The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Older Adults' Experience of Smart-home Healthcare System

노인의 스마트 홈 헬스케어 이용 경험

  • 이영주 (연세대학교 대학원) ;
  • 이주희 (연세대학교 간호대학.간호정책연구소) ;
  • 나지영 (연세대학교 대학원 생체공학협동과정)
  • Received : 2015.01.20
  • Accepted : 2015.03.20
  • Published : 2015.05.28
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Abstract

Purpose: This study was conducted to explore the experience of smart-home healthcare among older adults who had participated in the smart-home technology development project. Methods: Data were collected by focus group interviews with 7 hypertension or diabetes participants(mean age 75 years). Qualitative contents analysis was used to analyze the verbal data. Results: The results were composed of 27 meanings units, 10 categories and 6 themes. The 6 themes are: 'improvement of health conditions through anytime anywhere self-monitoring', 'attractive experience to be counselling at home', 'frequent system and telecommunication problems', 'unfamiliar devices for elderly users', 'complementary strategies for activation', 'advancement of elderly-friendly devices and programs'. Conclusion: The smart-home healthcare system should be developed based on older adults' preferences. It is essential to make progress with professional resources and organizational supports in the future.

목적: 최근 고령화, 만성질환의 증가로 가정 내 소형 정보통신기기를 비치하고 네크워크로 연결하여 건강상태를 모니터링하며 지속적인 건강관리를 가능하게 하는 기술 및 서비스가 시도되고 있다. 본 연구는 서울시 영구임대아파트 단지에서 시행한 스마트 홈 헬스케어 기술을 제공받은 노인들을 대상으로 이용 경험을 파악하기 위해 시행되었다. 방법: 고혈압 또는 당뇨를 가진 총 7명의 노인(평균연령 75세)에게 2013년 7월, 2회에 걸친 포커스그룹 인터뷰를 통해 자료수집이 이루어졌으며, 질적 내용분석방법으로 분석하였다. 결과: 총 27개의 의미있는 자료가 추출되어 코드화 한 후 비교, 대조, 분류 과정을 통해 10개의 카테고리로 재구성하였고, 추상화를 거쳐 총 6개의 주제를 도출하였다. 도출된 주제는 '언제 어디서나 자가 측정으로 건강상태호전을 경험함', '가정에서 전문가 도움을 받는 흥미로운 체험', '잦은 시스템 및 통신장애로 사용하기에 답답함', '노인사용자에게 측정기기는 낯설고 불편함', '활성화를 위한 체계적인 전략보완이 요구됨', '고령 친화적 측정기기 및 프로그램의 업그레이드 필요'이다. 결론: 향후 스마트 홈 헬스케어를 활성화하기 위해서는 노인사용자의 특성을 고려한 고령 친화적인 측정기기 및 프로그램이 개발되고 최적의 전문인력 배치 및 관련단체의 적극적인 지원 속에서 추진되어야 할 것이다.

