일본의 개호보험 개혁 2005

김춘남,Kim, Chun-Nam 한국사회복지사협회 2005 Social workers Vol.10 No.-

비대면시대의 허약노인을 위한 셀프케어 지원 방안

김춘남(Kim, Chun-Nam),박수현(Park, Su-Hyun) 대한고령친화산업학회 2020 대한고령친화산업학회지 Vol.12 No.2

서론 : 코로나19로 인한 비대면시대가 지속되면서 대면으로 이루어지던 돌봄서비스에 공백이 발생하였으며 이를 고려한 보건복지의 방향 전환이 필요하다. 따라서 허약노인의 잔존 능력을 강화, 유지시키는 셀프케어의 의미를 정립하고, 지원 방안을 모색하고자 한다. 본론 : 셀프케어는 지역사회 내에서 본인 스스로를 관리하는 것으로 국가 정책과 지역사회 차원의 관리 노력이 중요하다. 국제셀프케어재단(International Self-Care Foundation)에서는 실질적 구현에 필요한 7개의 ‘기둥’을 제안하였으며, 영국의 건강재단(The Health Foundation)에서는 이에 대한 지원전략으로 제시하였다. 우리나라에서도 지역사회중심으로 허약노인의 돌봄 상태 진입을 늦추기 위한 사업이 있으나 셀프케어를 활용한 다양한 방안이 마련되어야 한다. 결론 : 포스트 코로나 시대에는 복지서비스를 이용하는 노인과 서비스 제공자 모두가 셀프케어의 중요성을 인식하고 활용할 수 있도록 노력해야 할 것이다. Introduction : As the Untact era continued in 2020 due to Corona19, a gap occurred in the provision of face-to-face care services for the elderly. It is necessary to change the direction of the Health Care services. Therefore, we intend to establish the meaning of self-care that strengthens and maintains the surviving ability of the frail elderly, and seeks a support plan Methods : Self-care is about managing oneself within the community, and national policies and community-level management efforts are important in terms of community healthcare and health promotion. The International Self-care Foundation proposed seven ‘columns’ for practical implementation. In England, ‘The Health Foundation has proposed the a practical guide to self-management support. Therefore, measures to review and support self-care for the vulnerable elderly should be considered in order to reduce dependent care and to utilize self-care as a precautionary measure. Conclusion : It is necessary to make efforts to ensure that both seniors and service providers who use welfare services in the post-Corona era recognize the importance of self-care and furthermore, utilize it.

치매노인의 지역생활 지원방안 연구 : 치매초기집중팀의 역할 중심

김춘남 ( Kim Chun Nam ) 한국장기요양학회 2016 장기요양연구 Vol.4 No.1

일본은 치매노인을 치매환자가 아닌 생활인으로 대하고, 다양한 전문적인 서비스를 제공하고 있다. 그러나, 한국은 치매노인을 환자로만 대하고 전문적인 케어시스템이 매우 부족한 상황이다. 본 연구의 목적은 치매노인의 치매 단계에 맞는 치매대응형 서비스의 이용 시스템의 구축 방안을 모색하는 데 있다. 특히, 일본의 시스템을 참고해서 독거노인생활관리사를 활용해서 치매노인을 위한 예방단계의 서비스를 제공하는 방안을 탐색했다. 본 연구는 질적연구방법론을 채택해서 경기도 지역의 독거노인 집중관리대상자(5명)와 독거노인생활관리사(5명), 치매가족(5명), 지역인(2명)과 4차례의 초점집단인터뷰(FGI)를 실시했다. 연구결과에 따르면, 사례지역의 치매가족의 경우 소통의 문제가 가장 큰 어려움이며 현실의 케어에 대한 단계에 맞는 서비스의 지원을 요구함을 알 수 있었다. 또한 일본의 지역포괄지원센터의 예방서비스인 생활밀착형 지원형태가 독거노인생활 관리사의 역할과 유사함을 확인할 수 있었다. 본 연구에서는 이를 바탕으로 지역특성에 기반을 둔 각 치매 단계에 맞는 치매대응형서비스 체계 구축을 통하여 ‘독거노인 집중관리대상자’를 중심으로 한 심리·인지적 지원 등 치매대응형서비스를 담당 할 치매초기집중팀에 의한 지역생활 지원방안을 제언하였다. In Japan, the elderly with dementia have been treated as not only the patients but living persons, and a number of professional social care services have been developed and provided for them. However, they have been treated as patients only and professional care systems for them have not been very inadequate in Republic of Korea. The study aims to find the measures to establish a system to meet the different needs of older people with dementia according to their situations and needs. In particular, it looks for the measures to provide preventive care services for the elderly with mild dementia by using the workforce of life instructors for the single elderly. In doing so, the Japanese professional care systems for the elderly with dementia are referred. The study adopts the qualitative research methods and conducted the four times of focus group interviews with the single elderly(5), life instructors for the single elderly(5), family carers (5), and local people(2). The study found that there is a need for the development of systems to meet the different needs of older people with dementia according to their situations and needs, and the family carers have enormous difficulties in communicating with the elderly. It also found that the roles of life instructors for the single elderly in Korea are very similar to the functions of local comprehensive care centers in Japan. The study suggests that a new care system for the elderly with demetia should be developed in Korea, which is mainly for the sigle elderly with high needs and provide preventive services for them through the team of early intervention for the dementia.

