• Title/Summary/Keyword: 통증 관리

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A study of the factors influential on a health-related quality of life using complex sample design (복합표본 설계를 이용한 건강관련 삶의 질에 영향을 미치는 요인에 관한 연구)

  • Park, Cheolyong;Choi, Hyun Seok
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.4
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    • pp.829-846
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    • 2014
  • Using complex sample design, this article analyzes the difference between sex and age groups of mental health, physical activity, suffering lifestyle diseases, drinking, and smoking using the fifth Korea national health and nutrition examination survey data (2011-2012), and then analyzes the effect of mental health, physical activity, suffering lifestyle diseases, drinking, and smoking on EQ-5D, a measure of health-related quality of life. The results show that mental health, physical activity, suffering lifestyle diseases, drinking and smoking are statistically different among gender and age groups, and that age group, education level, suffering diabetes, recognizing stress, thinking suicide are statistically influential on EQ-5D.

A Concerned Pest of Invasion in Korea, Fire Ant, Solenopsis geminata (Fabricius) (Hymenoptera: Formicidae) (우리나라에 침입이 우려되는 Fire Ant, Solenopsis geminata (Fabricius) (벌목: 개미과))

  • Lee, Heung-Sik;Lee, In-Hwan;Lyu, Dong-Pyeo
    • Korean journal of applied entomology
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    • v.47 no.1
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    • pp.107-110
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    • 2008
  • Tropical fire ant, Solenopsis geminata (Fabricius) is distributed over the tropical and temperate areas. It is a polyphagous pest attacking to various plant and causes the pain to the people doing outdoor work. So it is known for a hygienic pest to human being, especially the people doing outdoor activities. It can cause severe pain to human, even with just a bite. Of particular concern is the possibility of its settlement in this country, if it invade to the farmlands and/or forests of Jeju Island and southern part in Korea. It is listed as a regulated pest in Plant Quarantine Act of Korea. This ant is usually imported through a ship and early settled in the port area where it is already distributed. Recently its distribution is rapidly spreading into Southeast Asia and southern part of China. In Korea, it was detected the one time in 1990s, but was detected the ten times from 2000 to 2006 by an imported plant quarantine process. Therefore, we would like to provide some information on the species, including morphology, distribution, host plant, damaged symptom and its general bionomics, which will be useful data for plant quarantine process and control.

Effects of Self Help Program for Pain, ADL, Exercise Self-Efficacy, and Knowledge about Arthritis in Patients with Osteoarthritis (자조관리 과정이 골관절염 환자의 통증, 일상생활 활동 운동효능감, 관절염 지식에 미치는 효과)

  • Park, Sang-Youn;Son, Jung-Tae;Park, Du-Hee;Lee, Kyung-Hee;Kim, Jin-Suk
    • Journal of muscle and joint health
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    • v.11 no.1
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    • pp.31-41
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    • 2004
  • Purpose: The purpose of this study was to test the effects of self-help program offered to patients with arthritis. Method: A quasi-experimental study design with nonequivalent groups was employed for the study. The subjects in the experimental group were 19 residents of K City who visited K Health Center with chief complaints of osteoarthritis and who agreed to participate in the self-help program from January through April 2003. The subjects in the control group were 18 patients with arthritis, selected among patients on the waiting list of self-help program using random sampling method. Data related to pain, ADL, exercise self-efficacy, and knowledge about arthritis were obtained from both groups. SPSS Win 11.5 was used for the data analysis. Results: The results of this study were as follows. 1. The pain score and exercise self-efficacy of the study group were significantly higher than the control group. 2. The ADL score and knowledge about arthritis were not significantly higher than the control group. Conclusion: Based on the study results, self-help program was proved to be effective in alleviating pain, and promoting exercise self-efficacy related to arthritis.

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Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy (복강경 수술 환자의 수술 후 오심과 구토 관리를 위한 근거중심 실무 가이드라인 적용 효과)

  • Lee, Sung-Hee;Hong, Sung-Jung;Kim, Hwa Sun;Jeon, Younghoon
    • Korean Journal of Adult Nursing
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    • v.27 no.5
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    • pp.481-492
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    • 2015
  • Purpose: The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV). Methods: The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, ${\chi}^2$-test using SPSS/WIN 19.0 program. Results: The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group. Conclusion: The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.

