Vulnerable populations in healthcare facilities are more sensitive to exposure to indoor air pollutants, and therefore are more affected by such pollutants than the general population. This was the underlying reason why studies of indoor air pollutant concentration distribution and health risk assessment have been conducted targeting facilities, such as daycare centers, medical facilities, elderly care facilities, and postnatal care centers. However, previous studies have mainly focused on daycare and medical facilities for their research, and relatively speaking, studies conducted on the other venues are lacking. Therefore, this study aims to present the current status of indoor air quality and perform a health risk assessment in regard to Formaldehyde exposure at postnatal care centers and elderly care facilities. Here, the study focused on facilities that had undergone pollution level inspections from January 2017 to December 2021. A total of 81 postnatal care centers and 48 elderly care facilities were selected as the subject of the study. Then, the study utilized concentrations of five elements (CO2, HCHO, PM10, PM2.5, TBC) to determine the status of indoor air quality of both postnatal care centers and elderly care facilities. For health risk assessment, HCHO concentration was used. The investigation demonstrated that the yearly average concentration of the five elements stood within the indoor air quality maintenance standards, and the ratio of PM2.5 to PM10 in the two types of facilities was distributed as high as about 70%. In addition, the study showed that HCHO and TBC demonstrated a positive correlation when the relationship between indoor temperature and humidity with the five elements was examined. The health risk assessment showed that the cancer risk level of postnatal care center users stood below 10-6, below the level that is perceived as an acceptable risk. The cancer risk of workers from both postnatal care centers and elderly care facilities and elderly care facility users exceeded the acceptable risk level of 10-6, but was shown to be below 10-4, the maximum acceptable risk.

Purpose: This study aims to investigate the effect of a simulation-based patient safety performance improvement education program on caregivers’ knowledge, attitude, and performance toward safety. Methods: This study adopted a quasi-experimental design that applied before-and-after designs for the test and control groups. It was configured focusing on “infectious disease,” “fires,” “falls,” and “drug abuse.” Results: There was a significant difference in knowledge and patient safety performance between the experimental group and the control group. However, there was no significant difference in attitudes toward safety. Conclusion: The results of this study showed that the simulation-based patient safety performance improvement education program is effective in improving patient safety performance. Therefore, it is necessary to continuously apply and evaluate the simulation-based patient safety performance training program to enable caregivers to develop professional prevention and management capabilities within elderly care facilities

In this study, indoor air quality indices (IAQI-C and IAQI-E) were developed for child care centers and elderly care centers based on health effects, and compared to the air quality index (CAI) for outdoor atmosphere. In addition, composite indices that integrate individual indices for each pollutant were developed to quickly and conveniently recognize the current air quality. Among all data, 71.2% and 35.6% belonged to the grades 'Good' and 'Moderate' for child care centers and elderly care centers, respectively. This assessment is more stringent than the CAI's criteria.

본 연구는 고령사회를 맞아 급증하고 있는 우리나라의 노인장기요양시설에 인간중심 돌봄을 구현하기 위하여 스토리텔링 상담기법의 적용가능성을 모색하고 있다. 이를 위해 장기요양시설, 인간중심 돌봄, 스토리텔링에 관한 용어를 검색하여 2011년 1월부터 2018년 3월까지 국내외에 발표된 73편의 관련 문헌을 검토하였다. 그리고 이를 통해 연구의 개념 틀을 도출하였다. 본 연구는 크게 세 부분으로 구성되어 있다. 먼저, 시설중심으로 이루어지고 있는 우리나라의 노인돌봄 현황을 파악하였다. 다음으로, 인간중심 돌봄의 속성과 이를 실현하기 위한 스토리텔링 상담기법에 대해 논의하였다. 마지막으로, 노인돌봄 현장에서의 스토리텔링 상담기법의 적용가능성을 심도 있게 논의하였다. 스토리텔링 상담기법은 노인과 돌봄제공자 간의 소통과 관계성을 증진시켜 양자의 삶의 질을 향상시킬 것으로 기대되고 있다. 이런 점에서 인간중심 돌봄을 구현키 위한 방안의 일환으로 노인장기요양시설에 스토리텔링 상담기법을 적용할 필요가 있다고 보이며, 특히 시설문화의 특수성에 기초한 콘텐츠와 중재운영전략을 정련화할 필요가 크다고 판단된다.

As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

본 연구는 대조군이 없고 실험기간이 짧아 연구 결과를 일반화하기에 제한점이 있으나 원예치료가 요양시설 노인의 우울증 감소에 미치는 영향을 검증한 결과 유의함을 나타냈다. 이는 원예치료 활동을 통해 자신이 심은 식물의 변화되는 모습을 관찰하고, 또 다른 생명을 직접 돌보는 역할을 통해 자긍심과 자신감을 가지고, 정서적으로 안정을 찾게 되어 우울을 감소시키는데 효과가 있음을 알 수 있었다. 앞으로도 요양시설 노인들에게 다양한 원예치료 활동을 제공하여, 우울감소를 통한 심리적 안정뿐만 아니라 신체적, 사회적으로도 건강하고 풍요로운 노후 생활을 영위할 수 있는 노력이 필요할 것으로 사료된다.