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J East Asian Soc Diet Life (): () http://dx.doi.org/./easdl.

1 J East Asian Soc Diet Life (): () A Study on the Quality of Elderly Dietary Services by Different Levels of Nutrition Knowledge of the Visiting Long-Term Care Provider Eun-Young Choi, Eun-Kyung Jung and Nami Joo The Graduate School, Sookmyung Women s Unviersity, Seoul, Korea Dept. of Food & Nutrition, Sookmyung Women s Unviersity, Seoul, Korea ABSTRACT This study was conducted to analyze the condition of the elderly dietary service by nutrition and hygiene knowledge of visiting long-term care providers based on data collected from respondents from November to, (recovery rate:.%). Upon evaluation of the nutrition and hygiene knowledge level of the visiting long-term care provider, the highest score was to heat and intake leftover food (. points), while the lowest scores were awareness of nutritional intake level of Korean elderly (. points) and awareness of diet therapy for elderly disease (. points). Upon evaluation of meal preparation time according to nutritional and hygiene knowledge level,.% of the participants in the group with a lower level of those knowledge responded more than hour less than hours, while minutes or more less than hour' was reported by.% in the group with a higher level of knowledge, indicating that providers in that group took less time to prepare meals (p<.). The main consideration in buying food was taste in both groups. When the main consideration in cooking meals was considered, the group visited by practitioners with a higher level of knowledge ranked nutrition highest, while the other group reported taste as the main consideration when creating the menu, while both groups ranked preference first. For complementary dietary services, those with the lower level of knowledge ranked nutrition education (.%) higher, while those in the other group ranked providing meals according to the disease (.%) higher (p<.). Finally, for required additional education, cooking was the most important, regardless of the level of nutrition and hygiene knowledge. Key words : Care provider, visiting long-term care, dietary service, elderly, nutrition.%( ),.%(, ) (Korean Statistical Information Service, )., (Jeon, HS ; Han CW )., (Jeon, HS ; Han CW ). Corresponding author : Nami Joo, Tel: +---, Fax: + --, joljol@daum.net, (Ministry of Health and Welfare, ).,,,.,, (Ministry of Health and Welfare, ).

2 (): () (, ),, (Ministry of Health and Welfare, ), (Lee MJ ; Kim SY ).,,,,,,,,,,,, (Ministry of Health and Welfare, ).,., (Pak DJ ). (Park JS ). (Pak DJ ).,,,,,,, (Dweyer J ; Kim ; Seo EH )., (kcal) (kcal) %. % (Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention, )..,,,.,,.. (IRB SMWU--HR-- ),,. (.%)..,,,,.,,,,,,,. Likert (: : : : : ),,,,,,,,.. SPSS.(Statistics Package for Social Science, SPSS Inc., Chicago, IL, USA).,,,,.,, Friedman. P.

3 .. Table..%,.%..%, (.%), (.%), (.%), (.%)..%,.%,.%,.%,.%,.%..%,.,.%,.%,.% %,.%...%,.%,.%,.% (Table ). (. ), (. ), (. ), (. ), (. )..%, (.%),, (.%), (.%). (p<.) (Table ).. Table.., (. ), (. ), (. ), (. ) (. ), (. ). Table. General characteristics of the subjects Variable Classification n(%) Gender Age (years) Employment period Working hours Monthly income (won) Visiting time Male (.) Female (.) (.) (.) (.) (.) or older (.) Less than year (.) year or more less than years (.) years or more less than years (.) years or more less than years (.) years or more less than years (.) More than years (.) Less than hours (.) hours or more less than hours (.) hours or more less than hours (.) More than hours (.) Less than, (.) Over, less than million (.) Over million. million (.) Over. million (.) am am (.) am am (.) pm pm (.) After pm (.) Total (.).,,.. ( ) ( ) (Table ).

4 (): () Table. Main service of visiting long-term care provider n(%) Service Physical activity support service ). Daily life support service ).. (.) (.) (.) (.) (.) Personal activity support service ). (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) Emotional support service ). (.) (.) (.) (.) (.) Other service. (.) (.) (.) (.) (.) Total () p<.. ) Physical activity support service: Toiletries, oral care, hair wrapping, changing clothes, bathing help etc. ) Daily life support service: Cooking, cleaning and arranging, laundry, shopping help etc. ) Personal activity support service: Going out, accompanying the hospital, managing money help etc. ) Emotional support service: Becoming good companions, comforting and encouraging, life counseling, communicating help, etc. Table. Nutrition and hygiene knowledge level of visiting long-term care provider Item Awareness of nutritional intake level of Korean elderly ±S.D..±. Awareness of diet therapy for elderly disease.±. Reading and checking nutritional label when buying food.±. Checking food label when buying food.±. Heat intake of leftover food.±. Proper amount cooking and hygienic management.±. Use lower spices.±. Use lower sodium.±. Total.%,.%, (P<.)..%,.%, (P<.)..%,.%. +.%,.%..%,.%,.,,,. Table..%,.%,.%, (P<.). (. ), (. ), (. ), (. ), (. )..%,.%,.%, (P<.). (. ), (. ), (. ), (. ), (. )...

