• 대한간호학회지
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• 제37권4호
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• pp.613-623
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• 2007

Purpose: The purpose of this study was to describe the operation, staffing, and services provided at adult day care centers in Korea. Methods: The study was a cross-sectional descriptive survey. The subjects were 209 centers among 280 centers registered in Korea (response rate 74.6%). The data was collected from August to December in 2006. Results: 48.8% of centers were located in a city area. The centers were based on the Social Model 65.5% of the centers were open Monday to Friday, an average of $7{\sim}8$ hours per day Dementia, stroke or frail elderly could use the center, and 57.4% of centers were used for dementia and stroke elderly together. The enrollment of elderly was 13.5. The number of total staff was 8.27, the number of RN's and social workers was 0.67, and 2.54 respectively. The social services(Meal preparation 98.6%, Special event 98.1%, Transportation, 97.1%) were provided more than the health services(Physical therapy 98.1%, ADL training 95.2%, Counseling 84 7%, Vaccination 82.8%, Health monitoring 78.9%, Health education 78.5%, Bathing 66.1%, and Speech therapy 28.2%). Conclusion: These results suggest we have to develop a health-focused adult day health care model based on the needs of elderly and their families. Nurses will have an important role in adult day health care.

• 간호행정학회지
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• 제20권5호
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• pp.514-524
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• 2014

Purpose: The purpose of this study was to explore the experiences of clinical nurses over 40 years of age who were shift workers. Methods: Data were collected from in-depth interviews with 10 clinical nurses over 40 years of age who had at least 10 years of clinical experience and who worked in 5 acute care hospitals. The data were analyzed using Braun & Clark's thematic analysis. Results: One main theme, 3 themes, and 9 subthemes were derived. The main theme was "Sustaining a position still in conflict", and themes were as follows; "Being trained as a professional nurse", "Having unfavorable working conditions and damaged self-esteem", "Trying hard to get a sense of value as an experienced nurse" Conclusion: The results of this study show the issues of age and generational diversities in nurses in acute care hospitals. It is necessary to explore various ways to utilize the experience of older clinical nurses for the integrity of nursing organization and the development of the nursing profession.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5816-5825
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• 2012

인구가 고령화되면서 치매환자는 매년 급증하고 있고 이로 인한 치매환자의 치료 및 관리비용 등 사회적 비용은 크게 늘고 있어 이에 대한 대책이 절실하다. 외국에서도 국가차원에서 치매에 관한 국가전략을 수립하거나 효율적인 치매관리를 위한 국가차원의 대책을 세우거나 관련 법제도를 마련하고 있다. 치매에 대한 법제도적 대응방안으로 노인복지법, 노인장기요양보험법, 치매관리법이 존재한다. 보다 효과적인 치매관리 대책을 위해 관련법과 정책의 추진에 있어서 다음과 같은 개선이 필요하다. 첫째, 치매 검진을 65세 이상노인에 대한 국민건강보험의 건강검진 항목에 반드시 포함시키고 1차 검진에서 이상이 발견되면 진료를 계속 받을 수 있도록 하는 것이 필요하다. 둘째, 치매의 특성상 치매는 증상이 심해질수록 치료 효과가 적고 가족들의 부담도 급격히 증가한다. 치매예방사업과 조기 검진을 통해 치매 발병을 예방하거나 발병 시기를 늦추고 조기 발견하여 치료를 받도록 하여 사회적 비용을 최소화하는 것이 필요하다. 셋째, 현재와 같은 노인장기요양보험법상의 장기요양급여내용의 획일성으로는 경증 치매 등 요양노인의 욕구를 다양하게 충족시키기 어려우므로 등급판정기준 완화와 서비스 이용대상의 확대가 필요하다.

• 가정과삶의질연구
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• 제31권4호
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• pp.145-164
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• 2013

This study analyzed qualitative data to examine the attitude toward the conditions of and the barriers to the work- family balance among unmarried workers. The data was drawn from 5 focus groups consisting of 4 workers each. The 20 participants, aged 21 through 38, were interviewed in mini groups composed of 2 male workers and 2 female workers each. The research depicts four main themes about their work-family balance: the image of a dual-earner family, women's market labor, housework, and the ideal conditions of a dual-earner family. This research concluded that unmarried workers desperately want to be part of a dual earning family for economic survival. However, they also know that it would be very difficult to make ends meet and to live as dual-earner families because of the lack of a proper social support system. However, most of them believe that they must solve these problems on their own, and they do not expect to receive help from systematic public policies. They think that they should find solutions by rearranging the role divisions between the husband and the wife or by asking for help from their parents or other relatives. The only assistance they expect from the government are reliable child care facilities and governmental incentives to promote stimulate the family-friendly workplace.

• 한국정보통신학회논문지
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• 제23권11호
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• pp.1420-1427
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• 2019

초고령 사회 일본은 다양한 사회문제 해결 방법 중 하나로 정보통신기술의 활용을 적극적으로 추진하고 있다. 특히 머지않아 초고령 사회에 진입할 우리나라로서는 고령자 지원과 관련한 ICT활용에 대한 일본의 정책 및 현황을 살펴보는 것은 의미가 있을 것이다. 본 연구에서는 문헌조사를 통하여 일본의 고령자 지원관련 ICT정책 및 활용 현황을 살펴보고 우리나라 고령자 지원과 관련하여 다음과 같은 사항을 제안하였다. 고령자 지원관련 현장에서 ICT기술이 실질적으로 활용될 수 있는 기회가 넓혀져야 하며, 일본의 경우처럼 고령자 지원에 있어서 개호와 의료의 연계가 중요하기 때문에 이러한 기관간의 정보연계네트워크 구축을 위한 노력이 필요하다. 또한 다양한 로봇의 개발 및 보급을 통해 개호자와 관련 인력의 서류업무의 간소화 및 개호 부담의 완화를 모색해야 한다. 그리고 ICT활용을 통한 고령자를 위한 정서지지 및 안정을 위한 기술의 보급도 적극 추진되어야 한다.

