• Title/Summary/Keyword: 통증 관리

Search Result 451, Processing Time 0.026 seconds

Effects of Preoperative Pain Management Education on the Control of Postoperative Pain -Focused on the PCA used Surgical Patients with Uterine Tumor- (수술 전 통증관리교육이 수술 후 통증조절에 미치는 효과 -자가통증조절기를 사용하는 자궁종양 수술환자를 중심으로-)

  • Park, Jeong Sook;Lee, Mi Hwa;Lee, Hye Ran
    • Asian Oncology Nursing
    • /
    • v.11 no.2
    • /
    • pp.108-115
    • /
    • 2011
  • Purpose: The purpose of this study was to examine the effects of preoperative pain management education on postoperative pain control in patients with uterine tumor using patient controlled analgesia. Methods: This study used non-equivalent control group non-synchronized design. Data were collected from September, 2008 to March, 2009 at one university hospital in Daegu, Korea. There were 60 participants, 30 in both the experimental and control group. The experimental group was given preoperative pain education using videos, leaflets, and a PCA model. Postoperative pain intensity, frequency of the PCA button being pressed, and doses of additional analgesics were observed through 24 hours postoperative and knowledge of pain and attitude about the use of the pain medicine were measured at 3 days postoperative. Collected data were analyzed using t-test, ${\chi}^2$ test, repeat measured ANOVA, and Bonferroni methods. Results: There were no significant differences in the postoperative pain level between the experimental and control group. Postoperative frequency of the PCA button pressed, doses of additional analgesics, pain knowledge and attitude about the use of the pain medicine of the experimental group were significantly higher than those of the control group. Conclusion: Pain management education is an effective nursing intervention for pain control after surgery.

The Effects of Aromatherapy on Elders' Chronic Pain, Sleep (아로마테라피가 노인의 만성통증과 수면에 미치는 효과)

  • Lee, Hye-Kyung
    • Journal of Digital Convergence
    • /
    • v.14 no.7
    • /
    • pp.385-395
    • /
    • 2016
  • This research applied Aromatherapy Foot Massage on Community elders and examined its effects on their chronic pain, sleep. The study subjects were 43 female elders in the community of including 22people for the experimental group and 21 for the control group. The aromatherapy was carried out 6times for 2weeks to the experimental group, 3times a week and 10minutes per session. The components of aroma essential oil included Chamomile roman, Lavender, Marjoram sweet, and Orange sweet that were diluted 20% into 100mL of Jojoba oil which was the carrier oil. The results, the experimental group that participated in the aromatherapy improved in chronic pain, quality of sleep, and the number of urination during sleep decreased compared to the control group. The research results demonstrated that due to the aroma foot massage, chronic pain decreased, sleep improved.

Relationships among Fatigue, Musculoskeletal Pain and Job Satisfaction in Rehabilitation Center Employees (장애인 복지관 종사자의 피로, 근골격계 통증 및 직무만족도의 관계)

  • Park, Seoyoun;Yi, Dongjin
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.6
    • /
    • pp.259-266
    • /
    • 2021
  • This is a descriptive research was to find out fatigue, musculoskeletal pain and job satisfaction in rehabilitation centers employees. The research subject was 199 rehabilitation center employees, and the collected data were analyzed through descriptive statistics, t-test, ANOVA, Scheffé's test, Pearson's correlation coefficients and multiple regression. The results revealed that the significant predictors of job satisfaction for rehabilitation center employees were working duration(β=-.033, p=.010), fatigue(β=-.051, p=.015), and musculoskeletal pain(β=-.020, p=.047), explaining 8.4% of the variation in job satisfaction(F=5.549, p<.001). These results can be recommended as preliminary data for preventing and managing fatigue and musculoskeletal pain of rehabilitation centers employees who play an important role in the community.

Effect of Dental Hygienists' Treatment Posture in Part of the Body Pain according to Height and Body Weight (치과위생사의 진료자세가 신장과 체중에 따라 신체부위 통증에 미치는 영향)

  • Seong, Mi-Kyung;Kim, Hye-Young;Kang, Hyun-Kyung
    • The Journal of the Korea Contents Association
    • /
    • v.10 no.12
    • /
    • pp.205-215
    • /
    • 2010
  • The purposed of this study was to examine the relation between dental hygienists' treatment posture and body pain by surveying 120 dental hygienists working at dental hospitals and clinics in Busan and to suggest desirable treatment postures and pain prevention methods for dental hygienists' health and job performance. Data obtained from the questionnaire survey were analyzed using SPSS 18.0 for Windows. The taller the hygienists were the less pains they had in their 'back' and 'hips' (p<0.05). The shorter the hygienists were the more pains they had in their 'back,' 'waist,' 'hips,' 'legs' and 'ankles/feet'(p<0.05). There was no difference in pains in each body part according to weight. In the results of analyzing correlations among pains in different body parts, a very strong positive correlation was observed between the pains in the 'knees' and 'legs' (r=0.71)(p<0.01). The hygienists of 56.7% had experience in education on treatment posture, and 62.5% were not doing exercise regularly. To the question on what should be done for health welfare in their workplace, the hygienists of 47.9% mentioned improvement in the environment of the workplace.

