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.

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.

한국 성인의 혈중 납, 수은, 카드뮴 농도와 대사 증후군

유인영(In-Young Yoo) 한국생활환경학회 2014 한국생활환경학회지 Vol.21 No.2

The purpose of this study was to investigate the association between blood levels of lead, mercury, cadmium and metabolic syndrome (MetS) in Korean adults. Data were extracted from the 5th Korea National Health and Nutrition Examination Survey 2010. Subjects were 1,959 Korean adults aged 20 years and over. The data were analyzed by using SPSS/Win 20.0. The means of blood lead, mercury and cadmium concentration in subjects were 2.48(±1.40) μg/dL, 4.94(±3.80) μg/L, and 1.19(±0.65) μg/L, respectively. There were significant difference in blood levels of lead, mercury, and cadmium according to sex, age, education level, income, residence area, house type and smoking. The blood levels of lead, mercury and cadmium were significantly higher in MetS group than in non-MetS group. For male group, the risk factors of the MetS were mercury and cadmium. For female group, the influencing factors of the MetS were lead, mercury and cadmium. After adjusting for age, education, income, residential area, and smoking, the risk factor of the MetS was mercury in both groups. For prevention and management of MetS, it is needed to monitor continuous blood heavy metal level and develop program for preventing exposure of environmental pollution.

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.

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.

HSEP를 적용한 낙상예방프로그램이 재가노인의 신체균형과 보행, 하지근력, 낙상공포 및 낙상효능감에 미치는 효과

유인영(In-Young Yoo) 한국노년학회 2009 한국노년학 Vol.29 No.1

본 연구의 목적은 지역사회 재가노인을 대상으로 Home Support Exercise Program(HSEP)을 적용한 다면적 낙상예방프로그램 실시 후 노인의 신체균형과 보행정도, 하지근력, 낙상공포 및 낙상효능감에 미치는 영향을 파악하기 위한 것이다. 연구 설계는 비동등성 대조군 사전, 사후 유사 실험연구이다. 연구대상자는 충북 지역 내 일개 시의 2개 경로당을 이용하는 65세 이상 노인을 대상으로 하였다. 최종연구대상자는 실험군 20명, 대조군 21명으로 총 41명이었다. 자료수집은 일대일 면담 측정을 통하여 수집하였으며 사전조사, 실험처지, 사후조사 순으로 진행하였다. 낙상예방프로그램은 HSEP와 낙상예방 교육으로 구성되어 있으며, 경로당에서 8주간 주 1회 1시간씩 HSEP 운동과 함께 낙상예방 지식을 교육하였고, 가정에서 주 2회 자가 운동을 수행하도록 하여 총 3회/1주의 HSEP 운동을 하도록 하였다. 낙상예방프로그램 실시 후 실험군이 대조군보다 신체균형감과 보행정도, 하지근력(대퇴신전근과 굴곡근, 무릎 굴곡근, 발목관절 족저굴곡근과 족배굴곡근), 낙상효능감이 통계적으로 유의하게 증진되었다. 결론적으로 HSEP를 적용한 낙상예방프로그램은 재가노인의 낙상예방을 위해 효과적이었으므로 경로당, 노인복지관, 노인시설 등 다양한 낙상위험 환경에 처해있는 노인을 대상으로 낙상예방 프로그램을 적용하여 효과를 검증하는 연구가 확대되어야 할 것이다. Purpose: This research was conducted to determine the effects of a multifactorial fall prevention program applying HSEP(Home Support Exercise Program) on physical balance and gait, leg strength, fear of falling and falls efficacy of the community-dwelling elderly. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 20 subjects in the experimental group and 21 in the control group. The fall prevention program consists of HSEP and fall related education. The intervention was performed for once a week in the senior citizen center and twice a week at home for 8 weeks. Results: There were significant differences in physical balance and gait, leg strength(hip extensor, hip flexor, knee flexor, ankle plantarflexor, ankle dorsiflexor) and falls efficacy between the experimental group and control group. Conclusion : The fall prevention program applying HSEP used in this study was very effective in increasing physical balance and gait, leg strength and falls efficacy. Finally this study would recommended that a fall prevention program applying HSEP should be extended to community facilities such as elderly welfare center and nursing home.

