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The Longitudinal Effects of Integrated Preparation for Later life on Life Satisfaction of Baby Boomers 综合晚年准备对婴儿潮一代生活满意度的纵向影响
Pub Date : 2023-03-30 DOI: 10.22589/kaocm.2023.46.121
Jaenam You, Sanghee Park
The purpose of this study was to longitudinally analyze how the baby boomer generation's integrated preparation for old age affects the change trajectory of life satisfaction. Data were collected from the 4th to 7th years of the National Old Age Security Panel Data and analyzed with the potential growth model analysis method. The research results were as follows. First, the life satisfaction of the baby boom generation, examined through the unconditional model, showed a non-linear trajectory of change, maintaining a slightly increasing pattern over time and then slightly decreasing. Second, the effects of economic preparation for old age, emotional and social preparation for old age, and physical preparation for old age, which were examined through the conditional model, on the change trajectory of life satisfaction showed different results. The baby boomer generation's economic preparation for old age did not affect changes in life satisfaction. On the other hand, the baby boom generation who prepares for old age emotionally and socially had high life satisfaction in their early years, and the high life satisfaction showed a trajectory of change that was maintained over time. The baby boom generation, who is physically preparing for old age, showed a trajectory of change in which life satisfaction increased rapidly as time passed, although life satisfaction at the beginning was insignificant. Based on the results, a proposal was made to promote volunteer activities and lifelong education, expand social networks, and policies and services related to health promotion and disease prevention.
本研究旨在纵向分析婴儿潮一代的养老综合准备如何影响生活满意度的变化轨迹。收集全国老年保障面板数据4 ~ 7年的数据,采用潜在增长模型分析法进行分析。研究结果如下:首先,通过无条件模型检验,婴儿潮一代的生活满意度呈现出一种非线性的变化轨迹,随着时间的推移保持一种略微增加的模式,然后略有下降。其次,通过条件模型考察经济养老准备、情感养老准备、社会养老准备和身体养老准备对生活满意度变化轨迹的影响呈现出不同的结果。婴儿潮一代为老年做的经济准备并未影响生活满意度的变化。另一方面,婴儿潮一代在情感上和社会上为老年做准备,他们在早期的生活满意度很高,而且这种高生活满意度呈现出一种随时间保持的变化轨迹。在身体上为老年做准备的婴儿潮一代,虽然开始时的生活满意度不高,但随着时间的推移,生活满意度迅速提高。在此基础上,提出了促进志愿活动和终身教育、扩大社会网络、促进健康和预防疾病相关政策和服务的建议。
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引用次数: 0
Effectiveness of Loss Healing Program Among Widowed Elderly Women 丧偶老年妇女丧失治疗方案的效果
Pub Date : 2022-12-31 DOI: 10.22589/kaocm.2022.45.125
Ji Won Lee, Jipeng Lyu, Seung hee Lee
The purpose of this study was to expand the scope of application in the field as a therapeutic intervention by verifying the effectiveness of composition and application of a loss healing program based on Neimeyer's theory of meaning reconstruction to help the mourning process of the elderly who experienced the loss of a spouse. In order to investigate the effect of the program, a pre-post-post design of an inequality control group was used with 16 people in the experimental group and 16 people in the control group. This program was provided to the experimental group. Bereavement stress, depression, resilience, and quality of life were used as measurement tools to conduct a follow-up survey before, after, and four weeks after the end of the program. As a result of repeated measures analysis of variance to verify the interaction effect by period, bereavement stress (F=17.020, p<.001), depression (F=8.706, p<.01), resilience (F=17.209, p<.001), and quality of life (F=26.279, p<.001) were all significant. It was found that this had a positive effect on the widowed female elderly. The significance of this study is as follows. The loss healing program will help widowed female elderly reflect on the meaning of death, reinterpret the meaning of loss, reduce negative emotions, and re-adapt to daily life by having enough time for mourning. In addition, it can be used to improve the quality of life in old age by strengthening spiritual maturity, self-esteem, and feeling of happiness. In the future, it will be possible to contribute to resetting lives of bereaved victims by providing a loss-healing program and manualizing it through cooperation with local community organizations.
