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        • KCI등재

          지역사회(地域社會)에서의 보건교육방향(保健敎育方向) 설정(設定)을 위한 연구(硏究)

          서미경 ( Mee-kyung Suh ) 한국보건사회연구원 2000 保健社會硏究 Vol.20 No.2

          狹義의 槪念으로 접근한 지역사회 보건교육의 대상은 전체인구 의 59.4%인 2648만 3천명이다. 인구학적 특성으로는 未就學 어린이, 老人(60세 이상 노인의 95.9%), 女性(30세 이상 여성의 90% 이상)이 대부분이다. 지역사회보건교육 重點 主題는 우리 나라에 有病率이 높거나 致命率이 높은 질환에 영향을 미치는 원인 중 보건교육의 개입으로 개선이 가능한 健康生活習慣으로 운동, 흡연, 음주, 영양, 비만, 스트레스, 예방접종, 건강검진, 구강관리관 련 예방행동, 운수사고관련 예방행동이다. 이러한 健康行爲에 대한 保健敎育的 접근은 개인의 특성에 따라 개별적이며 專門的으로 접근하여야 한다. 또한 예산이 충분히 지원되어, 선정된 보건 교육 주제에 대한 持續的이고 統合的인 보건교육이 실시되어야 한다. 또한 전문적인 보건교육을 위하여 국가 또는 공인된 기관이 주관하여 保健敎育 專門人力에 대한 양성이 시급히 이루어져 야 한다. This study aims at developing strategies for effective health education in local communities which will function to prevent common chronic diseases, reduce illness rates, and reduce early deaths. The target population for health education in local communities accounts for 59.4 percent of the national population or 26,483 thousands people. They consist mostly of pre-schooling children, elderly people, and women. The subjects for public health education include physical exercise, smoking, alcohol drinking, nutrition, obesity, stress, vaccination, health check-up, dental hygiene, and vehicle accident. In South Korea, the proportion and size of the target population for health education are particularly large, so that the budget for this public work should be increased. Once main subject areas in health education are determined, they should be addressed with a state-initiated integrative program through which the central government stages public campaigns and local governments provide health education and service. Finally, training of health education personnel should be pursued in two directions. First, current health education personnel may receive complementary health education in order to attain a certificate for health education. Second, college students with a major in health education in special public health schools may receive the certificate for health education.

        • KCI등재

          치매노인 대상 가정봉사원사업의 확대방안

          서미경(Suh Mee Kyung),(徐美卿) 한국노년학회 1997 한국노년학 Vol.17 No.2

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          1996년 현재 65세 이상의 5.1% 13만여명으로 추정되는 치매노인은, 고령화의 진전과 더불어 지속적으로 증가할 것으로 예측된다. 임상적인 관점에서 볼 때 치매환자의 대부분은 가정에서 서비스를 제공받는 가정봉사원파견사업을 필요로 하고 있으며, 이러한 서비스는 우리나라의 유교적 전통에도 부합된다. 본 연구에서는 치매노인에게서 가장 수요가 많은 가정봉사원 파견사업의 확대방안으로 다음의 정책과제를 제시하고자 한다. 첫째, 가정봉사원 파견사업소의 적정수의 확보 및 적정배치를 위하여 우선적으로 기존의 재가복지봉사센터를 활용하고, 관련 행정기관간의 연계를 통하여 지역간의 안배를 하도록 한다. 둘째, 생활보호대상자 범위의 확대, 실비대상자 범위의 세분화 및 기준지표의 개선, 사회보험제도의 도입을 통하여 대상의 확대에 따른 비용부담체계를 정립하도록 한다. 세째, 유급 및 유료가정봉사원에 대한 평가기준을 대상노인의 수외에도 서비스요구도 및 서비스 제공내용에 따라 조정할 수 있도록 탄력적으로 운영하고, 유급 및 유료가정봉사원 교육과정에 간호관련 부문을 강화하도록 한다. 장기적으로는 치매 등 중증의 질환노인을 담당할 간호 및 개호전문 가정봉사원을 별도로 양성하는 것도 고려하도록 한다. Elderly people with dementia numbered about one hundred thirty thousand in 1996, according for 5.1% of the total elderly papulation (aged 65 and over) and are expected to grow continuously along the course of population aging. From a clinical perspective, most of the dementia patients need home-maker service-i.e., receiving various services from a home-dispatched helper. To expend the home-maker service for elderly people with dementia, the following measures can be recommended. First, in order to secure an adequate number of home-maker dispatch offices and place them wisely, the already existing in-home care support centers should be utilized actively and the cooperations of related administrative organizations should be acquired for regional balanced service. Second, in order to establish a proper cost-shaving system for the increasing demand of home-maker service, the expansion of the poverty assistance group, the further specification of the tecipients and types of subsidized service, the improvement of the existing service standards, and the adoption of a social insurance system should be considered. Third, the evaluation standards for paid home-makers should be more flexibly set to reflect not only the number of elderly people in need of the home-maker service but also the intensity and contents of service demand. Also, the nursing-related sections should be strengthened in the training of paid home-makers. In the long run, it needs to be considered to separately train a special group of home-health aides for taking care of severely sick elderly people due to dementia, etc.