• 한국병원경영학회지
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• 제2권1호
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• pp.96-113
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• 1997

This study was performed to analyze of market segmentation of outpatient services on the based of consumption values. Self-reported questionnaires of six hospital outpatients 600 were analyzed by six consumption values categories: functional values, social values, emotional value, rarity value, situational values, health related values. The main results of this research is as following; 1. The consumption values were significantly different in that sociodemographic characteristics. Especially, the more older aged group, farmer and married people, the more they preferred to functional value, social value, emotional value and rarity value than younger aged group and unmarried people. But in the cases of situational vaue, younger aged people and white-callar workers recognized more positively. Also, housewives, married people and female recognized more positively than white-callar workers, unmarried people and male. 2. In the results of CHAID analysis, market of general hospital were analyzed by 9 categories and major market were groups who ignored or were unconcerned about newness/classiness and preferred to nearness to residence. The market of university hospital were analyzed by 8 categories and major market were groups who considered to reliability/social reputation importantly. The market of corporate hospitals were analyzed by 8 and major market were group who considered to classiness/newness importantly. Therefore, above results show that health care market can be divided to various market by demand and market segmentation is very important for marketing strategy.

• 보건행정학회지
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• 제21권4호
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• pp.585-598
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• 2011

This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, $10^{th}$revision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.

• 한국보건간호학회지
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• 제10권2호
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• pp.146-161
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• 1996

This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

• 한국컴퓨터정보학회논문지
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• 제13권7호
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• pp.231-237
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• 2008

본 연구는 현대 산업사회에서 노인인구의 고령화와 가족구조가 변화함으로써 전통적인 가족기능의 약화, 여성의 경제활동, 가치관의 변화, 노인의 위치와 역할 등의 문제를 유발시키며 그로 인한 노인부양을 기대하기는 더욱 어려워져 가고 이에 많은 노인복지시설이 필요한 실정이다. 이러한 측면에서 노인복지시설의 활성화를 위해서는 다음과 같은 방안이 요구된다. 첫째, 시설의 확충은 국가정책차원의 지원이 이뤄져야 한다. 둘째, 지역의 관련 기관간 지역 네트워크를 구축하여 주민들에게 지역특성에 맞는 다양한 프로그램을 개발하여 제공되어야 한다. 셋째. 노인복지시설 환경의 개선이 이뤄져야 한다. 넷째, 후원자 개발을 통한 고객특성에 맞는 마케팅 전략이 필요하다. 다섯째, 노인복지시설 전문 종사자에 대한 처우 개선과 적정한 전문 인력의 증원이 이뤄져야 한다.

• 한국응급구조학회지
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• 제16권1호
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• pp.7-18
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• 2012

Purpose: The purpose of this study is to help care workers to do their best as first respondents by analysing their recognition, knowledge, and self-efficacy on basic CPR (cardiopulmonary resuscitation) that is directly connected to the lives of patients and thus their education and methods can be improved for their positive basic lifesaving work. Method: For this purpose 360 structured questionnaires were used to the subjects in the eastern area of Jeonnam province from June 20 to July 4, 2011. Of these questionnaires 217 were used excluding 113 incomplete, 27 error, and 3 male ones. The collected data were analysed by the real number, the percentage, the average, the standard deviation, t-test, ANOVA, and Tukey with SPSS WIN 18.0. Results: 1. In the view of subjects, those aged over 51 accounted for 96(44.2%) as the majority, high school graduates, 95(43.8%), worked for 1 or more than 1 year-less than 2 years, 66(30.4%), experienced to see persons collapsed losing their consciousness, 46(21.2%), took the education, 184(85.7%), had 1 session of education, 80(43%), got the last education for 2 or more than 2 years 68(37%), and practiced through mannequin for the education aids, 86(46.7%). 2. There was significant difference in the view of recognition with the length of work (p=.010) and experienced to see persons collapsed losing their consciousness (p=.020), in the view of knowledge with academic background (p=.040) and the length of work, and in the view of self-efficacy with academic background (p=.002), the length of work (p=.010) and experienced to see persons collapsed losing their consciousness (p=.000). 3. There was significant difference in the session of education (p=.000), last education (p=.025) and education aids for basic CPR. Self-efficacy had significant difference according to the session of education for basic CPR (p=.001) and the time of education (p=.000). 4. There was correlation between recognition and self-efficacy (r=.41). The higher the recognition is, the better the self-efficacy improves. However the correlation between knowledge and self-efficacy was so low that the former did not have influence on self-efficacy. Conclusions: It needs to offer education to the lifesaving workers based on their experiences. If there is education more than 2 sessions in a year with mannequin and the simulation providing sufficient hours, care workers' recognition would be increased resulting in higher self-efficacy and thus they could keep the role of active lifesaving worker at the first practical site.