• Title/Summary/Keyword: 통증 관리

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Factors Influencing Neonate Pain Management Performed by Nurses (간호사의 신생아 통증관리 수행에 영향을 미치는 요인)

  • Noh, In-Suk;Oh, Jin-A
    • Child Health Nursing Research
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    • v.17 no.3
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    • pp.190-197
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    • 2011
  • Purpose: The purpose of this study was to identify factors influencing neonatal pain management by nurses in order to provide evidence-based data for the development of more efficient neonatal pain care programs. Methods: This study used a descriptive research design to survey 204 registered nurses working in neonatal intensive care units and nurseries in Busan. Data collection was done from July to September 2010. General knowledge of pain and pain scale, pain intervention, neonatal pain management, and barriers to pain management were measured. Data were analyzed using stepwise multiple regression with SPSS 17.0. Results: it was found that among the factors affecting neonatal pain management by nurses, the unit where the nurse worked was the most important influential factor, followed by knowledge of pain management, education level, and barriers from medical personnel in that order. The explanatory power of these four variables accounted for 42.0% of neonatal pain management. Conclusion: Study results indicate that it is necessary to develop education programs to increase knowledge of neonatal pain management for nurses caring for neonates. Also, plans for reduction of obstacle factors in medical personnel should be prepared.

Pain Management Survey of Psychiatric Unit Nurses (정신과 근무하는 간호사의 통증관리 지식 및 태도에 대한 조사)

  • Park, Hey In;Lee, Kyunghee
    • Journal of Korean Biological Nursing Science
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    • v.16 no.2
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    • pp.150-156
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    • 2014
  • Purpose: This study was intended to measure the knowledge and attitudes of nurses working in a psychiatric ward regarding the subject of pain. Methods: In this descriptive study, data were collected in psychiatric wards(or hospitals) located in the Kyungnam and Kyungpook area from December 2013 to January 2014, using a modified version of the McCaffrey and Pasero Clinical Manual Survey Regarding Pain. The content of the survey follows a logical progression from common pain management problems through mechanisms of pain, assessment and pharmacology. Results: The average score of knowledge regarding pain was roughly $21.59{\pm}2.93$ among the 181 participants. The nurses selected Tylenol as the preferred choice (81.2%). Seventy-one percent of respondents didn't use Pain Intensity Instruments during the pain assessment. The subjects preferred the Numerical Rating Scale rather than Visual Analogue Scales. Pharmacology questions were the least likely to be answered correctly. No specific correlations were found between score and demographic variables of age and experience. No specific correlation between score and educational level was noted. Conclusion: Nurses require ongoing education on pain management, particularly regarding pharmaceutical agents.

The Effects of Patient and Family Education Guideline on Knowledge and Attitude toward Cancer Pain Control (암환자용 통증관리 지침서 교육이 환자 및 가족의 암성 통증관리에 대한 지식과 태도에 미치는 효과)

  • Yi, Ji Eun;Park, Myong Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.123-132
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    • 2009
  • Purpose: This study was conducted to identify the effects of provision of a cancer pain guideline and education for patients with cancer and their families on their knowledge and attitude toward cancer pain control. Method: A nonequivalent control group pre-post test design was used. The participants were selected according to a selection criteria from patients and their families on the medical ward at K university hospital in D city. Both the experimental group for patients with cancer and control group consisted of 16 patients and their families. Results: The first hypothesis, which assumed that there was a difference between the patients in the experimental group and the control group on knowledge (t=-20.006, p=.000) and attitude (t=-13.492, p=.000), was accepted. The second hypothesis, which assumed there was a difference between families in the experimental group and the control group on knowledge (t=-16.087, p=.000) and attitude (t=-10.262, p=.000), was supported. Conclusion: Education for cancer related pain control with a patient guideline had a positive effect on knowledge and attitude of patients with cancer patients and their families suggesting that there is a need to developed this type of guidelines.

Pain Management for Cancer Patients (암 환자를 위한 통증 관리)

  • Hwang, Kyoo-Hyun
    • The Korean Journal of Pain
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    • v.3 no.1
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    • pp.11-14
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    • 1990
  • Thirty-two cancer patients were treated with various pain control methods. In those who had localized pain or more than 1 year life expectancy. The author preferred neurolytic blockade for whom had localized pain or had more than 1 year life-expectancy to epidural or intrathecal narcotics. The latter methods were saved as a last resort. Effective pain relief was achieved in over 80% of those treated. There were no serious complications. Of the 12 epidural or intrathecally implanted catheter with subcutaneous tunneling cases, successful pain management was possible throughout the remainder of life which was from 1 week to 6 months.

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Practical Management of Cancer Pain (암성 통증의 관리)

  • Jin Seok Jang
    • Journal of Digestive Cancer Research
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    • v.2 no.2
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    • pp.56-63
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    • 2014
  • Cancer pain is one of the most serious undesirable and unsolved complications for the cancer patients. Despite significant improvements in the management of cancer pain through past decades, it is still perceived as insufficient. Effective management of pain starts on a comprehensive assessment to identify the origin and characteristics of the pain. Then, appropriate multidisciplinary medical and surgical interventions could provide optimal treatments. With intensive attentions, complete or partial pain relief with tolerable side effects of the medication will be obtained and it will improve the quality of life of cancer patients.

