• Title/Summary/Keyword: 통증 지식

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Treatments of Complex Regional Pain Syndrome(CRPS) (복합부위 통증증후군의 치료)

  • Yang, Jong-Yeun
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.2
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    • pp.57-61
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    • 2010
  • The complex regional pain syndrome(CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, knowledge concerning its natural history and mechanism remains very limited. Many current rationales in treatment of CRPS are mainly dependent on efficacy originate in other common conditions of neuropathic pain. This article introduces various treatments for CRPS, but few studies of high methodological quality have been carried out into the effects of those treatments. I think early recognition and a multidisciplinary approach to management seems important in obtaining a good outcome.

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Pain management and Pain knowledge of Nurses (간호사의 암환자 통증관리 및 통증지식에 관한 연구)

  • Choi, So-Young
    • Asian Oncology Nursing
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    • v.4 no.1
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    • pp.82-90
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    • 2004
  • Purpose: This study is part of questionnaire survey concerned with the views of nursing staff for cancer patients. This study was done to describe cancer pain management problem, pain management knowledge. Methods: The participants were 188 nurses at cancer ward. Data were collected from July 2003 to August 2003. Data were collected with multiple-choice items and one open-ended question, which were constructed structured questionnaire. The data were analyzed by means of SPSS statistical software and content analysis. Results: Experiences of pain education are 53.7%, pain assessment sheet not use 86%, pain management status are partial. Education need of pain management was 87.8% patients in pain were very often(23.9%) or rather often (35.1%) cancer patients. The nurses are respond to open question. Pain management problems as assessed by nurses are categorized 11 item. The health professional problems are Knowledge deficit pain management, Incontrollable pain, Doctor's busy. The patient problems afraid of narcotics for addiction, side effect, distinguishing between physical and suffering, economical problem. The scores of knowledge about pain was average 16.7 score. The pain knowledge showed significant correlation education need(r=.180, p=.013). The effective variable was need of $education({\beta}=.163)$. Conclusion: It was found that pain knowledge was middle score and pain management problem was multiple. The study highlights the need to increase pain education for health professional. Therefore, This study suggest that health professionals education should be done to improve pain management problem.

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Actual Condition, Knowledge and Attitude of Patient Controlled Analgesics(PCA) in Postoperative Patients (수술 후 환자의 통증자가조절기 사용실태, 지식 및 태도)

  • Park, Jeong-Sook;Lee, Hae-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.1
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    • pp.18-28
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    • 2007
  • Purpose: This study was to identify knowledge, attitude, use and state of the Patient Controlled Analgesics (PCA) in postoperative patients. Method: The research design was a descriptive research. From December 7, 2005 to January 6, 2006, 102 postoperative patients in a university hospital at Daegu were participated in the study Results: Analgesics with PCA were mainly morphine complex 73.5% and Demerol complex 26.5%. Previous experience of using PCA was only 28.4%, and the main sources of information were other post-op patients and families(43.1%). The most common reason of choice was a recommendation from other post-op patients and families(46.1%). The most common side effects of PCA were nausea and vomiting(20.6%). About 57% of the patients were satisfied with PCA, and pain scores decreased with PCA. Mean score for knowledge about PCA was 2.55 out of a possible 6, and for attitude related to pain medication. 2.31 out of possible 5. Conclusion: To increase the score on knowledge of PCA, a structured preoperative PCA education program should be developed by nursing staff.

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Pain Disorder Associated with Psychological Factors - Case Report and Review - (심리적 요인과 관련된 통증장애 - 증례 및 고찰 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.166-175
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    • 2002
  • Recently many researches support the use of traditional psychiatric treatments in the management of chronic pain. Chronic pain is a significant public health problem and frustrating to everyone affected by it. Psychiatrists offer skills with treatments now recognized as effective in the management of chronic pain. In addition to the diagnosis and treatment of psychiatric co-morbidity, the application of psychological treatments to chronic pain, and the development of interdisciplinary efforts to provide comprehensive health care to the patient disabled with chronic pain, psychiatrists have particular skill in pharmacological treatment that have proven efficacy for a variety of chronic pain conditions. With their expertise in the use of psychoactive medication plus their interest in the personal and family dynamics of patients, psychiatrists have the capacity to be involved in the treatment of patients with chronic pain. So, the author reported three cases of patient with pain disorder associated with psychological factors, and reviewed to propose that psychiatrists in Korea should take an active role in the care of these patients.

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Knowledge and Practice of Patient-controlled Analgesia Use and Management among Nurses (간호사의 자가통증조절기 사용과 관리에 대한 지식 및 적용실태)

  • Park, Mi-Hyun;Kim, Tae-Im
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.1
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    • pp.5-15
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    • 2018
  • Purpose: The purpose of this study was to investigate the knowledge and practice of patient-controlled analgesia use and management (PCA-UM) among nurses. Methods: Data were collected from 182 nurses employed by four general hospitals having more than 300 beds in Daejeon. The data were collected using self-report questionnaires from November 4 to November 20, 2015. Collected data were analyzed using descriptive statistics, t-test, and ANOVA. Results: The average nurses' knowledge about PCA-UM was 14.8 points out of 20. PCA-UM knowledge was significantly higher for nurses with experience in PCA education (t=3.55, p<.001). Most participants (91.2%) wanted to get PCA training, 86.8% of them provided PCA education to patients after surgery. Approximately 62% of participants regularly evaluated the level of consciousness of patients with PCA. Conclusion: Findings indicate that the knowledge and practice of PCA-UM among nurses were insufficient to provide safe and effective pain management to postoperative patients with PCA. Therefore, it is concluded that it is necessary to develop standardized PCA education programs for nurses to provide safe and effective pain management to postoperative patients with PCA.

