• Title/Summary/Keyword: 통증 정도

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Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer (진통제와 병용한 손 마사지가 말기 암환자의 암성통증 조절에 미치는 효과)

  • Lee, Yunmi;Yoon, Hosoon;Lee, Sungwoon;Kim, Young Mi
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.296-302
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    • 2016
  • Purpose: This study examined the effectiveness of a hand massage combined with analgesics on pain control in hospice patients with terminal cancer. Methods: This study is a quasi-experimental study with a single group time series design. The study included 25 terminal cancer patients who were admitted to a hospice ward. Each patient's pain level was measured after analgesics use only (control group). When patients complained of pain again, the pain level was assessed after administering a combination of hand massage and analgesics (experimental group). As for the experimental treatment, the participants were provided with oil hand massage on each hand for 5 minutes. Results: The experimental group and the control group showed no significant differences in the changes of pain score (F=0.74, P=0.3939). Conclusion: Although the pain level of the experimental group did not significantly improve compared with the control group, their pain levels tended to be low to begin with. Thus, a complementary utility value of hand massage cannot be completely excluded in terminal cancer patients. Since the pain level significantly changed according to the dosage of analgesic, nurses need more education and research on analgesic drug therapy for terminal cancer patients.

Ultrasonographic Finding of Trochanteric Pain after Proximal Femoral Nailing in Patients with Intertrochanteric Fracture - 2 Cases Report - (대퇴 전자간 골절의 근위 대퇴 골수정 삽입술 후 발생한 전자부 통증의 초음파 소견 - 2예 보고 -)

  • Nam, Woo Dong;Han, Kye Young;Cha, Seong Moo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.1
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    • pp.38-41
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    • 2011
  • After closed reduction and internal fixation with proximal femoral nail for intertrochanteric fracture, some patients complained lateral hip pain. We report two cases of lateral hip pain due to tendinopathy confirmed by ultrasonography.

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The Relationship between Neuropathic Pain and Glycemic Control, Self Management in Type II Diabetes Mellitus Patients (당뇨환자의 신경병증 통증과 혈당조절정도 및 자가관리간의 관계)

  • Seo, Yeong-Mi;Choi, Won-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1774-1780
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    • 2013
  • The purpose of this study was to investigate the relationship between diabetic neuropathy, and glycemic control, self-management in type 2 diabetes mellitus(DM) patients. This was a cross sectional descriptive study and data were collected between May 10 and 31, 2011 using a questionnaire and medical record. The participants were 108 with DM who were treated at the endocrine medical outpatient department. The data were analyzed Pearson's correlation with SPSS WIN program. The mean scores of neuropathic pain and self-management were $9.3{\pm}1.4$(Range 0-14.64) and $5.40{\pm}0.76$(Range 1-7), respectively. There were 33.3% of the patients whose HbA1c levels are higher than 7.5%. Neuropathic pain was positively correlated with glycemic control(r=.18, p=.035), and was negatively correlated with self-management(r=-.19, p=.023).

Efficacy and Safety of $Ultracet^{(R)}$ in Ambulatory Patients with Cancer Pain (암환자의 통증치료에 대한 $Ultracet^{(R)}$의 유효성과 안전성)

