재가 장기요양기관 요양보호사의 영양 제공 실태에 관한 연구 = A Study on Care-givers in Home Service of Long-term Care in Providing Nutrition for Their Beneficiaries

다국어 초록 (Multilingual Abstract)

Objective : The purpose of this study is to provide basic data for the improvement of the quality of long-term care services by surveying of nutrition management and meal assistance services of long-term care for the beneficiaries in home. The social worker of the agency conducted Method : This study was conducted by the social worker through one-on-one visit survey of 424 long-term care givers who had more than a year of experience in providing Home-visit care at long-term care institutions nationwide from June 1, 2018 to July 31, using a structured questionnaire.
Result : The result showed that the most of meal assistance service of care givers took 60 minutes and they cooked by themselves(57.4%) for the beneficiaries of long-term care services. Most of the care givers cooked without any recipes(68.6%) and even care givers with the recipes normally provided foods that were easy to digest such as soup, taking into account the nutrition of the beneficiaries. To maintain the health of the beneficiaries or to prevent the disease from deteriorating, care givers provided meals considering 'foods that are loved by adults' (19.8%), dental conditions(18.7%), and consideration of diseases(18.4%). Meanwhile, care givers obtain nutrition information through dialogue of their colleagues (19.2%) or job training (15.2%) at the monthly meeting of long-term care institutions. They acquired most of the informations about nutrition on TV (40.6%), on the Internet (15.2%) and books(3.7%).
Conclusion : In order to provide suitable meal assistance services for the health of long-term care beneficiaries, it is necessary to provide a recipe or manual for the care givers and a customized nutrition support system should also be provided through continuous monitoring of services and individual case management of social worker for the elderly.

국문 초록 (Abstract)

목적 : 본 연구의 목적은 재가 장기요양기관 요양보호사의 장기요양 대상자들을 위한 영양관리 및 식사도움 서비스 제공 실태 조사를 통해 장기요양서비스의 질 향상을 위한 기초자료를 제공하는 것이다.
연구방법 : 본 연구는 2018년 6월 1일부터 7월 31일까지 전국의 재가 장기요양기관에서 방문요양서비스 제공경 험이 1년 이상 있는 요양보호사 424명을 대상으로 소속 재가기관의 사회복지사가 1:1 방문 설문조 사를 실시하였다.
연구결과 : 재가 장기요양 수급자들을 위한 요양보호사들의 식사 도움 서비스 시간은 60분이 가장 많았으며(57.1%), 직접 음식을 만들어주는 경우가 많았다(57.4%). 대부분 레시피 없이(68.6%) 음식을 만들었으며, 레 시피를 갖고 있는 요양보호사들은 수급자들의 건강상태를 고려하여 죽이나 찌개, 생선 등 소화하기 쉬운 음식을 만들어 제공하였다. 요양보호사들은 수급자가 건강을 유지 또는 질환이 악화되지 않도 록 ‘어르신이 좋아하는 음식’(19.8%), 치아상태(18.7%)와 질환(18.4%)을 고려하여 식사서비스를 제 공하였다. 한편 요양보호사들은 노인영양에 관한 정보를 TV에서(40.6%), 지인들과의 대화(19.2%)나 재가 장기요양기관의 직무교육(15.2%), 인터넷(15.2%), 책(3.7%) 등을 통해 습득하였다.
결론 : 장기요양 수급자들의 건강상태에 적합한 식사 도움 서비스를 위해 요양보호사들이 사용할 수 있는 노인영양 레시피 및 매뉴얼을 제공하고, 사회복지사들의 영양 맞춤형 사례관리와 함께 지속적인 서 비스 모니터링이 필요하다.

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