• Title/Summary/Keyword: 통증 관리

Search Result 451, Processing Time 0.027 seconds

A Study on Home Visiting Hospice Care of the Terminally Ill Patients (가정 호스피스케어환자 방문간호 조사분석)

  • Lee, So-Woo;Lee, Eun-Ok;Park, Hyun-Ae;Oh, Hyo-Sook;Ahn, Hyo-Seop;Huh, Dae-Suk;Yun, Young-Ho;Kim, Dal-Sook;Rho, Yoo-Ja
    • Journal of Hospice and Palliative Care
    • /
    • v.1 no.1
    • /
    • pp.39-46
    • /
    • 1998
  • Purpose : Hospice Care is considered as one of the most perfect solutions for the problems brought up as the number of chronically ill patients are increasing rapidly and most of social welfare oriented countries are seeking the quality of life. Our former studies(1996, 1997) were to find out the current status of the hospice care in Korea by surveying terminally ill patients and their family members as well as medical professionals. The former study was also to conduct the operation research by developing an information service system for training of hospice care teams and volunteers, and hospice patients management. The purpose of this study was that hospice information service system was tested by home visiting hospice care through visiting nurses. Methods : From October 1, 1997 to March 31, 1998, Twenty six terminal cancer patients were included in this study from Seoul National University Hospital and other hospital. Databases and homepage, hospice information service system were designed and developed for the information needed for the hospice care before this study by our research team and this services were available through the internet. Visiting nurses were trained about this system and they visited the patients with PC notebook and provided them hospice care with hospice information system. They collected physical, psychiatric, social data of the subjects at the first visit and during hospice care at home. Results : Sixteen subjects(61.5%) died during the study and the mean survival was 20.7 days. Anorexia(96.2%), immobility(88.5%) and pain(84.6%) were the major symptom in the 26 subjects, Altered nutrition(26.1%) and pain(12.4%) were the most frequent diagnoses in 226 nursing diagnoses of the subjects. Families understood and demanded the hospice care more than patients. And most patients and families didn't demand spiritual or social care. Conclusion : Through this demonstration study, it was found that we have to provide the information of pain management and nutritional support for patients by the nurses and visiting hospice nurse. The information service system needs to be upgraded with information and manpower of spiritual and social care according to the findings.

  • PDF

A Survey of Cancer Patients Who Visited Emergency Room (일 대학병원 응급실에 내원한 암 환자 실태)

  • Yang, Sun-Ae;Cho, Ok-Hee;Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
    • /
    • v.12 no.4
    • /
    • pp.228-233
    • /
    • 2009
  • Purpose: The purpose of this study was to retrospectively examine the factors and characteristics of cancer patients who visited the emergency room, as well as to offer some educational materials for to manage acute symptoms. Methods: Data for this study were selected from the period of January to December, 2006. A total of 564 patients were examined using the tool which we developed by ourselves for the study. The collected data were analyzed using the SAS program for frequencies and percentage. Results: As for disease-related characteristics of the subjects, 28.9% of them had gastric and colorectal cancer; 66.9% were in stage 4; 51.6% had been in chemotherapy prior to visiting the emergency room; and 82.5% had their anticancer drug administrated average 1~5 times. As for the characteristics in regard to visit the emergency room, 62.9% were admitted to hospital within 2 weeks of being treated. As for chief complaints for visiting the emergency room, the worst symptom was pain, followed by symptoms such as gastro-intestinal symptoms, respiratory symptoms, high fever, and weakness. As for the disease-related symptoms, the worst symptom that gastric, colorectal, pancreatic, liver and gallbladder cancer patients complained of was pain, high fever for lymphoma patients was respiratory symptoms for lung cancer patients, and gastrointestinal symptoms for head and neck cancer and other patients. Conclusion: Therefore, according to their need and background, an individualized consultation and teaching program should be provided to cancer patients.

