• Journal of Oral Medicine and Pain
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• 제37권4호
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• pp.213-219
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• 2012

구강내 장치 요법은 가벼운 혹은 중간 정도의 폐쇄성 수면 무호흡증의 일차 치료법이며 심한 폐쇄성 수면 무호흡증의 경우에도 CPAP 또는 수술요법에서 효과가 없을 때 좋은 대안적 치료법이 될 수 있다. 하지만 다양한 구강내 장치들마다 치료 효과가 다르며 또한 모든 환자들에서 효과를 기대하기 어려운 것도 사실이다. 본 연구는 목젖입천장인두절제술(uvulopalatopharyngoplasty, UPPP) 을 받았으나 증상의 개선이 없는 심한 폐쇄성 수면 무호흡증 (obstructive sleep apnea, OSA) 환자에서 단국대 치대 구강내과에서 개발한 구강내 조절성 하악전방이동형 코골이 방지장치 (Adjustable Anterior Positioner, AAP)를 사용하여 치료한 증례를 보고하고 그에 대한 고찰을 한다.

• 한국보건간호학회지
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• 제28권2호
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• pp.187-199
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• 2014

Purpose: The purpose of this study was to investigate the effects of SP-6 Seoam pellet therapy given to female university students in terms of menstrual pain, menstrual distress, and ADL difficulties. Methods: This study used a pre-test, post-test design with a nonequivalent control group. The participants were 68 female students in two universities. The experimental group(n=34) received Seoam pellet therapy at Sanyinjiao while the control group(n=34) received sham therapy. Data were collected from Sep. 16 to Nov. 30, 2012. Severity of menstrual pain, menstrual distress, and difficulty of ADL were assessed prior to and following treatment. Independent t-test, $x^2$ test, and repeated measures ANOVA were used for examination of group differences using the SPSS/WIN program. Results: Severity of menstrual pain (F=41.09, p<.001), menstrual distress (F=56.31, p<.001), and ADL difficulties (F=46.64, p<.001) showed a significant decrease in the experimental group compared to the control group. Conclusion: Results indicate that this Seoam pellet therapy is effective in reducing menstrual pain, menstrual distress, and difficulty of ADL. Therefore, use of this method is recommended for relief of menstrual pain and menstrual distress through self-care.

• 혜화의학회지
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• 제25권1호
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• pp.63-69
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• 2016

이 임상례는 근육 경직으로 인한 견비통에 태충혈이 유효함을 제시하고 있다. 환자의 주관적인 만족도를 평가하기 위해 점수식 평점 척도(Numerical rating scale;NRs)를 측정하였고 어깨 경직의 객관적인 호전 정도를 평가하기 위하여 양측 견정혈의 통증 통각 역치(Pressure pain threshold;PPT)와 어깨 외전력, 어깨관절의 외전시 가동범위(Range of motion;ROM)을 측정하였다. 양측 태충혈에 15분간 유침 후 NRS는 5에서 2로 감소하였다. 치료 전 왼쪽 견정혈의 PPT는 19N이었고 오른쪽은 22N이었다. 치료 후 왼쪽 견정혈의 PPT는 22N이었고 오른쪽은 27N이었다. 치료 전 견관절의 외전력은 왼쪽에서 29N, 오른쪽에서 22N으로 측정되었다. 치료후 견관절의 외전력은 왼쪽에서 33N, 오른쪽에서 22N으로 측정되었다. 견관절 ROM은 치료 전과 후 동일하게 왼쪽 관절 170도, 오른쪽 관절 165도로 나타났다. 결론적으로, 태충혈 자극은 어깨의 경직을 해소하고 어깨 근력을 강화하는 것으로 나타났다. 또한 그것은 상부 승모근의 압통을 감소시킬 수 있다. 이러한 측면에서, 태충혈의 효과에 대해서 보다 추가적인 연구가 필요할 것으로 보인다.