        • KCI등재

          한국 노인의 만성질환 상태 및 보건·의료 대책

          서미경(Mee Kyung Suh) 한국노년학회 1995 한국노년학 Vol.15 No.1

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          전국 만 60세 이상의 노인 2,048명을 대상으로 1994년 4월 4일에서 5월 5일 사이에 실시된 조사의 결과 전체노인의 85.9%가 '3개월 이상' 지속된 만성질환을 지니고 있으며, 56.8%의 노인이 복합적인 만성질환 증세를 보이고 있는 것으로 나타났다. 질병별로는 관절통(관절염·신경통·류마티즘 : 56.6%), 만성요통(31.2%), 소화기계 만성질환(19.8%), 고혈압(19.3%)의 순서로 유병률이 높다. 또한, 만성질환으로 인하여 일상생활에 지장을 받는 노인은 전체노인의 72.2%로 나타났다. 이러한 노령기의 질환에 대처하기 위하여 청장년기 부터의 보건교육실시에 의한 질병의 예방 및 조기발견과 노인의 질병특성에 적합한 간병 위주의 통합된 노인 보건·의료제도의 확립이라는 기본방향에 의하여 정책이 수립되어야 한다. 또한, 제도의 효율적인 운영을 위하여 노인 보건·의료를 담당하는 필요한 인력의 확보와 재가보건의료사업 실시기관, 전문요양기관 및 노인전문요양병원을 의료보험요양기관으로 지정하고 생활보호대상자의 의료비 및 간병비에 대한 국고 및 지방비의 지원책이 필요하다. According to a nation-wide survey of 2,058 elderly people aged 60 and over in 1994, 85.9% of the respondent reported that they had chronic diseases which lasted for more than 3 months. The proportion reporting chronic diseases lasting for more than 3 months was higher among the elderly in rural areas than the elderly in urban areas, and among females than males. The major chronic diseases turned out to be arthralgia(arthritis. rheumatism) by 56.6%, back pain by 31.2%, digestive diseases by 19.8%, hypertension by 19.3%, and respiratory diseases by 10.9%. As most of the eldelry have chronic diseases, health promotion activities such as health education and health examination are needed from middle ages. Also, there are urgent needs for the long-term care system based on community assistance as well as facilities such as intensive nursing homes and geriatric hospitals.

        • KCI등재

          치매관리사업을 위한 실버씰(SILVER SEAL) 도입방안

          서미경(Mee Kyung Suh) 한국노인복지학회 1999 노인복지연구 Vol.3 No.-

          As the progress of population aging inevitably accelerates prevelence of dementia, the number of elderly people suffering from dementia is expected to become about 280,000 in 2000 and 620,000 in 2020. If effective social services are to be provided for this rapidly increasing population of demented elderly persons, their families, the government, and civil social groups should closely cooperate. Silver seal is a concept proposed to mobilize civil social resources by selling stamp-like matter and using the thereby raised fund to provide prevention, cure, and welfare services related with dementia The silver seal project requires a legal basis such as the “Law on the Operation of Silver Seal” and a scheme for selecting and supporting the organization which will manage the project. Besides, the national government should prepare the supporting program in the early stage of the silver seal project (i.e., until the general public show sufficient support for the project). Finally, a workable relationship should be established between the silver seal fund-raising organization and the Joint fund law for the sake of effective institutional support.

        • KCI등재

          노인(老人)의 건강(健康) 대책(對策)

          서미경(Mee Kyung Suh) 한국노인복지학회 1999 노인복지연구 Vol.4 No.-

          Extended life espectancy is responsible for prolonged periods of ill health for more and more elderly people. Many of these ill elderly people tend to keep their illness untreated. While familial support for elderly people is gradually weakening, public support means for them remain insignificant. The following can be suggested as main measures for improving elderly people`s health status. First, we need to strengthen preventive health services for normal elderly persons. The provison of health services should be systematically coordinated with welfare and other social services. Second, the current medical insurance system, centered on acute diseases, should be modified to incorporate the nature of geriatric illness for which nursing and recuperation are very important. Third, a formal program for training special nursing personnell for bedstead and dementious elderly should be established under the supervisors of the central government. Finally, the section on heath and medical services need to be strengthened.

