• Title/Summary/Keyword: 통증 정도

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A Study for Assessing Pain Intensity and Investigating Factors of Satisfaction with Postoperative Pain Management (복부 수술 환자의 통증 정도 및 통증관리 만족도 영향 요인 - 통증 자가조절기 사용 환자를 중심으로 -)

  • Lee, Jong Kyung
    • Korean Journal of Adult Nursing
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    • v.18 no.1
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    • pp.125-135
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    • 2006
  • Purpose: The purpose of this study was to identify pain intensity according to activities over postoperative days and to identify factors of patient satisfaction with pain management after abdominal surgery. Methods: The subjects were 123 patients who were admitted at a general surgical ward and had abdominal surgery from Mar. 2005 to June 2005. The collected data were analyzed using the SPSS 12.0 program. Results: The average postoperative pain scores were 6.13 at POD 1, 5.46 at POD 2, and 4.22 at POD 3. In stepwise multiple regression analysis a total of 40% of variance in satisfaction with pain management was accounted for by pain intensity on POD 3 at rest (29.4%) and attitude toward using pain medicine (6.6%), and side effects of pain medicine (4.0%). Conclusion: According to the findings of this study, patients had inadequate pain management after abdominal surgery. Therefore, nurses need to provide educational programs focused on changing attitudes toward using pain medicine, to reduce side effects of pain medicine, and to develop nursing intervention for relieving pain.

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The effects of pain, sleep, and depression on quality of life in elderly people with chronic pain (만성통증 노인의 통증, 수면 및 우울이 삶의 질에 미치는 영향)

  • Choi, In Suk;Park, Kyungsook
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.289-299
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    • 2017
  • This study was conducted to investigate the effect of pain, sleep, and depression on quality of life in elderly patients with chronic pain. The subjects of this study were 170 elderly aged over 65 years. Data collected from July 1 to September 30 in 2016 at local community center were analysed by multiple regression. As a result, the pain, sleep, depression and quality of life of elderly significant difference by general characteristics and pain-related characteristics. In addition, In this study, the positive correlation between sleep (.471, p<.001) and quality of life, and negative correlation between quality of life and each of pain (-.332, p<0.001) and depression (-.720, p<0.001) were presented. The factors affecting the quality of life of the elderly with chronic pain were subjective health status (${\beta}=.236$, p=.001), depression diagnosis (${\beta}=.123$, p=.048), and depression (${\beta}=-.526$, p<.001), and depression related factors were most influential factor. Therefore, in order to improve the quality of life of elderly people with chronic pain, nursing and management programs should be prepared to reduce depression and pain.

What are Valuable Positive Signs of Supraspinatus Test for Diagnosis of Torn Rotator Cuff? - Comparison of Pain and Weakness in "Empty Can Test" and "Full Can Test" - (회전근 개 파열의 진단을 위한 극상근 검사에서 유용한 양성 징후는 무엇인가? - "Empty can test"와 full can test"에서 통증과 근력 약화의 비교 -)

  • Shin, Hun-Kyu;Kim, Eu-Gene;Jeong, Hwa-Jae;Kim, Jong-Min;Choi, Jae-Yol;Lee, Yong-Taek
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.27-32
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    • 2007
  • Purpose: To investigate the validity of positive signs of supraspinatus test. Materials and Methods: The empty can test and full can test were performed on 200 shoulders which were diagnosed with magnetic resonance imaging or surgical findings as full thickness tear, partial thickness tear and no tear. Presence of pain, weakness, pain or weakness, and both pain and weakness were recorded as positive signs separately. The two tests with positive signs were compared and analyzed. Results: Pain and weakness were severity-dependent, and the empty-can test had a higher incidence of pain. The sensitivities of the two supraspinatus tests in all positive signs were higher when including partial-thickness tears in the tear group; however, their specificities were higher when excluding partial-thickness tears. The sensitivities of an empty-can test in 'pain', 'pain or weakness', 'both pain and weakness' were higher than those of the full-can test, otherwise, the specificity of the full-can test for 'pain' and 'pain or weakness' were higher. Concordance rate between 'pain or weakness' and 'pain' was the highest in all categorization. Conclusion: Both empty can and full can test were valuable for detecting torn rotator cuff.

