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      • KCI등재

        재가 뇌졸중 환자를 위한 패턴화된 감각향상[PSE]상지운동 프로그램의 개발 및 효과

        홍명선 지역사회간호학회 2011 지역사회간호학회지 Vol.22 No.2

        Purpose: This study was conducted to develop and assess the feasibility of an upper extremity exercise program based on Patterned Sensory Enhancement (PSE) for home-bound stroke patients by measuring the level of upper extremity function, depression, and interpersonal relationship. Methods: The experiments were performed on stroke patients at three different rehabilitation centers in Incheon City. Twenty patients participated in the experimental group or in the control group. The program was executed three times a week for 6 weeks. Data were collected from August to October, 2006. Manual Function Test was used to quantify and evaluate upper extremity function. The depression level and the effectiveness of interpersonal relationship were quantified and measured using CES-D and Relationship Change Scale, respectively. Results: The effectiveness of upper extremity function of stroke patients who participated in the PSE upper extremity exercise program was higher than that of non-participating patients. The depression level decreased and interpersonal relationship improved in the stroke patients who participated in this program compared to those who did not. Conclusion: These findings prove that the PSE upper extremity exercise program for home-bound stroke patients was an effective strategy for enhancing upper extremity function, decreasing the depression level, and improving interpersonal relationships.

      • 국민건강증진사업의 현황과 활성화 방안

        홍명선 京畿專門大學 2001 京畿專門大學 論文集 Vol.- No.29

        As the whole world has been developing into industrialized society, direction change is occurring in health care system from focusing on diseases treatments performed in the past to prevention of disease itself. In our country the structure of chronic degenerative diseases has been prominent, and average life expectancy will be reached 77years, and population of aged will be 10% by the year of 2010. Therefore, the needs for policy change focusing on chronic disease appeared intensively with growing of elderly population. Environmental pollution due to industrialization and urbanization, and increasing of traffic vehicles, change of living conditions make increasing risk factors of diseases and accidents, and also change of eating food habits with lacking of exercise bring our society the state of nutrition imbalance. To resolve these health problems in these days, approachment to vaccination and sanitation management which was effective in the acute infectious disease of the past are not yet effective coping methods. Thus improvement of environment and life style which is the cause of general diseases prevalence, and primary prevention concerning on health educational, preventive, and environmental health is a new perspective of comprehensive approachment and that should be activated. World health organization expressed health promotion as a new public health movement and suggested that it is a good way of dealing with the new challenges of health problems. Public health care and policy in Korea also seeks to various measures to meet the changed conditions effectively, and presented the health promotion as the solution of activation of public health care services. Thus health promotion activities with reforming of health care regulation is changing rapidly as a new paradigm in turn of this new millenium. In other word, First, there is changing from the past focusing on treatments after occurring diseases to positive life long management such as disease prevention, early detect and treatments, and safety prevention. Second, from the way of approaching health care problems in the health care agencies to the people's life field, such as community, school, work sites through forming environments fitted to health, Third, from the access to health informations in the health care agencies to various media through which accessing health information suitable to themselves and practice them. Forth, health care policy is entering transitional period from investment 90% of resources for the 10% of peoples' health problems to the investment health resources for the most peoples' health problems. Therefore these changing health care environments are becoming the opportunity for us to practice our ability of profession and individuality. Accordingly we should expect our future to catch these chances and should make preparation of systematic, and various perspectives to meet changing policy effectively.