        • KCI등재

          노인의 정신건강과 부양의 완충작용에 관한 연구

          서미경(Mee Kyung Suh) 한국노년학회 1990 한국노년학 Vol.10 No.1

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          A number of studies on American elderly have shown that the effect of social support on the elderly's mental well-being is particularly significant when the elderly are confronted with life crisis situations such as physical illness. This so-called "buffering effect" of social support against psychological distress was tested for a group of Korean elderly in Seoul who had been surveyed by the current investigator in 1987. The regression analyses based on the survey data showed that the effect of social support on Korean elderly's mental well-being is conspicuously more significant for those in bad physical health than others. Among the two dimensions of the elderly's mental well-being, depression was more significantly subjected to the buffering effect of soical support than life satisfaction. Among the different types of social support, social support by kin members and instrumental support turned out to be more important buffers against psychological distress than social support by non-kin members and affectional support. While the varying significances of the different types of social support reflect the particular cultural and socioeconomic situations of Korean elderly, the results of this study as a whole further substantiate the buffering effect of social support on the elderly's mental well-being in a cross-societal perspective.

        • KCI등재

          한국로인(韓國老人)의 생활만족도(生活滿足度)에 대한 요인분석(要因分析)

          서미경 ( Mee-kyung Suh ), 김정석 ( Cheong-seok Kim ) 한국보건사회연구원 1995 保健社會硏究 Vol.15 No.2

          본 연구는 1994년 한국보건사회연구원에서 실시한 전국노인 생활실태조사를 이용하여 한국노인의 生活滿足度와 이에 영향을 미치는 요인을 분석한 것이다. 성·연령·결혼상태 등의 사회인구학적 변수, 경제상태에 대한 만족도, 일상생활수행 정도, 자녀와의 동거여부를 獨立變數로 선정하고, 노인의 생활만족도를 종속변수로 하여 중다희귀분석을 실시한 후, 중다희귀분석 결과 모형에 따른 생활만족도를 예측하여 보았다. 분석결과 結婚狀態, 經濟狀態에 대한 滿足度, 日常生活進行程度가 有意하게 생활만족도에 영향을 미치는 것으로 나타났다. 이러한 결과에 따라 다음의 세가지 정책을 제시하고자 한다. 첫째, 노인들의 經濟的 欲求를 충족시켜 줄 수 있도록 건강하고 일할 의욕이 있는 노인들에게 취업기회를 제공하고, 병약한 노인에게는 노령수당을 지급하되, 지급액을 최저생계비 수준까지 인상하구 지급대상을 연금수급제외자로 확대하여야 한다. 둘째, 長期療養이 필요한 老人을 위한 在家서비스 중심의 보건·의료제도를 확립하고, 동시에 중증의 노인과 가족이 돌보기 어려운 노인을 위한 專門療養施設의 설립도 검토하여야 한다. 셋째, 子女別居 老人家口의 증가가 예측되므로, 別居扶養의 부족한 점을 보완 할 수 있는 在家福祉서비스의 개발 및 제공이 시급히 필요하다고 본다. Using the results of a nation-wide survey on Korean elderly persons conducted by the Korea Institute for Health and Social Affairs in 1994, this study analyzes various determinants of elderly people`s life satisfaction. Based upon the findings and conclusions of previous studies, we considered elderly people`s basic sociodemographic characteristics(such as age, sex, area of residence and education),economic situation,health status, marital status, and cohabitation with children as potential determinants of life satisfaction. The degree of life satisfaction was measured in terms of LSI (Life Satisfaction Index), which was devised by the authors as a modification of a few previous works. Mutiple regression analysis was applied in analyzing the determinants of life satisfaction. Our results show that Korean elderly people`s life satisfaction increases significantly when their spouse is alive, when they feel their economic sitution is better, and when they suffer less difficulties in managing activities for daily living. These results suggest the following policy guidelines. First, the significant effect of economic situation on life satisfaction suggests that employment opportunities for healthy elderly persons and public allowance for needy elderly persons should be expanded. Second, as most of the elderly people have chronic diseases and difficulties in daily activities, a long-term health care delivery system based upon community assistance as well as special facilities such as intensive- service nursing homes and geriatric hospitals, should be urgently developed. Finally, as elderly-only-households are expected to continuously increase, in-home services should be developed to assist elderly persons in their daily life in the absence of help from their children.