5 Table. Status of elderly dietary services provided by visiting long-term care provider according to nutrition and hygiene knowledge level n(%) Variable Classification Low group (n=) Nutrition and hygiene knowledge level High group (n=) Total (n=) χ Nutrition education experience Yes (.) (.) (.) No (.) (.) (.) Less than minutes (.) (.) (.). (.) * minutes or more less than hour (.) (.) (.) Meal preparation time Amount meal Decision factor of menu Kind of meal served (multiple responses) * p<. hour or more less than hours hours or more less than hours (.) (.) (.) (.) (.) (.) More than hours (.) (.) (.) meal for elderly (.) (.) (.) meals for elderly (.) (.) (.) Meals for elderly and guardians (.) (.) (.) Meals for elderly and visiting long-term care provider (.) (.) (.) Diet menu of visiting care institution (.) (.) (.) As the elderly's request (.) (.) (.) As the guardians's request (.) (.) (.) According to the food material in the home As the visiting long-term care provider's idea (.) (.) (.) (.) (.) (.) Total (.) (.) (.) Cooked grains (.) (.) (.) Soups (.) (.) (.) Side dishes (.) (.) (.) A side dish for long serving (Kimchi etc.) (.) (.) (.) Snack (.) (.) (.) Total (.) (.) (.). (.) *. (.). (.). (.) (Ministry of Food and Drug Safety, ). (Table )

6 (): () Table. Main factors in buying food by visiting long-term care provider according to nutrition and hygiene knowledge level n(%) Nutrition and hygiene knowledge level Main factor Low group High group Price. (.) (.) (.) (.) (.). (.) (.) (.) (.) (.) Taste. Nutrition.. (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.)... (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) Hygiene. (.) (.) (.) (.) (.). (.) (.) (.) (.) (.) Brand. (.) (.) (.) (.) (.). (.) (.) (.) (.) (.) p<. Total () ().%,.%,.%,.%,.%., (P<.), (. ), (. ), (. ), (. ), (. ), (. ), (. )..%,.%,.%,.%,.%,.%,.%. (P<.), (. ), (. ), (. ), (. ), (. ), (. ), (. ).,,. Table,.%,.%,.%. (P<.), (. ), (. ), (. ), (. ), (. ), (. )..%,.%,.%,,.%,.%,.%., (P<.), (. ), (. ), (. ), (. ), (. ), (. ).,..%,.% (Ministry of Food and Drug Safety, )., Table..,.

7 Table. Main factors in cooking meal by visiting long-term care provider according to nutrition and hygiene knowledge level n(%) Main factor Taste... Texture. Cooking. Nutrition Appearance Convenience Cooking time... (.) (.) (.) (.) (.) (.) (.) (.) Low group (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) Nutrition and hygiene knowledge level (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) High group (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) Total () () p<. (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (P<.).,, Ministry of Food and Drug Safety, ).. (Table ),.%,.% (P<.)..%,.%,.%. (Table ),.%.%. (.%),.%,.%,.%..,.% (Ministry of Health and Welfare, ). Kim SY().%,.%

8 (): () Table. Main consideration in creating menu by visiting long-term care provider according to nutrition and hygiene knowledge level n(%). Nutrition. Ability of swallowing and chewing Main consideration Preference Convenience of cooking.. Cost meal. Guardians's request. Etc... (.) (.) (.) (.) (.) (.) (.) (.) Low group (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) Nutrition and hygiene knowledge level (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) High group (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) Total () () p<. (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) (.) * Table. Meal satisfaction of the elderly Meal satisfaction p<. Nutrition and hygiene knowledge level Low group (n=) High group (n=) (±S.D.) t-value.±..±..(.) *, (Park JS ). Kim CS().%, (,, ).%, (,, ) (,, ) %,. (. ) (. ) Hwang EH().,.%, (Cho CY ). (Pak DJ ).,,., (Ministry

9 Table. Complementary dietary services and task of required additional education by visiting long-term care provider according to nutrition and hygiene knowledge level n(%) Variable Complementary dietary services Task of required additional education ** p<. Classification Nutrition and hygiene knowledge level Low group High group Total Menu management (.) (.) (.) Nutrition education (.) (.) (.) Providing meals according to the disease (.) (.) (.) Cooking (.) (.) (.) Shopping (.) (.) (.) Creating menu (.) (.) (.) Tube feeding (.) (.) (.) Total (.) (.) (.) χ. (.) **. (.) of Health and Welfare & Korea Centers for Disease Control and Prevention, ).,. Ahn SH(), Lim AH(),.% (Jung HY & Kim HA )., (. ), (. ). Lee YH() (. ).,..,,,, (Kim WJ & Choi EH ). Baek JY(),,,,.%,.%.%. (Min HJ )..%.,,,,,, (Ryu IY ).,,. (.%), (Park JS ), Yoo JI().. Kim SY(),

10 (): ().%,.%,.%,.%,.,.,,, (Kim PN ),,,,,,,.,,,,,,,,.,.,.,.,., (Seo YH & Kim MW, )..,,,, SPSS..., (.%), (.%), (.%), (.%), (.%).. (.%), (. ), (. ), (. ), (. ), (. ) (P<.)..,., (. ).. ( ) ( ) (.%) (.%) (P<.), (P<.).,,.., (P<.).,,,,, (P<.),,,,,, (P<.).. (.%), (.%) (P<.),..