  • PDF

Post Operative Patient's Knowledge and Attitude about Pain-Management (외과계 수술환자의 수술 후 통증관리에 대한 지식과 태도)

  • Seo, Young-Seung;Kang, Young-Sook;Cho, Gyoo-Yeong
    • The Korean Journal of Health Service Management
    • /
    • v.6 no.3
    • /
    • pp.209-218
    • /
    • 2012
  • The purpose of this study was to provide the effective pain management care for post operative patients through understanding patient's knowledge and attitude about pain-management. The data was collected by distributing structured questionnaires to 200 inpatients in 2 secondary hospitals located in Ulsan, beginning June 28, 2010 to August 11, 2010, and analyzed by t-test, ANOVA, Pearson correlation coefficient. The level of Knowledge about pain management postperations was $6.44{\pm}2.03$. The level of attitude about pain management postperations was $6.92{\pm}1.78$. The significant differences were founded within the inpatient's knowledge about pain management according to the inpatient's demographic data:Age(F=5.55, p=.01), Marital status(t=-2.17, p=.03). The significant differences were founded within the inpatient's attitude about pain management according to the inpatient's demographic data:Job(F=3.45, p=.03). Developing educational material and guidebooks is needed to form more positive about pain-control after operations. This study researched only inpatient's knowledge and attitude about pain-management, but researching nurses, doctors, inpatients and family member's knowledge and attitude should be included in following studies.

Convergence relationship of BMI, Sleep time and Experience of oral disease in Adolescents (청소년의 BMI, 수면시간과 구강질환경험과의 관련성 융합연구)

  • Park, Sin-Young
    • Journal of the Korea Convergence Society
    • /
    • v.11 no.10
    • /
    • pp.387-392
    • /
    • 2020
  • This study was to investigate the relationship of BMI, sleep time and experience of oral diseases in adolescents. We want to help develop basic data for improving oral health of adolescents. According to the sample design of the Youth Health Behavior online survey, a total of 57,303 adolescents were analyzed for frequency of composite samples, x2-test of composite samples, and logistic regression of composite samples, and the IBM SPSS Statistics 20.0 program was used and the significance level was 0.05. Results, BMI was associated with bad breath, and sleep time was associated with tooth break, pain, bleeding, and bad breath. Therefore, BMI and sleep time should be considered for the management and prevention of oral diseases in adolescents.

경기용 마필의 흔히 발생되는 부종의 종류, 발생기전 그리고 EQUIDRAIN을 이용한 치료적 방법의 임상적 고찰

  • Kim Gap Su;Lee Seong Jun;Kim Cheon Ho
    • Journal of the korean veterinary medical association
    • /
    • v.34 no.2
    • /
    • pp.124-130
    • /
    • 1998
  • For every person who concerned with horse, horse breeder, groom and all the horse related vet, oedema, on horse's articulation, ligament, tendon, lacertus or ligamenta annularia, is unavoidable disease. It is the horse in obest condition, so called 'clear

  • PDF

CARE OF POSTTRAUMATIC PAIN SYNDROME IN THE PSYCHIATRIC DISORDER PATIENT : REPORT OF CASES (정신 장애 환자에서 외상후 통증증후군의 관리 : 증례보고)

  • Oh, Ji-Hyeon;Yoo, Jae-Ha;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
    • /
    • v.11 no.1
    • /
    • pp.9-16
    • /
    • 2015
  • Pain and sensory disorder resulting from injury to peripheral nerves of the face and jaws are a major source of patient dissatisfaction and suffering. The majority of patient who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but orderly return of sensation that is functional and tolerable in quality, if not "normal". For many patients, however, the long-term effects are a source of aggravation, and for a few, a significant cause of suffering. Common complaints relate to reduced sensory information causing embarrassing food accumulations or drooling, biting a burning the lip or tongue, and difficulty in performing routine activities such as shaving and apply makeup. For some patients posttraumatic symptoms become pathological and frankly painful. The predominent pain components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning, aching causalgiaform pain, and (4) phantom pain. This is a report of cases about posttraumatic pain syndrome associated with dental treatment in a psychologically disabled patient.

