서울 소재 노인요양시설의 케어의 질 향상을 위한 생활지도원 수발지원환경에 관한 연구

정미렴(Chung Mi-Ryum),박영기(Park Young-Ki) 대한건축학회 2008 대한건축학회논문집 Vol.24 No.4

With the increase of elderly population and public sympathy on the social responsibility of the long-term care for the elderly with chronic geriatric disease, nursing home and her specialized staffs are rising as important issue. Among the staffs, nursing assistants are responsible for most of direct care, such as perineal care, toileting, dressing, basic hygiene care, food preparation, cleaning, transfer aid between bed and wheelchair, conversation and program aid. Even though their role is critical to the clients' quality of life, they are suffering from heavy workload, low wage, unstable employment situation and so on, which lead to low job satisfaction and high turn-over rate. The purpose of this study is to analyze their satisfactory level with current care support environment, and its influence on the quality of care. Among 5 elderly long-term care facilities with over 70 beds, running with unit care concept, 3 cooperative facilities were selected. Structured questionnaire survey was performed on Nursing assistants, and 94 cases were analyzed. As a result, it turned out that there was a correlation between nursing aids' satisfactory level with current care support setting and quality of care. Since care support setting had not been considered enough when the nursing homes were designed, physical care support settings appeared to be more urgent matter than social and psychological care support environment.

연구논문(硏究論文) : 노인요양시설의 설계 의도와 거주후 평가 비교 연구

정미렴 ( Mi Ryum Chung ),김청권 ( Chung Gun Kim ),나경욱 ( Kyoung Wook Na ),이수민 ( Su Min Lee ),박영기 ( Young Ki Park ) 한국지역사회발전학회 ( 구- 한국지역사회개발학회 ) 2007 地域社會開發硏究 Vol.32 No.1

The aging population of Korea and the decreasing number of the olds living with their adult child`s family make the design of nursing home for the elderly important. The object of this study is to see how the concepts of the designers were realized and used in the nursing homes, to find the successful point and problems through post occupancy evaluation, and to give design suggestions so that the result can feedback to similar projects in the future. 3 facility cases finished after year 2000 and designed by three architects specialized in geriatric facility were selected. The architects explained the design concept and intention for each space during the interview using structured questionnaire, and researchers visited each facility, interviewed staffs and observed the residents to see how the design concepts were realized and evaluated. By analyzing the result, we proposed several suggestions for the future design of nursing homes for the elderly.

대도시지역 소규모 병원ㆍ의원의 노인요양시설로의 용도전환 방안에 관한 기초연구

정미렴(Chung Mi-Ryum) 대한건축학회 2010 대한건축학회논문집 Vol.26 No.6

To provide nursing homes (NH) in Metropolitan areas where NHs are short in supply, schemes to convert idle facilities into NHs has been discussed. The purpose of this study is to provide methods to change small-scale hospitals and doctors' offices into NHs, and to analyze the process and facility standards defined by related laws. The result of this study will help to reduce rial and error of those who want to establish NHs and contribute to the elderly welfare of community. As research method, theoretical review and case study were performed. First, related laws and regulations applied to functional switchover were analyzed. Next, a case of a OB-Gyn hospital changed into NH were investigated, and the head of the facility was interviewed. The conclusion was as follows. Small hospitals were easier to change than doctors' offices because they shared similar obligation in laws. Also, small wards reflect the emerging trend of making private bedrooms. Continuous promotion policy and relaxing the restrictions of related laws are necessary to convert idle small hospitals and doctors' clinic to NHs effectively.

노인요양시설의 환경ㆍ설비관리 개선을 위한 연구

정미렴(Chung Mi-Ryum) 대한건축학회 2010 대한건축학회논문집 Vol.26 No.8

Nursing home(NH) is where the elderly with chronic disease stays at all times. The environment should be well managed so that the elderly feel safe and comfort. Also, The number of nursing homes increased which put emphasis on administration aspect, and the effort to cut down the cost of the environment/ facility management is needed. the purpose of this study is to grasp the current situation of nursing home environment facility management, so that proposals for future nursing homes would be suggested. The research method is consist of literature review and interview. Facility managers from 5 nursing homes located in Seoul and Inchon were interviewed by researcher with structured questionnaire, to find the current condition, problems and opinion. As a conclusion, from the analysis of result, (1)The usage of material that is easy to maintain and safe, (2)Sustainable garden, (3)Consideration of HVAC running cost and enhancement of building's thermal performance, (4)Connection between NH facilities to cut down outsourcing expenses and the need of specialized facility management firm, (5)the formation of facility complex were suggested.

