아침식사의 규칙성이 중년 남녀의 식습관 및 영양상태에 미치는 영향

이선희(Lee Seon Heui),심정수(Shim Jung Soo),김지윤(Kim Jee Yoon),문형아(Moon Hyung Ah) 韓國營養學會 1996 Journal of Nutrition and Health Vol.29 No.5

지역사회 노인낙상예방을 위한 운동 프로그램 개발 및 예비조사

이선희(Lee, Seon Heui),박원숙(Bak, Won-Sook),신계영(Shin, Gyeyoung),이경숙(Lee, Kyung-Sook),임경춘(Lim, Kyung-Choon),김민주(Kim, Minju),이인옥(Lee, Inok),최희권(Choi, Hee Kwon),박미성(Park, Mi Sung),배선형(Bae, Sun Hyoung),유재선(Yu, 대한근관절건강학회 2020 근관절건강학회지 Vol.27 No.1

Purpose: The purpose of this study was to develop a new fall-prevention exercise intervention for the community-dwelling elderly and to examine the effects of program. Methods: A total of 7 older adults were participated in a 10-week fall-prevention exercise intervention (1 day per a week in community centers, 2 days per a week in a home). The exercise program consisted of warming-up, extension exercises, muscle strength exercises, balance exercises, and finishing exercise. Data were collected before the exercise and after 10 weeks of exercise. In this study, muscle strength of lower limbs was measured by 10 times of standing up and sitting on a chair. Static balance was measured by one-leg standing, and dynamic balance was measured by 6 meter walking. Results: After a 10-week exercise program, muscle strength of lower limbs (t=4.18, p<.05), statical balance were significantly improved (left leg, t=-3.11, p<.05; right leg, t=-4.56, p<.05). Seven of 11 items measuring fear of falls were significantly decreased (p<.05), and dynamic balance tended to be improved (p=.117). Conclusion: This result suggests that evidence-based, fall-prevention exercise program can improve muscle strength, static and dynamic balance, and fear of falling in the community living elderly.

노인 낙상 예방을 위한 운동 가이드라인의 적절성과 적용가능성

이선희(Lee, Seon Heui),은영(Eun, Young),박원숙(Bak, Won-Sook),신계영(Shin, Gyeyoung),전미양(Jeon, Mi Yang),임경춘(Lim, Kyung-Choon),이인옥(Lee, Inok),최희권(Choi, Hee Kwon),김민주(Kim, Minju),배선형(Bae, Sun Hyoung),최미경(Choi, Mi- 대한근관절건강학회 2017 근관절건강학회지 Vol.24 No.3

Purpose: The purpose of this study is to analyze the suitability and applicability of the recommendations for the exercise intervention program in fall prevention guidelines for the elderly. Methods: We searched systematically RISS, KISS, National Assembly Library, KoreaMed, and KM base for Korean guidelines and used OVID-MEDLINE, EMBASE, Cochrane library, Trip database, GIN, NGC, WHO, and CDC for international guidelines including fall prevention exercises for the elderly until August 2016. Results: A total of 11 guidelines were selected as the result of the literature search. After evaluating the quality of guidelines, 9 guidelines were used to analyze the recommendations. A total of 19 recommendations were derived from 9 guidelines. Of 19 recommendations, 12 recommendations were considered to be appropriate and applicable. As a result, we recommend for the elderly to do a single type of balance exercise, strength exercise, aerobic exercise or multiple forms of exercise for 20~30 minutes per a day, 2~3 days or more than 3 days per a week, and consistently for more than 10 weeks. Conclusion: To prevent falls in the elderly, it is important for the elderly to perform a regular balance, strength, or aerobic exercise for 20~30 minutes per a day, 2~3 days per a week.

