• Title/Summary/Keyword: 복합 통증

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The Effect of Aroma Inhalation on the Preoperative Pain and Anxiety of the Elderly Preparing to Undergo Spine Surgery (척추 수술 전 노인환자에게 적용한 아로마 향흡입요법이 통증 및 불안에 미치는 효과)

  • Park, Sohwi;Kim, Bokyoung;Park, Kyungsook
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.523-533
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    • 2019
  • This study's purpose is to determine the effects of aroma inhalation on preoperative pain and anxiety of the elderly preparing to undergo a spine surgery. A Quasi-experimental design, with non-equivalent control group non-synchronized design was used in this study. Blended essential oils with frankincense, marjoram and mandarin were inhaled twice in the experimental group (n=30). The control group (n=30) was treated with the standard preoperative care. Pain, state anxiety, and vital sign were measured twice (before and after). The results of this study showed that pain (t=-1.223, p=.226), systolic blood pressure (t=-0.211, p=.833), diastolic blood pressure (t=0.638, p=.526), and respiration rate (t=0.734, p=.466) were not statistically significant in the experimental and the control group. There were significant differences in state anxiety (t=-3.202, p=.002) and pulse rate (t=-0.213, p=.037) in the experimental group compared to the control group. According to the results, aroma inhalation is an effective nursing intervention for relieving anxiety in surgical patients.

Opioid Withdrawal Symptoms after Conversion to Oral Oxycodone/Naloxone in Advanced Cancer Patients Receiving Strong Opioids (아편유사제 복용 중인 암성 통증 환자들에서 경구 Oxycodone/Naloxone으로 전환 후 발생한 금단증상)

  • Kim, Jung Hoon;Song, Haana;Lee, Gyeong-Won;Kang, Jung Hun
    • Journal of Hospice and Palliative Care
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    • v.20 no.2
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    • pp.131-135
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    • 2017
  • Purpose: Oral naloxone is combined with oxycodone to alleviate or prevent opioid-induced constipation in cancer pain patients. However, there is still concern that oral naloxone may precipitate opioid withdrawal symptoms in patients on opioids. We retrospectively investigated clinical characteristics of cancer patients who experienced opioid withdrawal symptoms. Methods: We reviewed medical records of all patients who were prescribed with oral oxycodone/naloxone at a tertiary cancer center from January 1, 2012 through December 31, 2016. Eligible patients were screened based on demographics, opioid and naloxone dosages, clinical manifestation and pain intensity. Results: Among a total of 1,641 patients, 10 patients were selected. Seven patients were male, and the average age was 68.1 years. The median dose of naloxone that induced withdrawal symptoms was 20 mg. Most common withdrawal symptom was shivering (seven patients) followed by cold sweating (five), and muscle twitching (five). Other symptoms included restlessness, fever, dizziness, and yawning. Pain was exacerbated from the median intensity of numeric rating scale (NRS) 3 to NRS 6. Conclusion: Opioid withdrawal symptoms may occur when switching to oral oxycodone/naloxone for cancer patients who have been treated with other strong opioids. A prospective, multicenter study on this issue should be conducted in future.

A Study of the Effects of Gold and Stone Therapies on Changes in Body Size in the Neck, Back and Shoulder (골드테라피와 스톤테라피가 목, 등, 어깨 부위 신체 치수 변화에 미치는 영향 연구)

  • Lee, Jin-Young;Jeong, Yeon-Jeong;Li, Shun-Hua
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.465-476
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    • 2017
  • This study attempted to investigate the effects of gold therapy on myofascial pain syndrome(MPS) in the neck, back and shoulder in comparison to stone therapy and verify its availability as an efficient nursing mediator in clinical trials. For this, therapy was given to a total of 20 women in two groups (gold therapy group, stone therapy group: 10 persons each) living in the capital region three times a week (40 min. at a time) for two weeks. In both groups, a statistically significant decrease was found in the following after the treatment: neck circumference, shoulder width, width of the inferior angle of scapula, shoulder thickness and waist circumference (p<0.001). In terms of differences, the gold therapy group was greater than the stone therapy group. In both groups, a statistically significant increase was observed after treatment in the following: cervical lateral bending (right), cervical lateral bending (left), cervical flexion and cervical extension angle (p<0.001). In terms of differences, the gold therapy group was greater than the stone therapy group. In conclusion, this study seems to show that gold therapy is a nursing intervention option having effective fascial relaxation and pain relief for the neck, back and shoulder. Therefore, it would be valuable as safe, non-invasive therapy.

