• 한국산학기술학회논문지
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• 제16권3호
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• pp.1928-1936
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• 2015

본 연구는 대학병원 보건의료인을 대상으로 직무 관련 요인들과 근골격계 증상간의 관련성을 살펴보았다. 연구대상은 대학병원 보건의료인 313명이며, 자료분석은 SPSS/PC 21.0을 이용하여 기술통계, 로지스틱 회귀분석으로 분석하였다. 연구결과 근골격계 통증을 호소하는 대상자는 201명(64.2%)였다. 신체 부위별 근골격계 통증에서는 어깨부위가 116명(37%)로 가장 많았다. 또한 35세 미만인 경우와 근무경력 6년 이상, 육체적 부담정도가 많을수록 근골격계 통증 호소율이 높은 것으로 나타났다. 결론적으로 근골격계 증상이 질환으로 진행되지 않도록 예방하기 위해서는 직종과 근무경력에 따른 예방활동을 계획하거나, 업무 중에 수행할 수 있는 스트레칭 등의 중재와 지속적이고 적극적인 관리가 필요하다.

• 임상간호연구
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• 제17권2호
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• pp.286-296
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• 2011

Purpose: This research was done to compare the pain relief effects of various nursing interventions, such as cold therapy, attention diversion and 10% Lidocaine spray during arteriovenous fistula needling for patients on hemodialysis, and also to identify and develop more effective nursing interventions for pain relief in these patients. Methods: This research was conducted from October 1, 2010 to January 31, 2011 with 8 hemodialysis patients, who were on regular dialysis (3 times a week) at K University Hospital in Seoul and had an arteriovenous fistula within the past 3 months. Each patient received the three nursing interventions (cold therapy, attention diversion and 10% Lidocaine spray therapy) prior to the arteriovenous fistula needling and applied in turn with the series being repeated 4 times. After each intervention, physiologic indexes, subjective and objective pain were measured at the time of needling. ANOVA was used with SPSS/WIN 12.0 to analyze pain scores and comparison of physiologic indexes (BP, pulse). Results: No significant differences were found for subjective pain (p=.574), objective pain (p=.562) and total pain (p=.506) among the 3 interventions. Systolic blood pressure (p=.689), diastolic blood pressure (p=.969) and pulse (p=.980) also showed no significant difference among the 3 interventions. Conclusion: These 3 interventions are all possible for pain relief during arteriovenous fistula needling for these patients. However, the only interventions that nurses can do independently are cold therapy and attention diversion so we recommend that these nursing interventions be used.

• 대한정형도수물리치료학회지
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• 제30권1호
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• pp.75-83
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• 2024

Background: This study conducted a comparative evaluation of the effects of Pilates stabilization exercise combined with pain neuroscience education (PNE) in patients with chronic low back pain. The evaluation was based on their visual analogue scale (VAS) scores, Korean Oswestry disability index (KODI) scores, and fear avoidance belief questionnaire (FABQ) scores. Methods: A total of 36 participants were recruited and randomly assigned to either a Pilates stabilization exercise group (PSE, n=18) or Pilates stabilization exercise combined with pain neuroscience education group (PPNE, n=18). Both the PSE and PPNE groups participated in 50-minute sessions of Pilates stabilization exercise, three times per week for six weeks. The VAS, KODI, and FABQ scores of the participants were measured before and after the intervention. Results: There were significant improvements in the VAS of the PSE and PPNE group, with significant difference found between them. Both groups showed a significant decline in KODI scores following the exercise interventions, with significant difference observed between the two groups. FABQ scores were significantly decline in both groups, with significant difference found between them. Conclusion: In this study, Pilates stabilization exercise combined with pain neuroscience education was found to be more effective than Pilates stabilization exercise alone in reducing the VAS, KODI, and FABQ scores of patients with chronic low back pain. Thus, Pilates stabilization exercise combined with pain neuroscience education can be used in clinical practice to treat and prevent chronic lower back pain.

• 임상간호연구
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• 제20권2호
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• pp.211-222
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• 2014

Purpose: This study was done to identify the effects of Laughter therapy on recovery status from facial paralysis, pain, and stress in Bell's palsy patients. Methods: This research was a nonequivalent control group non-synchronized pre-posttest quasi-experimental research design. Data were collected from August 8, to October 15, 2013 at D university Oriental Medical Center in B city. Participants were 60 patients with Bell's palsy who were assigned to one of two groups: an experimental group of 30 patients and a control group of 30 patients. t-test, $x^2-test$, Fisher's exact test and Welth-Aspin test were used to test the homogeneity between the two groups and t-test, Welth-Aspin test and ANCOVA were used to test the research hypotheses. SPSS program was used for statistical analysis. Results: There were significant increases in recovery status from facial paralysis and decreases in stress after Laughter therapy in the experimental group. Conclusion: The results indicate that Laughter therapy is effective in facilitating recovery status from facial paralysis and decreasing stress. Therefore, Laughter therapy can be used as an effective nursing intervention for patients with facial paralysis and to relieve stress in these patients.

