• Title/Summary/Keyword: 통증 측정

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CRPS Type-I Patient Treated with Acupuncture and Bee-venom Acupuncture: A Case Report (침과 봉독약침으로 치료한 CRPS 제1형 환자 1례)

  • Ko, Jeong-Min;Kim, Jong-In;Lee, Jae-Dong;Nam, Sang-Su;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.165-170
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    • 2009
  • 목적 : 복합부위 통증증후군은 사고나 외상 이후 한 쪽 사지에서 시작되는 신경병증성 통증이다. 그 기전은 명확히 밝혀지지 않아 추천되는 치료도 아직 없는 실정이다. 이에 한의학적인 치료 방법을 적용하여 그 효과를 보고자 하였다. 방법 : 전통 한의학에서 이 환자의 상태는 통비로 볼 수 있다. 양쪽 무릎과 왼쪽 발의 통증을 호소하는 26세 남자 환자가 3년 전 복합부위 통증증후군 제1형으로 진단 받은 후 봉독약침, 침, 뜸으로 4주 동안 주 2회씩 치료를 받았다. 치료 효과는 DITI, VAS를 통해 평가하였다. 결과 : DITI, VAS를 통하여 환자의 통증에 호전이 있었다. 결론 : 침, 봉독, 뜸을 이용하여 복합부위 통증증후군 환자 1명을 치료한 결과 효과가 있는 것으로 나타났다.

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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.

The Effects of Laughter Therapy on Moods, Pain, and Stress of Hospitalized Hospice Patients (웃음요법이 호스피스 입원환자의 기분상태, 통증 및 스트레스에 미치는 효과)

  • Journ, Song-Jah;Lee, Eun-Sook
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.481-489
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    • 2019
  • This study was conducted to identify the effect of laughter therapy on the moods, pain and stress of the patients in a hospice ward. Participants were divided as control (23 patients), and experimental group (26 patients). Laughter therapy was provided for 5 days, and 20-30 minutes per day. Data collected on the $3^{rd}$ and $8^{th}$ day, respectively, were analyzed using SPSS win 24.0 program, Chi-square test, fisher's exact test, Independent-test, and Mann-Whitney U test. Experimental groups showed the significant differences in Mood (t= -12.88, p<.001), Pain (t= -6.38, p<.001) and Stress (z= -6.03, p<.001). Conclusion: Laughter therapy was an effective nursing intervention to relieve the negative mood condition, pain and stress on patients, as one of the daily nursing services in the hospice ward.

The Analgesic Effects of Transcutaneous Electrical Nerve Stimulation and Interferential Currents on the Experimental Cold Pain Model : Frequency 50 Hz and 100 Hz (실험적 냉각 통증 모델에서 경피신경전기자극과 간섭파전류의 진통 효과 비교 : 주파수 50 Hz과 100 Hz)

  • Bae, Young-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.4045-4052
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    • 2012
  • The aim of this single blind intervation study was to compare the analgesic effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) on cold-induced pain in healthy volunteers. Sixteen subjects completed six cycles of the cold-induced pain test. During each cycle pain threshold was recorded as the time from immersion of the subject is hand in cold water to the first sensation of pain and pain intensity and unpleasantness ratings were recorded using visual analogue scales. Subjects were randomly allocated to receive each 50 Hz-TENS, 50 Hz-IFC, 100 Hz-TENS and 100 Hz-IFC. Statistical analysis showed that four interventions elevated the cold pain threshold significantly and the difference between interventions was not simply significant. But, no significant differences were identified in pain intensity and unpleasantness ratings. We conclude that there were no differences in the analgesic effects of the four interventions under the present experimental conditions. But, 50 Hz-IFC has been shown to be more comfortable than other interventions.