메타버스 시대에 노년층을 위한 디지털 문해 교육 현황 분석

김춘남(Chun-Nam Kim),박수현(Su-Hyun Park) 한국인지운동치료협회 2021 한국신경인지재활치료학회지 Vol.13 No.2

Digital alienation among the elderly is accelerating in the era of re-emerging metaverse due to prolonged coronavirus disease 2019 (COVID-19). Therefore, this study aimed to identify a support plan for the incoming metaverse era by analyzing the trend and status of education to promote digital literacy among the elderly. Digital-based infectious disease management and the spread of non-face-to-face services related to economic activities is transforming digital literacy from fragmentary information processing and withdrawal to daily literacy of safety, management, and communication. Investigation of domestic online articles from 2019 to July 2021 showed 61 out of 111 articles were about personal computer (PC)-based education informatization (55.0%), whereas 19 were about smartphone education (17.1%). In addition, as of August 2021, by analyzing the trend of digital education-related programs conducted at the senior welfare center of Gyeonggi Province, 170 cases (79.8%) out of 213 education programs related to basic digital information capacity and education using digital information for convenience in daily life showed insignificant result. In the era of metaverse, which has been expanding throughout industries and public services since the COVID-19 pandemic, digital capacity building education focused on practical applications in daily life is necessary. A customized program for the elderly should be prepared to help them to develop the ability to handle digital devices and the knowledge of their appropriate use. In addition, changes in the perception of the elderly should be accompanied in the direction of actively responding to changes in the real world.

양계초의 (梁啓超) 국가사상

김춘남(Choon Nam Kim) 동국대학교 동국역사문화연구소 1987 동국사학 Vol.21 No.-

N/A

경기도 성교육상담사의 노인성교육상담경험: 노인 성인식 및 성교육상담의 방향

정순둘(Chung, Soondool),김춘남(Kim, Chun Nam) 한국노인복지학회 2020 노인복지연구 Vol.75 No.4

우리 사회는 유교 사상으로 인해 성에 대한 논의가 폐쇄적이었고 특히 노인의 성에 대한 논의는 금기시되어 왔다. 노인의 성에 대한 인식을 올바로 정립할 수 있도록 교육하고 성에 대한 고민을 해결할 수 있도록 하는 성교육상담은 매우 중요하다. 본 연구의 목적은 노인 성인식교육과 상담을 담당하고 있는 경기도 노인성교육상담사를 대상으로 그들의 경험을 통해 노인의 성인식과 향후 노인의 성교육 및 상담 프로그램의 방향을 모색하는 것이다. 이를 위해 본 연구에서는 성교육상담사 14명을 대상으로 초점집단인터뷰(FGI)를 실시했다. 연구결과에 따르면, 노인의 성인식은 매우 낮고 전통적 시각에서 벗어나지 못하고 있는 것으로 나타났으며, 성교육상담 프로그램이 성인식 자체를 개선하지는 못했지만 노인의 자존감을 향상시키고, 금기시되었던 성의 건전한 이해를 도모하는 것으로 나타났다. 이를 고려해서 본 연구는 향후 노인의 성인식 개선을 위한 노인성인식교육과 성상담 프로그램의 필요성과 개선방향을 제시하였다. Due to traditional Confucianism, discussions of sexualiaty for older adults have been tabooed in Korea. It is very important to establish an education and counseling system for older adults so that they have proper and healthy perceptions of sexuality and competencies to solve their sexual problems. The purpose of this study is to examine the experience of counselors in sexuality education and counseling for older adults in Gyeonggi-do, Korea, which is designed to raise awareness of sexuality for older adults, to analyze perceptions of sexuality in older adults, and to propose future plans for education and counseling programs for senior citizens. This study adopted qualitative research methodology and conducted FGI(Focus Group Interview) for sexuality education counselors in Gyeonggi-do. A total of 14 counselors were selected for this study. According to the results, gender awareness of older adults was quite low and the participants remains holding traditional perspectives toward sex. While sexuality education and counseling program appeared to raise self-esteem and advance sound understanding of sexuality in older adults, it did not improve gender awareness itself. In consideration of the results, this study suggest future directions in sexuality education and counseling programs for older adults.