  • Lee, Hyo-Jin;Jin, Sun-Ah;Yun, Gak-Won;Yang, Yung-Joon;Park, Nam-Whan;Chun, Jae-Min;Park, Nam-Sook;Yun, Hwan-Jung;Jo, Deog-Yeon;Kim, Sam-Yong
    • Journal of Hospice and Palliative Care
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    • v.9 no.2
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    • pp.101-105
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    • 2006
  • Purpose: We aimed to investigate the efficacy and side effects of $Ultracet^{(R)}$ in relieving cancer pain in setting. Methods: Sixty-one cancer patients over 18 years old, who had cancer pain with or without medication, were enrolled. Pain and other variables were evaluated before and after treatment with $Ultracet^{(R)}$ for 2 weeks, using Korean version of Brief Pain Inventory. Results: Of 61 patients with assessable efficacy data, the maximum pain intensity(PI) experienced in a day were $5.18{\pm}1.41\;and\;4.82{\pm}1.94$, before and after treatment with$Ultracet^{(R)}$ respectively (P=0.113). The minimum PI experienced in a day were $1.2{\pm}1.05\;and\;0.87{\pm}1.35$, before and after treatment with $Ultracet^{(R)}$, respectively (P=0.038). The average PI experienced in a day were $3.61{\pm}1.01\;and\;3.15{\pm}1.73$, before and after treatment with $Ultracet^{(R)}$, respectively (P=0.022). The current PI were $3.63{\pm}1.25\;and\;2.85{\pm}1.94$, before and after treatment with $Ultracet^{(R)}$, respectively (P=0.003). Regarding the quality of life, only mood changed for the better in 49 patients who were treated with $Ultracet^{(R)}$ alone ($1.98{\pm}1.73\;and\;1.35{\pm}1.15$, before and after treatment respectively; P=0.046). There were five (8.2%) adverse events associated with $Ultracet^{(R)}$ treatment. Conclusion: $Ultracet^{(R)}$ seems effective and safe in ambulatory patients with cancer pain.

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The Influences of Chiropractic Therapy on Neck Pain Patients (카이로프랙틱 치료법이 목통증환자에게 미치는 영향)

  • Lee, Jongrok;Oh, Chung-Uk;Lee, Minseon;Suh, Dongwha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1496-1505
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    • 2014
  • Background: this study examined the Chiropractic therpy's influences on range of motions and pains with patients who have neck pain. Methods: In an experimental study with a two-group(chronic neck pain vs acute neck pain) design, 16 participants were enrolled for 2 weeks, 4 times, from march to april, 2013, with 8 acute neck pain patients and 8 chronic neck pain patients in chiropractic threrapy. Results: after the chiropractic threrapy, range of motions improved and pains were reduced significantly in both acute and chronic neck pain patients(P<.05). Conclusion: the chiropractic threrapy was effective in improving range of motions and reducing pains in persons who have acute and chronic neck pain. Thus, the chiropractic threrapy could be a resource for continuing study and adaptations to enhance the quality of life and well-being of neck pain patients.

Risk Factors for Depression and Anxiety among Breast Cancer Survivors in Their 40s (40대 유방암 생존자의 우울·불안 위험요인)

  • Hwang, Sook Yeon
    • The Journal of the Korea Contents Association
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    • v.15 no.2
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    • pp.313-323
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    • 2015
  • This study was performed to examine the prevalence of and risk factors for depression and anxiety among breast cancer survivors in their 40s. Completed questionnaires were collected from 609 breast cancer survivors in their 40s who agreed to participate the study. The mean scores of CES-D and GAD-7 were 16.35(SD=9.24) and 4.25(SD=4.17), respectively. Nearly 47.7% of the participants had depression and 10.3% had anxiety. The mean score of pain severity was 1.91(SD=1.60) and 10.9% of the participants reported more than moderate pain. The final model in the hierarchical regression analysis showed that pain interference, unemployment, the type of live-in partner, and past psychiatric disease were the significant risk factors for depression, and pain interference, unemployment and past psychiatric disease for anxiety. These results show the prevalence of depression and anxiety among breast cancer survivors in their 40s is high and suggest appropriate psychosocial intervention should be provided for high risk groups based on those risk factors.

Effects of Taping Therapy and Passive Range of Motion Exercises on Shoulder joint, Hand dexterity in the Elderly (테이핑요법과 수동적 관절범위운동이 노인의 견관절과 손의 민첩성에 미치는 영향)

  • Ro, Hyo-Lyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.7
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    • pp.2468-2474
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    • 2010
  • The purpose of this study was to investigate the effects of taping therapy and passive range of motion exercises for the elderly aged 65 above with shoulder pain and limited of range of motion. This study was a nonequivalent control group pretest-posttest design. Data were collected about shoulder pain, range of motion, hand dexterity from 40 of elderly(exp.:20, con.:20) in B city from August to September, 2009. Collected data were analyzed using SPSS Win 12.0. Shoulder pain was significantly decreased. Range of motion which was flexion, extension, abduction, horizontal abduction. and hand dexterity were significantly increased in the taping group and PROM group. Shoulder pain and hand dextrity was non significantly between taping group and PROM group. Range of motion which was extension more increased taping group than PROM group. It was proven that taping therapy and PROM was effective for shoulder pain, articular range of motion and hand dexterity.

