재가노인의 케어요구 사정과 케어요구군 분류에 관한 연구

유인영(In Young Yoo),조소영(So Young Cho) 한국노년학회 2003 한국노년학 Vol.23 No.3

본 연구는 재가노인의 건강 및 기능상태 사정을 통해 케어요구 목록(Client Assessment Protocols : CAPs)과 케어요구 단계(Level of care : LOC)별 분류, 케어단계에 따른 케어요구를 파악함으로써 MDS-HC 사정도구가 재가노인의 케어요구에 따른 서비스 이송기준을 평가하는데 적용 가능한지를 확인하고자 수행되었다. 연구대상은 경인지역 소재 복지관 14개소에서 재가노인 복지사업 대상자 81명을 편의 추출하였다. 연구도구는 MDS-HC(Minimum Data Set-Home Care) Version 2.0을 사용하였고 LOC는 MDS-HC 사정항목을 이용하여 개발된 MDS-HC logic에 의해 5단계로 구분하여 RAI 전산프로그램과 SPSS/WIN 10.0을 사용하여 분석하였다. 연구결과는 30개의 CAPs 중 평균 11.28개의 케어요구 목록이 확인되었고, 대상자의 50%이상이 호소하는 문제는 보건예방서비스, 건강증진, 시각기능과 우울·불안, 의사 소통 장애, 사회적 기능, 통증, 환경문제, 구강위생, 인지기능, 낙상문제 등의 순이었다. 그러나 실제로 문제를 가진 대상자는 케어요구에 상응하는 재가서비스를 제공받지 못하는 것으로 나타났다. 대상자의 케어요구 단계별 분포는 간헐적 간병 요구군(LOC Ⅲ)54.3%, 정보제공과 의뢰 요구군(LOC Ⅴ)28.4% 가사돕기 요구군(LOC Ⅳ)9.9%, 간정간호 요구군(LOC Ⅱ)7.4%순이였고 요양원 요구군(LOC Ⅰ)은 한명도 없었다. 케어요구 단계별 CAPs 수는 LOC Ⅱ에서 가장 많았고 LOCⅤ에서 가장 적었다. 본 연구를 통하여 MDS-HC는 장기간 질병관리 및 요양을 요하는 재가노인의 포괄적인 건강과 기능상태를 평가하고, 케어요구 목록과 우선순위 선정, 케어요구 단계에 따른 재가노인 분류 등에 적용하기 용이하였다. 재가노인의 케어요구는 의료 및 사회서비스의 혼합형태로 포괄적 케어요구가 충족되어야 하므로 MDS-HC는 간호사 및 사회복지사 양 영역에서 활용되어 대상자별 케어프랜과 이송기준으로 활용되기를 제언한다. This study was conducted to see if the MDSHC(Minimun Data Set for Home Care) could be applicable to assess the CAPs(client assessment protocols) and LOC(level of care) in corresponding the care needs with the Korean elderly in community. 81 elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003. The result shown that eleven CAPS per an elderly person in average were identified, and the frequent care needs were in order of preventive health measure, health promotion, visual function, depression and anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition, falls. The UX: shown as that 'nursing home' 0%, 'home care' 7.4%, 'intermittent personal care' 52.3%, 'homemaker' 9,9%, and 'information and referral' 28.4% among the elderly. In conclusion, the MDS-HC is applicable to decide care needs for both health and social service supplies. The result could be further applicable for careplan, and referral criteria in continuum of care services over the long-term care spectrums.

지역사회 관절염 노인의 요양환경 수준에 따른 우울과 인지손상

유인영(In-Young Yoo) 한국생활환경학회 2008 한국생활환경학회지 Vol.15 No.4-2

The purpose of this study was to investigate the depression, cognitive impairment levels and classification of LOC(Level of Care) of the community-dwelling elderly with arthritis. The subjects of this study were 88 elderly who were receiving home care services from community welfare center in Chungcheongbuk-do, Korea. The instruments used for the study were CPS(Cognition Performance Scale), DRS(Depression Rating scale) and MJ-CHOICE from the MDS-HC(Minimum Data Set-Home Care) 2.0 Version. Of the elderly sample, the LOC shown as that 'Nusing home' 0%, 'Home care' 9.1 %, 'Intermittent Personal Care' 55.7%, 'Home Maker' 8.0% and 'Information and Referal' 27.3% among the elderly. Depression was evident in 77.3% of the elderly subjects. The depression and cognition impairment levels were significantly higher in 'Home care' and 'Intermittent Personal Care' groups than the others groups, respec-tively. There was a significant positive correlation between depression level and cognition impairment level. As a result, it is necessary to development of education program to the elderly with arthritis including depression and cognition management care.

