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          고령사회와 치매환자의 운전 적절성에 관한 고찰

          권혜란,신동민 한국노년학연구회 2014 한국 노년학연구 Vol.23 No.-

          인구 고령화로 인하여 수많은 사회적 문제들이 발생하고 있 다. 그 중 하나가 고령운전자 및 치매환자의 수나 빈도가 빠르게 증 가하면서 초래되는 문제이다. 즉 치매상태임에도 불구하고 자동차를 운전하는 고령자가 생기면서 환자 자신은 물론 가족이나 대중의 안 전에 위협을 준다는 것이다. 이에 본고에서는 치매환자의 운전 적절 성을 평가하는 도구가 무엇인지, 그 평가도구들의 적절성은 어느 정 도인지, 그 평가 결과에 따라서 어떻게 치매환자의 운전을 중단시킬 것인지, 중단시킨다면 누가 그리고 어떻게 중단시켜야 하는지, 중단 이후 대체할 수 있는 교통수단은 어떤 것인지 등을 제도적 발전과 변화의 측면에서 서술하였다. 아울러 치매 상태의 고령운전자의 운 전중단이 삶의 질 저하와 어떠한 관련성이 있는지, 그와 같은 운전 중단의 결정에 환자의 가족이나 의료인은 어떤 역할을 해야 하는지 를 논했다. The aging population has been causing a number of social issues. As one of the issues, the numbers of the older drivers and people with dementia have been increasing so fast. Thus, the older drivers with dementia have recently been on the increase, and it has become a risk or threat to the public safety. This paper was to review what the tools for evaluating safe driving were, how proper the tools were, when the older drivers with dementia should stop driving, who would ask to stop driving them, what kinds of alternative transportation services would be offered to them, and so on. At the same time, the relation between discontinuation of driving and decline of the quality of life for the older drivers with dementia was discussed.

        • 응급의료센터를 내원한 헬기이송 환자의 분석

          권혜란,이영현,조남수 광주보건대학 2000 論文集 Vol.25 No.-

          This study was a synoptic assessment of availability of the emergency medical transport by EMS helicopter. There have been 3 helicopters that belong to the Chonnam Regional Police Department. All of them could have been used in transporting emergency medical patients, especially when the patients would be islanders or be occurred in mountainy areas. During the past 5 years from the early 1995 to the late 1999, however, a total of 27cases were transported to the Chosun Univertiy Emergency Medical Center by EMS helicopter. In order to augment the availability or feasibility of the patient transport by EMS helicopter, the emergency medical technician or staff should be accompanied. At the same time, the merits of using the EMS helicopter should be disseminated to the general population.

        • 보건계열과 비보건계열 대학생의 심폐소생술에 대한 인지도

          권혜란 한국응급구조학회 2000 한국응급구조학회지 Vol.4 No.1

          The results of analyzing the cognition of CPR by college students who major in public health or not order to enhance the educational efficiency of first aid ability and its expansion are as follows. 1. In case of students majoring in public health, the students who have the knowledge of term 'CPR' are 95.3% of total 300 students and 62.6% of the students who don't major in public health know it. In the item test of examining the degree of theoretical knowledge of CPR, the cases who know all 12 items are 5.2% and 1.6% respectively in cases who major in public health and don't major in it and it is judged that the extension of educational opportunity for them should be urgent. 2. The students who have experienced the practice of CPR are 20.6% in case who major in public health and 7.4% in other case. Therefore it seems to desirable that indirect field experience should be obtained by strengthening practice centered education. 3. The order of practice to examine the CPR ability is asked and the students who show very good remark are just 21~22% in both cases and they conducted very ineffective CPR and it is examined that they did first aid which may a serious damage to patients. Then the cases who recovered pulse and respiration after CPR were very low as 28.8% in the students who majore in public health and 35.7% in others. It is therefore considered that the exact education of conducting the maintenance of respiratory trace, artificial respiration and CPR is necessary. 4. The cases who had the education of CPR were 51% in the students who major in public health and 39.4% in others, who had little opportunities to have CPR and 92.5~93.2% in both groups fee the necessity of continuous education and it is very encouraging to extend the education of CPR. 5. The education of CPR is mainly done at school (70.3~79.4%) and from teachers (52.7~55.4%) and 71.2% of the students majoring in public health responded that it is good for them to have education of CPR at school and lecture by first-aider and 58.9% of others did it. The cases who ask for lecture by the Professors of Dept. of First-Aid are 11.8 in students majoring in public health and 13.1% in others and it is judged that lecture by them having the theoretical foundation and first-aider with practical ability will be desirable. 6. On teaching methods, 57.5% of the cases majoring in public health and 63.3% of others ask for practice and 20% of both groups need theory centered teaching. 7. On lecture fee, 83% of the cases majoring n public health and 83.3% of others consider it should be free and 8~11.8% who are to pay for 10,000 won and it is judged that it should be opened and operated as liberal arts by college in the dimension of lifelong education. 8. On the objects of education, 83% of cases majoring in public health and 66.6% of others consider it should be conducted in people of all ages and both sexes and it is known that everyone recognizes the necessity of popularizing the education of first-aid.