노인요양시설 개인생활공간의 안내표식시스템에 관한 연구

정미렴(Chung Mi-Ryum),김대년(Kim Dae-Nyun) 대한건축학회 2010 대한건축학회논문집 Vol.26 No.5

The Sign system of nursing home plays an important role when an elderly adapts to new environment and gets on with daily life autonomously. Private space is a place to relieve oneself from fatigue and other people, to comfortably perform sanitary activities. If one can find this space easily, an elderly feels comfortable. Adequate signage should be installed to aid them in finding their ways. Sign system is a comprehensive system consisted of various factors. In this research, it has been categorized as signage and cueing. Signage includes text and graphic signs, and cueing consists of floor plan configuration and sensual mechanism of visual, auditory, and olfactory senses. Using this framework, field investigation and analysis were held in private space(bedroom, bathroom) of 10 Korean, 10 Japanese, and 8 Northern European nursing home facilities. The result revealed that even if the sign system worked as a combined unit, all factors were designed without relations to each other and did not perform mutually complementary role. Korean facilities had diverse and abundant sign and cueing elements, and floorplans were easy for wayfinding compared to other countries. Japanese facilities preferred simple signs attached at proper height. Those of Northern Europe used colors on the door, and considered privacy to be more valuable than amanity.

아파트 노후화 문제와 개보수에 대한 거주자 인식조사

김영주(Kim, Young-Joo),정미렴(Chung, Mi-Ryum),조인숙(Jo, In-Sook),김미희(Kim, Mi-Hee) 한국주거학회 2017 한국주거학회 학술대회논문집 Vol.29 No.2

노인요양시설에 관한 국내연구 분석

변혜령(Byun, Hea-Ryung),정미렴(Chung, Mi-Ryum),김대년(Kim, Dae-Nyun),윤영선(Yoon, Young-Sun) 한국주거학회 2008 한국주거학회 논문집 Vol.19 No.2

The tendency of having fewer or no children and increasing number of single household will make the protection of the elderly with geriatric disease even harder in the future. Nursing home can provide long-term care for those who can-not be cared by the family. Korean government has been changing welfare policy for the elderly to cope with the changing needs of them regarding nursing home and geriatric disease. Researchers from various field also showed great interest in nursing home. The purpose of this study is to analyze the number and contents of theses and papers regard-ing nursing home in the 12 journals, to find out overall the research streaming of the theme, method, subject, and district of the papers in the journals. Data were collected by using keyword through library database. 246 thesis and 116 papers published from 1990 to 2006 were analyzed in 7 categories, and 66 papers in the journals were used on the content analysis for lading out research streaming. As results, research streaming according to 5 periods were identified. The most frequent subjects of theses regarding nursing home are nursing home systems and policies. Otherwise, the various subjects of papers in the journals have been deal with, especially plans of nursing home and spacial behavior of the elderly and staffs' satisfaction. In the future, the research subjects related to the nursing home should deal with total space plan as living environment for the elderly and work environment for the staffs according to privacy, spatial use and behavior, culture and lifestyle in Korea, and so on.

실태분석을 반영한 한국 노인요양시설의 욕실 및 화장실의 공간계획 연구

김대년(Kim Dae-Nyun),정미렴(Chung Mi-Ryum),윤영선(Yoon Young-Sun),변혜령(Byun Hea-Ryung) 대한건축학회 2008 대한건축학회논문집 Vol.24 No.2

