재가노인의 복지서비스에 대한 만족도 조사 연구 : 전라남도 N시를 중심으로

다국어 초록 (Multilingual Abstract)

The purpose of this study is to examine general trends including the practices of using service and diseases and medical conditions of the elderly at home by socio-demographical properties and to consider correlation between the level of needs and satisfaction with service usage and living.
Based on the results of the study, the following conclusions can be drawn on satisfaction of the elderly at home with public health welfare service.
Although elders at home thought that there were serious aging problems, they made few efforts to solve the problems for themselves and most of them accepted the given life as it is rather than making efforts to lead a high-quality life through solution to the problems, consequently giving up their remaining life. While elders at home had the most urgent and important demand for economic life, most of them maintained a minimum-level economic life through government allowance and pocket money taken from their children but the takings were mostly spent on foods, health care, transportation, and public imposts, thus needing service to reduce expenses.
According to the results from the research, most elders treated their diseases through medication or injection in a formal medical center and were satisfied with the treatment within the extent of efficacy. So they tended to rely more on medication or injection than on rehabilitation and used a medical center as a part of daily living rather than for treatment.
Finally, in terms of home-bound elders' living satisfaction and needs, both elders provided with service and those provided with no service had negative, rather than positive, recognition of past, present, and future life. Elders provided with no service had more needs than those provided with service; the latter showed higher intention to use a geriatric hospital or a nursing center. This indicates that public health welfare service may make contributions to better information acquisition and understanding. In conclusion, by establishing systematic association with positive public health welfare service for the elderly and by providing an appropriate program, it is possible to stabilize future society and change their negative living.
On the basis of the conclusions, a few suggestions can be made.
First, considering the increase in old population and that in medical expenses for the elderly, it is necessary to operate the elderly care security insurance system, which is a security system only for the elderly, through policy-based stability and systematic plans in order to relieve national and personal burdens for medical expenses.
Second, since most elders have chronic geriatric diseases caused by physical and mental aging, it is necessary to increase projects for improving elders' health. By establishing treatment measures from the results of free medical inspection for the elderly, it is necessary to make positive preventive measures including health education and counseling and to provide an institutional foundation for establishing infrastructure that can secure facilities to provide medical treatment and rehabilitation service for elders.
Third, in order to resolve service overlapping and poor institutional devices, it is necessary to increase the number of elders at home as beneficiaries of services associated with public health welfare; in order to improve the standards for selecting such elders at home and provide systematic services, it is necessary to activate case management through association for public health welfare service.
Fourth, considering the fact that most elders at home have difficulty in living due to chronic diseases, it is necessary to activate the home nurse system and the health center's door-to-door nursing project, both of which provide elders with psychological stability, are economical, and provide elders and their family with a help through technical knowledge and skills. For sickly elders who have a poor personal support system, what is most of all necessary is to secure facilities to provide services such as weekly care and short-term care.
Fifth, for low-income, disabled, and living-alone elders, and their family who are tired from supporting them, it is necessary to increase a home service staff dispatch project to provide care, housework supporting, and friendship services more in agricultural areas, to reinforce education to specialize the home service staff, and to increase government support for the paid service staff in consideration of properties of agricultural regions.
In sum, this study examined the use of the home service staff dispatch project service among the health center's door-to-door nursing project and welfare projects for elders at home, which form the foundation of public health welfare service for elders at home, and presented an activation scheme. It is expected that this study will help elders at home be provided with better-quality public health welfare service to lead a healthy life and make contributions to the development of association with public health welfare service for such elders. While expertise of workers who provide service for the development of social welfare is important, it is expected that social welfare service will be performed along with information and knowledge so that they will become clients who can specially select necessary service.

목차 (Table of Contents)

• 제1장 서론 = 1
• 제1절 연구의 목적 = 1
• 제2절 연구범위 및 방법 = 3
• 제2장 노인복지서비스 = 5
• 제1절 고령화사회와 노인 문제 = 5
• 제2절 노인복지서비스의 개념과 원칙 = 8
• 제3절 노인복지서비스의 주요내용 = 9
• 1. 개요 = 9
• 2. 재가노인복지서비스 = 10
• 3. 방문간호서비스 = 15
• 4. 보건복지서비스 = 20
• 5. 재가노인의 생활만족도 및 서비스지지망 = 22
• 제4절 선행연구 = 24
• 제3장 연구설계 = 27
• 제1절 연구모형 = 27
• 제2절 변수의 조작적 정의 및 측정 = 28
• 제3절 자료수집 및 분석방법 = 29
• 1. 자료수집 = 29
• 2. 분석방법 = 29
• 제4장 분석결과 = 31
• 제1절 일반적 경향 = 31
• 1. 조사대상자 = 31
• 2. 일상생활수행능력 = 33
• 3. 건강문제 및 증상 = 35
• 4. 질환 = 36
• 5. 치료경험 및 종류 = 37
• 6. 보건의료기관 이용 = 38
• 7. 서비스이용 = 39
• 제2절 만족도 및 욕구도 = 40
• 1. 서비스 이용 만족도 = 40
• 2. 삶의 만족도 = 41
• 3. 서비스 욕구도 = 44
• 제6장 결론 및 제언 = 47
• 제1절 결론 = 47
• 제2절 제언 = 49
• 참고문헌 = 51
• 부록 = 55