• 건강소식
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• v.35 no.7
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• pp.24-25
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• 2011

퇴행성 관절염은 관절을 보호하고 있는 연골이 마모되면서 뼈끼리 맞닿아 마찰을 이루면서 통증, 부종, 염증뿐 아니라 관절 변형 및 운동 장애까지 불러오는 질환이다. 50세 이상의 노년층에서 가장 흔히 찾아볼 수 있으며, 손가락, 발가락부터 허리, 고관절 등 전신의 어느 부위에서나 나타날 수 있다.

• 건강소식
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• v.35 no.7
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• pp.26-27
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• 2011

물을 매개로 운동하는 수영은 체력수준에 상관없이 남녀노소 모두 도전할 수 있는 운동이다. 수영은 심폐기능을 증진시키고 전신을 골고루 발달시킬 수 있을 뿐 아니라 비만 예방 및 허리 통증에도 효과적이다. 물에 대한 공포심만 없애면 누구나 도전할 수 있다. 더운 여름, 물살을 가르는 수영에 도전해보자.

• 건강소식
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• v.28 no.4 s.305
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• pp.12-13
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• 2004

질염은 많은 여성들이 한 번쯤은 이로 인해 고생한 적이 있을 만큼 아주 흔한 염증이다. 대개 미혼여성보다는 성생활을 하는 기혼 여성에게서 주로 나타나며 증상은 우선 냉이 많아지는데 냄새가 나거나 심하게 가려움증까지 나타난다. 원래 정상적인 질분비물은 흰색이거나 연한 노란빛으로 양이 그다지 많지 않고 다만 배란기 전후로 해서 맑은 물처럼 잠시 양이 증가하는 정도이지만 질염이 있을 때는 질 입구의 가려움, 화끈거림 성관계 시 통증, 소변시 쓰라림 등이 동반된다.

• 건강소식
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• v.35 no.10
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• pp.24-25
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• 2011

나이가 들수록 '소변' 때문에 어려움을 겪는 사람들이 있다. 소변을 볼 때 통증을 느끼거나 하루에 소변보는 횟수도 부쩍 늘어 8회 이상 소변을 본다. 또한, 참지 못할 정도로 긴박한 요절박 현상을 겪고 있을 뿐만 아니라 소변을 보더라도 시원한 느낌이 들지 않는 방광염 증상이 나타나기도 하고, 더욱이 웃을 때나 기침할 때 가끔 소변이 나와 냄새가 나지 않는지 걱정이 되는 요실금 증상이 나타나기도 한다.

• 건강소식
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• v.36 no.5
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• pp.20-22
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• 2012

중소기업에 다니는 40대 중반의 남성은 얼마 전부터 종종 가슴이 화끈거리는 불쾌한 통증과 함께, 목과 가슴 사이에 복숭아씨가 걸려있는 듯한 답답함을 느꼈다. 혹시나 심장에 이상이 있는 것이 아닌지 검사를 해보았지만, 결과는 정상이었다. 이리저리 알아보다 위액이 역류하는 경우에도 비슷한 증상이 있을 수 있다는 정보를 얻고 소화기내과를 찾았고, 내시경 검사 결과 역류성 식도염 진단을 받았다.

• 건강소식
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• v.36 no.10
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• pp.26-27
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• 2012

가을은 단풍 산행을 위해 산을 찾는 사람들이 많아지는 계절이다. 등산은 심폐와 온몸의 근육과 인대를 강화시키는데 효과적인 운동이지만, 등산 전 몸 상태에 대한 점검 없이 무리한 등산을 할 경우 평소 약해진 다리 혈관이 늘어난 혈액량을 감당하지 못해서 건강을 해칠 수가 있다. 더욱이 등산을 즐기는 중장년층이라면 종아리 근육의 탄력이 약화되어 정맥혈관이 확장되는 정맥류가 발생할 가능성이 높고, 이미 정맥류가 있는 경우라면 악화될 수 있다.

• Asian Oncology Nursing
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• v.2 no.1
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• pp.36-49
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• 2002

The purpose of this study was to evaluate the effects of the pain management education on pain of the terminal cancer patients at home. For evaluating the effectiveness of the intervention modified Patient Outcome Questionnaire (APS, 1995) including patients concerns with cancer pain management, pain intensity, and interference of daily activities related to pain were measured before and after the education in control group and experimental group and the differences were compared with each other. Satisfaction with pain management was measured after the intervention. Pain management education was delivered to 16 experimental group patients by home care nurses, who were provided with 3-hour education on cancer pain management by one of the researchers. Pain management education included common misconceptions about cancer pain control and pharmacological and non-pharmacological interventions and emphasis was put on the importance of pain reports and patients' active participation in pain management. The results of the study were as follows. Patients concerns with pain management were decreased more greatly in the experimental group than those of the control group. The worst, average, and present pain intensities during the last 24 hours were decreased more greatly in the experimental group, and total score and each subcategory of the interference of daily living, except walking, were decreased more greatly in the experimental group. And satisfaction score with total pain management and nurses response to the pain reports were higher in the experimental group. The results of this study suggest that pain management education given to the patients by home care nurses is a very useful intervention to improve pain of the cancer patients at home. This positive result is thought to derive from patients' active pain report and participation in pain control and the use of powder form sustained release morphine for breakthrough pain control in part. Further studies with increased sample size from more institutions are recommended and early introduction of short acting morphine is strongly suggested for effective cancer pain control.