本研究的目的是通过验证基于Neimeyer的意义重建理论的失落疗愈程序的组成和应用,以帮助经历丧偶的老年人的哀悼过程,从而扩大该领域作为治疗干预的应用范围。为了研究该方案的效果,采用了不平等控制组的前后设计,实验组16人,对照组16人。本程序提供给实验组。丧亲压力、抑郁、恢复力和生活质量被用作测量工具,在项目结束之前、之后和四周后进行跟踪调查。通过重复测量方差分析验证各时期的交互作用,丧亲压力(F=17.020, p< 0.001)、抑郁(F=8.706, p< 0.01)、心理恢复(F=17.209, p< 0.001)和生活质量(F=26.279, p< 0.001)均显著。研究发现,这对丧偶的老年女性有积极的影响。本研究的意义在于:丧偶女性老人通过“丧偶康复”,重新思考死亡的意义,重新诠释失去的意义,减少负面情绪,并通过充分的哀悼时间重新适应日常生活。此外,它还可以通过加强精神成熟、自尊和幸福感来提高老年生活质量。今后,通过与当地社区组织合作,提供一项弥补损失的方案,并将其手工化,将有可能帮助失去亲人的受害者重新开始生活。
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引用次数: 1
A phenomenological study on case managers’ experience of customized case management in dementia safety centers 失智症安全中心个案管理者个案定制管理经验之现象学研究
Pub Date : 2022-12-31 DOI: 10.22589/kaocm.2022.45.41
Eun Ok Kim
This study aims to find the direction of case management practice for dementia clients and their families by analysing case management experiences of case managers in dementia safety centers. Eleven case managers (nurses and social workers) from six dementia safety centers who had performed customized case management for more than one year and agreed to participate in this study were selected as study subjects. The researcher guided subjects to describe their experiences through face-to-face and online in-depth interviews. The Colazzi method was used for qualitative analysis of interview data as this method focused on deriving common attributes of all study participants rather than individual ones. Results revealed that the structure of experiences of study participants could be categorized into four groups by identifying 17 topic collections among 44 constructed meanings. These four categorized groups were: organizational environment, stress, coping, and growth. As a result of this study, it was confirmed that organizational reorganization, such as resetting the evaluation system and standard work manual, was necessary in order to promote positive changes of the customized case management performance in a dementia safety center. This study also suggests that a public case management referring system and a cooperation model for dementia should be developed. In addition, follow-up studies are needed to establish a supervision system that can continuously monitor and improve work guidance, psychological and educational support for the case management practice process in dementia safety centers.
本研究旨在透过分析失智安全中心个案管理者的个案管理经验,寻找失智病患及其家属个案管理实务的方向。选取6家痴呆安全中心11名实施定制化病例管理一年以上并同意参与本研究的病例管理人员(护士和社工)作为研究对象。研究者通过面对面和在线深度访谈引导被试描述他们的经历。访谈数据的定性分析采用Colazzi方法,因为该方法侧重于得出所有研究参与者的共同属性,而不是个人属性。结果表明,研究参与者的经验结构可以通过识别44个构建意义中的17个主题集合来划分为四组。这四个类别分别是:组织环境、压力、应对和成长。本研究的结果证实,为了促进失智安全中心定制个案管理绩效的积极变化,组织重组是必要的,例如重新设置评估体系和标准工作手册。本研究还建议建立公共病例管理转诊系统和痴呆合作模式。此外,还需要进行后续研究,建立监督体系,持续监测和完善痴呆安全中心案例管理实践过程中的工作指导、心理和教育支持。
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引用次数: 1
Exploratory Study on Care Support Policy in Seoul and Role of Local Government in the Pandemic Era Using Delphi Method 基于德尔菲法的大流行时期首尔市护理支持政策与地方政府角色的探索性研究
Pub Date : 2022-12-31 DOI: 10.22589/kaocm.2022.45.97
Song-hee Lee, Bogcheon Choi, S. Hong
The aim of this study was to seek policy tasks and future improvement measures to support care services, focusing on children with disabilities in Seoul during the pandemic era. As a research method, cases of domestic and foreign care support for children with disabilities in the pandemic era and previous studies were considered. Three Delphi surveys with 20 expert panels were also conducted to analyze the demand for care service policies for children with disabilities in Seoul, the impact on service recipients and providers, and the importance and urgency of the final detailed implementation tasks. As a result of the study, it was found that responding to social death was the most urgent issue for families raising children with disabilities in the pandemic era. Based on this result, this study has the following implications. First, it is necessary to expand the support services target, such as resolving blind spots among care systems for children with disabilities. Second, it is necessary to diversify the types and contents of care services. Third, in the case of care services for children with disabilities, service participation must be through a group activity program. Additionally, support for families responsible for the growth and development of children with disabilities should be provided comprehensively.