우리나라 성인의 인지된 미충족 의료 현황과 관련 요인

유인영(In-Young Yoo) 한국생활환경학회 2017 한국생활환경학회지 Vol.24 No.3

The purpose of this study was to identify the prevalence of unmet health care needs and related factors among Korean adults. Data were extracted from the Korea National Health and Nutrition Examination Survey(2014). Participants of the study included 6,489 adults who aged 19 and over. Statistical analyses were performed by SPSS/Win 21.0 using complex sample design. Overall, 10.6% of respondents experienced unmet health care needs. Main reasons of unmet health care needs were ‘unavailable when required’(32.9%), ‘tolerable symptom’(25.7%), and ‘economic trouble’(23.3%). In 19-44 age group among respondents, especially, unmet health care needs due to ‘unavailable when required’ and ‘tolerable symptom’ were 58.4% and 54.8%, respectively. The unmet health care needs due to ‘economic trouble’ were 24.5% in 19-44 age group, 35.9% in 45-64 age group and 39.7% in 65 and over age group. The factors affecting the unmet health care needs were sex, age group, low income, unemployed status, poor perceived health status and health-related quality of life(EQ-5Dindex). In conclusion, the prevalence of unmet health care needs was still higher than the unmet needs average of EU28 countries. Therefore, it is necessary to continuously monitor for unmet health care needs and develop health care policy in terms of availability, accessibility, and acceptability.

건강증진 프로그램이 체지방율 비만 대학생의 대사증후군 위험요인, 건강 효능감과 내적 건강통제위에 미치는 효과

유인영(In-Young Yoo),주미현(Mi-Hyun Joo) 한국생활환경학회 2010 한국생활환경학회지 Vol.17 No.6

This study was performed to investigate the effects of health promotion program on the metabolic syndrome risk factors, health efficacy and internal locus of control in university students with body fat obesity. A quasi-experimental research was carried out with a nonequivalent control group pretest-posttest design. Participants in this study were 14 university students for the experimental group (EG), and 16 university students in the control group (CG). The intervention program consists of walking training (55-65% HRmax for 1-6weeks, 66-75% HRmax for 7-12 weeks, 1hr per day, 3 days per week) and nutrition education (4 session). Compared with baseline for each of the 12 weeks in EG subjects, the health efficacy and internal locus of control were was significant increased. The waist circumference and waist-to-hip ratio were significant reduced in EG The results showed that 12-weeks health promotion program was effective in improving internal locus of control and health efficacy and reducing WC, WHR. Furthermore, this program should be extended to university settings for healthy campus life.

지역사회 재가노인의 연령군별 건강관련 삶의 질에 영향을 미치는 허약요인

유인영(In-Young Yoo) 한국생활환경학회 2018 한국생활환경학회지 Vol.25 No.5

The purpose of this study was to examine the frailty level of community-dwelling elderly and to identify the frailty factors affecting the health-related quality of life(HRQOL) by age group. This study was conducted to survey 314 elderly people aged 65 years or older who were using community health center. Among the study participants, 10.8% were in frail condition and 89.2% were in non-frail condition. The elderly with frailty had lower HRQOL and lower cognitive level, higher depression score and more chronic diseases. As a result of analyzing frailty factors affecting HRQOL according to age group, ADL and mobility affected the HRQOL in the early aging group (65 to 74), while middle aging group(75 to 84) were affected by mobility, oral health and outgoing, and late aging group(85 and over) were influenced by mobility, nutrition, outgoing and cognition. Therefore, it is necessary to detect the weakness factors affecting the HRQOL and to develop tailored health management program for the frail elderly by age group.

생활환경에서 유기용제 취급 근로자가 복용하는 진통제에 관한 연구

유인영(In-Young Yoo) 한국생활환경학회 2003 한국생활환경학회지 Vol.10 No.4

경질 초음파유도하의 경질 배액술을 이용한 난관 난소 농양의 치료

유인영(In Young Yoo),김상용(Sang Yong Kim),박성근(Seong Kun Park),갈철우(Cheol Woo Gal),박경원(Kyung Weon Park),이정형(Jeong Hyung Lee),김문종(Moon Jong Kim),성훈(Hoon Seong) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9