멘토링 기반 진로효능감증진 프로그램이 간호대학생의 진로발달과 전공만족도에 미치는 장단기 효과

정영미(Jung, Young-Mi),유인영(Yoo, In-Young) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.22

목적 본 연구는 멘토링 기반 진로효능감증진 프로그램이 간호대학생의 진로발달과 전공만족도에 미치는 장단기효과를 파악하는 것이다. 방법 연구참여자는 2개 대학의 간호대학생 61명(실험군 28명, 대조군 33명)으로 구성되었고, 멘토링 기반 진로효능감증진 프로그램으로 소책자 2권과 워크북 1권을 개발하여 활용하였다. 연구자료는 2018년 9월부터 2020년 12월까지 4개 시점에서 진로발달의 하위항목으로 진로정체성, 진로결정, 진로준비행동, 진로효능감과 전공만족도를 수집하였다. 수집된 자료는 Chi-square 검정, Fisher의 정확검정, 반복측정 ANOVA 및 독립 t-검정을 사용하여 분석하였다. 결과 본 프로그램은 중재 직후와 5개월 후에 진로정체성, 진로결정, 진로준비행동, 진로효능감, 전공만족도에서 실험군과 대조군 간에 유의한 차이가 나타났으나(p<.05), 중재 후 24개월에는 유의한 차이가 없었다. 결론 간호대학생을 대상으로 하는 진로효능감 향상 프로그램의 장기적 효과를 강화하고 지속시킬 수 있도록 주기적인 재교육이 필요하다. Objectives This study aims to evaluate the long and short-term effects of a career efficacy enhancement program on nursing students career development and major satisfaction. Methods The participants comprised 61 nursing students (28 in the experimental group and 33 in the control group) from two universities. Two program booklets and a workbook were developed and used in a career efficacy enhancement program that ran in 2018. Data were collected at four timepoints between September 2018 and December 2020, including career identity, career decision, career preparation behavior, career efficacy and satisfaction with major. The data were analyzed by using a Chi-square test, Fisher s exact test, a repeated measures ANOVA and independent t-test. Results The analysis revealed significant differences between the experimental and control groups in career identity, career decision, career preparation behavior, career efficacy and satisfaction with major in the short term(after immediately and 5 months)(p<.05), but not significant differences between the groups in the long term(after 24 months). Conclusions The career efficacy enhancement program improved nursing students career development and major satisfaction in the short term. It can be developed further and a revised program will be conducted, that can strengthen and sustain the long-term effects of the career efficacy enhancement program for senior nursing students.

한국형 보건교육영향평가도구(heiQ_K)의 신뢰도, 타당도 및 민감도

전미영(Mi-Young Chon),유인영(In-Young Yoo) 한국생활환경학회 2018 한국생활환경학회지 Vol.25 No.1

This study was done to evaluate the reliability, validity, and sensitivity to change of health education impact questionnaire Korean version(heiQ_K) in Chronic Disease Self-help Management Program(CDSMP) in community. Participants were 24 community-dwelling people with arthritis. The data were collected using the heiQ_K, SCI and SF-36 at the beginning and end of a 6-weeks CDSMP in community health center. All analysis were performed using SPSS/Win 20.0. The heiQ_K was reliable instrument(Cronbach’s alpha=0.95). Correlation of the heiQ_K scale score with SCI(r=.51) and SF-36(r=.63) scales indicated a good convergent validity. For sensitivity to change of heiQ_K, the SRM and ES values of the heiQ_K were 0.46 and 0.44. Individual changes in the heiQ_K score were significantly correlated with individual changes in SF-36(r=.42). In conclusion, the heiQ_K is a reliable, valid and responsive instrument for the evaluation of health education in CDSMP.