11 . REFERENCES Ahn SH () Study on the eating habits and practicability of guidelines for reducing sodium intake according to the stage of change in housewives. Korean J Community Nutr (): -. Baek JY () Changes on sodium consumption related to awareness and eating habits by nutrition education for low sodium consumption among housewives living in certain regions of Seoul. MS Thesis Dankook University, Yongin. pp -. Cho CY () Status and issues of caregiver cultivation in long term care insurance. Korean Journal of Care Work : -. Dweyer J () The elderly. In: Frankler RT, Owen AL, eds. Handbook of Nutrition in the Community. Mosby-Year Book. Boston. pp -. Han CW, Kim EJ, Sekita Yasuyoshi () A preliminary study for developing a preventive community care service program for the elderly-focus on an analysis of the factors related to health. Korea of Academy Care Management (): -. Hwang EH () Comparison of frequency and difficulty of care helper jobs in long term care facilities and client homes. Journal of Korean Public Health Nursing (): -. Jeon HS () Exploratory analyses on the effects of the national long-term care insurance: using the Korea welfare panel study ( ). Health and Social Welfare Review (): -. Jung HY, Kim HA () Consumer's perception and utilization of food labels by age and gender. J Korean Soc Food Sci Nutr (): -. Kim CS () A study on factors affecting user satisfaction of the community elder care services. MS Thesis Kangnam University, Yongin. pp -. Kim PN () Comparison of changes in knowledge and occupational consciousness of care givers before and after training courses. MS Thesis Kyung Hee University, Seoul. pp -. Kim SH, Kang HK, Kim JH () Socioeconomic factors affecting the health and nutritional status of the aged. J Nutr Health (): -. Kim SY () Nutritional management in logn-term care insurance s home-visit care of elderly in Gyeonggi province. MS Thesis Dankook University, Yongin. pp -. Kim WJ, Choi EH () Food safety knowledge and behaviors of housewives in Chungbuk province areas. Korean Journal of Human Ecology : -. Korean Statistical Information Service () The statistical of estimated future population. Accessed June,. Lee MJ () The status and problem educating care giver in Korea. Am J Occup Ther (): -. Lee YH () Hygienic practice attitude of housewives in seoul and related factors. Korean J Food Cook Sci (): -. Lim AH () Development of strategy for communitybased program to reduce sodium intake-case of Seoul city. MS Thesis Dankook University, Yongin. pp -. Min HJ () Study on narrative inquiry on the perception of sodium by the housewives in Daegu. MS Thesis Kyungpook National University, Daegu. pp -. Ministry of Food and Drug Safety () Dietary guidelines for the elderly. Accessed October,. Ministry of Health and Welfare () Elderly health welfare business guide. Accessed March,. Ministry of Health and Welfare () Standard Textbook for Training Care Givers. Ministry of Health and Welfare pp -. Ministry of Health and Welfare () Elderly health welfare business guide Accessed August,. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention () Korea Health Statistics : Korea National Health and Nutrition Examination Survey (KNHANES VI-). Korea Centers for Disease Control and Prevention, Korea. pp -. Pak DJ () A study on caregivers' practical experience of in-home service and institutional services of long-term care. MS Thesis Kyonggi University, Seoul. pp -. Park JS () A study on labor condition of care worker and

12 (): () improvement plan. Mainly focused on long-term home care service centers in Gyeonggi-do. MS Thesis Pyeongtaek University, Pyeongtaek. pp -. Ryu IY () A gender perspective on care work of in-home long-term care workers. Ph D Dissertation Seoul National University, Seoul. pp -. Seo EH () Studies on demand for dietitian role and need for appointment of dietitian in silver town. Ph D Dissertation Kyungnam University, Changwon. pp -. Seo YH, Kim MW () A study on the improvement of visiting care with the introduction of the elderly long-term care insurance system. Korean Journal of Century Social Welfare (): -. Yoo JI () Influence on service satisfaction level based on primary caregiver's perception of home visiting care helper. MS Thesis Kyung Hee University, Seoul. pp -. Date Received Date Revised Date Accepted Feb., Feb., Feb.,

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서론 34 2 34 2 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 2, 2009, pp. 165 176 165 진은희 A Study on Health related Action Rates of Dietary Guidelines and Pattern of