음주습관이 중상류층 중년남성의 영양상태에 미치는 영향

이선희(Lee Seon Heui),김화영(Kim Wha Young) 韓國營養學會 1991 Journal of Nutrition and Health Vol.24 No.1

다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석

이선희(Lee, Seon-heui) 한국간호과학회 2009 Journal of Korean Academy of Nursing Vol.39 No.3

신의료기술평가제도 운영의 개선현황과 발전방향

이선희 ( Seon Heui Lee ) 한국보건행정학회 2018 보건행정학회지 Vol.28 No.3

Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as ‘limited health technology assessment system,’ ‘system for postponement of new health technology assessment,’ ‘one-stop service system,’ and ‘integrated operation of approval for medical devices and new health technology assessment.’ Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

한국의 신의료기술평가제도

이선희 ( Seon Heui Lee ) 대한임상종양학회 2009 Korean Journal of Clinical Oncology Vol.5 No.2

연구 배경 및 목적: 우리나라의 신의료기술평가제도는 2007년 4월에 도입되어 현재까지 3년째 운영되고 있다. 신의료기술평가 결과는 건강보험법령에 의한 신의료기술 행위 결정을 위한 안전성 및 유효성 평가자료로 활용되고 있다. 본 연구는 우리나라의 신의료기술평가제도를 소개하고 이의 발전방안을 모색하고자 한다. 연구 방법: 신의료기술평가제도가 우리나라에 도입 되게된 배경 및 신의료기술평가제도를 소개하고 평가방법론 및 평가현황을 공유하며 향후 신의료기술평가제도의 발전방향을 모색한다. 연구 결과: 우리나라의 신의료기술평가제도는 2007년 4월에 도입되었다. 그러나 외국의 신의료기술평가제도와 달리 의약품 및 치료재료 자체에 대한 평가를 제외한 의료행위에 대한 평가에 국한되어있다. 또한 평가내용측면에서도 안전성?유효성에 국한되어 있으며 경제성 평가는 포함되어 있지 않다. 신의료기술의 평가 절차는 크게 신청, 평가 및 공표단계로 구분된다. 첫번째 `신청단계`는 신청자로부터 의료시장에 도입되는 시점에 있는 신의료기술을 접수받고 평가에 필요한 구비서류와 문헌적 자료조사를 통해 평가가 필요한지 여부를 신의료기술평가위원회에서 결정하는 단계까지이다. 두번째 `평가단계`는 실제 평가계획서 수립과 평가전문위원회가 구성되는 시점부터 3~4차례의 평가전문위원회 심의를 거쳐 만들어진 권고안을 신의료기술평가위원회가 심의하는 단계까지이며, 마지막 공표단계는 보건복지부장관에게 보고된 권고안에 대한 정책적 의사결정이 이루어져 최종 의료기술 평가 보고서가 완성되고 그 결과가 일반 대중을 포함하여 공표되는 시기까지이다. 신의료기술평가를 위해 신의료기술평가위원회가 보건복지부에 설치되어있다. 호주의 MSAC과 비슷한 역할을 하고 있으나 호주의 MSAC이 독립된 위원회인 반면 신의료기술평가위원회는 건강보험 심사평가원에 위탁되어 있다. 2007년 이래로 3년동안의 운영결과 무분별한 신청, 근거가 부족한 의료기술에 대한 지원 필요성, 평가방법 및 절차의 개선 등의 필요성이 제기되어 이의 개선방안을 마련하고 신의료기술평가제도의 안착을 위해 노력하고 있다. 고찰 및 결론: 2009년 9월 30일 기준 신의료기술평가는 총 522건 신청되었으며 전체 신청건 중 510건(97.7%)의 평가대상여부 심의완료 및 평가대상 231건 중 208건(90.0%) 평가완료하였다. 또한 제도 3년차를 맞이하여 문헌이 부족한 의료기술에 대한 지원 등 제도 운영상 문제점을 지속적으로 개선하는 방안을 모색중이다. 한국에서의 신의료 기술평가제도가 앞으로 잘 정착하기 위해서는 정부뿐만 아니라 국민, 학계, 의료계의 지속적인 관심과 노력이 필요할 것이다. Objectives: The new health technology assessment system was introduced in April 2007. The result of new health technology assessment is assessing safety and effectiveness for deciding a behavior of new health technology according to the Health Insurance Act. The research aims to introduce the new health technology assessment system of our country and to search for its development method. Method: This research introduces the background that the new health technology assessment system was introduced to our country shares an assessment methodology and its assessment status, and searches for a development direction of the new health technology assessment system in the future. Results: The new health technology assessment committee is being installed in the Ministry of Health and Welfare The assessment procedure of new health technology is largely divided into application, assessment and publication steps. The first `application step` is to receive new health technology in the time introducing to the medical market from the applicant The second `assessment step` is the establishment of an actual evaluation plan and discusses the recommendations through 3-4 times. In the last official announcement step, the results are reported to the minister of health and welfare and decision-makers. Conclusion: As of September 30, 2009, Assessment of 208 items(90.0%) among 231 items was completed. As the Assessment Service met the third year of the system, it is searching for a method that continuously improves problems of operation of the system such as support on health technology with insufficient literature, etc. In order to make the new health technology assessment settle down well, the continuous interest and efforts of a people, academic circles and medical profession will be necessary.