The Effectiveness of Ultrasound-Guided Thoracic Paravertebral Block for Percutaneous Radiofrequency Ablation of Hepatic Tumors: A Pilot Study (간종양의 경피적 고주파 열치료에서 초음파 유도하 흉부 방척추블록의 효용성: 예비 연구)

  • Kim, Hyungtae;Kim, Youngjun;Kim, Beum Jin;Shin, Sung In;Yim, So Mang;Lee, Ju-Hyung
    • Journal of the Korean Society of Radiology
    • /
    • v.79 no.6
    • /
    • pp.323-331
    • /
    • 2018
  • Purpose: The purpose of this study was to evaluate the effectiveness of thoracic paravertebral block (TPVB) for management of pain during and after percutaneous radiofrequency ablation (RFA) of hepatic tumor. Materials and Methods: All patients were divided into non-TPVB (4 patients, 4 sessions of RFA for 4 tumors) and TPVB group (5 patients, 7 sessions of RFAs for 7 tumors). Ultrasound (US)-guided TPVB was performed at T7 level. The 15 mL of 0.375% ropivacaine was injected into right paravertebral space before RFA. If patients complained pain and asked analgesics or experienced pain with verbal numerical rating scale (VNRS) of more than 4, fentanyl $25{\mu}g$ (up to $100{\mu}g$), pethidine 25 mg, and midazolam 0.05 mg/kg (up to 5 mg) were sequentially given intravenously during RFA. Results: Total intravenous morphine equivalence of analgesics before, during, and after RFA was 129.1 mg and 0.0 mg in non-TPVB and TPVB group, respectively. Conclusion: US-guided TPVB may be an effective and safe anesthetic method for decreasing or eliminating pain during and after RFA for hepatic tumor and helpful in decreasing the usage of opioids.

Effect of the Prevention Programs for Musculoskeletal Disorders in one Farming Village (일부 농업인에서의 근골격계 질환 관리 프로그램의 효과)

  • Kwon, Soon-Chan;Ryou, Hyun-Chul;In, Hee-Kyo;Lee, Kyoung-Sook;Lee, Soo-Jin
    • Journal of agricultural medicine and community health
    • /
    • v.33 no.1
    • /
    • pp.1-10
    • /
    • 2008
  • 일개 농촌 마을에서 농한기를 활용하여 시행된 근골격계 질환 예방사업을 소개하고 주요 사업결과를 분석하여 농업인의 건강증진을 위한 기초자료로 활용하고자 본 연구를 수행하였다. 2006년 12월 5일부터 2007년 1월 26일까지 사곳리 마을회관을 12회 방문하여 4번의 기초교육과 5번의 심화교육 등 9번의 근력 및 유연성 강화교육을 실시하였다. 교육 전(사전평가), 기초교육과 심화교육 사이(중간평가), 교육 후(최종평가) 등 3회에 걸쳐 의사 2인에 의한 근골격계 질환 평가, 시각통증척도에 의한 근골격계 통증 평가, 생활체육 전문가 3인에 의한 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성 측정을 통한 근골격계 근력 및 유연성 평가, 설문지를 사용한 어깨, 허리, 무릎의 기능 평가를 실시하였다. 총 12회의 일정 중 1회 이상 참석한 농업인은 총 57명이었으며 남자가 20명(35.1%), 여자가 37명(64.9%)이었으며 평균 연령은 60.7(±8.1)세였다. 근골격계 질환 검진에서 한 번 이상의 검진을 받았던 43명중 32명(74%)이 한 가지 이상의 근골격계 질환을 가지고 있었으며, 퇴행성관절염이 26명(60.5%), 근막통 증후군이 19명(44.2%), 허리디스크가 10명(23.3%)이었다.목어깨, 허리, 무릎다리의 통증정도는 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간의 비교에서 모두 감소하는 경향을 보였으며 3차 평가에서 1차 평가에 비해 목어깨, 허리, 무릎다리 모두 유의한 통증의 감소를 보였다(p<0.05). 근골격계의 기능을 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간 비교한 결과 모두 기능점수가 우수하게 변화했으나 통계적으로 유의하지 않았다. 근력 및 유연성 정도는 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성을 측정하였으며 1차 평가에 비해 3차 평가에서 모든 항목에서 근력 및 유연성 정도가 통계적으로 유의하게 증가하였다(p<0.05).연구대상자의 수가 적었고, 농한기에 의한 근골격계 질환의 개선 효과를 배제할 수는 없었지만 이번연구를 통하여 일부 농업인에서 근골격계 질환 관리 프로그램 실시 후 근골격계 질환의 단기적인 개선효과를 볼 수 있었다. 근골격계 질환의 중장기적인 개선효과를 기대할 수 있는 추가적인 연구와 농번기를 통한 관리 프로그램에 대한 추가적인 연구가 필요하다.

