 통계에 의하면 65세 이상 노인 우울증환자의 수는 13%에 이른다고 보고한 바 있다. 여기에 사회적 지지가 이러한 정서적 불안을 해소하는데 주요한 관건으로 보고 있다. 그 결과 인지된 사회적 지지와 우울증과의 관계가 강한 정을 나타내고, 그 다음으로 건강상태와 우울증이정(+)의 관계였다. 그리고 높은 건강상태는 낮은 정도의 우울증을 유발하고 네트워크의 크기나 접근의 빈도는 노인우울증과는 관련이 없는 것으로 나타났다. 이러한 결과는 노인 장기요양기관에 종사하는 사회복지사에게 사회사업실천에 있어 사회적 지지 프로그램을 어떻게 실천하여야 하는가를 암시하고 있다.

• 지역사회간호학회지
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• 제23권4호
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• pp.347-357
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• 2012

Purpose: The purpose of this study was to explore the experiences of family caregivers who care for the elderly under Long-term Care Insurance. Methods: Data were collected using focus group interviews and analyzed using a phenomenological approach. The four focus groups consisted of eight caregivers, two social workers and three nurses in B city, Korea. Results: Five themes were identified: 'Obtaining a care-helper certification for employment', 'Taking care of the elderly in their homes', 'Difficulties due to life changes', 'Difficulties due to reduced wages' and 'Dissatisfaction with the Long-term Care Insurance operating system'. Conclusion: The results of this study demonstrate that the long-term care system for family caregivers faces many systematic challenges in providing care for the elderly harmoniously in their home. To help them succeed in their tasks, Long-term Care Insurance system must offer respite and support programs to family caregivers.

• 문화기술의 융합
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• 제7권3호
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• pp.105-113
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• 2021

본 연구는 중년여성 근로자를 대상으로 모바일 앱을 활용한 심뇌혈관질환 예방관리 프로그램 참여 경험에 대한 의미를 파악하기 위해 일대일 심층면담 및 포커스 그룹 인터뷰(Focus Group Interview, FGI)를 실시한 질적 연구이다. 본 연구의 대상자는 일 백화점에서 모바일 앱을 활용하여 심뇌혈관질환 예방프로그램에 참여하고 있는 50세 이상의 여성 근로자 26명을 대상으로 하였다. 연구결과 도출된 참여경험은 '알아가는 것에 대한 즐거움', '상호 우호적 관계의 활성화', '건강에 대한 관심이 나를 관리하게 함', '익숙하지 않은 문화를 받아들임', '어디서나 상담을 받는 듯한 편리함'의 주제가 도출되었다. 이러한 결과를 통해 모바일 앱이 건강행위 실천의지를 향상시키는 것으로 나타났고, 모바일 앱을 설치 시 낯선 프로그램에 대한 불안을 감소하기 위해 안전한 프로그램임을 보증할 수 있는 인증기준이 필요함을 제언한다.

• 한국콘텐츠학회논문지
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• 제12권4호
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• pp.282-291
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• 2012

본 연구는 요양보호사의 직무만족이 서비스 질에 미치는 영향을 분석하여 요양보호사의 직무만족 향상과 보다 나은 질적 서비스를 제공하기 위한 자료로 활용하는데 그 목적이 있다. 부산시 소재 6개구 소재 16개 기관에서 근무하는 요양보호사에게서 회수된 설문지 250부 중 216부를 SPSS 12.0 을 이용하여 설문문항의 신뢰도 검증, 상관관계 분석, 회귀분석을 실시하였다. 요양보호사 직무만족 요인이 서비스 질에 미치는 영향을 알아보기 위해 회귀분석을 실시한 결과, 요양보호사의 업무자체 만족도가 높을수록, 직업안전성에 대한 만족도가 높을수록 서비스 질에 긍정적인 영향을 미치고, 요양보호사의 업무부담, 직무환경에 관한 만족은 서비스 질에 유의미한 영향을 미치지 않는 것으로 나타났다. 요양보호사의 업무자체만족도 수준과 직업안정 관련 구조 개선을 충족시킬 수 있는 여건들이 조성된다면 보다 양질의 요양보호 서비스 제공을 기대할 수 있다는 것을 보여주는 것이다.