Patients' perspectives on taking insulin in diabetes - Perspectives of convergence (인슐린 치료에 대한 당뇨병 환자의 지각과 경험 - 융복합적 관점)

  • Song, Youngshin;Ah, Eunkyong
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.283-292
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    • 2016
  • The purpose of this study was to explore the cultural perspectives and experiences relating to insulin therapy among the diabetes. The authors conducted four semi-structured focus groups and individual interviews with 19 adults with type 1 and 2 diabetes, focusing on the personal experiences and thoughts regarding insulin therapy. Patients' perspectives and experiences relating to taking insulin formed three categories of themes: preoccupations about insulin, barriers to taking insulin, and benefits to taking insulin. The theme for preoccupations about insulin was "vague fear," while the theme of barriers to taking insulin were "worrisome insulin-related issues", "ambivalent feelings (trust/mistrust) about healthcare providers," "dependent life," "feeling about supporters(family, friends, and religion)," "inconvenience," "regret about the past," and "embarrassment." The theme of benefits to taking insulin were "recognition" and "physical recovery and confidence in regulating blood glucose". Based on this study, patients' feelings about their insulin should be respected by healthcare providers.

Effect of Placental Extract on Immobilization of Shoulder Joint in a Complex Regional Pain Syndrome Patient (복합국소통증증후군 환자의 견관절 운동제한에 미치는 자하거 가수분해물 약침요법의 효과)

  • Cho, Tae-Hwan;Park, Kyeong-Mee
    • Journal of Acupuncture Research
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    • v.29 no.4
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    • pp.93-97
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    • 2012
  • Complex regional pain syndrome type 1(CRPS 1) is a neuropathic pain disorder that accompanies severe pain and motor deficit as well as changes in the skin in the extremities. The pathophysiology of CRPS 1 is still not exactly elucidated. However, the general consensus of involvement of inflammatory mediators in the development of CRPS 1 is amply made. On the basis that placental extract successfully inhibited the production of inflammatory cytokines and mediators in several experimental models, we have tried a long-term weekly injection of placental extract into acupuncture points to a CRPS 1 patient suffering pain and immobilization of shoulder joint. The results say that placental extract effectively resolved pain, restored skin color and improved immobilization of shoulder joint in the CRPS 1 patient.

STRESS의 한의학적 이해

  • Kim Jong-U;Kim Ji-Hyeok;Hwang Ui-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.4 no.1
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    • pp.19-26
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    • 1993
  • 1. Stressor 는 한의학에서의 발병원인인 내인, 외인, 불내외인을 모두 지칭하고, 특히 심인적 stressor는 칠정으로 설명 될 수 있다. 2. 질병의 발생은 병인작용이 과도하거나 생체자체의 저항력이 약해졌거나 혹은 이들의 복합적인 원인으로 말미암아 발생하는 데, 한의학에서는 이를 정기와 사기의 관계로 설명하였다. 3. 칠정은 오장과 연관된 정신상태가 감정의 형태로 밖으로 표출되는 것인데, 칠정이 지나치면 정신상 과도한 자극이 되어 질병을 발생하게 된다. 4. Stress로 유발되는 질환은 직접 오장을 상하거나 또는 장부기기의 이상을 초래 하여 발생하는데 전. 광. 간, 탈영. 실정, 중기증, 심풍증,기울증, 기통증등의 질환이 언급되었음을 볼 수 있다. 5. Stress에 대처함에 있어서는 자연환경에의 조화, 허심합도, 정의 보존, 음식유절, 기기조절법 등으로 심신의 균형을 이룸이 필요하다.