A University Hospital Nurses' Knowledge and Attitude about Cancer Pain Management (일개 대학병원 간호사의 암성통증관리에 대한 지식과 태도)

  • Kim, Seon-Hwa;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.254-263
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    • 2012
  • This study was performed to investigate a hospital nurses' knowledge and attitude about cancer pain management and to make use of base material for education. The research design was descriptive survey study, and the data were collected from 303 nurses who were working at a university hospital. A instrument study was the inventory consisting 107 questionnaires for cancer pain management. The data were analysed by SPSS WIN 18.0. The study showed that the percentage of correct answers for general knowledge about pain was 79.6%, for knowledge about cancer pain was 82.2%, for knowledge about analgesics use was 55.6%, for attitude about pain management was 65.2%, and the percentage of correct answers for each item was 70.7%. The knowledge about analgesics use was significant difference in age, education level, position, years of nursing practice, present place of working, years of present working place, pain education program experience, the attitude about pain management was significant difference in gender, education level and present place of working. Consequently it needs the persistent educational programs development and the clinical application to improve of nurses` knowledge and attitude about cancer pain management.

Children Pain Using Four Pain Assessment Tools - Faces, Glasses, Chips, Colors (4개의 도구를 이용한 아동의 통증)

  • Kim, Kyeong-Uoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3016-3022
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    • 2012
  • The purpose of this study is to measure and evaluate the degree of the pain using tools such as faces, glasses, chips, and colors for 96 children in three general hospitals. The children preferred faces, glasses, chips and colors in order, and they preferred orange color for pain-free and black for intense pain. The pain score was significantly high with the children who did not have experience in hospital except colors tool in the difference by means of general characteristics(faces, glasses, chips; p<0.05). Faces, glasses, chips, colors tools are pain assessment tools which are easy simple to handle by children including family and medical personnel. We expect these tools will be used in many ways to assess pain according to a child's age in a clinical setting.

Proprioception associated with sub-clinical neck pain (경미한 경부 통증과 고유수용성 감각)

  • Lee, Hae-jung;Nicholoson, Leslie L.;Adams, Roger D.;Bae, Sung-Soo
    • PNF and Movement
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    • v.3 no.1
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    • pp.55-66
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    • 2005
  • 목적 : 본 연구는 경미한 경부 통증을 가진 대상자의 경부 운동감각과 경부 통증과 기능에 대하여 조사하였다. 방법 : 본 연구의 대상자는 자발적으로 참여한 81명의 (나이 18-30세, 평균 23.2) 건강한 대학생으로 구성되었으며, 측정은 경부운동감각과 통증 및 기능에 대하여 측정하였다. 경부운동감각은 편안히 앉은 자세에서, 경부 후인과 좌우 회전의 중간 관절 범위에서 대상자의 두부에 착용하지 않는 기구를 사용하여 측정하였다. 경부 통증과 기능은 가장 흔히 쓰이는 4가지 설문지를 한국어로 번역하고 문화적으로 적응하는 과정을 거쳐 사용하였다. 결과 : 대상자들을 경부 통증 빈도에 따라 세 집단으로 (통증 없음, 월별, 주별) 구분하였다. 각 집단간에는 4가지 설문지로 조사한 경부통증과 기능에는 차이를 보이지 않았으나, 경부운동감각은 통증 빈도가 높을수록 더 민감하게 나타났다 결론 : 경부 운동감각은 편안히 앉은 자세에서 경부 후인과 좌 우회전의 중간 관절범위에서 측정하였으며, 경미한 경부 통증 빈도가 높을수록 경부 운동감각은 더 민감하게 나타났다.

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Patient-related Barriiers to Pain Management in General Population (일반인의 통증관리 장애정도)

  • Yoo, Yang-Sook;Choe, Sang-Ok;Cho, Young-Yi;Koh, Su-Jin;Hor, Soo-Jin;Jeon, Ji-In;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • v.10 no.4
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    • pp.184-189
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    • 2007
  • Purpose: This study was to explore barriers to effective pain management in general population. Methods: Total 163 Participants completed the Barrier Questionnaire-II (BQ-II), a 27-item on a six point scale, from May to June in 2007. BQ-II consisted of four subscales which were 1) physical effects (PE) addressing beliefs that side effects of analgesics are inevitable and concerns about tolerance, fatalism (Fa) addressing fatalistic beliefs about cancer pain and its management, Communication (Co) addressing the beliefs of 'good patient' and concerns of distracting physician from underlying disease, and harmful effects (HE) addressing fear of addiction and harmful effect to immune system of pain medicine. Results: The BQ-II total had an internal consistency of 0.877 in this study. HE was the biggest barrier (3.03) followed by PE (2.73), Fa (2.15), and Co (1.71). Items appeared as great concerns were 'there is a danger of becoming addicted to pain medication'(3.58), 'using pain medicine blocks your ability to know if you have any new pain' (3.18), 'pain medicine is very addictive' (3.09), 'when you use pain medicine your body becomes used to its effects and pretty soon it won't work any more' (3.09), and 'drowsiness from pain medicine is difficult to control' (3.09). Only 12 respondents (7.4%) reported that they took any type of pain education, however, those who took pain education represented significantly lower barriers to pain management than who did not (P=.029). Conclusion: This result suggests the strategies for public education to surmount cancer pain.

