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지역사회간호학회지 = Journal of korean academy of community health nursing, v.28 no.4, 2017년, pp.450 - 462
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Purpose: This study aims to investigate the effects of an intervention of self-feeding for elderly residents who were eating with assistance or eating by himself/herself with spilling food. Methods: The Participants were 11 elderly people and 6 formal caregivers from 7 nursing homes in Korea. The in...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 요양시설을 이용하는 노인들의 식사관련 문제가 발생하게 되는 이유는? | 이를 반영하듯 2013년 전국의 4,079개소의 요양시설은 2016년 5,194개소로 증가하였으며[2] 요양시설 이용 노인들은 퇴행성 질환이나 질병 등의 신체적인 제한으로 독립성을 상실하였기에[3], 직원의 도움을 받아 식사를 하고 있다. 그러나 정확한 식사 도움의 기준이 없기에[4], 요양보호사의 경험에 의해 도움의 정도가 결정[5]될 뿐만 아니라 음식을 쉽고 빠르게 제공하는 데 초점을[6] 맞출 수도 있다. 이로 인해 요양시설노인들의 식사 관련 주요 문제는 자립적인 식사(selffeeding) 능력을 잃어버리는 것이다[7,8]. | |
| 2013년 전국의 4,079개소의 요양시설은 2016년에 몇 개소로 늘어났는가? | 건강한 노인뿐만 아니라 질병 및 장애를 가진 노인의 증가는 이들을 돌보는 주체가 가정 구성원이 아닌 국가, 사회로의 전환을 요구하고 있다[1]. 이를 반영하듯 2013년 전국의 4,079개소의 요양시설은 2016년 5,194개소로 증가하였으며[2] 요양시설 이용 노인들은 퇴행성 질환이나 질병 등의 신체적인 제한으로 독립성을 상실하였기에[3], 직원의 도움을 받아 식사를 하고 있다. 그러나 정확한 식사 도움의 기준이 없기에[4], 요양보호사의 경험에 의해 도움의 정도가 결정[5]될 뿐만 아니라 음식을 쉽고 빠르게 제공하는 데 초점을[6] 맞출 수도 있다. | |
| 자립적인 식사란? | Baltes와 Zerbe [10]가 정의한 자립적인 식사는 숟가락과 포크를 이용하여 음식을 입으로 가져와 먹는 것이다. 본 연구에서는 밥과 국, 반찬으로 구성되는 한국 식사의 특성[16]을 반영하여 식사에 제공되는 생선의 경우 가시를 제거하고, 뚜껑이 있는 식기는 뚜껑을 열어서 제공하면 노인이 스스로 숟가락(젓가락)을 들고 입으로 음식을 가져와 먹은 후 숟가락(젓가락)을 식판에 내려놓는 순간 까지를 자립적인 식사로 정의하였다. |
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