• 대한물리의학회지
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• 제7권4호
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• pp.515-524
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• 2012

PURPOSE: It is known that work stress was linked to WRMDs in workplace. The purpose of this study was to identify the characteristics of work related musculoskeletal disorders (WRMDs) related to job stress among prosthetists and orthotists. METHODS: Eighty-six self-reported symptoms of discomfort (SRSD) and job stress were collected by questionnaire and analyzed. RESULTS: The results were as follows: Over 70% of respondents had WRMDs. The shoulder was the most painful region and each of "within 15 minutes", "once a week" and "severe moving or doing exercise" items were main characteristics in the SRSD. Finally, the "repetition of simple work" item in job stress ranked as resulting in "often discomfort" in over 43% of respondents. Additionally, there was a statistically significant correlation between job stress and pain intensity (p<.05, $r_s$=.36). CONCLUSION: Further studies are needed to identify the factors affecting musculoskeletal symptoms and job stress of prosthetists and orthotists in Korea.

• 대한통합의학회지
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• 제5권2호
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• pp.83-90
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• 2017

Purpose : The purpose of this study was to investigate the correlation between shoulder gradient, range of motion of the neck, and subjective pain level of the potential risk group of smart-phone addiction. Methods : The subjects of this study were 90 women's who had potential risk of smart-phone addiction. VAS was used to measure subjectively pain intensity. Global Postural System was used to measure forward head posture. CROM was used to measure flexion, extension, lateral flexion of cervical range of motion. Results : The results of this study showed that was significant positive correlation between the both shoulder gradient, and cervical range of motion(p<.05). Statistically significant negative correlation between the VAS and left lateral flexion(p<.05). Conclusions : The difference between the gradient of both shoulders increased with the use of smart-phone addiction, and the cervical left lateral flexion decreased as the pain increased. This suggests that recognition on decrease of using smart phone and postural correction is necessary.

• 근관절건강학회지
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• 제12권1호
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• pp.57-68
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• 2005

Purpose: The purpose of this study was to determine the effects of a 6- week Tai-Chi program on improving pain, sleep disturbance, mood, and fatigue in rheumatoid arthritis patients. Method: Sixteen subjects were assigned for experimental group and fifteen were assigned for control group. The subjects of the experimental group participated in a 6-week program of Tai-Chi. Each Tai-Chi class was conducted by a certified Tai-Chi instructor. In order to evaluate the effects of Tai-Chi program, pain, sleep disturbance, mood and fatigue were measured before and after the 6th session Result: After 6-week Tai-Chi program, there were significant improvement in mood & sleep disturbance in the experimental group when compared to the control group However, there were no significant differences in pain intensity and fatigue between Tai-Chi group and control group. Conclusion: These results suggest that a 6-week Tai-Chi program can be utilized as an safe and effective nursing program to improve mood and sleep disturbance in rheumatoid arthritis patients. Long term studies of the effects of Tai-Chi on the pain intensity and fatigue may be import.

• 한국전문물리치료학회지
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• 제14권2호
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• pp.85-90
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• 2007

In many manufacturing occupations, industrial workers reported foot or lower leg problems such as discomfort, pain or orthopedic deformities. This study investigated the effects of two different working conditions upon assembly worker's perception of discomfort and foot pain associated with various body parts. Twenty-three male volunteers performed work in the factory. Ergonomic intervention has been to modify the flooring in an attempt to alleviate the problems associated with constrained standing and walking work. The worker's standing conditions consisted of standing on a hard floor while wearing shoe insoles. Questions were asked regarding body discomfort and foot pain. Significant differences in body discomfort and foot pain were found when comparing the overall effects of wearing shoe insoles on a hard floor (p<.05). This investigation indicated that shoe insoles reduced body discomfort and foot pain (p<.05).