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고대중의문헌의 골다공증에 대한 인식(古代中医文献对骨质疏松症的认识)

  • Jeong, Hong-Sin;Kim, Myeong-Ju;Kim, Hyo-Cheol
    • Journal of Korean Medical classics
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    • v.24 no.6
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    • pp.125-130
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    • 2011
  • 중의학에는 골다공증이란 병명은 없으나 현대 골다공증의 병인병기와 임상특징에 근거하며 중의학의 "골위(骨痿)", "골비(骨痹)"의 범주에 속한다. 고대 중의문헌에서 골위의 병인은 비교적 복잡하며 병기의 변화 역시 다양하나 "기혈이 유양(濡養)작용을 하지 못하는 것"을 위주로 하는 주요한 병리특징이 있으며, 골비의 병인은 외사, 계절, 병위, 체질 등 복합적인 인소로 인하여 "기혈이 막히는 것(閉阻)"을 위주로 하는 주요한 병리특징이 있다. 골위와 골비의 증상표현은 대략 비슷하나 골위는 하지가 위약(痿弱)하여 사용할 수 없는 것이 특징이며, 골비는 대부분 전신통증을 위주로 하기에 치료법칙에 있어서도 각자의 특징이 있다. 그러므로 본 논문은 중의학이 골다공증의 이론기초를 인식하는 기초를 다지는데 중요한 의의가 있다고 사료된다.

Restless Legs Syndrome developed from Complex Regional Pain Syndrome Type 1 (1형 복합국소통증증후군에 병발한 하지불안증후군)

  • Park, Kang Min;Kim, Sang Jin;Bae, Jong Seok;Woo, Chul Ho
    • Annals of Clinical Neurophysiology
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    • v.9 no.1
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    • pp.36-38
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    • 2007
  • The pathomechanisms involved in both restless legs syndrome (RLS) and complex regional pain syndrome type I (CRPS I) are still controversial whether they are central or peripheral origins. We recently encountered a patient who had an unusual coexistence of both RLS and CRPS I, and both of which showed good responses to sympathetic block. These findings suggest the role of peripheral mechanisms, especially unmyelinated small autonomic fiber, in both RLS and CRPS I.

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The clinical observation of 1 case of the Complex Regional Pain Syndrome (소염약침으로 치료한 복합부위통증증후군(CRPS) type I 환자 1례 증례보고)

  • Lee, Eun-Jung;Yoon, Il-Ji
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.109-116
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    • 2009
  • Objective: The objective of this study is to observe the effect of anti-inflammatory herbal acupuncture on the Complex Regional Pain Syndrome Methods : Anti-inflammatory herbal acupuncture, A-Shi Point, Sa-am acupunture were used to treat shoulder pain & ROM(range of movement)disorder, chest pain, finger's causalgic pain. We evaluated the patient through VAS(Visual Analog Scale) daily and Physical Examinations Results & Conclusions : After 42days of treatment, shoulder pain was decreased from VAS10 to VAS3, chest pain was decreased from VAS10 to VAS1.5, finger's causalgic pain was decreased from VAS10 to VAS2.5. and the patient showed that the ROM(range of movement) of shoulder was better, oriental treatment is good method for pain relief and better movement.

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Development of Shoulder Alignment Assistance Equipment for Injury Prevention (상해방지를 위한 어깨정렬 보조장비 개발)

  • Jang, Ji young;Min, Seong Min;Ahn, hana;Kim, Sung Kyeon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.301-302
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    • 2021
  • 현재 어깨상해는 많은 운동 참여자에게 빈번히 발생하는 질환이다. 운동 동작 시 올바르지 못한 어깨정렬로 인해 어깨의 안정성이 저해되고 그로인해 다양한 상해들이 유발되어진다. 운동 동작 시 팔꿈치와 손목간의 올바른 정렬은 어깨 안정성에 중요한 요소이다. 따라서 본 논문에서는 팔꿈치보호대와 손목밴드에 센서를 부착하여 웨어러블 장비와 함께 융복합 IT기술을 기반으로 하여 팔꿈치와 손목간의 정상범위를 직관적으로 제시하여 동적 운동 상황에서의 상해를 예방하고자 한다.

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