경기도 노인상담사업 상담사의 노인상담 경험 연구

정순둘(Chung, Soondool),김춘남(Kim, Chun Nam),맹성준(Maeng, Seong Jun) 한국통합사례관리학회 2021 한국케어매니지먼트연구 Vol.- No.41

The purpose of this study was to develop ways to improve counseling with older adults, specifically focused on the counseling environments for counselors in Gyeonggi-do, Korea. A qualitative research method was adopted to collect the experiences of counselors with older adults. Nine participants were selected with the reputational case selection, and data were collected through focus group interviews. Additionally, the constant comparison method suggested by Krueger and Casey (2009) was used to analyze the collected data. As a result, nine subcategories, 1) an increase of clients due to COVID-19, 2) a non-face-to-face counseling environment, 3) shortage of manpower, 4) poor working conditions for counselors, 5) insufficient support programs for counselors, 6) a job identity confusion, 7) burnout experiences due to the characteristics of older adults, 8) experiences in the client s change, and 9) rewards for counselors working with older adults, were identified. Based on the results, several implications are suggested such as 1) a development of new ways of counseling to respond in a rapidly changing environment, 2) the improvement of the treatment for counselors at work and manpower supplement, 3) the provision of donated materials considering of the characteristics of older clients, and 4) the construction of a supervision system to secure the expertise of counselors. 본 연구의 목적은 경기도 노인상담사업 상담사의 노인상담 경험을 통해 노인상담사업을 어렵게 만드는 환경을 규명하고 개선방향을 제시하는 것이다. 연구의 목적을 달성하기 위해 세평적 사례선택(reputational case selection)을 활용하여 총 9명의 연구참여자들을 선정하였고, 초점집단면접을 통해 자료를 수집했다. 수집된 자료는 Krueger와 Casey(2009)가 제안한 초점집단면접 분석 틀 중 반복적 비교분석법(constant comparison method)으로 분석했다. 분석 결과, 코로나19로 인한 내담자 증가, 비대면 상담 환경, 부족한 인력, 열악한 처우, 상담사 지원 사업 미비, 직무 정체성 혼란, 노년기 특성으로 인한 소진, 내담자의 변화 경험, 상담에서의 보람으로 총 9개의 하위범주가 도출되었다. 연구자들은 상술한 연구결과를 바탕으로 급변하는 환경에 대응하는 새로운 노인상담 전개, 상담사의 처우개선 및 인력충원, 내담자인 노인의 특성을 고려한 후원물품 제공, 상담사의 전문성 확보를 위한 지원정책 개발과 같은 노인상담사업의 발전을 위한 함의를 제시하였다.

복지관 인지지원시범사업에 관한 이용자와 제공자의 관점 탐색적 연구

남일성(Nam, Il-Sung),김춘남(Kim, Chun-Nam),박수현(Park, Su-Hyun),김태환(Kim, Tae-Hwan) 대한고령친화산업학회 2019 대한고령친화산업학회지 Vol.11 No.2

