• Title/Summary/Keyword: 통증 관리

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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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Effects of Short Term Selp-help Education on Pain, Depression, Self-efficacy, and Quality of life in Patients having Chronic Arthritis (단기 자조관리교육이 만성관절염 환자의 통증, 우울, 자기효능감 및 삶의 질에 미치는 영향)

  • Im, Nan-Young;Lee, Eun-Young
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.249-261
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    • 1997
  • The purpose of this study was to explore the effect of short term selp-help education on pain, depression, self-efficacy, and quality of life in patients having chronic arthritis. This program was carried out 3 hrs per week for 4 weeks by 3 small groups among 10 patients. Research design was a quasi-experimental study of nonequivalent control group pretest-posttest design. The subject of this study were 10 of experimental group and 10 of control group. Before and after 4 weeks program, quality of life, self-efficacy, depression, pain, ADL were measured. As a result, it was confirmed the self-help education was effective to increase quality of life, but self-efficacy, depression, pain, ADL were not improved. This suggests the replicate study to examine the effect of self-help education with the large samples of subjects having chronic arthritis.

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Ontology Components for the Depression Management based on Context (상황기반의 우울증 관리를 위한 온톨로지 구성요소)

  • Kang, Yun-Jeong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.9
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    • pp.1785-1790
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    • 2016
  • There is exhibit a degree of pain in the occurrence and course of treatment levels or oral, pain rating scale actions, such as illness, for example, the discomfort scale because of the pain "annoying", "unpleasant" "annoyed am", "painful" represents a pain scale of the order of "painful", "hard to bear", "very difficult to bear". Depression is recognized based on the premise of the situation, because it is difficult to recognize themselves. In this paper we define the components of the depression can be seen lifestyle which can lead to depression or through a biological signal. The depression index was derived from the ontology modeling to understand the state of depression. Depression ontology components and depression index will be aware of the situation based information services for depression. Combined with the situational awareness based devices and can be synchronized to verify the results of the depression index. It will be applied to improve lifestyle factors that of depression.

Smartphone App Education pertaining to Patient Controlled Analgesia Use and Pain Management after Spinal Anesthesia for Lower Extremity under Orthopedic Surgery (스마트 폰 앱 교육을 받은 정형외과 척추마취 하지수술 환자의 수술 후 자가통증조절기 사용지식과 통증관리)

  • Kim, Choon Ae;Park, Hyoung Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.4
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    • pp.255-264
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    • 2017
  • Purpose: The purpose of this study was to develop a smartphone app for use in patient controlled analgesia (PCA) education and to identify PCA knowledge and pain management following lower extremity orthopaedic surgery under spinal anesthesia in patients who received smartphone app education. Methods: Participants were 150 patients in an orthopaedic hospital located in Busan. The measurement variables used in this study were PCA knowledge, pain management and pain level. For data analysis, SPSS/WIN 21.0 program was used in the analysis of the relation of frequencies. In addition, percentage, mean and standard deviation, t-test, ANOVA, Duncan, Pearson's correlation coefficients were also assessed. Results: The score for knowledge regarding PCA was $4.27{\pm}1.64$. The correlations between knowledge and pain management (button push times

Degree of Pain, and Barriers and Satisfaction with Pain Management among Home Care Cancer Patients (재가 암환자의 통증, 통증관리 장애정도 및 통증관리 만족도)

  • Moon, Young-Me;Ham, Ok-Kyung;Kim, Jung-Hee;Lim, Ji-Young
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.177-185
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    • 2008
  • Purpose: To investigate the degree of pain, and to identify barriers to and satisfaction with pain management, in an effort to provide baseline data for effective pain management interventions. Methods: The study design was descriptive and correlational. A total of 100 cancer patients who were cared for at home participated in this study. Questions regarding self-rated pain, as well as barriers to and satisfaction with pain management were included in the study instruments. The data were collected by nurses using a face-to-face interview method in May of 2008. Results: Thirty six percent of the participants were in their 70's and 18.0% suffered from cancer of the large intestine. The usual degree of pain was reported as 3.43 out of 10 points, and the study patients were generally moderately satisfied with their pain management (M=$3.15{\pm}0.78$; range, 1-5). The mean barrier score was $3.24{\pm}0.52$ (range, 1-5) and concerns regarding the progress of cancer was the most highly evaluated barrier. There was a negative relationship between the degree of pain and satisfaction with pain management, and between barriers to and satisfaction with pain management. Conclusion: The precise evaluation of pains is crucial to the proper management of pain, and the education and promotion of proper pain management practices may help to overcome barriers to pain management for cancer patients.