本研究的目的是寻求政策任务和未来改进措施,以支持大流行时期首尔残疾儿童的护理服务。作为一种研究方法,考虑了大流行时期国内外残疾儿童照料支持的案例和以往的研究。通过20个专家小组的三次德尔菲调查,分析了首尔残疾儿童护理服务政策的需求,对服务接受者和提供者的影响,以及最终详细实施任务的重要性和紧迫性。研究结果发现,应对社会死亡是大流行时期抚养残疾儿童的家庭最紧迫的问题。基于这一结果,本研究有以下启示。首先,有必要扩大支助服务目标,例如解决残疾儿童照料系统中的盲点。二是要丰富护理服务的种类和内容。第三,在残疾儿童护理服务的情况下,服务参与必须通过团体活动方案。此外,应为负责残疾儿童成长和发展的家庭提供全面的支助。
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引用次数: 0
Effect of Elderly Care Policy Transition: Focusing on the Impact of Customized Care Services for the Elderly on Life Satisfaction 养老政策转型的效应:以老年人定制化养老服务对生活满意度的影响为研究对象
Pub Date : 2022-12-31 DOI: 10.22589/kaocm.2022.45.5
Hyea-jin Cho, Jun-Young Lee
The aim of this study was to determine whether customized elderly care services implemented in 2020 to support lives of the elderly with mild dementia had intended effects on service users. A survey of elderly people who had used customized elderly care services for at least 18 months was carried out in 25 districts of Seoul, the capital city of Republic of Korea. Using structural modeling, this study confirmed the impact of support-type and participation-type customized care services for the elderly on life satisfaction, which included activities of daily living, social network, and self-care as dual mediation variables. Results revealed that the support-type service had an impact on life satisfaction via the mediation of activities of daily living and social network as well as via the dual mediation of self-care. The elderly’s activities of daily living and social network had a positive impact on self-care, with self-care having a positive impact on life satisfaction. The most important variable influencing life satisfaction was discovered to be social network, followed by support-type service, activities of daily living, and self-care. The social network variable in particular was found to have the greatest influence on self-care. However, the use of participation-type services had no direct or indirect impact. It had no significant mediation impacts on activities of daily living, social network, self-care, or life satisfaction either. These findings might be attributed to limited contact activities due to the COVID-19 pandemic, sub-level program characteristics, and implementation errors. Based on these findings, practical policy recommendations are made to ensure that customized elderly care services can be established as an effective elderly care community service as originally intended.
本研究的目的是确定2020年实施的定制老年护理服务是否对服务使用者产生预期影响,以支持轻度痴呆症老年人的生活。在韩国首都首尔的25个地区,对使用定制养老服务至少18个月的老年人进行了调查。本研究采用结构模型,以日常生活活动、社会网络和自我照顾为双中介变量,证实了支持型和参与型老年人定制护理服务对生活满意度的影响。结果表明,支持型服务通过日常生活活动和社会网络的中介作用以及自我照顾的双重中介作用对生活满意度产生影响。老年人的日常生活活动和社会网络对自我照顾有正向影响,而自我照顾对生活满意度有正向影响。影响生活满意度最重要的变量是社会网络,其次是支持型服务、日常生活活动和自我照顾。研究发现,社会网络变量对自我照顾的影响最大。然而,使用参与型服务没有直接或间接的影响。对日常生活活动、社会网络、自我照顾和生活满意度均无显著的中介作用。这些发现可能归因于COVID-19大流行导致的有限接触活动、次级规划特征和实施错误。在此基础上,提出了切合实际的政策建议,以确保定制养老服务能够按照最初的设想,成为一种有效的养老社区服务。
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引用次数: 0
Effects of Supervision on Client Violence-Coping Competency :Sequential Mediating Effects of the Perception of Working Environment Safety and Self-Efficacy 监督对客户暴力应对能力的影响:工作环境安全知觉和自我效能感的序贯中介作用
Pub Date : 2022-12-31 DOI: 10.22589/kaocm.2022.45.71
Heejin Jeon, Hansol Cha, Ju-ill Kim
The purpose of this study was to verify the impact of perceptions of working environment safety and self-efficacy as sequential mediators in the relationship between supervision and client violence-coping competency. The participants were 249 social workers working for the General Social Welfare Center, Senior Welfare Center, and Welfare Center for the Disabled in Seoul City. Sequential mediating effect analysis was carried out using SPSS PROCESS MACRO Model 6 (Hayes, 2013). The results of the analyses are as follows. First, the perception of working environment safety had an insignificant mediation effect on the relationship between supervision and client violence-coping competency. Second, self-efficacy had an insignificant mediation effect on the relationship between supervision and client violence-coping competency. Third, the perception of working environment safety and self-efficacy showed sequential mediating effects in the relationship between supervision and client violence-coping competency. Based on these results, a number of practical and institutional implications, as well as suggestions for future research, are discussed.