• 지역사회간호학회지
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• 제18권1호
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• pp.79-89
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• 2007

Purpose: The purpose of this study was to identify the effects of a physical exercise program using elastic bands in rural area women. Method: This study adopted a pre-post test design. The subjects were 89 rural area women who were selected from four community health care centers. The physical exercise program was executed 30 times for 10 weeks (3 times a week) from August 23 to October 31, 2003. Results: There was a significant difference in the attitude of physical exercise (t=-5.517, p=.000). In the degree of joint pain, there were significant differences in the flextion and extension of the shoulder joint (t=2.557, p=.020; t=5.625, p=.000), and there was a significant difference in the flextion of the knee joint (t=4.747, 0=.000) but there was no significant difference in the extension of the knee joint (t=1.795, p=.083). Conclusion: Physical exercise programs need to be implemented and spread continuously.

• 기본간호학회지
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• 제8권2호
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• pp.189-198
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• 2001

The purpose of this study was done to identify the relationship between the level of pain and depression in patients with rheumatoid arthritis. The subjects for this study were 222 patients registered in H University Hospital Rheumatoid Arthritis Center, and the period of data collection was from July 20, 2000 to August 30, 2000. The research instruments used in this study were the Graphic Rating Scale of Pain and the CES-D for depression. The cronbach's ${\alpha}$ of the CBS-D scale was .89. Data analysis, was done by the SPSSWIN 10.0 program using descriptive statistics. The results are as follows. 1) The total pain score ranged from 0 to 147 with a mean score for pain in patients with rheumatoid arthritis of 72.64. 2) The total depression score ranged from 20 to 72 with a mean score of 39.86. 3) There was a significant difference in pain according to sex(F=5.26, p<.05) and education level (F = 3.59, p<.05). 4) There was a significant difference in depression scores according to sex (F=7 76, p<.05) and education level (F=3.02, p<.05). 5) The level of pain had a significant correlation with the level of education level(r=-.174, p<.01). The level of depression was significant correlation with the level of pain (r=.237. p<.01).

• 종양간호연구
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• 제12권1호
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• pp.69-76
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• 2012

Purpose: Most of postoperative patients experience pain, state anxiety and sleep disturbance. These problems negatively influence the recovery of postoperative patients. So alleviating these problems has been one of the nurses' central roles. The purpose of this study was to examine the effects of back massage on pain, state anxiety and quality of sleep of postoperative gastrectomy patients. Methods: A non-synchronized non-equivalent control group pre and post-test design was used. The research instruments used in this study were the Numerical Rating Scale (NRS) for pain, the State-Anxiety Inventory (STAI) for anxiety and the Verran and Synder-Halpern scale for quality of sleep. The subjects were patients admitted to a university hospital located in D city. Twenty-nine patients in the experimental group had a 10 minute manual back massage stimulation for 5 days from the 1st day to the 5th day after their operation, and 25 patients in the control group did not. Results: The degree of pain was significantly reduced according to post operation day and quality of sleep was significantly increased. However state anxiety was not significantly reduced. Conclusion: Back massage is a partially effective nursing intervention for postoperative patients with gastrectomy who experience pain and sleep disturbance.

• 대한약침학회지
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• 제6권1호
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• pp.37-37
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• 2003