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Adult Idiopathic Scoliosis Treated by Acupuncture : A case report (침 치료로 호전된 특발성 척추 측만증 환자의 증례보고)

  • Jo, Jun-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.21-25
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    • 2012
  • 목적: 이 증례 보고는 성인 특발성 측만증 환자에 있어서 등의 통증과 척추 만곡에 대한 침 치료의 효과를 보고하기 위한 것이다. 방법: 증례의 환자는 25세 여자 환자로 9년 동안 우측 흉추 측만증과 등과 허리의 통증이 있었다. 1주일에 3번, 3주간 침 치료를 시행했고, 치료 전후로 Whole spine x-ray를 촬영하였으며, 환자의 통증 정도를 Visual Analog Scale(VAS)로 평가하였다. 내원시 Cobb angle은 $22^{\circ}$였고, 관상면 균형은 -3.0cm, 쇄골각은 $-3.5^{\circ}$였다. VAS 8의 통증을 호소하였다. 결과: Cobb angle은 $5^{\circ}$ 감소하였고, 관상면 균형은 1.4cm, 쇄골각은 $1.7^{\circ}$ 회복되었다. 등과 허리의 통증은 VAS 8에서 VAS 3으로 감소하였다. 결론: 침 치료는 특발성 척추 측만증 환자에 있어서 등과 허리의 통증뿐만 아니라 척추 측만을 개선시키고 관상면 균형 회복에도 효과적이다.

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2-Step Needle Insertion Technique to Reduce Pain in Children during Local Anesthesia (소아환자의 국소마취 시 통증을 줄이기 위한 2단계 주사바늘 자입법)

  • Park, Suyoung;Lee, Sangho;Lee, Nanyoung;Jih, Myeongkwan
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.99-108
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    • 2020
  • This study was performed to evaluate the effectiveness of the 2-step needle insertion technique to reduce pain during local anesthesia in children. Local anesthesia was performed bilaterally using conventional technique and a 2-step technique, and to compare the degree of pain using the 2-step with that using the conventional technique during local anesthesia using a pain scale. The pain scores were significantly different between the conventional technique and the 2-step insertion technique at 5.82 ± 2.14 and 2.57 ± 2.09, respectively (p < 0.001). The subjective degree of pain based on gender, age, and Frankl's behavior rating scale was significantly lower in the 2-step insertion technique (p < 0.001). Subjective pain levels in the area of maxilla and mandible, anterior and posterior parts were lower in the group treated using the 2-step insertion technique (p < 0.001). The 2-step insertion technique is a simple and effective way to reduce pain during local anesthesia not only in children with a positive attitude to dental treatment, but also in children with negative attitudes, and is thought to be more effective if combined with application of topical anesthesia or distraction.

Effects of Taping Therapy on Knee Pain and Depression in Older Adult Women (테이핑요법이 여성노인의 무릎통증과 우울감에 미치는 영향)

  • Lee, Jong-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.619-624
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    • 2017
  • This study examined the effects of taping therapy on knee pain and depression in older adult women. A nonequivalent control group pre-post design was used. A total of 63 older adult women in the senior welfare center were recruited and assigned to the experimental group (31) or control group (32). Taping therapy was provided to the experimental group three times a week for two weeks. Data were collected before and after the intervention program. The data were analyzed using frequency, percentage, Chi-square test, and t-test with SPSS Statistics Win 21.0 program. Knee pain (t= -9.91, p<0.001) and depression (t= -4.59, p<0.001) were decreased significantly in the experimental group. The results show that taping therapy is an effective nursing intervention for decreasing knee pain and depression in older adult women.