• 대한간호학회지
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• 제37권5호
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• pp.645-654
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• 2007

Purpose: This research was conducted to compare the effects of drug therapy, physical therapy, and exercise on pain, disability, and depression in patients with chronic low back pain. Methods: The research design of this study was a nonequivalent control group pretest-posttest design. The subjects of this study were 28 patients for the drug therapy & physical therapy, 24 patients for the drug therapy & exercise, and 22 patients for the physical therapy & exercise. Data was collected by MVAS, Oswestry disability questionnaires, and questionnaires of depression. It was analyzed by paired t-test for effectiveness, ANOVA, and Scheffe for comparison of the effects of the 3 experimental treatments, using SPSS/WIN 12.0. Results: There were no effects of drug therapy & physical therapy on pain, disability, and depression. However, there were effects of drug therapy & exercise and the physical therapy & exercise on pain, disability, and depression. The effects of physical therapy & exercise on pain, disability, and depression were the greatest, but there was no statistically significant differences between the drug therapy & exercise and the physical therapy & exercise. Conclusions: Exercise is regarded as a more effective and easily accessible nursing intervention to apply alone than drug therapy or physical therapy simultaneously in reducing pain, disability and depression.

• 한국융합학회논문지
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• 제9권2호
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• pp.259-266
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• 2018

본 연구는 여성근로자의 월경시 불편감의 양상과 대처방법 및 그에 따른 완화정도를 파악하자 시도된 서술적 조사연구이다. 연구대상은 S시에 위치한 3개 종합병원에 근무하는 여성으로 본 연구의 목적에 동의한 394명이다. 2010년 4월 20일부터 4월 30일까지 자료수집을 하였으며 SAS 9.2를 사용하여 기술통계, independent t-test, one way ANOVA, Pearson's correlation을 실시하였다. 연구 결과 월경시 불편감은 연령, 결혼유무, 임신경험, 출산경험과 유의한 차이를 보였고 근로특성은 차이가 없었다. 월경시 불편감의 정도는 최대 5점 중 평균 $2.46{\pm}0.68$으로 보통 수준이었으며, 양상은 통증, 수분 축적, 행동변화 순이었다. 대처방법에 따른 완화정도는 행동적 대처가 $3.55{\pm}0.58$로 가장 효과적이었고 월경시 불편감과 대처행동 간에는 회피적 대처에서만 상관관계가 있어 불편감이 높은 사람일수록 회피적인 대처를 하고 있었다(r=.178, p=.001). 이상의 결과를 통해 여성근로자의 월경시 불편감을 완화하기 위하여 회피적 대처방법보다는 스스로 극복하도록 바람직한 대처방법을 모색해야하며 앞으로 월경시 불편감을 해소할 수 있는 교육프로그램 개발을 제언한다.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.212-220
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• 2016

본 연구는 재가노인의 자기초월, 삶의 만족도, 임종기 치료선호도 정도를 파악하고 노인의 삶의 질을 향상시키기 위한 기초자료를 제공하기 위하여 시도된 서술적 조사연구이다. 연구대상자는 65세 이상의 노인 208명을 대상으로하고 자료수집은 2013년 8월부터 10월까지 실시하였다. 연구결과, 연구대상자의 자기초월 정도는 2.79점이며, 삶의 만족도 정도는 9.97점, 임종기 치료선호도 정도는 3.24점으로 나타났다. 자기초월은 교육수준이 높은 집단(F=3.38, p=.011)에서와 건강상태가 좋은 집단 (F=13.88 p<.001)에서, 삶의 만족도는 건강상태가 좋은 집단(F=24.42, p<.001)에서 유의하게 높게 조사되었다. 대상자의 자기초월은 삶의 만족도(r=.559, p<.001), 의료인에 의한 의사결정(r=.182, p=.008), 영성요인( r=..324, p<.001), 가족요인(r=.224, p<.001)과 유의한 순상관관계가 있는 것으로 조사되었으며, 삶의 만족도와 영성요인(r=.165, p=.017), 의료인에 의한 의사결정과 가족요인(r=.278, p<.001), 의료인에 의한 의사결정과 통증요인(r=.146, p=.035)이 유의한 순상관관계로 나타났으며, 자기초월이 임종기 치료 선호도에 영향을 미치는 요인으로 나타났다. 따라서 자기초월과 삶의 만족을 높일 수 있는 방안을 구축하고 임종기 대상자 관리를 위한 전략이 구체적으로 계획되어야 할 것이다