Keywords

References

  1. Ministry of Health and Welfare & The Korea Institute for Health and Social Affairs, Status of elderly welfare services in 2011, Seoul: Author. 2012.
  2. National Health Insurance Service & Health Insurance Review and Assessment Service, 2011 National health insurance statistical yearbook, Seoul: Author, 2012.
  3. H. S. Kim, J. H. Cho, Y. H. Choi, J. A. Oh, J. H. Lee, and J. H. Yoon, "Ubiquitous health care system for disease management," Information and Communications Magazine, Vol.27, No.9, pp.3-8, 2010(9).
  4. http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&SEARCHVALUE=원격진료&SEARCHKEY=TITLE&CONT_SEQ=228190
  5. http://www.motie.go.kr/motie/ne/rt/press/bbs/bbsView.do?bbs_seq_n=58989&bbs_cd_n=16
  6. Ministry of Land, Transport, and Maritime Affairs. Development of aging-friendly smart home based by healthcare system-Part 1 : The development of a smart home prototype based on the healthcare service, Unpublished manuscript, 2013.
  7. B. Johnston, L. Wheeler, J. Deuser, and K. H. Sousa, "Outcomes of the Kaiser Permanente tele-home health research project," Archives of Family Medicine, Vol.9, No.1, pp.40-45, 2000. https://doi.org/10.1001/archfami.9.1.40
  8. V. A. Wade, J. Karnon, A. G. Elshaug, and J. E. Hiller, "A systematic review of economic analyses of telehealth services using real time video communication," BioMed Central Health Services Research, Vol.10, p.233, 2010.
  9. J. Kim, S. Kim, H. Kim, K. Kim, C. T. Lee, S. Yang, H. J. Kong, Y. Shin, and K. Lee, "Acceptability of the consumer-centric u-health services for patients with chronic obstructive pulmonary disease," Telemedicine and e-Health, Vol.18, No.5, pp.329-338, 2012. https://doi.org/10.1089/tmj.2011.0140
  10. J. Kim, S. Kim, H. C. Kim, K. H. Kim, S. C. Yang, C. T. Lee, H. J. Kang, and K. Lee, "Effects of consumer-centered u-health service for the knowledge, skill, and attitude of the patients with chronic obstructive pulmonary disease," Computers, Informatics, Nursing, Vol.30, No.12, pp.661-671, 2012. https://doi.org/10.1097/NXN.0b013e318261c1c
  11. http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&SEARCHVALUE=원격의료&CONT_SEQ=294526&SEARCHKEY=TITLE
  12. J. A. Park, D. S. Yang, and Y. H. Yoon, "Planning model of elderly-friendly healthcare smart home," Architectural Institute of Korea: Proceeding of Spring Annual Conference of Architectural Institute of Korea Planning & Design 2011, Vol.31, Issue1, pp.87-88, 2011.
  13. R. A. Krueger and M. A. Casey, Focus groups-A practical guide for applied research (4th ed.), CA: Sage Publications, 2009.
  14. C. F. Waltz, O. L. Strickland, and E. R. Leuz, Measurement in nursing and health research (4th ed.), New York: Springer publishing company, 2010.
  15. H. F. Hsieh and S. E. Shannon, "Three approaches to qualitative content analysis," Qualitative Health Research, Vol.15, No.9, pp.1277-1288, 2005. https://doi.org/10.1177/1049732305276687
  16. U. H. Graneheim and B. Lundman, "Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness," Nurse Education Today, Vol.24, No.2, pp.105-112, 2004 https://doi.org/10.1016/j.nedt.2003.10.001
  17. Y. S. Lincoln and E. G. Guba, Naturalistic inquiry, CA: Sage Publications. 1985.
  18. G. Demiris, M. Rantz, M. Aud, K. Marek, H. Tyrer, and M. Skubic, et al, "Older adults' attitudes towards and perceptions of 'smart home' technologies: A pilot study," Medical Informatics & The internet in medicine, Vol.29, No.2, pp.87-94, 2004. https://doi.org/10.1080/14639230410001684387
  19. G. Demiris, B. K. Hensel, M. Skubic, and M. Rantz, "Senior residents' perceived need of and preferences for 'smart home' sensor technologies," International Journal of Technology Assessment in Health Care, Vol.24, No.1, pp.120-124, 2008. https://doi.org/10.1017/S0266462307080154
  20. M. Heinz, P. Martin, J. A. Margrett, M. Yearns, W. Franke, and H. I. Yang, and J. Wong, "Perceptions of technology among older adults," J. of Gerontological Nursing, Vol.39, No.1, pp.42-51, 2013. https://doi.org/10.3928/00989134-20121204-04
  21. M. H. Park, J. K. Kho, E. S. Kim, H. J. Kim, and J. S. Park, Gerontological nursing (2nd ed), Seoul: Jungdam media, 2010.
  22. R. De Beni, E. Borella, B. Carretti, M. Zavagnin, L. Lazzarini, and G. Milojevi, "Remembering the past and imagining the future : Age-related differences between young, young-old and old-old," Aging Clinical and Experimental Research, Vol.25, No.1, pp.89-97, 2013.
  23. M. L. Maas and K. C. Buckwalter, "Providing Quality Care in Assisted Living Facilities: Recommendations for Enhanced Staffing and Staff Training," J. of Gerontological Nursing, Vol.32, No.11, pp.14-22, 2006.
  24. S. Zimmerman, P. D. Sloane, J. K. Eckert, A. L. Gruber-Baldini, L. A. Morgan, J. R. Hebel, J. Magaziner, S. C. Stearns, and C. K. Chen, "How good is assisted living? Findings and implications from an outcomes study," J. of Gerontology, Vol.60B, No.4, S195-S204, 2005.
  25. D. M. Conley, T. L. Burket, S. Schumacher, D. Lyons, S. E. DeRosa, and V. Schirm, "Implementing geriatric models of care: a role of the gerontological clinical nurse specialist-part I," Geriatric Nursing, Vol.33, No.3, pp.229-234, 2012. https://doi.org/10.1016/j.gerinurse.2012.03.009
  26. S. H. Lee and J. H. Ahn, "Adoption of the Use of Smart Technology by Health-care Workers in Nursing Homes: an Exploratory Study," J. of Contents Association, Vol.14, No.8, pp.156-171, 2014.