Effects of Myofascial Release on Nerve Conduction Studies and Pain Scale in Middle-Aged Women (중년여성에서 근막이완요법이 신경전도와 통증에 미치는 영향)

  • Yon, Jung-Min;Lee, Hyun-Kyung;Lee, Og-Kyoung
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.425-432
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    • 2014
  • The purpose of this study was to examine the effect of myofascical release (MR) on the degree of pain and nerve conduction velocity (NCV) in middle-aged women. Participants were 28 middle-aged women and MR carried out three times (1, 3, 5 day) at intervals of two times. We did survey about changes of pain before the MR and how they changed after the MR. Also measured pressure pain threshold (PPT) and visual analogue scale (VAS) by using the algometer at trapezius muscle. In median nerve, we did motor nerve conduction velocity (MNCV) test and sensory nerve conduction velocity (SNCV) test for measuring incubation period, amplitude and nerve conduction. The most painful time was 18~21 and the most painful part was shoulder. The pain scale, PPT and VAS after the MR had significantly decreased than before the MR. The latency was significantly decreased and the amplitude was significantly increased in the MNCV and the latency was significantly decreased in the SNCV after the MR. Also it was effective in ameliorating pain scale and latency of NCV. Consequently, the MR can be effective in prevent pain scale caused by fatigue in middle-aged women as replacement therapy.

A Study on the Effects of Pain, Sleep pattern, Life satisfaction on Depression in Elderly Women with Osteoarthritis (골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향)

  • Lee, Yun Jeong
    • 한국노년학
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    • v.31 no.2
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    • pp.211-222
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    • 2011
  • The purpose of this study was to assess pain, life satisfaction, sleep pattern, and depression and the relations between these in elderly women with ostearthritis. Methods: The subjects were 124 elderly women with osteoarthritis at senior center in C city. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression with SPSS/WIN 14.0. Results: The major findings of this study were as follows. 1) The mean score of variables were pain 2.58, life satisfaction 65.4, sleep pattern 37.6 and depression 13.58. 2) 43.5% of the subjects belonged to depression group. 3) There were significant relationships between depression and pain, life satisfaction, sleep pattern. 4) Significant factors influencing depression were life satisfaction, pain and sleep pattern. These factors explained 48% of depression in elderly women with ostearthritis. Among them, life satisfaction was the most significant factor. Conclusion: These finding give useful information for constructing an intervention and preventive program depression in the elderly women with osteoarthrtitis.

Pain, perceived exercise barriers, and related factors in arthritis patients (관절염 환자의 통증 및 운동 장애성 지각과 관련 요인)

  • An, Eun-Jeong;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4588-4597
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    • 2012
  • This study aimed to investigate pain, perceived exercise barriers, and related factors in arthritis patients. The study was conducted on 140 arthritis patients (89 rheumatoid arthritis patients and 51 osteoarthritis patients) who visited C University Hospital in Daejeon due to arthritis and agreed to participate in a survey. The self-administered survey was conducted from February 2011 to September 2011. The results are as follow. The perceived exercise barriers increased in both groups as the education level and monthly household income decreased. In the rheumatoid arthritis group, the pain became more intense as the self-rated health status became poorer while the perceived exercise barriers became more significant as the self-rated health status became poorer and the patients had other diseases besides arthritis. In the osteoarthritis group, the pain was greater as the duration of arthritis was longer and the self-rated health status became poorer. In both groups, the perceived exercise barriers became more significant as the exercise stage approached the pre-planning stage. The results of the multiple linear regression analysis showed that the most influential factor on pain in both groups was the 'very bad' self-rated health status. In the rheumatoid arthritis group, influential factors on the perceived exercise barriers were the exercise stage and the education level while for the osteoarthritis group, they were the exercise stage and the monthly household income. In conclusion, the results of this study showed that the pain and perceived exercise barriers of arthritis patients were associated with various factors such as the education level, monthly household income, self-rated health status, and exercise stage, which suggests that these factors should be considered in the planning of exercise programs.