The importance of the nursing home for the elderly is drawing a greater attention these days as the elderly population and the social recognition of the elderly issue have increased. Above all, the bathroom/toilet in nursing home is a space that could measure the health condition of the elderly and their ability to carry on the daily life. However, not many antecedent papers provide an in-depth study on the space planning of bathroom/toilet facilities and they are limited to specific regions. The purpose of this study is to provide the current condition of the bathroom/toilet facilities in nursing home for the elderly and to suggest the space planning through nationwide survey and case study. The analysis is based on the results of the survey from 180 nursing homes and the case studies of 14 nursing homes for the elderly in Seoul and 6 metropolitan cities. Bathrooms/toilets in the bedroom have toilet and wash bowls. However, many lack the shower, shower-chair and safety handle that would help the elderly and the assisting staff. Most of the layouts of the bathroom/toilet are connected to the bedroom for private use and yet, more than 50% do not have a space for turning the wheelchair. Public toilets meet the standards relative to the private bathrooms/toilets in the bedroom. But, they do not have covers to protect users from burns on water supply tubes or temperature control mechanism and would need to be improved. The height of the toilet bowls meets the standard, and the flushing device is in satisfactory condition in that it is either in lever or button form. However, the distance from the center of the toilet bowl to the side wall needs to be adjusted. In summary, although some of the bathroom/toilet facilities in Korean nursing homes are appropriate for the elderly, most are not. Considering the worsening health condition of the elderly, it is essential to improve the environment and facilities of the bathroom/toilet in Korean nursing homes for the elderly.

한국 노인요양시설의 유형, 위치, 주변환경에 따른 건축특성 비교

변혜령(Byun Hea-Ryung),윤영선(Yoon Young-Sun),김대년(Kim Dae-Nyun),정미렴(Chung Mi-Ryum) 대한건축학회 2008 대한건축학회논문집 Vol.24 No.11

The purpose of this study is to analyze architectural characteristics of the living environment of nursing homes for the elderly and to examine the current status and problems by clarifying the differences in variables of relation with the characteristics of the nursing homes. Mail survey was performed using a structured questionnaire from July 29th to August 31st, 2006. The questionnaire dealt with the general features of the facility and the elderly who live there, and the spatial feature of the facility. The study limited its survey to those facilities that were registered to the Ministry of Health and Welfare, which opened after 1995 and that had the capacity of more than 30 people. As a result, the questionnaire was sent to the directors of 344 facilities who were in charge of the nursing home operation and planning. 185 facilities returned the questionnaire and the study used 182 questionnaires for data analysis. The study used the SPSS 12 program to draw the frequency, percentage of the answers and utilized the cross-tab to analyze the differences. The results of this study were as follows: First, most facilities have opened after 2000 and 74% of the objects are free. In architectural characteristics, most of them were 1,000~2,000㎡ in building area, ― shape in the building shape, and corridor in the shape of floor plan. This means that the architectural characteristics of nursing homes in Korea were like as facilities. Second, the skilled care facilities was bigger, more various building types, and more cases of other facilities(day care center, short-term care center et al.) included than nursing homes. Third, in building area, the nursing homes in large cities were smaller than the nursing homes in small towns or rural areas. Other facilities, as day-care center, were included in many case of the nursing homes in large cities.

일본 노인요양시설의 거주환경특성에 관한 고찰

김선태(Kim Sun-Tae),윤영선(Yoon Young-Sun),김대년(Kim Dae-Nyun),변혜령(Byun Hea-Ryung),정미렴(Chung Mi-Ryum) 대한건축학회 2008 대한건축학회논문집 Vol.24 No.10

By considering research trends concerning the flow of elder's welfare policy in Japan, which is already experiencing an aging society, and has changed and developed certain characteristics of the living environment, this study has its purpose to offer basic data to be helpful for finding out the direction of the future of Korean elderly care facilities. The method of study consisted of only the Special Nursing Homes and Group Homes where resided elderly with dementia who mainly lived in facilities where data was published in researches of elderly welfare facility in the Journal of Architecture Planning Engineering of Japan from Jan, 1990 to Dec, 2006. And the number of examples of analysis was a total of 71. The result was classified by year, facilities, and keywords, and this study has its focus on the discussion of space planning elements requested within the living environment. As a summary of the characteristics of the living environment of elderlies with dementia: 1) Trend towards single rooms to provide for the privacy and personal space to the residents. 2) Provision of diversity and choice by the structural planning of level spaces. 3) Trend towards a small facility providing for a living base with a family atmosphere and nursing. 4) The creation of a strong relationship between the elderly nursing facility and the social community at large.