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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
한국노인복지학회 노인복지연구 노인복지연구 제12권
발행연도
2001.6
수록면
75 - 111 (37page)

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This study was performed to find an efficient way to achieve high quality of care services for the elderly who suffer from dementia and physical incapability with activities of everyday living. Specifically, as a link in the chain of program which aims at developing professional workers who can provide good quality of care, the facilities of institutions, and physical conditions and the degree of activities of daily living of the elderly were assessed. Also, the socio-demographic characteristics and the degree of need for professional education of the staff who provide nursing services were assessed and analyzed. The results achieved from data analysis are as follows. First, the total of 11 institutions were studied in this study. Among all of those institutions, 6 were established by social welfare corporations; 2 by corporate juridical persons; In addition, the state government, the individual corporation, and the school corporation established 1 each. Second, the medical delivery system of each institution was evaluated. There were 1 institution which operates medical facility; 6 institutions which were connected with medical examination and treatment system of local medical institution; And, the last of 4 institutions did not have any medical provisions for their clients. The evaluation for admission of each elderly individual was made by nurses and social workers from 36.4% of institutions. Since the degree of illness of each subject were not relatively measured, separate admission evaluated by seriousness of illness was not made. Third, among the elderly who utilize adult day-care centers, the proportion of low-income elderly including those who get public assistance were 39.6%. And 21.6% were living alone without any help from their family. Most of the elderly subjects were suffered from economic hardship on everyday living. Fourth, in terms of the reasons for admission to day-care center, the proportion of elderly persons who did not have any family mernbei- were 14.9%; the elderly who had family member but no one to take care of were 32.1%; the elderly who had family rrember with job were 26.1%; And, the elderly admitted by the wish of their family were 3.0%. For 76.1% of total elderly individuals, it was almost impossible for taking care of their aged parents by their own. Fifth, Among the study subjects, the 25.4% of the elderly were suffered from dementia; 43.3% from the diseases with bones and sinews; 23.9% from strokes; 14.2% from high blood pressure. In terms of the activities of daily living, the percentage of elderly individual who need help with dining were 16.4%; 25.4% had difficulty with sitting down; 35.9% had problems with taking a bath; 21.6% with toilet use; 32.1% with changing their clothes; and 40.3% with outings. Sixth, the most serious problems the staff encounter were the shortage of staff and equipments. And, seventh, among the staff of the adult day-care centers being studied, 79.4% were working at the centers without taking any professional training to learn the method for caring elderly. 85.3% agreed on the necessity of professional training for taking care of frail elderly. The need for education developed by the researcher were appeared high by the average of 3.2787 points for the highest score of 4.

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UCI(KEPA) : I410-ECN-0101-2018-338-002000873