약침은 경혈에 약물을 주입하는 방법이다. 이 방법은 아래의 인자 (즉 약물의 효과와 침의 효과, 주입하는 용액이 침자리에 미치는 효과들) 덕택에 효과를 증강시키는 방법이다. 1970년대와 1980년대 초기에 베트남 전통의들에 의해 적용되어 좋은 효과를 얻었다. 적응증으로는 만성 관절염, 신경성 감각 이상증, 위통, 고혈압, 천식, 좌골신경통, 요통 들이다. 주로 쓰인 침자리는 배수혈과 복모혈, 원혈과 아시혈이다. 약물은 vitamin B1, B6, B12, novocain 2%, 염화나트륨 용액 0.9%에 한 침자리에 0.2 to 2.0ml씩을 주입한다. 때때로 진통제인 voltarene 이나 pervincamine, cerebrolysin을 쓰기도 한다. 치료 기간은 하루에 한 번씩 2주 이하로 하고 적어도 5일은 휴식을 한다. 약침의 위십이지장증의 진통효과에 미치는 영향을 검증하기 위한 예비실험 결과를 요약하면 아래와 같다. 베트남에서 약 전체 인구의 5.63%가 위산과다에 따른 궤양성 통증을 가지고 있는데, 이 예비 연구는 이들에 약침의 진통효과를 검증하고자 한다. 관찰 대상이 된 남자 41명, 여자 15명(나이 20-69세 사이) 이 모두 경증에서 중증도의 위통을 3-15년 동안 앓았는데 이들 모두 엑스 선 촬영과 위내시경으로 확증을 받았다. 관찰기간 동안 부작용은 없었는데 약침군은 26 환자로 Vit B1, B2, B6, novocain 2%, 하루에 한 번씩, 15일 동안 개별적 진단에 따른 침자리에 치료받았고, 대조군은 30 명으로 atropin 농도 0.25 mg/injection 도 근육주사를 하루에 한 번씩 같은 기간동안 받았다. 결과는 약침군에서 Good: 7.7%, Rather good: 88.5%, no response: 3.8%. (편역자 주: 발표 초록에서 대조군에 대한 결과가 빠져 있음). 결론적으로 약침과 아트로핀 주사가 모두 궤양성 통증을 완화시키는데 그 진통정도는 동등하다고 판단하였다. 약침의 진통효과가 오래 지속되었고 환자들은 부작용을 호소하지 않았다.

• 재활간호학회지
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• 제6권1호
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• pp.7-13
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• 2003

Purpose: To identify the essential characteristics of pain which nurse have to obtain for patients with chest pain, 92 patients who were admitted in medical units to take intensive tests for heart disease were investigated cross-sectionally. Method: Duration, severity, stress, anxiety, perceived severity, number of painful area, number of accompanying symptoms, triggering activity, and pattern were included as the characteristics of pain. Ejection fraction of left ventricle and number of involved area detected by ultrasonography and number of diseased coronary artery detected by cardiac catheterization were assessed as the variables of heart disease extent. Result: Severity of pain was found to be correlated with all three variables of heart disease extent. Perceived severity and number of accompanying symptoms were correlated with two of them. Anxiety, number of painful area and pattern were related with the number of involved area. Conclusion: Pain severity reported by patients is found to be the most important variable to be obtained from patient. Variables such as perceived severity, number of accompanying symptoms, anxiety, number of painful area and pattern also have to be carefully assessed to anticipate the extent of heart disease.

• Journal of Acupuncture Research
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• 제21권6호
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• pp.195-207
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• 2004

목적 : 경추통에 대한 침구치료의 효과여부가 현재까지 시행된 무작위 대조군 시험의 검토에서 논란이 되고 있는데, 경추통에 대한 치료 효과의 검증에 최근 들어 경추 전만각도의 변화를 측정하는 것이 점차 많이 사용되고 있는 실정이다. 하지만 아직까지 변형된 형태의 경추 견인 등 몇몇 요소들이 경추전만을 변화시켰다는 보고는 있었으나, 침치료 중 深刺의 방법이 경추의 만곡을 변화시켰다는 보고는 없었다. 방법 : 자침의 방법 중 深刻(五刺法 중 合谷刺 또는 關刺)방법이 경추 전만의 변화를 주는가에 대하여 검증하기 위하여 심자 치료를 시행한 19명의 실험군과 치료를 시행하지 않고 단순히 방사선 촬영만 시행한 21명의 대조군의 단순 방사선 사진을 후향적 연구의 방법으로 비교하였으며, 아울러 심자 자침군에서는 VAS를 측정하여 통증의 정도의 변화를 함께 연구하였다. 결과 : 연구결과 자침을 시행하지 않은 대조군에서는 VAS와 경추 전만의 Cobb각도에서 유의성 있는 변화가 나타나지 않았으나, 심자의 방법으로 자침한 군에서는 치료 전후의 VAS가 유의한 차이를 나타내었고, 경추의 전만 각도에서도 경추 2번과 7번 사이의 Cobb의 각도에서 유의성 있는 변화를 나타내었다(p < 0.05). 결론 : 이러한 연구 결과들은 심자의 자침방법이 경주의 통증을 줄여줄 뿐만 아니라 경추의 구조적 변화를 일으킬 수 있음을 나타내 주는 것이다.