本研究的目的是验证工作环境安全知觉和自我效能感在监督与客户暴力应对能力的关系中作为序贯中介的影响。参加此次调查的是首尔市综合社会福利院、老人福利院、残疾人福利院的249名社工。序贯中介效应分析采用SPSS PROCESS MACRO Model 6 (Hayes, 2013)。分析结果如下:第一,工作环境安全知觉对监督与客户暴力应对能力之间的中介作用不显著。第二,自我效能感对监督与来访者暴力应对能力之间的中介作用不显著。第三,工作环境安全知觉和自我效能感在监督与客户暴力应对能力的关系中呈序贯中介作用。基于这些结果,讨论了一些实际和制度意义,以及对未来研究的建议。
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引用次数: 0
A Study on the Welfare Blind Spot Management System and Local Government Support 福利盲区管理体制与地方政府支持研究
Pub Date : 2022-12-31 DOI: 10.22589/kaocm.2022.45.157
Jung-eun Choi, Y. Kim
In the wake of the ‘Songpa Three Mothers and Daughters’ incident in 2014, Korea has established a support system to preemptively search for those in the welfare blind spot. The central government operated a predictive model of the welfare blind spot excavation and management system to identify potential risk targets, and local governments built systems to support such targets. However, different support measures have been implemented at different local units. There has been no discussion on what kind of response is appropriate at the national level, and this study aims to fill this gap as follows: First, focus group interviews (FGIs) with experts on welfare blind spots by region were held twice in April and May 2022 to select criteria for evaluating support by region. Based on these results, we divided cities into large cities, small towns, and rural areas; selected six regions; and interviewed a total of 30 civil servants in charge of welfare blind spots from July to August 2022. This process confirmed that the support for welfare blind spots at the regional level differed depending on the size of each region, the presence or absence of public welfare projects of local governments, and the linkage with private resources. Based on these results, we would like to propose an effective regional support plan to resolve welfare blind spots.
2014年发生“松坡三母女”事件后,韩国建立了优先寻找福利盲区的支援体系。中央政府运行福利盲点挖掘和管理系统预测模型,识别潜在风险目标,地方政府建立支持这些目标的制度。然而,不同的地方单位实施了不同的支持措施。在国家层面上,什么样的回应是合适的,目前还没有讨论,本研究旨在填补这一空白:首先,在2022年4月和5月两次与地区福利盲点专家进行焦点小组访谈(FGIs),以选择评估地区支持的标准。基于这些结果,我们将城市分为大城市、小城镇和农村地区;选定6个地区;并于2022年7月至8月对30名负责福利盲点的公务员进行了采访。这一过程证实,地区层面对福利盲点的支持程度,取决于地区规模、地方政府公益项目有无、与民间资源的联动程度。基于这些结果,我们想提出一个有效的区域支持计划来解决福利盲点。
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引用次数: 0
The Degree of the Demand for Caring at the End of Life in the Home Life of the Elderly Residing in the Community and the Attitude Regarding the Prior Life-prolonging Medical Treatment Decision 社区长者居家生活临终照护需求程度及对先前延长生命医疗决定的态度
Pub Date : 2022-09-30 DOI: 10.22589/kaocm.2022.44.31
S. Kim, So-young Kim, M. Jo
The purpose of this study was to provide a basic practices reference for establishing a home life end of life caring system based on the community in the super-aging era, by confirming the degree of the demand for the caring at the end of the life of the elderly residing in the community as well as the attitude regarding the prior life-prolonging medical treatment decision. Regarding the collection of the data, a questionnaire survey investigation was conducted with a research assistant of 1,310 elderly age 65. Regarding the data collected, by using the SPSS 26.0 program, it was analyzed with descriptive statistics, independent t-test, the one-way ANOVA, and the Pearson correlation coefficient. Regarding the degree of the demand for the caring at the end of life in the home life of the elderly, the mean score for degree of demand was 4.09 that was higher than the middle. Additionally, the support demand for the safety promotion was the highest. The mean score regarding the attitude, in relation to the prior life-prolonging medical treatment decision was 2.98. Also, the two variables showed a positive correlation. Based on the results, regarding the system for the caring at the end of life for the elderly who had been living at home in the future, a caring system that reflects the physical, psychological, social, and spiritual demand in an integral way is needed. Additionally, the education as well as counseling regarding the prior life-prolonging medical treatment decision for guaranteeing the autonomy of the elderly, must be included indispensably.
