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황인옥(In-ok Hwang),윤경아(Kyeong-a Yoon),김은경(Eun-kyung Kim) 한국노년학회 2007 한국노년학 Vol.27 No.4
본 연구의 목적은 요양원 및 전문요양원에서 생활하는 노인들의 거주만족도 수준과 거주만족도에 영향을 미치는 요인을 파악하는 것이다. 본 연구의 대상은 대전광역시에 위치한 노인요양시설 5개소와 노인전문요양시설 6개소에 입소하여 생활하는 노인 140명이다. 2006년 9월 현재 대상시설에서 생활하는 노인 833명을 모집단으로 하였으며, 이중 MMSE-K를 이용한 1차 조사에서 24점 이상인 인지기능이 정상인 자만을 최종 연구대상에 포함시켰다. 응답노인의 거주만족도 수준은 5점 만점에 3.69점이었으며, 하위영역별 거주만족도 수준은 직원만족도가 5점 만점에 3.91점으로 가장 높았고, 다음으로는 식사만족도(3.85), 생활실 만족도(3.82), 시설설비 만족도(3.80), 정보제공 만족도(3.70), 사회교류활동 만족도(3.13)의 순으로 나타났다. 거주만족도에 영향을 미치는 주요 요인으로 개인요인은 일상생활수행능력과 우울이, 직원요인은 직원과의 관계 및 직원의 지지가, 시설요인은 보건의료서비스가 거주만족도에 영향을 미치는 것으로 나타났다. 본 연구의 결과는 요양원 및 전문요양원에서 생활하는 노인의 거주만족도 향상 방안과 시설관리 방향을 제시하는데 필요한 기초자료로 활용될 수 있을 것이다. This study aims at providing an upgraded suggestion to improve residential satisfaction for the elderly people. For this purpose, the current level of residential satisfaction will be examined and variations that impact measuring elements for the residential satisfaction will be theoretically reassessed. The subjects were selected from five nursing facilities and 6 skilled nursing facilities in a metropolitan area. Using MMSE-K method, 140 seniors whose points were over 24, considered cognitively normal. The residential satisfaction was determined using RSQ developed by Boldy(2001). Also, K-ADL was used to examine ADL. To see the subjects' depression level, 'K-GDS was used. Zimet, at el. (1988)'s device was also used to see the care providers' support. The factors that affect the elderly people's residential satisfaction were categorized as personal, care provider, and facility for the analysis. The overall residential satisfaction was 3.69 on a 5-point scale. Among the affective factors that revealed statistical significance were ADL, depression, the relationship with the care providers and their support, and health care service. This study was done to give suggestions to improve residential satisfaction of the aged and to serve as a basis for policy strategies by examining the current conditions of the nursing facilities.
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설명의무와 지도의무 -설명의무에 관한 최근 판례의 동향-
안법영 ( Bup Young Ahn ),백경희 ( Kyoung Hee Baek ) 안암법학회 2013 안암 법학 Vol.0 No.40
The duty to explain(Aufklarungspflicht, informed consent) in medical living relationship has the principle of the rule for duty and the benefit and protection of the law unlike duty in a general legal living relationship. Therefore, the duty to explain a medical procedure without the patient`s valid prior consent if the configuration is found to infringe on the patient`s self-determination. The Supreme Court`s recent judgement has imposed to the doctor a duty, How to care so that the patient can be properly recovered obligations. However, there is some doubt that this judgement of the Supreme Court is equal to the duty of explain. Because this is doctor`s notice about the convalescence methods observed by patient during or after medical treatment, the Supreme Court`s judgement corresponds to medical duty of care, which is required in medical treatment. It is required by the medical duty of care. Patients` self-determination is not a problem for him and patients should be followed for the treatment of diseases. Eventually difference between the two duties appears in the legal structure, the content, the transition period, the legal effect of any violations, the burden of proof. So, the latter must access to a separate description of the two duties and shall be named as ``Duty to instruct``.
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