• 월간당뇨
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• 통권212호
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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.

• 대한간호학회지
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• 제25권1호
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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.

• 근관절건강학회지
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• 제4권2호
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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.

• 한국정보통신학회논문지
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• 제20권9호
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• pp.1785-1790
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• 2016

질병의 발생과 치료 과정에서 통증의 정도를 수치나 구두, 행동 등으로 통증 등급 척도를 나타내게 되는데 예를 들면 불쾌감 척도에서는 통증으로 인해 "귀찮다", "불쾌하다", "짜증스럽다", "괴롭다", "고통스럽다", "견디기 어렵다", "매우 견디기 어렵다"의 등의 순서로 통증척도를 나타낸다. 우울증은 스스로가 인지하기 어렵기 때문에 상황인식 기반을 전제로 하여 본 논문에서는 우울증을 유발할 수 있는 생활 습관이나 생체 신호를 통해 알 수 있는 우울증의 구성요소를 정의하고 우울증의 상태를 이해할 수 있도록 온톨로지 모델링을 통해 우울 지수를 도출하였다. 우울증 구성요소와 우울 지수의 도출은 우울증에 대한 상황 인식 기반의 정보 서비스를 가능할 것이며, 상황인식 기반 디바이스와 결합하고 동기화하여 우울지수의 결과를 확인할 수 있도록 하고자 하며 우울증의 요인이 되는 생활습관을 개선하는데 적용할 수 있을 것이다.

• 기본간호학회지
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• 제24권4호
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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

• 한국보건간호학회지
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• 제22권2호
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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.

• 기본간호학회지
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• 제15권2호
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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.

• The Korean Journal of Pain
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• 제9권1호
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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.

• 건강소식
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• 제37권3호
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• pp.6-7
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• 2013

우리 몸을 떠받치면서 상 하체 운동의 중심 역할을 하는 척추. 척추 건강이 한 번 무너지면 극심한 통증을 겪게 될 뿐만 아니라 삶의 질까지 악화된다. 문제는 최근 들어 척추 건강에 빨간 불이 켜지는 상황이 많이 발생한다는 것이다.

• 건강소식
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• 제36권11호
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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.