특집 II - 동북아시아 구제역 발생상황과 국내 발생 바이러스의 특징

  • Park, Jong-Hyeon
    • Journal of the korean veterinary medical association
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    • v.46 no.6
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    • pp.527-543
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    • 2010
  • 구제역은 소 돼지 사슴 면양 산양 고라니 노루 등 우제류 동물에서 발생하는 제1종 가축전염병으로 빠른 시간내에 동물의 입 발굽 젖꼭지 등에 수포를 형성하는 것이 특징이다. 감염된 소의 혓바닥, 잇몸, 입술, 입 내부점막, 주둥이에 크기가 다양한 수포가 형성된다. 심한 경우에 혀 전체 넓은 부위에서 궤양이 형성될 수 있다. 수포는 24시간이내에 정상적으로는 파열되며, 그 수포액은 $10^8/ml$의 역가를 갖는 바이러스를 함유한다. 상피가 떨어지고, 유연이 심해지며, 타액이 입 주변에 흔건히 흘러내린다. 입 주변 병변과 동시 또는 이어서 수포가 발굽에 형성되며, 부분적으로 발굽갓띠 또는 제부의 갈라진 틈에서 생성되어 통증과 파행의 원인이 된다. 수포는 보통 유두와 유방에 발생되며, 때로는 세균성 유방염을 발생시킨다. 생산성의 감소는 보통 25% 정도로 추정된다. 돼지는 초기에 파행, 발열, 의기소침, 식욕부진이 있다. 소 보다 발굽에서 더욱 증상이 심하다. 유두, 유선, 콧등에 수포가 형성된다. 혀의 병변은 소보다 심하지 않다. 잠복기가 2~14일 (소에서의 약 6.2일, 돼지에서는 약 10.2일)로 짧고, 전파가 매우 빠르며 경제적 피해가 크기 때문에 국제 교역에서도 규제대상이 되는 질병이다. 구제역의 병인체는 피코르나바이러스과 아프토바이러스속에 속하는 구제역 바이러스로 현재까지 7개의 혈청형(A, O, C, Asia 1, SAT 1, SAT 2 및 SAT 3)이 알려져 있다. 이 전염병은 동물전염병 중에서 가장 악명 높은 전염병이다. 세계동물보건기구 (OIE)에서도 각 국간에 국제적인 위협을 최소화하기 위하여 질병의 발생을 보고해야 하는 질병으로 특별 관리하고 있다. 2006년 이후 최근까지 아시아 지역에서 지속적으로 많은 발생을 보이고 있다. 금년 들어 중국, 대만, 일본, 몽골, 우리나라까지 발생되어 이 질병의 위험성에 대하여 다시 한번 생각하게 하였다. 구제역의 재발방지를 위하여 최근 동북아시아 지역의 발생상황과 향후 구제역의 발생억제 또는 발생시 긴급 대응을 위하여 해야 할 일은 무엇인지 알아보자.

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Effects of Structured Exercise Program on Hip Pain, Physical Function and Quality of Life in Patients with Total Hip Arthroplasty (구조화된 운동 프로그램이 인공고관절 전치환술 환자의 고관절 통증, 신체기능 및 삶의 질에 미치는 효과)

  • Kwon, Eunhee;Lee, Haejung;Lee, Sunghwa
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.122-134
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    • 2018
  • Purpose: The purpose of this study was to develop a 12-week structured exercise program (12-week-SEP) and evaluate its effects on pain, physical function and quality of life in patients with total hip arthroplasty (THA). Methods: A nonequivalent control group non-synchronized design was utilized to examine the effects of the 12-week-SEP on patients' outcomes after THA. A total of 46 adult patients (experimental group=25, control group=21) who had THA were recruited for the study. The 12-week-SEP consisted of education, exercise (muscle strengthening and progressive walking), and feedback. Data were analyzed by SPSS/WIN 21.0 using the $x^2$ test and repeated measures ANOVA. Results: The mean age of the participants was 60.9 years and 25 men (54.5%) and 21 women (45.7%) were included in the study. There were significant intervention effects on pain reduction and increased physical function but no effects on quality of life. Conclusion: The 12-week-SEP provided pain relief and enhanced physical function in patients underwent THA. Clinical application of the 12-week-SEP can improve postoperative nursing practices for patients with THA. Future research with larger sample is of necessity to obtain greater generalizability of the empirical evidences of the 12-week-SEP.