• Child Health Nursing Research
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• v.5 no.3
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• pp.262-280
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• 1999

This study was Performed to understand Pediatric Pain management status and nurses' knowledge and attitudes toward it. In addition. it aimed to provide basic data in order to establish effective nursing intervention strategies by confirming the barriers of effective pain management in practice. The subjects were 195 nurses working in pediatric units(general pediatric unit. oncology unit, neonatal unit. neonatal ICU, Pediatric ICU) of 8 university hospitals and one general hospital. Data was collected by the questionnaire from the 3rd of August to the 20th of September in 1999. The instrument developed by Sanna(1999) to measure nurses' knowledge and their attitudes and the other tool by Cleeland(1984) to evaluate barriers in effective Pain management was used. Results of this study are summarized as follows 1. Most nurses learn about the pain management knowledges from through regular curriculum of nursing school(62.0%) And almost nurses(90.8%) don't used to utilize pain assessment tool, but the 'Faces Rating Scale' is the most frequently used by nurses. 2. The use of pain medication(65.6%) is most frequently taken by nurses as pain management and is followed by massage (55.9%) , distraction(27.7%). 3. Nurses' knowledge level is moderate (Mn=3.07). Nurses don't seem to understand pediatric Physical development (Mn = 2.86), psychological development(Mn=2.94) well, meanwhile they seem relatively Quite knowledgeable about the way pain emerges. 4. Nurses' attitudes toward pain is based on behavioral and physiological responses to Pain. They believe 'changes in behavior are a way of assessing pain in child' and 'acute pain increases the number of respiration' Nurses are ready to accept pediatric pain, but are not positive in adopting pain intervention in practice. 5. The barriers of effective pain management are inadequate assessment of pain and pain relief(81.5%), ineffective incorporation among health professionals(80%), and lack of equipment or skills(80.0%).

• Journal of muscle and joint health
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• v.27 no.1
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• pp.12-21
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• 2020

Purpose: The study was to develop a tailored education and coaching program (TECP) for cancer patients, and to identify the effects of TECP on pain severity, daily living impairment, barriers on pain management, self-efficacy, and pain management satisfaction. Methods: A randomized controlled trial was used. Patients referred to an oncology nurse specialist from oncologists for pain management were randomly assigned to TECP (25) or usual education program (UEP, 22). The intervention was offered by educating the method of taking opioid medication, managing opioid-induced side effects, reducing pain misconceptions and enhancing self-efficacy for communicating with a medical team on cancer pain severity, and pain-related impairment. Patients completed questionnaires before the education program and on the next visit 3~4 weeks later. Data were analyzed by SPSS 19.0 program using percentage, frequency, mean, standard deviation, x² test and independent t-test. Results: At all levels, pain severity improved significantly in the experimental group-worst pain (8.16 to 3.80, p<.001), average pain (6.16 to 2.52 p=.008), and least pain (3.32 to 0.96, p=.038)-but not in the control group. Pain management satisfaction also showed significant differences (t=2.93, p=.005) between experimental (4.70±0.49) and control (4.17±0.73) groups. Interference with daily living, barriers to managing cancer pain, and self-efficacy for managing pain improved in both groups but there were no significant differences. Conclusion: The findings suggest that TECP should be considered for outpatients who need cancer pain management.

• 재활복지
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• v.22 no.4
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• pp.83-102
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• 2018

The purpose of this study is to provide basic data for effective management and prevention of chronic diseases and secondary complications as elderly spinal cord injuries(SCI). The subjects were 200 spinal cord injuries admitted to S hospital from April, 2013 to April, 2018. We investigated the occurrence of chronic diseases and secondary complication through medical records. The results showed that SCI were affected chronic diseases and secondary complications over 50years. The prevalence of chronic diseases and secondary complications over 50 years of age had the odds ratio 11.8 times higher in hypertension and 6.7 times diabetes mellitus. Secondary complications had the odds ratio Osteoporosis 7.5 times, Pneumonia 5.2 times, and central pain 0.4 times. We suggest that continuous management and service of chronic diseases and secondary complications of elderly SCI are necessary. It will be necessary to expand the target population and to study various characteristics including.