난소 난관 농양은 항생제만으로도 치료가 효과적일 수 있지만, 배농한 후에 항생제 병용치료할 때 더욱 치료 성적이 좋다. 배농의 방법은 여러 가지가 있으며, 여기에서는 본원에서 시행된 초음파 유도하에 이루어진 경질 배액술 5 예를 보고하고 임상적 의의를 살펴 보고자 한다. 1998년 1월부터 1999년 9월까지 난관 난소농양으로 진단 받고 초음파 유도하에 경질 배액술을 시행받은 환자의 입원기간, 합병증 발생유무, 시술후 합병증 등을 분석하였다. 시술한 환자들의 평균 연령은 32.4 세 였으며, 농양의 크기는 5-10 cm으로 다양하였고, 평균배농기간은 6.4 일 이었으며 시술중 합병증은 없었고, 시술후 3 개월간 초음파 추적결과 재발 및 수술이 필요한 경우는 없었다. 경질배액술을 이용한 난관 난소농양의 치료는 효과적이고도 안전하며, 농양이 질과 인접한 경우에는 더욱 손쉽게 시행할 수 있다. Often, women with Tuboovarian abscess (TOA) will reponse to antimicrobial therapy alone, additionally after drainage of abscess, antimicrobial therapy is more effective. Method of drainage is several, author present 5 cases that Tuboovarian abscess by transvaginal sonographically guided drainage in our hospital. From January 1998 to september 1999, transvaginal sonographic guidance proceduers for Tuboovarian abscess were successfully performed on 5 cases in a fluoroscopy room Equipments for the technique included a 18 gauge Chiba needle, plastic introducer tube, guide-wire and 18F multipurpose locking catheter. No major complication or recurrence were experienced. After initial catheter placement, patients became afebrile within 6 days ( average 3.4 days ). Catheters were removed within 10 days ( average 6 days ) after insertion. Five patients recovered without surgery and required no further treatment. Treatment of Tuboovarian abscess used by transvaginal sonographically guided drainage is effective and safe, in cases of close to vagina.

노인 단독가구의 낙상과 주거환경 문제

유인영(In-Young Yoo) 한국생활환경학회 2005 한국생활환경학회지 Vol.12 No.3

Purpose The purpose of this study was to investigate the fall and housing environmental problem, and identify the influencing factors of the fall. Method The subjects of this study were 61 the couple and single elderly who enrolled in elderly senior centers in Seoul and Kyunggi Province, Korea. The instruments used for the study were the MDS-HC (Minimum Data Set-Home Care) 2.0 Version. Result Of the elderly sample, 27.9% experienced 1 or more fall and 49.2% had the fear of fall. The frequency of experience of falls was more single elderly than couple elderly. 65.6% had at least 1 housing environmental problem and 2 ones on average. The most common housing environmental problems (50.8%) were found in bathroom and toilet. The number of housing environmental problems were significantly higher in elderly who experience fall than those who not experience fall (t=-2.31, p<.05). As logistic regression analysis, the influencing factors of the fall were inadequate environment of bathroom and toilet. Conclusion As a result, it is necessary to reinforce support of single elderly and reform of housing environment by policy. And it is important to development of pamphlet and checklist for housing environmental hazards and development of edu￢cation program to prevent fall of elderly.

중소도시 지역사회 재가노인의 낙상특성과 낙상영향요인

유인영(In-Young Yoo),이정애(Jung-Ae Lee) 한국생활환경학회 2009 한국생활환경학회지 Vol.16 No.4

The purpose of this study was to identify regarding general, health-related, and environmental characteristics and factors associated with falls among the elderly in community. A total of 129 older adults aged 65 years and over were recruited from three small cities and participated in this descriptive survey after obtaining informed consent. Data were collected from November 22 to December 30, 2007 and analyzed by χ² test, Fisher's exact test, t-test, and logistic regression analyses using SPSS/WIN 12.0 program. The results showed that 31.8% of the respondents had experienced fall at least once within recent a year. The older adults who were female (43.2%) and living alone (51.7%) were more likely to have falls compared to male adults (12.5%) and adults living with family (26.0%), respectively (p=.01). Multiple logistic regression analysis demonstrated that significant independent predictors for fall were sex, dizziness, and regular exercise. Health care providers should focus on education and counseling regarding these factors to assess and prevent fall among older adults in community.

간호대학생의 문화성향과 다문화 환경 감수성

유인영(In-Young Yoo),이정애(Jung-Ae Lee) 한국생활환경학회 2014 한국생활환경학회지 Vol.21 No.6

This study was done to identify the association with cultural disposition and multicultural environmental sensitivity in nursing college students. Data were collected by questionnaires from 217 nursing college students in P city. The data was analyzed using SPSS 21.0. The results were as follow : The multicultural environmental sensitivity correlated positively with vertical group(r = .175, p = .010), horizontal group(r = .335, p < .001) and horizontal individual(r = .272, p < .001) in cultural disposition. The multicultural environmental sensitivity was statistically different to experience overseas trip (t = 2.89, p = .004), foreign friend (t = 4.66, p < .001) and foreign language ability (t = 4.20, p < .001). The factors influencing multicultural environmental sensitivity in participants were horizontal group disposition, foreign friend and foreign language ability (R2 = 21.5). After multicultural education, the multicultural environmental sensitivity of participants was increased significantly (paired t = -2.68, p = .008). In conclusion, it is necessary to improve global multicultural capacity of nursing college students through multicultural education and experience focused on personalized cultural disposition.