本研究旨在通过了解社区长者对临终关怀的需求程度,以及对先前延年医疗决策的态度,为在超老龄化时代建立基于社区的居家临终关怀体系提供基本的实践参考。在数据收集方面,采用问卷调查的方式,由研究助理对1310名65岁以上老年人进行调查。对收集到的数据,采用SPSS 26.0程序进行描述性统计、独立t检验、单因素方差分析和Pearson相关系数分析。在老年人居家生活中对临终关怀的需求程度方面,需求程度的平均得分为4.09,高于中位数。此外,对安全推广的支持需求最高。态度与既往延长生命治疗决定的平均得分为2.98分。同时,两个变量呈正相关。基于研究结果,对于未来居家老人的临终关怀体系,需要一个综合反映身体、心理、社会和精神需求的关怀体系。此外,为保障老年人的自主权,必须提供有关先前延长生命的医疗决定的教育和咨询。
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引用次数: 0
The Impacts of Favorableness of Job Conditions on Organizational Silence of Care Workers : Focusing on the Multiple Mediating Effects of Communication Types 工作条件有利性对护理工作者组织沉默的影响:基于沟通类型的多重中介效应
Pub Date : 2022-09-30 DOI: 10.22589/kaocm.2022.44.57
Sun-Young Lee, Seok Cheol Ha
The purpose of this study was to explore the relationships between favorableness of job conditions and organizational silence, and to examine the mediating effects of communication types on the relationships. For this study, a sample of 222 care workers working in Daegu was collected and analyzed. Frequency analyses, basic statistical analyses, and correlation analyses were used by the SPSS version 25.0, and parallel multiple mediation model was analyzed by the PROCESS Macro version 3.5. Also, bootstrapping was used for significance tests. Results showed that favorableness of job conditions didn't have a direct impact on organizational silence. In multiple mediation analyses, open communication between upper and lower parties involved as well as cooperative communication between workers had full mediating impacts on the relationships between favorableness of job conditions and organizational silence. However, the communication for quality of information didn't have mediating impacts. Based on these findings, this study discusses policy and practical implications to promote favorableness of job conditions and to decrease organizational silence.
本研究的目的是探讨工作条件有利性与组织沉默之间的关系,并检验沟通类型对这种关系的中介作用。本研究以222名在大邱工作的护理人员为样本进行分析。采用SPSS 25.0版进行频率分析、基础统计分析和相关分析,采用PROCESS Macro 3.5版进行并行多重中介模型分析。此外,bootstrapping被用于显著性检验。结果表明,良好的工作条件对组织沉默没有直接影响。在多重中介分析中,上下级当事人之间的开放式沟通和员工之间的合作性沟通对工作条件有利性与组织沉默的关系具有充分的中介作用。然而,沟通对信息质量没有中介作用。在此基础上,本研究探讨了促进有利工作条件和减少组织沉默的政策和实践意义。
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引用次数: 0
A Qualitative Study on the Experience of Elder Abuse Prevention Education of Mandatory Reporters 强制性记者预防虐待老人教育经验的定性研究
Pub Date : 2022-09-30 DOI: 10.22589/kaocm.2022.44.83
K. Ju, Dongsim Kim
The purpose of this study was to identify paths towards developing elder abuse prevention, through an in-depth exploration of the experiences of persons engaged in statutory compulsory education. Seven working-level workers, including elderly welfare facilities, long-term care institutions, and multicultural health family support centers, were recruited considering areas with a high reporting rate as well as a low participation rate in prevention education among 17 job groups obligated to report. Data were collected through unstructured in-depth interviews and analyzed, using constant comparative methods as the qualitative data analysis methods. As a result, five topics and 24 subtopics were derived, as the basis for meaningful statements. The five topics were ① the perception of elder abuse prevention education, ② effectiveness of elder abuse prevention education, ③ an education method with clear advantages and disadvantages, ④ obstacles to activating prevention education, and ⑤ paths towards improving effectiveness. Based on the results derived, an activation plan to increase the effectiveness of elder abuse prevention education is suggested.
本研究的目的是通过深入探讨接受法定义务教育的人的经历,找出预防虐待老人的途径。考虑到申报率高的地区和预防教育参与率低的地区,在有义务申报的17个职业群体中,招募了老人福利设施、长期护理机构、多元文化健康家庭支援中心等7名工作人员。通过非结构化深度访谈收集数据并进行分析,采用恒常比较法作为定性数据分析方法。结果,得出了5个主题和24个小主题,作为有意义陈述的基础。五个主题分别是:①对预防虐待老年人教育的认识;②预防虐待老年人教育的有效性;③优势与劣势明确的教育方法;④预防教育激活的障碍;在此基础上,提出了一项激活计划,以提高预防虐待老年人教育的有效性。
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引用次数: 0
期刊
Korea Academy of Care Management
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