      • KCI등재
      • KCI등재

        노인을 대상으로 한 국내 음악요법의 연구현황 및 분석

        홍명선 노인간호학회 2004 노인간호학회지 Vol.6 No.2

        Purpose: The purpose of this study was to review and analyze the trend and issues of nursing researches on music therapy for the elderly in order to generate helpful instructions and methods for developing better music therapy programs for the elderly. Method: Fifty-two dissertations and published articles related to music therapy in nursing from 1983 to February 2004 were reviewed. They were analyzed according to the following factors: published year, origin of research, research design, subject, sample size, type of music therapy, duration of experiment, genre of music, dependant variables and their effect. Result: Among fifty-two researches on music therapy published, forty-two (80.8%) were dissertations and ten (19.2%) were published articles. Only nine researches among these were carried out on the elderly. Fifty (96.2%) researches were based on experiments whereas two (3.8%) were non- experimental researches. Among fifty experimental researches, forty-two(80.8%) were on Quasi-Experimental research designs, six (11.5%) were the pre-experimental designs, and two (3.8%) were the true experimental designs. In nine researches mentioned in No.1, six Quasi-Experimental researches and three pre-experimental researches were conducted on the elderly. The number of subjects on surgical/anesthesia patients outnumbered (18 researches, 36%) then it was followed by the subjects on the elderly by nine researches (18%). Listening to music program was the vast majority in different programs of music therapy (38 researches, 76%). The majority number of subject fell in 31-40 range by 15 researches. The different music therapy programs on the elderly included listening to music, listening to music with singing, listening to music with singing and dancing, singing with musical instruments, and etc. The average duration of session was 30-60 minutes. The genre of music was mainly selected by preference of subjects. And old folk songs and contemporary songs were mostly selected. Researches on music therapy program measures different dependant variables as follows: depression (26.3%), emotion (21.1%), cognition (15.8%), balance and flexibility (10.5%), blood pressure, pain, and quality of life (5.3%). Conclusion: We are in urgent need to develop systematic music therapy programs with different nursing intervention which are based on theories and principles while considering physical, psychological, and social characteristic of the elderly with their personal music preference.

      • SCOPUSKCI등재

        불임시술의 합병증에 관한 역학적 연구

        홍명선,Hong, Myung-Sun 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.1

        Intending to offer basic information for a prospective health services in Korea, this study is to investigate the complication caused by sterilization in goverment family planning program from 1962 to 1995. The results are as follows: 1. Total number of sterilization performed during the period from 1962 to 1995 were 1.367,772 cases of male sterilization and 2,889,635 cases of female sterilization. 2. Incidence of the complication caused by sterilization operation from 1980 to 1995 were 1,883(0.20%) out of 925,801 cases in vasectomies and 15,866(0.70%) out of 2,256,020 cases in tubal sterilizations. 3. Major complications in vasectomy were epididymities of 658 cases (34.9%), vas recanalization of 326 cases(17.3%), hematoma of 266 cases(14.1%), scrotal abscess of 184 cases(9.8%), sperm granuloma of 76 cases(4.0%),and other of 373 cases(19.8%). On the other hand, in tubal sterilization, ectopic pregnancy was the most significant complication of 15,078 cases (95.0%) among 15,866 total complications, followed by pelvic inflammatory diseases of 155 cases(0.9%), peritonities of 96 cases(0.6%), ovarian & tubal bleeding of 31 cases(0.2%), intestinal perforation of 16 cases (0.1%), uterine bleeding of 14 cases(0.1%), uterine cervix laceration of 1 case (0.1%), and other of 271 cases(1.7%), while 161 pregnancies(0.1%) were terminated and 43 cases(0.3%) with normal delivery. 4. The occurrence rate of the complication for each period showed that most of the complication cases by vasectomy occurred in a year after the operation -the cases were 1,256 (66.7%). 254 cases(13.5%) occurred between the next year and the 2nd year, 138 cases (7.3%) between the 2nd year and the 3rd year, 73 cases(3.9%) between the 3rd year and the 4th year, 52 cases(2.8%) between the 4th year and the 5th year, 31 cases(1.6%) between the 5th year and the 6th year, 79 cases(4.2%) over the 6th year. Tubal sterilization indicated that the occurred complication cases in a year were 2,175 cases(13.7%), 2,113 cases(13.3%) occurred between the next year and the 2nd year, 2,082 cases(13.1%) between the 2nd year and the 3rd year, 2,049 cases (12. 9%) between the 3rd year and the 4th year, 1,819 cases(11.5%) between the 4th year and the 5th year, 621 cases(10.2%) between the 5th year and the 6th year, 4,007 cases(25.3%) over the 6th year. 5. For the cost of complication treatment, total \7,928,229,000 were paid as medical expenditure in which \609,438,000 for vasectomy and \7,318,791,000 for tubal sterilization. Accordingly per capita expenses were \345,000 for vasectomy and \467,000 for tubal sterilization. As the proportion of government sterilization program was decreased after 1988, that of private sterilization program would be increased. So it is recommended to set a guideline for the private sterilization program and to continue government sterilization program for the lower class.

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