서울특별시 지역사회 거주 노인의 통합돌봄 요구
Needs for Integrated Care for Older Adults in Seoul
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참고문헌
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초록
본 연구는 65세 이상 노인의 돌봄요구군을 분류하고, 군간 특성을 확인하기 위하여 수행되었다. 한국보건사회연구원이 진행한 ‘2017년도 노인실태조사’의 자료를 이용한 이차자료 분석연구로, 분석대상은 2017년 노인실태조사 참여자 중 서울시 노인 999명, 가중치 부여 1,295,491명이다. 돌봄요구군의 분류를 위하여, 의료요구, 일상생활수행 지원요구, 사회적 활동 지원요구의 특성을 파악하였다. 지원요구가 하나도 없는 일반군이 50.4%, 의료요구군이 17.9%, 일상생활수행 지원요구 또는 사회적 활동 지원요구가 있는 복지요구군이 14.2%, 의료요구와 복지요구가 모두 있는 복합요구군이 17.5%이었다. 성별, 흡연, 치매검진, 지난 1년간 외래이용, 일상생활수행 도움 여부, 비동거 자녀 또는 손녀 여부를 제외한 일반적 특성, 장기요양등급 및 장애등급 현황, 경제적 부담 및 일상생활 도움 정도, 건강행태와 건강상태, 삶의 만족도에서 돌봄요구군간 유의미한 차이를 보였다(p<.001). 복합요구군에게 의료와 복지의 통합돌봄 서비스를 우선 제공해야 한다. 특히 복합요구군은 의료, 복지, 운동, 영양, 정신건강, 간호의 요구를 모두 가지고 있는 대상자로 다학제적 팀 접근이 필요하다.
Abstract
The purpose of this study was to classify the care needs of the older adults aged 65 and over and to identify characteristics of care need groups. This was a secondary analysis study using data from 2017 National Survey of Older Persons in Seoul. There were 50.4% in the general group without any support needs, 17.9% in the medical needs group, 14.2% in the welfare needs group with support needs of daily living or social activity, and 17.5% in the complex needs group with both medical and welfare needs. Significant differences were shown in most variables of the general characteristics, grading of long-term care or disability, financial burden and caregiving, health behaviors, health status, and life satisfactions among groups (p<.001). The complex care need group should be provided with integrated care service for medical and welfare through multidisciplinary team approach.
참고문헌 (27)
- Ministry of Health and Welfare, "Initiation of social service focused on home and community(press release)" (2018), Ministry of Health and Welfare
- Ministry of Health and Welfare, "Community integrated care, first step in eight municipalities(press release)" (2019), Ministry of Health and Welfare
- Seoul North Municipal Hospital, "The 3rd 301 network and public health symposium:the present and future of the network project" (2016), Seoul North Municipal Hospital
- Seoul Metropolitan Government, "Guide of visiting health care service in Seoul metropolitan government" (2018), Seoul Metropolitan Government
- Seoul Metropolitan Government, "Manual of 2019 Visiting community service center" (2019), Seoul Metropolitan Government
- H. Kim, "Study on development of Seoul community care model" (2019), Seoul Metropolitan Government
- S. M. Golant, "Conceptualizing time and behavior in environmental gerontology : a pair of old issues deserving new thought", The Gerontologist, 43(5), pp.638~648 (2003)
- J. L. Janine, "The meaning of"aging in place"to older people", The Gerontologist, 52(3), pp.357~366 (2011)[DOI]
- C. B. Fausset, "Understanding aging in place for older adults: a needs analysis", Proceedings of Human Factors of Ergonomics Society Annual Meeting, 53(8), pp.521~525 (2009)
- Y. H. Jang, "Analysis of multimorbidity in the older adults : focusing on outpatient utilization", Health Welfare Issue & Focus, 196(7), pp.1~8 (2013)
- M. E. Tinetti, "Potential pitfalls of disease-specific guidelines for patients with multiple conditions", The New England Journal of Medicine, 351(27), pp.2870~2874 (2004)
- 박혜영, "우리나라의 다제약제 현황과 적정관리 방안에 대한 고찰", 한국임상약학회지, 28(1), pp.1~9 (2018), 한국임상약학회[DOI]
- Standardization of diagnostic tools for dementia. Research Report, "G. W. Kim", Bundang Seoul National University Hospital, ~, pp.Report No.: 11-1351000-000 (2009)
- B. S. Kee, "A preliminary study for the standardization of geriatric depression scale short form-Korea version", Journal of Korean Neuropsychiatric Association, 35(2), pp.298~307 (1996)
- M. A. Boyle, "Community nutrition in action : an entrepreneurial approach" (2003), Wadsworth
- 정영미, "동거유형에 따른 노인의 인지기능, 영양상태, 우울의 비교", Journal of Korean Academy of Nursing, 34(3), pp.495~503 (2004), 한국간호과학회
- C. W. Won, "The development of Korean activities of daily living(K-ADL)and Korean instrumental activities of daily living(K-ADL)Scale", Journal of the Korean Geriatrics Society, 6(4), pp.107~120 (2002)
- 전보영, "요양병원 장기입원 현황과 관련 노인 및 기관 특성 비교 연구", 보건행정학회지, 26(1), pp.39~50 (2016), 한국보건행정학회
- 전용호, "노인 돌봄의 연속성 측면에서 바라본 의료･보건･복지 서비스의 이용과 연계", 보건사회연구, 38(4), pp.10~39 (2018), 한국보건사회연구원[DOI]
- L. Sempre, ". Multidisciplinary interventions for reduction the avoidable displacement from home of frail older people : a systematic review", BMC Open, 9, pp.e020687~ (2019)[DOI]
- H. Holder, "Malnutrition in the elderly : a public health concern", British Journal of Nursing, 29(2), pp.118~119 (2020)[DOI]
- A. Reed Mangels, "Malnutrition in Older Adults : An evidence-based review of risk factors, assessment, and intervention", AJN American Journal of Nursing, 118(3), pp.34~43 (2018)[DOI]
- E. Courtin, "Social isolation, loneliness and health in old age : a scoping review", Health & Social Care in the Community, 25(3), pp.799~812 (2017)[DOI]
- A. R. Teo, ". Social relationships and depression : ten-year follow-up from a nationally representative study", PLoS One, 8(4), pp.e62396~ (2013)[DOI]
- I. E. M. Evans, "Social isolation, cognitive reserve, and cognition in healthy older people", PLoS One, 13(8), pp.e0201008~ (2018)[DOI]
- L. C. Kobayashi, "Social isolation, loneliness, and health behaviors at older ages: longitudinal cohort study", Annals of Behavioral Medicine: a publication of Society of Behavioral Medicine, 52(7), pp.582~593 (2018)[DOI]
- C. Hand, "Social isolation in older adults who are frequent users of primary care services", Canadian Family Physician, 60(6), pp.e324~329 (2014)