Evaluation of Masticatory Efficiency and Oral Health Related Quality of Life in Temporomandibular Disorder Patients (측두하악장애 환자에서 저작 효율 및 구강건강관련 삶의 질 평가)

  • Lee, Yong-Seung;Byun, Young-Sub;Choi, Jong-Hoon;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
    • /
    • v.35 no.2
    • /
    • pp.135-147
    • /
    • 2010
  • In this study, the objective masticatory efficiency of two groups of temporomandibular disorder patients, pain and sound groups, was compared with that in a normal group using the MAI (mixing ability Index). The subjective chewing ability was evaluated using questionnaires, such as the Food Intake Ability Index (FIA) and Visual Analogue Scale (VAS). The Oral Health Impact Profile (OHIP)-49K of the patients was also examined to measure the oral health-related quality of life. The results were as follows: 1. The MAI, FIA and VAS in the pain group were significantly lower than in the normal and sound groups. This shows that the chewing efficiency of the pain group was lower than the normal and sound groups (P<0.05). However, there was no significant difference between the sound and normal groups. 2. The OHIP-49K for the oral health-related quality of life showed a significant increase in both the pain and sound groups compared with normal group. This means that the oral health-related quality of life was lower in both the pain and sound groups. 3. There was a correlation between the MAI, FIA and VAS (P<0.01) in all subjects (71 persons). The OHIP-49K was associated with the FIA and VAS. 4. There was a correlation between the FIA and VAS (P<0.05) in the sound group but no correlation in the other groups. 5. There was a correlation between the FIA and VAS in all groups. 6. The VAS was increased significantly in the pain group according to the level of pain reduction after treatment (P<0.05). However, there was no significant increase in the MAI, even though there was an improvement in masticatory efficiency. In addition, there was no difference in the FIA and OHIP-49K according to the level of pain reduction after treatment. In this study, it is believed that pain is a main factor decreasing the masticatory efficiency in patients with temporomandibular disorders. Moreover, TMJ sounds decrease the quality of life but do not decrease the masticatory efficiency. Therefore, it is important to control the pain in order to improve the masticatory efficiency in temporomandibular disorder patients. Moreover, managing both pain and sound can improve the quality of life.

$MEDI_{CHECK}^{\surd}$ Zone_최신 의학정보 - 얼굴로 체크하는 부모님 건강

  • Sin, Beom-Su
    • 건강소식
    • /
    • v.36 no.3
    • /
    • pp.44-45
    • /
    • 2012
  • 부모님의 건강을 살피고 간단한 해결책을 제시하는 일은 꼭 의사가 아니어도 가능하다. 통증이나 이상이 나타난 부위, 양상을 제대로 관찰하면 어떤 질병이며, 어떤 의료처치를 받아야 할지 어느 정도 파악 할 수 있다. 고령에 흔히 나타나는 대표적 질병 종류와 그 구분법에 대해 알아보자.

  • PDF

Bravo silver - 중·노년층에서 증가세를 보이는 '역류성 식도염' 바로알기

  • Kim, Ga-Hui
    • 건강소식
    • /
    • v.39 no.9
    • /
    • pp.22-23
    • /
    • 2015
  • 60대 자영업자 A씨는 언제부턴가 식사를 하고 나면 씁쓰름한 신물이 식도를 역류해 올라왔다. 어떤 때는 음식물이 넘어와 되새김질을 하기도 했다. 상복부가 쓰리고 가슴 통증이 생겨 병원을 찾아 검사한 결과 '역류성 식도염' 진단을 받았다. 역류성 식도염은 잘못된 식습관에서 비롯되기도 하지만 A씨처럼 나이가 지긋한 경우엔 위 괄약근 조직이 약해져 나타난 것일 수 있다.

  • PDF

박태균의 건강칼럼

  • Park, Tae-Gyun
    • 건강소식
    • /
    • v.32 no.8
    • /
    • pp.32-33
    • /
    • 2008
  • 식생활이 서구화되면서 몸속에 돌이 생기는 담석증 환자가 크게 늘고 있다. 우리나라 성인 10명 가운데 1명이 담석증을 앓고 있으며, 최근 증가 추세에 있다고 한다. 위장병이 없는데도 오른쪽 윗배에 통증이 심하고 기름진 음식을 먹을 때 소화가 안 되면 담석증을 의심해야 한다. 그대로 방치했을 경우 담염이나 췌장염, 암으로 악화될 수 있어 그 심각성이 우려되는 담석증의 치료법과 예방법을 알아본다.

  • PDF