• 제목/요약/키워드: 통증 관리

검색결과 451건 처리시간 0.024초

일회성 발목가동성 운동프로그램이 만성발목불안정성을 가진 성인여성들의 발목가동범위와 통증에 미치는 영향-Pilot study (Effect of acute ankle mobility exercise program on ankle range of motion and pain in adult women with chronic ankle instability : Pilot study)

  • 김승은;황동주;장용철;김태경;조준용;구정훈
    • 한국응용과학기술학회지
    • /
    • 제40권6호
    • /
    • pp.1259-1267
    • /
    • 2023
  • 본 연구는 일회성 발목가동성 운동프로그램이 만성적인 발목불안정성(CAI)에 나타나는 발목가동범위와 통증 수준에 미치는 영향을 확인하는데 목적이 있다. 연구 대상자는 발목불안정성 설문지 검사에서 좌, 우측 평균 점수가 24점 이하인 성인여성 20명을 선정 하였으며 집단은 일회성 발목 가동성 운동프로그램 집단(Ankle mobility exercise program, AE, n=10)과 대조군(CON, n=10)으로 구분하였다. AE 처치는 일회성 운동에 대한 반응을 확인하기 위해 좌·우측 발목을 각각 1회(20분) 실시하였으며 처치 전후 발목불안정성 검사, 통증 및 발목가동범위를 확인하였다. 먼저 AE 프로그램을 실시한 AE 집단의 통증 수준은 사전과 비교하여 사후 유의하게 감소하는 것으로 나타났다(p<.01). 또한 AE 프로그램 처치한 AE 집단에서 배측굴곡이 사전과 비교하여 증가하는 것으로 나타났다(p<.05). 이러한 결과를 종합해 보면 일회성 발목 가동성 운동 프로그램은 CAI에서 나타나는 발목 통증과 발목의 가동범위를 개선시켜 결과적으로 발목 불안정성을 완화시킬 수 있는 효과적인 운동 중재 방법이라고 생각된다.

간호사와 환자에게 제공된 수술통증관리 교육이 수술 후 통증관리에 미치는 효과 (The Effects of Postoperative Pain Management Education Provided for Nurses and Patients on Postoperative Pain Management)

  • 이희선;안지혜
    • 임상간호연구
    • /
    • 제14권2호
    • /
    • pp.5-17
    • /
    • 2008
  • Purpose: The purpose of this study was to examine the effects of education regarding postoperative pain management provided for nurses as well as patients on related factors of pain management, including nurses' knowledge and attitude of postoperative pain, and the level of pain that patients felt after surgery. Method: A quasi-experimental research design was used in this research. Twenty-one nurses currently working in general surgery units and 32 patients who were taking on abdominal surgery in A university hospital were participated in this study. The three week-educational program of postoperative pain management including lecture, quiz, poster and discussion was provided for nurse participants. The postoperative pain management education for each patient was provided one day before his/her own operation for 20 minutes with the pamphlet developed by researchers. For assessing the effects, nurses' knowledge and attitude about pain management, patients' postoperative pain, pain control barriers, and satisfaction of pain management were measured. Results: The nurses' knowledge about pain management and the patients' satisfaction of pain management in the experimental group were higher than in the control group. The patients' postoperative pain in the experimental group was lower than in the control group. Conclusion: With the above results, the postoperative pain management education could be an effective nursing intervention for pain management of patients who were taking surgery.

  • PDF

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

  • 노인숙;오진아
    • Child Health Nursing Research
    • /
    • 제17권3호
    • /
    • pp.190-197
    • /
    • 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.

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

  • 박혜인;이경희
    • Journal of Korean Biological Nursing Science
    • /
    • 제16권2호
    • /
    • pp.150-156
    • /
    • 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.

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

  • 이지은;박명화
    • 임상간호연구
    • /
    • 제15권1호
    • /
    • pp.123-132
    • /
    • 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.

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

  • 황규현
    • The Korean Journal of Pain
    • /
    • 제3권1호
    • /
    • pp.11-14
    • /
    • 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.

  • PDF

암성 통증의 관리 (Practical Management of Cancer Pain)

  • 장진석
    • Journal of Digestive Cancer Research
    • /
    • 제2권2호
    • /
    • pp.56-63
    • /
    • 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.