        • 응급구조과 학생 현장실습의 실제와 개선방안 연구

          권혜란 한국응급구조학회 2002 한국응급구조학회지 Vol.6 No.1

          As a result of analyzing problems in field practice and its effects, the following conclusions can be obtained. Man students were more satisfied with their choice of this department than woman students and woman students recognized the importance of hospital practice although they felt the need of fire fighting station practice and man students felt the necessity of hospital practice, but they answered the fire fighting station practice was important. Departments of field practice are emergency and nurse departments in hospitals and emergency aid section in fire fighting stations. And it is found that field practice was performed well in relation to major subject. Areas of practice included emergency room, operation room and extensive cure unit and the experience of ambulance was more in fire fighting station than in hospital. Clinical guidance of professor was preferred to once a week and the students answered they felt satisfaction with practice through conference. Answer that field practice was helpful in understanding class was very high as 96.8% and its connection with employment was low as 12.8%. It is found that a proper timing of field practice was winter vacation for hospital practice after completing the second semester of the first year and summer vacation for fire fighting station practice after the first semester of the second year. The most difficult department in field practice was nurse department in hospital because 'respondents were practice students' and administrative department in fire fighting stations because 'they lacked recognition of paramedic'. In making practice diary, 'describing measure results' was difficult most and the respondents wanted to keep the diary in their custody.

        • KCI등재

          일부지역 119 노인전용구급차(Silver Ambulance)의 활동분석 및 발전방안

          권혜란,Kwon,,Hay-Rran 한국응급구조학회 2007 한국응급구조학회지 Vol.11 No.3

          This study analyzes use and operation of silver ambulance with 110 patients who had used silver ambulance in Gwangju and Jeonnam regions from June of 2006 to June of 2007 and 53 paramedics who are involved directly in ambulance operation and the results of this analysis are as follows. 1. Users' health conditions, 69.1% of users answered as bad and 67.3% suffered from chronic diseases over 3 months and it was found that they used silver ambulance due to their bad health conditions. 2. Cronbach's alpha was 0.630 and family function index was generally reliable and solution was high as 1.60, but total points were low as 7.11 and it was considered that they had family troubles. 3. On the question of ambulance use, 44.5% answered they used it because it is free, 53.6% used it for appointed medical examination and treatment and 18.1% used it for emergency. 4. Degrees of satisfaction with ambulance and paramedics were 95.4% and 76.4% respectively and 80.0% of ambulance users answered ambulance arrived quickly within 15 min. 5. Correlation($x^2 $) between family or relative's residence and frequency of visits was 86.367 and its significance probability was 0.00 and it was found that it was significant in the level of 0.1%, but correlation($x^2 $) between visitors other than family or relatives and frequency of visits was 14.768 and its significance probability was 0.25 and it was found that it was not significant in the level of 5%. 6. Correlation($x^2 $) between transfer operation speed and mobilization time was found that it was not significant in the level of 5%. Correlation($x^2 $) between their own health condition purpose of ambulance use was 13.802 an 5.696 and its significance probability was 0.93 and it was found that it was not significant in the level of 1%, and it was considered because paramedics carried patients with safe operation.

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