• 지역사회간호학회지
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• 제15권4호
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• pp.551-565
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• 2004

Purpose: The purpose of this study is to develop a day care center model focused on public health institutions for the elderly residing in their homes. Method: Research design for this study was a mult-level research, which consisted of a related literature review, an Internet search for knowledge of the current situation at home and abroad, on-site interviews, questionnaires collected from a sample of residents in a rural area, and a key-informants approach. Results: 1) The subjects of service - Generalized service should be provided to the elderly, 65 years and older, regardless of their assets. 2) The contents of service - Providing pre-health oriented and post-social welfare service that can integrate and satisfy a wide variety of public health and welfare needs of the elderly would strengthen the health care service of a day care center for the elderly. 3) Delivery system - Basic-level local self-governments should become a central operating body, and establishing a properly adjusted delivery system to a rural area after considering the efficiency and the access of vulnerable rural areas is needed based on modification of 'a Special Law for Agricultural and Fishery Areas' (rural public health center>rural health sub-center ${\rightarrow}$ unified health sub-center ${\rightarrow}$ public health hospital (public health center) ${\rightarrow}$ public welfare office). 4) Facility - Public health facilities such as public health centers and sub-centers should be located in areas that can easily access the facilities. 5) Funding - For day care center for the elderly in local self-government, the central government should modify a relevant implementation of subsidy in and provide some facilities and service regardless of the degree of self reliance of local self-government. 6) Human resources - It is needed to guarantee the period of workers of a day care center for the elderly, at least 3 to 5 years, with considering their specialty on aged care and avoiding circulation based positions. Furthermore, appropriate specially trained personnel such as medical workers and social workers should be placed to take care of both health service and welfare through strengthening of 'rules of law of elderly welfare,' Conclusion: future research is needed to test the model through a demonstration study using a model which may be developed in the future and to standardize the appraisal criteria of people hoping to enter a day care center for the elderly.

• 디지털융복합연구
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• 제12권11호
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• pp.33-48
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• 2014

본 연구는 중년층 직장인을 대상으로 직무만족과 삶의 질이 은퇴준비에 미치는 영향을 탐구하는데 목적이 있다. 본 연구를 위하여 서울 및 경기지역에 근무하는 중년직장인들을 대상으로 설문조사를 하였으며, 총 283부의 자료를 모아 분석을 수행하였다. 연구결과 첫째, 건강설계는 삶의 질이 높은 사람일수록 더욱 신경을 쓰는 노후준비지표로 파악되었다. 둘째, 재무설계는 삶의 질과 크게 관계가 없는 은퇴준비의 지표로 파악되었으며, 그 외 모든 지표는 자아존중감이 높을수록 정(+)의 영향을 받는 것으로 나타났다. 셋째, 직무만족은 은퇴준비에는 별다른 영향력이 없는 것으로 나타났다. 본 연구에서는 이와 같은 연구결과가 갖는 이론적 및 실천적 함의를 논의하고, 향후 연구 과제를 제시하였다.

• 지역사회간호학회지
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• 제13권3호
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• pp.444-455
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• 2002

Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

• 성인간호학회지
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• 제27권4호
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• pp.418-427
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• 2015

Purpose: Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents. Methods: A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014. Results: The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'. Conclusion: The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.

• 대한임상검사과학회지
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• 제44권4호
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• pp.178-183
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• 2012

We investigated the latest trend of u-Health and relations with clinical technologist. Since 2000, Korea has become an aging society. Korea will become an aged society by 2018, and it is expected to enter the ultra-high aged society by 2026. Increase in over 65 years population means that the desire of medical service and care demand for the elderly is greatly required. In addition, many predicted Korean national health insurance would falter financially. Medical suppression policies and regulations are also amended continuously. U-Health based on the IT industry and development of related technologies and industries contains the variety concepts of telemedicine, telehealth, e-health, u-healthcare and POCT. Especially, the use of POCT supplied quick clinical examination is extending steadily in medical center and hospital, which will generate the field friction between nurses and medical technologists. In the transition situation from provider-centric service to consumer-driven health care system, this study recommended the principal role and correspondence of clinical laboratory workers and offered information about changes in healthcare market and the basic concept of expert system, measurement and the diagnosis principle to clinical technicians throughout the investigation of the recent research and government policy trends.