정상인과 L4/L5 디스크 환자의 동적 근전도 측정을 통한 진단기법 개발

  • 현수돈;박시복;김정룡
    • Proceedings of the ESK Conference
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    • 1997.10a
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    • pp.426-432
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    • 1997
  • 본 연구에서는 EMG를 이용한 수리적 parameter를 사용하여동일한 병명(L4/L5 herniated disk)의 요통환자들의 근육활동의 정상 여부를 측정하였다. 특히 본 연구에서는 동작분석기를 사용하지 않고 근 전도의 주기를 판독하여 기존의 연구에서 사용되었던 것보다 측정이간편하고, 주관적 통증 정도가 낮 은 환자를 대상으로 실험함으로써 통증이 parameter에 미치는 심리적 영향을 최소화하였다. 또한 본 연 구에서는 동작주기마다의 근전도 신호의 변이도(variance ratio)를 새로운 parameter로 선정하여 검증하 였다. 측정된 자료를 분석한 결과 quadriceps-hamstrings의 peak time difference와 erector spinae- rectus abdominis의 coexcitation이 통계적으로 매우 유의하게 요통환자와 정상인을 구분해주는 지표임이 확인되었고, rectus abdominis와 externa/internal oblique의 근전도 변이도(variance ratio)가 진단지표 로서 의미가 있음이 밝혀졌다. 본 연구의 방법은 차후 다양한 환자군에 대한 자료와 정상인에 대한 자료를 DB화 함으로써 진단기법으로 사용할 수 있는 가능성을 보여주었다. 이 방법은 차후 요통의 조기 발견과 예 방에 기여할 것으로 기대한다.

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Effects of Thermotherapy for Life Care in the Elderly with Chronic Neck Pain (만성 목통증 노인환자의 라이프케어를 위한 온열치료의 효과 연구)

  • Lee, Jong-Min;Shin, Ho-Jin;Kim, Sung-Hyeon;Roh, Young-Chae;Jung, Kyoung-Sim;Hahm, Suk-Chan;Lee, Sung-Jae
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.635-645
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    • 2019
  • Non-specific chronic neck pain (CNP) is a prevalent disorder and often accompany with pain, fatigue, reduced range of motion (ROM), and hand function. Although various types of drug are commonly used to manage the symptoms following CNP, there is a need for therapeutic exercise and alternative medicine interventions that have few side effects or are easy to apply. Present study investigated the effects of salt pack and neck exercise for life care of the elderly with non-specific CNP. Sixteen patients with non-specific CNP were recruited and randomly assigned into two groups: the intervention group (n=8) or the control group (n=8). All patients performed neck self-exercise for 30 min/day, 5 times a week for 1 week. And the subjects in the intervention group additionally received salt hot pack for 20 min per session. Visual analogue scale (VAS) and pain pressure threshold (PPT) using algometer were used to assess pain intensity (primary outcome). ROM of shoulder joint and grip strength were measured to test shoulder and hand function (secondary outcome). There were significant improvements in the intervention group (p<.05), while the subjects in the control group did not show a significant change after intervention (p>.05). Also, the intervention group show significant differences in VAS and PPT compared to the control group (p<.05). Thus, our results demonstrated that salt pack and neck exercise have a positive effect for life care in elderly patients with non-specific CNP.

Analysis of Pain Records for Cancer Patients Complaining of Moderate or Severe Pain (중등도 이상의 통증을 호소하는 암환자의 통증간호기록 분석)

  • Park, Ran Hee;Cho, Ok Hee;Yoo, Yang Sook
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.270-277
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    • 2014
  • Purpose: This is a retrospective study that investigated cancer patients' complaints of moderate or severe pain to analyze pain characteristics, pain relief interventions and their effects. Methods: The participants of this study were 363 patients who were hospitalized in the cancer ward for three to 30 days and scored 4 points or higher on the pain severity assessment. Results: The most frequent region of pain was the abdomen. The most frequent factor that exacerbated pain was movement. The most frequent pain alleviating factor was administration of analgesics. The most frequent pain type was breakthrough pain, and the most frequent non-pharmaceutical intervention for pain control was heat therapy. Among all, analgesics were routinely prescribed for 52.2% of the participants. Morphine sulfate was the most frequently used analgesic while Gabapentin was the most frequently used non-narcotic analgesic. At the time of discharge, 82.5% of the participants marked their pain intensity as 3 points or lower. Conclusion: For cancer patients complaining of moderate or severe pain, it is important to actively control pain from the beginning of admission. Thus, it is necessary to educate not only cancer patients using narcotic analgesic for pain control and their families but nurses about the effects and side-effects of drugs. Moreover, patients and their families need to learn how to assess and record pain at home to collect data that can be referred for future treatment.