  • PDF

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

  • 강린;서문경애
    • 디지털융복합연구
    • /
    • 제14권6호
    • /
    • pp.271-283
    • /
    • 2016
  • 본 연구는 체계적 문헌고찰과 메타분석을 이용하여 향기요법 간호중재의 통증완화에 대한 효과를 산출하고자 하였다. 연구출처는 KERIS, KISS, DBpia, Cochrane Library, Ovid-Medline와 Pubmed를 통해서 2000년부터 2014년까지 출판된 연구로 총 20개의 연구에 1029명의 대상자를 메타분석하였다. 연구대상이 되는 주요어는 PICO와 아로마, 향기, 향흡입, 향마사지, 아로마테라피, 통증, 통증관리 등이다. 메타분석결과를 살펴보면, 향기요법 간호중재의 통증완화에 대한 효과는 전체 효과뿐만 아니라 하위요인에서도 통계학적으로 유의한 차이를 나타내었다. 연구결과를 바탕으로 향기요법 간호중재가 통증완화 효과를 나타냈 수 있다는 근거자료를 확보하기 위해서는 추후연구가 필요하다고 사료된다.

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

  • 김경윤;배세현
    • 한국융합학회논문지
    • /
    • 제12권2호
    • /
    • pp.61-66
    • /
    • 2021
  • 본 연구의 목적은 지연성근육통의 통증 변화가 자율신경계와 뇌파에 미치는 영향을 알아보고자 하였다. 지연성 근육통이 유발된 28명을 대조군(n=14)과 실험군(경피신경자극과 키네시오테이핑 적용, n=14)으로 구분하였다. 중재는 지연성근육통 유발 1일 후부터 5일 동안 실시하였다. 평가는 VAS(visual analog scale), 심박변이, 뇌파를 사용하여 지연성근육통 유발 전, 유발 24시간 후, 5일 치료 후, 치료 중단 3일 후에 측정하였다. 실험 결과 지연성근육통이 발생하면 교감신경계의 활성 증가 또는 부교감신경계 활성 억제가 되며, 중재로 인한 통증 감소는 반대의 활동이 나타났다. 통증 발생 시 alpha파의 감소가 나타났으나 유의하지 않았다. 본 연구 결과 통증 변화는 자율신경계와 뇌파에 영향을 미침을 알 수 있었으며, 이러한 결과는 통증 관리와 치료 전략 개발 및 연구에 도움이 될 것이다.

골드테라피와 스톤테라피가 목, 등, 어깨 부위 신체 치수 변화에 미치는 영향 연구 (A Study of the Effects of Gold and Stone Therapies on Changes in Body Size in the Neck, Back and Shoulder)

  • 이진영;정연정;리순화
    • 디지털융복합연구
    • /
    • 제15권8호
    • /
    • pp.465-476
    • /
    • 2017
  • 본 연구는 골드테라피가 목, 등, 어깨 부위 근막통증증후군에 미치는 영향을 스톤테라피와 비교 연구하여 임상에서 효율적인 간호 중재로서의 활용 가능성을 검증하고자 실시하였다. 수도권에 거주하는 여성 20명을 골드군(10명), 스톤군(10명)으로 나누어 2주간, 주 3회, 1회 40분 씩, 총 6회 관리를 실시하였다. 골드군과 스톤군 모두 관리후 목둘레, 좌 우 어깨 넓이, 좌 우 견갑골 하각 넓이, 전 후 어깨 두께, 허리둘레가 관리전과 비교하여 통계적으로 유의미한 감소를 보였고(p<0.001) 그 변화량 차이는 골드군이 스톤군에 비해 더 크게 나타났다. 골드군과 스톤군 모두 관리후 목 우측굴, 목 좌측굴, 목 굴곡, 목 신전 각도 변화에서 관리전에 비교하여 통계적으로 유의미하게 증가하였고(p<0.001) 그 변화량 차이는 골드군이 스톤군에 비해 더 크게 나타났다. 결론적으로 골드테라피가 목, 등, 어깨 부위 근막이완과 통증 완화에 효과적인 간호중재 방법임이 확인되어 비침습적인 안전한 방법으로 활용할 가치가 있다고 사료된다.