목적 : 본 연구의 목적은 복지관 인지지원시범사업에 대한 치매노인과 제공자의 경험을 조사하여, 인지지원시범사업 지원방안을 모색하는데 있다. 연구방법 : 현실적이고 구체적인 인지지원 방안을 모색하기 위해 치매 당사자의 요구와 신념을 반영하고, 서비스 제공자의 경험을 조사하기 위해 질적 연구 중 하나인 포커스 그룹 인터뷰(Focus Group Interview: 이하 FGI)를 실시하였으며, 주제기법(thematic analysis)을 적용하여 분석하였다. 연구결과 : 참여자들은 프로그램 참여에 있어 심리적 어려움이 있었지만, 프로그램에 대한 만족도가 높았다. 제공자들도 프로그램에 대해 긍정적인 평가를 내렸지만, 프로그램 운영에 있어서 참여자의 인지능력 차이, 전담인력 부족, 프로그램 운영 전문성 등에 있어서 어려움을 겪고 있었다. 또한, 프로그램 참여자들인 치매노인에 대해서 기존 노인복지관 이용자들이 부정적인 반응을 보이기도 했다. 결론 : 프로그램 참여의 방해요인인 사회적 낙인을 제거하고, 기존 복지관 이용자들과의 융합을 위해 지역사회 중심의 치매인식개선 캠페인, 교육이 필요하다. 치매노인과의 접촉을 늘려 기존 이용자들과의 융합을 위해서는 통합 프로그램 개발이 필요하다. 또한, 프로그램 참여자들의 인지능력에 따른 맞춤형 프로그램 개발이 필요한 것으로 보인다. Objective : This study is to explore the perspectives and feedbacks on the participants and providers of the community based pilot project for cognitive function improvement. Methods : Focus Group Interviews and thematic analysis were performed in order to examine the experiences of the service participants and providers to build more detailed and elaborately designed service model. Results : There were participants’ high satisfaction for the program, despite the participation with initial reluctance. Service providers made positive evaluation in the effects of the service. However, there were needs of service improvements in individualized service provision, professionalism, and staffs. Also, there were strong stigma to dementia among older adults without cognitivedecline. Conclusion : It is necessary that social stigma to dementia should be removed and there should be community campaign to raise awareness and challenge the stigma of dementia. There should social integration between older adults with cognitive decline and with decline and the developments of individualized programs for them.

마르크시즘의 中國傳來 : 中共創黨以前의 流入 및 傳播過程을 中心으로

金春男 龍仁大學校 1992 용인대학교 논문집 Vol.8 No.-

This is a study of the developmental stages of Marxism in China during the period of about 20 years before the Chinese Communist Party(C.C.P) was organized in the country. Since Marxism had first been introduced Into China in 1899, the movement was progressed through three distinctive historical periods; a period of influx(1899∼1917), a period of enlightnment(1917∼1919), a period of spreading(1919∼1921), and this paper attempted to scrutinize the characteristics and nature that had appeared in each developmental stage. It is one of the major findings that the representing figures who played an absdute role in the spreading of Marxism in each period would be Liang Ch'i-Ch'ao for a man who made a great contribution to the introduction of Marxism into China in a period of influx, Li da-zhao for the representative of a period of enlightenment, and Li da-zhao and Ch'en tu-Hsiu played an active role on prosperity of Marxism in a period of spreading.In the last analysis, their distinguished work had become the foundation of organizing the Chinese Communist Party.

梁啓超와 마르크시즘

김춘남 龍仁大學校 1998 용인대학교 논문집 Vol.15 No.-

Liang Ch'i-ch'iao was never a Marxist. However, he showed deep and abiding interests in Marxism throughout his life. Since the Marxism was introduced to China through the mass media in 1898, Liang often wrote about Marx and openly discussed Marxism more than any other authors in China. Moreover, as his European journey in 1918 heightened his fascination with Marxism, since then he began to compare the Marxism with Moism in ancent China and to write eagerly about Lenin's Bolshevik regime. But his flirtation with Marxism proved to be transitory. Liang's lasting view on Marxism was that it is no good for dchina -- that is, the ideology was simply not suitable to the Chinese realities. As a result, Liang Ch'i-ch'iao engaged in acrimonious debates with those communists supported by the Comintern. Armed with the traditional Confucianism, Liang became very critical about the dialectical materialism. exulting in Confucianism as humane, whose philosophy would develop the best in human being. He dismissed Marxism as crude philosophy for treating man as a mere machine. Futhermore, Liang accused the Soviet Russia as an epitome of the imperialism, and that the Russians were destined to despotic rule and they were customarily imperialistic, towards neighboring countries. Liang concluded that Marxism was not for China and that its revolutionary ideology was simply not compatible to the unique situation in China.