간호·간병통합서비스 병동 간호사의 감정노동 파악 및 개선방안: 초점집단인터뷰 적용

김찬희 ( Kim¸ Chan Hee ),이선희 ( Lee¸ Seon Heui ) 경희대학교 동서간호학연구소 2021 동서간호학연구지 Vol.27 No.2

Purpose: The purpose of this study was to investigate the status of emotional labor of nursing personnel working in comprehensive nursing service ward and to suggest the way service improvement can be achieved. Methods: A total of 28 nurses working in comprehensive nursing service ward were divided into four groups to conduct focus group interview. All interviews were recorded and transcribed after the interview to perform data analysis in the order of data classification, topic categorization, and keyword derivation. Results: The five categories of subjects and relating keywords drawn from the focus group interviews are as follows: 1) Emotional labor experience: suppressing emotions, expressing emotions or actions that are different from reality, 2) Situations of emotional labor: verbal abuse and assault, sexual harassment, personal needs and errands, 3) Responses to emotional labor: responding directly, responding directly, receiving senior’s help, using the organizational system, persevering, 4) Problems caused by emotional labor: work exhaustion, job change intention, job stress, 5) Protection plan against emotional labor: manual or education for nurses, education for patients and carers, compensation, tough sanctions though system strengthening. Conclusion: This study shows that although nurses working in comprehensive nursing service ward generally experience high levels of emotional labor, the problem solving of them relies mainly on personal response. Therefore, it is necessary to develop various measures to protect nurses in an organizational level response, thus to improve the comprehensive nursing service system.

근거기반 구강간호 실무지침 개정

조용애 ( Cho Yong Ae ),이선희 ( Lee Seon Heui ),김경숙 ( Kim Kyeong Sug ),임효민 ( Im Hyo Min ),김태희 ( Kim Tae Hee ),최미영 ( Choi Mi Young ),서현주 ( Seo Hyun Ju ),박효선 ( Park Hyo Sun ),왕금현 ( Wang Keum Hyun ),김찬희 ( Kim 병원간호사회 2020 임상간호연구 Vol.26 No.2

Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

낙상예방 운동 프로그램이 노인주간보호센터 재가노인의 하지 근력, 균형 능력 및 낙상효능감에 미치는 효과

김은정(Kim, EunJung),이한주(Lee, Hanju),이선희(Lee, Seon Heui) 대한근관절건강학회 2021 근관절건강학회지 Vol.28 No.2

Purpose: This study aimed to verify the effects of a community-based fall prevention exercise program for older adults on lower extremity muscle strength, balance ability, and fall efficacy. Methods: This study recruited 30 participants, and the program was conducted for 10 weeks. The program included sessions on strength and balance exercises, conducted for 50 minutes a day and at least three times a week. The collected data were analyzed using non-parametric (Wilcoxon signed-rank test, generalized estimated equation) and parametric statistics (paired t-test, rmANOVA). Results: After 12 weeks of exercise program, lower extremity muscle strength and static-dynamic balance ability significantly increased. The fall efficacy increased from an average score of 2.48 points before the test to an average score of 2.91 points after the test. Regarding general characteristics, there were no significant differences in effect before and after the program, except for fall efficacy. Conclusion: The above results showed that the intervention of a community-based fall prevention exercise program for older adults was effective. Therefore, it is suggested that this exercise program be organized regularly within the center to provide periodic and long-term services.