The Effect of Conscious Sedation on Pain and Anxiety of Implant Surgery (임플란트 수술 시 의식하진정법이 환자의 통증과 불안에 미치는 영향)

  • Kim, Hye-Young;Lee, Su-Young;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.411-416
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    • 2014
  • The purpose of this study was to examine the effects of conscious sedation on pain and anxiety of patients in implant surgery. A total of 95 patients who underwent implant surgery were included in the study. In this study, the patient's anxiety and pain to evaluate the pre-operative Visual Analogue Scale (VAS), during-operative Pain Question (PQ), post-operative (Short-form McGill Pain Questionnaire [SF-MPQ], VAS) was used for tools such as questionnaires. The data were analyzed using the chi-squire, independent-samples t-test, multiple linear regression analysis. As a result, the pain reduction was significantly different between the sedative dental treatment and non-sedative dental treatment (p<0.05). The finding of the study multiple linear regression analysis showed that operation time, implant surgery experience, gender, age, operation form and Pain Catastrophizing Scale (PCS) with factors that affect the pain and anxiety (p<0.05). According to the results of the study, considered to be necessary to develop intervention strategies effective using the PCS when managing pain and anxiety of behavior management of this implant patient. Thus, it is advised to provide necessary practical guidelines and dental utilization behaviors on patients with conscious sedation.

Correlations between Sensory Processing Patterns and Pain Catastrophizing Levels in Well Older Adults (노인의 감각처리유형과 통증 파국화 수준의 상관성 검토)

  • Jung, Woo-Young;Kang, Dae-Hyuk;Park, So-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.214-222
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    • 2013
  • This study investigated the relationships between sensory processing patterns and pain catastrophizing levels in well older adults to provide basic information for rehabilitation intervention. The participants of this study were 216 older adults aged over 65. The Adolescent/Adults Sensory Profile(AASP) was used to measure sensory processing patterns and the Pain Catastrophizing Scale(PCS) was employed to evaluate psychological variables of the pain. Self perception of the pain was measured with the Numerical Rating Scale(NRS). Gender and age differences were analyzed with t-test and relationships among sensory processing patterns, pain catastrophizing and pain symptom levels were analyzed with Pearson product-moment coefficients of correlation. Women had higher 'sensory sensitivity' and 'sensory avoiding.' The group over 75 years old had higher 'sensory avoiding,' 'low registration' and 'sensory seeking.' Women had higher pain catastrophizing and pain symptom levels. Negative correlations between 'rumination' and 'low registration' and 'helplessness' and 'sensory seeking' were found. Positive correlations were found between pain catastrophizing and pain symptom levels when they were 'sensory sensitivity' and 'sensory avoiding.' The results infer that sensory processing patterns are associated with psychological variables of the pain and there are differences based on gender and age. Further studies are warranted to support the results.

The effects of deep neck flexor exercise on pain and neck disability index of the patients with chronic neck pain (심부목굽힘근 운동이 만성 목통증 환자의 통증과 기능에 미치는 영향)

  • Lee, Gyu-Chang;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4331-4337
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    • 2010
  • This study was to investigate the effectiveness of deep neck flexor exercise with using modalities in pain reduction and functional improvement to those who have chronic neck pain. The subjects were instructed the patients with chronic neck pain (37 people). Randomized study design of two groups was used: Only using modalities group and deep neck flexor exercise group with using modalities, and each group was taken by three times per week for 12 weeks. To evaluate the effects of therapies was to research the questionnaire about VAS(visual analog scale), NDI(neck disability index), and endurance of deep neck flexor before experiment, after 6 weeks and after 12 weeks. In visual analog scale(VAS) and neck disability index(NDI), there were significant decreased in using modalities group and deep neck flexor exercise group after 6 weeks more than before experiments but were only significant decrease in deep neck flexor exercise group after 12 weeks. The endurance of deep neck flexor was significantly increased in deep neck flexor exercise group after 6 weeks and 12 weeks more than before experiments. Thorough these results deep neck flexor exercise has the effectiveness to the therapies of chronic neck pain. Using the deep neck flexor exercise would be high effects on pain reduction and functional improvement and also considered in improving the living qualities of those who have chronic neck pain.