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Aromatherapy Nursing Intervention for Pain Relief A Systematic Review and Meta Analysis (향기요법 간호중재의 통증완화 효과 - 체계적 문헌고찰과 메타분석 -)

  • Kang, Rin;Seomun, GyeongAe
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.271-283
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    • 2016
  • This study aimed to validate the effect of aromatherapy nursing intervention to relieve the pain using systematic review and meta-analysis. We performed a meta-analysis of studies published between January 2000 and March 2014 which were identified through KERIS, KISS, DBpia, Cochrane Library, Ovid-Medline and Pubmed. Twenty studies with 1029 participants were included in this study. Key words listed in PICO and used for the search were aroma, perfume, perfume inhalation, perfume massage, aromatherapy, pain, pain management. The results of meta-analysis demonstrated statistically significant differences not only for the overall effect but also specifically for aromatherapy nursing intervention on measures of pain. To present more evidence that support the effectiveness of aromatherapy nursing intervention on measures of pain, further research is warranted.

Convergence analysis of pain changes on brain wave and autonomic nervous system after intervention for delayed onset muscle soreness (지연성근육통 중재 후 통증의 변화가 뇌파와 자율신경계에 미치는 융합적 분석)

  • Kim, Kyung-Yoon;Bae, Seahyun
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.61-66
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    • 2021
  • This study aimed to investigate the effect of changes in pain on the autonomic nervous system and brain waves after inducing delayed-onset muscle soreness(DOMS). Based on voluntary participation, 28 participants with induced-DOMS were randomly divided into control(non-treatment, n=14) and experiment groups(transcutaneous electrical nerve stimulation (TENS) and kinesio taping, n=14). Intervention was performed from first day to fifth days after the onset of DOMS. Measurements were performed using the Visual Analogue Scale(VAS), Heart Rate Variability(HRV), and brain wave before DOMS induction, 24 hours after, fifth day after, and eighth day after. According to the study results, when DOMS occurred, the activity of the sympathetic nervous system was increased or the activity of the parasympathetic nervous system was suppressed, and reduction of pain due to interventions showed the opposite activity. A decreased in alpha was seen during pain, but was not significant. These results will help develop and study pain management and treatment strategies.

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.

건강 도우미 I 귀 - 고막까지 뚫으시게요? 올바른 귓속 관리

  • 사단법인 한국당뇨협회
    • The Monthly Diabetes
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    • s.212
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    • pp.30-31
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    • 2007
  • 대학원생 김모씨(28세 여)는 귀에 갑작스런 통증을 느끼기 시작했다. 또 급격하게 저하된 청력으로 친구들의 말귀를 잘 못 알아들어 '사오정'이라는 별명도 얻게 되었다. 통증이 심해 병원을 찾아간 결과 외상성 고막천공이라는 진단을 받게 되었다. 이는 귀이개가 고막을 관통해 발생한 질병으로 귀이개로 귀를 후비던 중 실수고 너무 깊이 파 통증이 나타나게 된 것이다. 다행이 다른 부위는 손상이 없어 외래에서 간단한 수술 및 통원치료 후 증상은 좋아졌다. 또 직장인 박모씨(34세 남)는 어느 날부터 갑자기 귀에서 고름이 나오고, 고약한 냄새를 풍겨 병원을 찾았는데, 만성 외이도염이라는 진단을 받았다. 원인은 하루가 멀다 하고 귀지를 파내는 오래된 습관 때문이라는 것이다. 습관을 바꾸지 않으면 앞으로 청력도 떨어질 수 있다는 의사의 말에 귀이개부터 멀리하기 시작했다. 고려대 안산병원 이비인후과 조승현 교수는 "종종 속을 썩이는 것이 귀지"라며 "무리하게 후비다가는 고막까지 버릴 수 있으므로 함부로 파서는 안된다"고 지적한다.

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Nursing students관 Knowledge on Pain Management (간호학생의 통증관리에 관한 지식)

  • 신영희;박영숙
    • Journal of Korean Academy of Nursing
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    • v.25 no.1
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    • pp.164-172
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    • 1995
  • Pain management of postoperative patients or patients suffering from terminal cancer became one of the most important task of nurses in recent years. This study analyzed basic knowledge of 175 student nurses in Taegu on the pain assessment and management. The questionnaires included five areas : Assessment, pharmacological actions, medication, classification of opioids, and psychological dependence of analgesics. The results indicated that nursing students, in general, lacked knowledge on pain management : Correct responses on pain assessment varied between 9.7 and 100% , classification of opioids was in ranges of 61.7 to 95.4% ; Pharmacological actions was 16.6 to 80% : and medication was 14.9 to 85.7%. Less than 12.6% of students correctly identified the frequency of psychological dependence. These results suggested that the need of reinforcement on the pain management in formal nursing education.

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