A Study on the Relationship between Oral Health Promotion Behavior and Oral Symptoms According to Dietary Life of Adolescents (청소년들의 식생활에 따른 구강건강증진행위와 구강증상과의 관련성 융합연구)

  • Park, Sin-Young;Lim, Sun-A
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.251-256
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    • 2020
  • This study aims to investigate the relationship between oral health promotion behavior and oral symptoms according to the dietary life of adolescents through the 15th(2019) online survey of Youth Health Behavior. According to the study, the number of tooth brush(day) was significant with all dietary life, caffeine and eating habit education experience were significant with all oral health promotion behavior, use of oral health device was significant with fruit, vegetable, sealant experience was significant with fruit, fastfood, vegetable, scaling experience was significant with fruit and oral education experience was significant with fruit, soda, fastfood, vegetable. Toothbreak was significant fruit, soda, fastfood, pain and bleeding were significant with caffeine, fastfood, vegetable, eating habit education experence, bad breath was significant with fruit, caffeine, vegetable. Therefore, dietary life should be considered for the management of oral health promotion behaviors and oral symptoms of adolescents.

Hereditary Hemorrhagic Telangiectasia (유전성출혈모세혈관확장증의 증례 및 문헌 고찰)

  • Kwon, Jeong-Seung;Ahn, Hyung-Joon;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.37 no.3
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    • pp.135-139
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    • 2012
  • Hereditary hemorrhagic telangiectasia is a rare autosomal dorminant disease that features abnormal and fragile vascular dilations of terminal vessels in skin and mucous membranes, as well as arteriovenous malformations of internal organs, particularly lungs, brain, and liver. Often patients have not been diagnosed with HHT for a long time, and undiagnosed HHT patients unnecessarily develop serious complications such as severe life-threatening hemorrhage, stroke or brain abscess. Therefore, early detection and appropriate screening is very important. Early detection of HHT allows the appropriate screening for the presence of silent disease such as AVMs in the lungs, liver, or brain, and preventive treatment in the patient and their affected family members. Dentists should be familiar with HHT because the telangiectases on skin and oral mucosa are often the most dramatic and most easily identified component of HHT. Recently, we experienced a case of HHT. We present the case with a review of the literature.

A Study on the Relationship between Activity of Daily Living and Job Status of the Disabled from the Functional Limitation Perspectives (기능제한(Functional Limitation) 관점에서 본 뇌성마비인의 일상생활수행능력과 취업여부의 관계에 대한 연구)

  • Kim, Jung-Woo;Kim, Bong-Sun
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.223-249
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    • 2007
  • This study is intended to investigate if the standard of vocational rehabilitation service could be solely determined by medical standard for disability definement and to find out what alternatives are available to resolve practical problems for those who are not identified as the severely disabled by the disability definement but do experience severe handicaps at work. Through the literature review, the researcher argued that the concept of 'functional limitation' would be a criteria, and thereby applied Modified Barthel Index to measure the degree of functional limitation. In view of researching the relationship among physical impairment, functional limitation, and job status based on 381 cerebral palsied, variables such as the type of cerebral palsy and the part of paralysis, have neither direct nor indirect influence to the job status; however, the pain and the mobility have indirect effects, and the ability of self-management has direct effect on the job status. The researcher concluded that future research about disabilities needs to provide a serious thought on what it is to be defined as 'disabilities', as well as to focus on further research conceptualizing the degree of physical 'functional limitation'.

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Effect of supportive periodontal treatment in the oral lichen planus patients (구강편평태선 환자에서 보조적 치주치료의 효과)

  • Kwon, Eun-Young;Choi, Jeomil;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.134-142
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    • 2015
  • Lichen planus is an immune-mediated mucocutaneous disease, affects more frequently middle-aged Caucasian women and makes signs and symptoms in the oral mucosa. Cutaneous lichen planus lesions cause itching but they are self-limiting, oral lichen planus lesions are usually chronic, recalcitrant to treatment and potentially premalignant in some cases. Although, oral lichen planus is non-plaque related disease, they possess particular problems because plaque control is complicated by pain and bleeding and might cause plaque-related disease. The resulting condition comprises accumulations of plaque, which again can influence the progress of oral lichen planus with burning sensation, spontaneous gingival bleeding. Thus, it should be noted that both medication and supportive periodontal treatment are essential for the remission of the lesions. This case report introduces topical corticosteroid therapy and supportive periodontal treatment including intensive oral hygiene procedures to obtain an improvement of subjective symptoms and objective changes and to prevent relapse the lesions.