The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers (당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과)

  • Kim, Jung Yoon;Cheon, Eui-Young
    • Journal of Korean Biological Nursing Science
    • /
    • v.18 no.2
    • /
    • pp.78-86
    • /
    • 2016
  • Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

Condylar Resorption : Case Reports and Review (하악과두 흡수(Condylar Resorption)에 대한 고찰)

  • Lee, Kyung-Eun
    • Journal of Oral Medicine and Pain
    • /
    • v.32 no.1
    • /
    • pp.69-79
    • /
    • 2007
  • Condylar resroption, or condylysis can be defined as progressive alteration of condylar shape and decrease in mass. Although the cause is unknown, condylar resorption has been assocated with rheumatoid arthritis, systemic sclerosis, systemic erythematous, steroid usage, orthodontic treatment and orthognathic surgery. In most case, however, there is no identifiable precipitating event. Hence the term is idiopathic condylar resorption. With condylar resorption, the bone loss is resulting in a loss of posterior support in the involved condyle and the mandible can then shift. As a result, the most patients exhibit occlusal change, openbite, retrognathism, and a decrease in posterior face height. This article reports cases of condylar resorption. And the author will review factors capable of changes of condyle, pathogensis and management of conylar resorption.

Acute Malocclusion and Temporomandibular Disorders (급성 부정교합과 턱관절장애)

  • Byun, Jin-Seok;Lee, Kyung-Eun;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
    • /
    • v.32 no.1
    • /
    • pp.121-128
    • /
    • 2007
  • If patients complain about sudden ill-fitting occlusal sensation(acute malocclusion), a dentist has to consider many possible causes about that. Acute malocclusion is characterized its sudden onset and mainly can be caused by teeth and its related structure problem. But we always keep on mind that acute malocclusion also can be caused by temporomandibular disorders In this 3 cases of acute malocclusion, evaluating by patient history, clinical and radiographic findings, we diagnosed them as 1. Lateral pterygoid muscle spasm, 2.. Retrodiscitis, 3. Osteoarthritis. Through this non-odontogenic acute malocclusion cases, we emphasize the key of diagnosis is on comprehensive and careful patient history taking and clinical examination.

Comparative Study of the Effects of Stretching Exercise and Aquatic Exercise Program (골관절염 관리를 위한 스트레칭운동과 수중운동 프로그램의 효과 비교)

  • Choi, Hee-Kwon;Cho, Kyung-Sook;Kim, Jong-Im
    • Journal of muscle and joint health
    • /
    • v.17 no.1
    • /
    • pp.5-13
    • /
    • 2010
  • Purpose: The purpose of this study was to compare the effects of stretching exercise and aquatic exercise program on flexibility, pain and quality of life (QoL) in patients with osteoarthritis. Methods: Fifty elderly women were assigned either to the stretching exercise (SEG, n=25) or to the aquatic exercise groups (AEG, n=25) after 6-week self-help education program. SEG carried out supervised stretching exercise and water exercise training program was conducted by AEG (60 min/day, 2 days/wk) for 8 weeks. Flexibility, pain, and quality of life were measured by Senior Fitness Test Manual (Rikli & Jones, 2gr5), pain rating scale (0-10) and the questionnaire by World Health Organization Quality of Life BREF (Min et al., 2gr0), respectively. Results: Both SEG (all, p&H;.05) and AEG (all, p&H;.05) increased left upper and lower-body flexibility, measured by a measuring tape. Pain significantly decreased both in SEG (p=.000) and AEG (p=.004). Quality of life was significantly improved only for the SEG. Conclusion: The 8-week stretching exercise program would significantly improve flexibility, pain control and QoL in patients with osteoarthritis.