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Pain and Pain Management in Hospitalized Cancer Patients (입원 암환자의 통증 실태와 통증관리 실태)

  • Kim, Mi-Jung;Park, Jin-A;Shin, Su-Jin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.2
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    • pp.161-170
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    • 2008
  • Purpose: The purpose of this study was to provide basic data for proper pain management. Method: Data were collected from 85 hospitalized patients with cancer pain. A retrospective chart review of level of pain, source of pain, verbal expression of pain, and pain management was done. The data were analyzed with the SPSS program. Results: The level of pain measured by NRS at the three time points was as follows Time 1 ($4.40{\pm}2.25$), Time 2 ($0.61{\pm}1.30$), Time 3 ($2.47{\pm}2.75$). The kinds of pain were somatic pain (51.8%), visceral pain (37.6%), neuropathic pain (12.9%). The analgesic amount measured by OME (oral morphine equivalent) was as follows: Time 1 ($70.85{\pm}69.65$), Time 2 ($91.61{\pm}89.20$), Time 3 ($96.71{\pm}94.25$). Degree of pain had significant differences according to type of cancer (F=-3.286, p= .002), cancer origin (F=2.906, p= .018), and metastasis (F=2.906, p= .018) at Time 2. Best control period had significant difference according to type of cancer (F=2.373, p= .023), and origin of cancer (F=2.466, p= .040) at Time 2 Conclusion: These finding will enable the application of nursing interventions for pain control in cancer patients, identification of kinds of nursing compared to priorities, and increased levels of comfort in cancer patients in clinical settings.

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The Effect of Acupuncture-like TENS on Finger Control Gate -Patients with cervical sprain and postoperative pain of laminectomy- (전기수지자극의 통증관리효과 -척추후궁절제술 환자의 수술 후 통증과 경추부 염좌환자에 대한 통증관리효과-)

  • Lee, Sang-Hun;Kim, Seong-Kon;Woo, Nam-Sik;Lee, Ye-Chul;Chang, Sang-Keun;Kim, Sun-Bok
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.140-144
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    • 1996
  • Electrical stimulation is a common method for successful pain management for both acute and a some cases of chronic pain. The incidence of cervical sprain is very high with automobile accidents. Treatment of cervical sprain is consists of analgesic drugs and physical therapy. Lower back pain is a common problem in pain clinics. back pain management are complex, so we have difficulty to choose best treatment modality. The prevalence of herniated lumbar disc(HLD) is 1~3% of lower back pain. The cases of laminectomy varies between 10~20% and postoperative pain is prolonged for several day. We applied Acupuncture like TENS (ALTENS) on the digit for cervical sprain patients and post laminectomy pain patient for three days. The result was very satisfactory. And we found that total hospital days in ALTEND groups are shorter than control group in both disease entities. In conclusion, acupuncture like TENS on finger control gate is an effective method of the pain management.

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4050 멋지게 - 찌릿찌릿 손발 저림 혈액순환장애일까? 말초신경장애일까?

  • Kim, Ji-Ae
    • 건강소식
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    • v.36 no.11
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    • pp.20-22
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    • 2012
  • 추운 날씨가 지속되면 손발 저림 증상을 호소하는 환자들이 늘어난다. 오른손이 저리고 감각이 무뎌지는 듯 느껴지고 심지어는 물건을 집을 때 통증이 생기기까지 한다. 자주 손을 주물러 주고 마사지하는 것도 중요하지만 정확한 원인과 증상을 파악하고 제대로 된 치료를 받으려는 노력이 필요하다.

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