Pain Management Survey of Psychiatric Unit Nurses (정신과 근무하는 간호사의 통증관리 지식 및 태도에 대한 조사)

  • Park, Hey In;Lee, Kyunghee
    • Journal of Korean Biological Nursing Science
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    • v.16 no.2
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    • pp.150-156
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    • 2014
  • Purpose: This study was intended to measure the knowledge and attitudes of nurses working in a psychiatric ward regarding the subject of pain. Methods: In this descriptive study, data were collected in psychiatric wards(or hospitals) located in the Kyungnam and Kyungpook area from December 2013 to January 2014, using a modified version of the McCaffrey and Pasero Clinical Manual Survey Regarding Pain. The content of the survey follows a logical progression from common pain management problems through mechanisms of pain, assessment and pharmacology. Results: The average score of knowledge regarding pain was roughly $21.59{\pm}2.93$ among the 181 participants. The nurses selected Tylenol as the preferred choice (81.2%). Seventy-one percent of respondents didn't use Pain Intensity Instruments during the pain assessment. The subjects preferred the Numerical Rating Scale rather than Visual Analogue Scales. Pharmacology questions were the least likely to be answered correctly. No specific correlations were found between score and demographic variables of age and experience. No specific correlation between score and educational level was noted. Conclusion: Nurses require ongoing education on pain management, particularly regarding pharmaceutical agents.

Development and Evaluation of the Web-based Evidence-based Practice Guideline for the Operation Patients (수술환자를 위한 웹 기반 근거중심 실무 가이드라인의 개발 및 평가)

  • Hong, Sung-Jung;Chang, Jae-Sik;Jeon, Young-Hoon;Lee, Eun-Joo;Kim, Hwa-Sun
    • Journal of Internet Computing and Services
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    • v.12 no.1
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    • pp.131-139
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    • 2011
  • The purpose of this research is to evaluate patient's satisfaction and clinician' knowledge level about pain, nausea, vomiting, and temperature management of patients after operation by develop an web-based evidence-based practice guideline about pain, nausea, vomiting, and temperature control after operation in order to apply the guideline operation patients. The collected data was analyzed through real number, average, standard deviation, t-test and repeated ANOVA by using SPSS/WIN 17.0 program. The study subjects showed a significant difference in the level of knowledge about pain, nausea/vomiting, and temperature control after operation and patient's satisfaction, before and after applying the web-based evidence-based practice guideline.

The Effects of Patient and Family Education Guideline on Knowledge and Attitude toward Cancer Pain Control (암환자용 통증관리 지침서 교육이 환자 및 가족의 암성 통증관리에 대한 지식과 태도에 미치는 효과)

  • Yi, Ji Eun;Park, Myong Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.123-132
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    • 2009
  • Purpose: This study was conducted to identify the effects of provision of a cancer pain guideline and education for patients with cancer and their families on their knowledge and attitude toward cancer pain control. Method: A nonequivalent control group pre-post test design was used. The participants were selected according to a selection criteria from patients and their families on the medical ward at K university hospital in D city. Both the experimental group for patients with cancer and control group consisted of 16 patients and their families. Results: The first hypothesis, which assumed that there was a difference between the patients in the experimental group and the control group on knowledge (t=-20.006, p=.000) and attitude (t=-13.492, p=.000), was accepted. The second hypothesis, which assumed there was a difference between families in the experimental group and the control group on knowledge (t=-16.087, p=.000) and attitude (t=-10.262, p=.000), was supported. Conclusion: Education for cancer related pain control with a patient guideline had a positive effect on knowledge and attitude of patients with cancer patients and their families suggesting that there is a need to developed this type of guidelines.

Pediatric Nurses' Knowledge and Attitude towards Management of Children's Postoperative Pain (아동병동 간호사의 수술 후 통증 관리에 대한 지식과 태도)

  • Cho, Eun Young;Choi, Hye Ran
    • Perspectives in Nursing Science
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    • v.12 no.2
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    • pp.71-81
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    • 2015
  • Purpose: This study aimed to describe pediatric nurses' knowledge and attitude towards management of children's postoperative pain. Methods: In this cross-sectional descriptive study, the participants were 220 pediatric nurses who worked at a general hospital in Seoul. The survey questionnaires used to assess the nurses' knowledge and attitude regarding children's postoperative pain were developed for this study. Results: The average score for knowledge was 67.7 out of 100. The mean score for attitude was 72.5 out of 100. The factor related to the knowledge level was education for pain management. Moreover, age, working department, position, working experience, education level, and number of children were associated with the attitude. Conclusion: The findings of this study suggested the need for a systematic education program for pain management of children in the postoperative condition.

Nursing Students' Knowledge on Children's Pain (간호학생의 아동 통증에 대한 지식)

  • Yi, Kyung-Min;Koo, Hyun-Young
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.113-121
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    • 2010
  • Purpose: This study was done to investigate nursing students' knowledge on children's pain. Methods: The subjects were 389 nursing students in a university and a college. Data were collected using self-report questionnaires and analyzed using the SPSS/WIN 14.0 program. Results: Nursing students' knowledge on children's pain were generally low. Knowledge on analgesics was ranked the lowest. The levels of knowledge on children's pain of the students were different by gender, grade, academic achievement, the learning experience on pain, and the experience with chronic pain. Conclusion: The results of this study suggests that nursing students do not know children's pain thoroughly, and general characteristics and learning experience of the students make an effect on the knowledge. Therefore, the education programs on children's pain are needed to improve the knowledge of nursing students.