        • KCI등재

          가족(家族) 및 사회부양(社會扶養)이 한국노인(韓國老人)의 정신건강(精神健康)에 미치는 영향(影響)

          서미경 ( Mee-kyung Suh ) 한국보건사회연구원 1989 保健社會硏究 Vol.9 No.2

          이 論文은 서울에 居住하는 老人을 대상으로 1984年과 1987年 두차례에 걸친 設問調査 結果를 통해서 老人扶養이 精神健康에 미치는 影響을 분석한 것이다. 본 硏究에서는 老人扶養, 物質扶養 또는 情緖扶養 등 扶養形態別로 老人들의 生活滿足感과 憂鬱感에 미치는 影響을 분석하였다. 이를 위해서 多變量回歸分析 등 최근에 개발된 尺度를 적용하였는데 이들 尺度의 信賴性은 韓國老人에서도 有意함이 立證되었다. 이들 分析에서 老人扶養이 精神健康에 미치는 基本假說을 입증하였고, 특히 家族에 의한 扶養에 物質的, 精神的인 측면에서 큰 비중을 나타내고 있음을 알 수 있었다. 또 健康한 老人과 病弱한 老人을 구분한 分析에서 家族扶養이 病弱한 老人의 精神健康에 미치는 영향은 健康한 老人에서 보다도 월등한 점을 알 수 있었다. 이와 같은 결과는 西歐의 경우와는 달리 韓國老人의 精神健康은 家族의 지속적인 보살핌에 의해서 결정됨을 볼 때, 家族共同體의 중요성이 제시된 점이라 하겠다. 특히 社會的 近代化過程에서 核家族化의 성향과 老人의 社會撫養體制의 擴人는 특유한 家族文化圈을 형성해 온 韓國에서 老人의 精神健康내지 精神疾患이 家族과 蓮繁性을 가질 때 安定과 豫防에 큰 도움이 있음을 豫示하고 있다.

        • 경락마사지가 편마비 환자의 상지기능과 우울에 미치는 효과

          최선임(Choi Sun Im), 김혜경(Kim Hae Kyung), 김희정(Kim Hee Jeong), 서미경(Suh Mee Kyung), 김영효(Kim Young Hou), 김미라(Kim Mee La), 김미종(Kim Mee Jong), 최미선(Choi Mee Sun), 정석희(Jeong Suk Hee), 김정화(Kim Jeong Hwa) 한국재활간호학회 2000 재활간호학회지 Vol.3 No.2

          Meridian massage is originated from oriental medical manipulation, and it has been mainly applied to as pain and paralysis. The purpose was to develop new method of nursing care for help hemiplegic patients to recover their functions of upper limbs and to reduce depressions.<br/> This study was carried out between 8. March, and 8. June. 2000 and the subjects of the study were .60 hemiplegic stroke patients who were participants at a hospitalized in K oriental medical center. The experimental group(30) and the control group(30) were assigned by means of participation order. The experimental group took meridian massage on affected upper limb for 10 minutes daily for 2 weeks.<br/> We evaluated muscle power and endurance with band from AVIVA company.: range of motion with goniometer: shoulder pain with visual analogue scale: swelling with Jeweiers ring measurement of Dirette: depression with self-rating depression scale translated into Korean by Yang(1982).<br/> Data were analyzed by SPSS PC and the results are described below.<br/> The experimental group showed better muscle power and endurance than control group.<br/> Range of motiont of affected shoulder improved significantly in experimental group. Also, the experimental group showed less shoulder pain. hand edema. depression than control group.<br/> In this study, we observed that meridian massage is an effective nursing care in improving the function of upper limb and managing depression of stroke patients.<br/> <br/>

        • KCI등재

          제7차 교육과정에 의한 초ㆍ중ㆍ고등학교 교과서의 흡연예방교육내용 분석

          황명희송(Myunghee Song Hwang), 서미경(Mee-Kyung Suh), 서홍관(Hong Gwan Seo), 명승권(Seung Kwon Myung) 한국보건교육건강증진학회 2007 보건교육건강증진학회지 Vol.24 No.4

          Objectives: A content analysis was conducted to examine whether the current school textbooks providing smoking information are effective or not. Methods: The authors reviewed 111 qualified textbooks using elementary through high schools during 2006-2007 academic year in Korea. Educational components were coded with an analysis tool developed through the present research. Result: Tobacco education components were narrowly focused on long-term physiological consequences of tobacco use, addictiveness, and harmful ingredients and they were repetitively shown in the textbooks. Negative health consequences such as lung cancer were emphasized 10 times among 12 smoking-related textbooks. Educational messages or contents are mainly based on medical knowledge (72%) rather than psycho-social components. The US school-based smoking prevention programs, however, employ psycho-social approach with cognitive and life-skill components and they contain only 7-17% of smoking-related medical knowledge. In order to increase psycho-social smoking prevention components in Korean textbooks, the present study identified social subjects of textbooks (and relating core sessions) for elementary, middle, and high school. It also provided guidelines for school instructors to use. Conclusion: Adolescent smoking behavior is not caused by the deficit of health information, but mostly by social influences including media and peer pressure. School textbooks proving smoking information need to increase psycho-social context. One of the most effective ways as a psycho-social smoking prevention program is to use social subjects (or curriculum) of textbooks such as social studies, ethics, social cultures, social environment, and home management.

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