• 제목/요약/키워드: Labor Pain

검색결과 149건 처리시간 0.023초

한국(韓國) 의서(醫書)에 보이는 불수산(佛手散)의 처방구성(處方構成)과 효능(效能)·주치(主治)에 대한 고찰 (Constitution of Prescription and Medicinal Effect & Adaptation Diseases of 'Bullsoosan(佛手散)' in Korean Medical Books)

  • 유정아;정창현
    • 대한한의학원전학회지
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    • 제29권1호
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    • pp.17-41
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    • 2016
  • Subjects : A literature research on the constitution and medicinal effect & adaptation diseases of "Bullsusan". "Bullsusan" is a herbal prescription composed of Angelicae Gigantis Radix(當歸) and Cnidii Rhizoma(川芎). Objectives : Through the researching on the records of "Bullsusan" in Korean Traditional Medical Books, gain the literature evidence for adaptation to these days child labor as a pre-labor keeping herbal medicine. And have detailed consideration on the constitution of prescription and medicinal effect & adaptation diseases of "Bullsusan". Methods : First, researched the records of "Bullsusan" in Korean Traditional Medical Books which were included at A Series of Korean Medicine(韓國醫學大系) and analysed component ratio, nickname, herbal manufacture and drug processing method, medicinal effect and adaptation diseases. Second, referred related Korean and Chinese researches that examined the medicinal effect and adaptation diseases of "Bullsusan" by scientific experimentation. Conclusions : We found total 46 records of "Bullsusan" from 20 kinds of Korean Traditional Medical Books included at A Series of Korean Medicine. Prescription component ratio of Angelicae Gigantis Radix and Cnidii Rhizoma were 3:2, 1:1, 2:1, 1:1. 3:2 had most 20 records and 1:1 had second 14 records. Especially 1:1 had a tendency of having nickname "Goonguitang", but not must had. First herbal manufacture was powder, it had 8 records. First drug processing method was decocting with water and alcohol, had 19 records. Medical Effects of "Bullsusan" can be induced to next 8, that were "remove get bad blood, give birth new blood", "easy labor by reducing fetal volume", "acceleration of labor", "test of fetal survival, elimination of dead embryo", "elimination of placenta", "revive", "allaying pain", "nourish the blood". From these medical effects, 9 adaptation diseases can be induced. That were "threatened abortion", "womb ache and vaginal bleeding by spontaneous abortion", "pre-labor keeping(prevention of hard labor)", "acceleration of labor", "hard labor", "missed abortion", "postnatal vaginal bleeding, dizziness, asthma, headache, womb ache", "postnatal mastoptosis and mastodynia", "first aid symptom like as dizziness, unconsciousness, stroke caused by excessive bleeding". The medical effect of "acceleration of labor" and "elimination of placenta" have been examined by modern clinical research. The effect of "remove get bad blood, give birth new blood", "allaying pain" and "nourish the blood" have been examined by modern experimental study. But overdosing on "Bullsusan" to pregnant mouse can cause natural abortion, so the proper dose of "Bullsusan" in pregnant period is very important.

Pregnancy in Woman with Spinal Cord Stimulator for Complex Regional Pain Syndrome: A Case Report and Review of the Literature

  • Yoo, Hyung-Seok;Nahm, Francis Sahngun;Yim, Kyoung-Hoon;Moon, Jee-Youn;Kim, Yung-Suk;Lee, Pyung-Bok
    • The Korean Journal of Pain
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    • 제23권4호
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    • pp.266-269
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    • 2010
  • Spinal cord stimulation (SCS) is used to manage chronic pain syndromes and it is accepted a cost-effective therapy. Child-bearing women who had SCS become or choose to become pregnant despite these policies pregnancy is a relative contraindication. A 32-year-old woman had SCS as a treatment for the CRPS I of the left lower extremity, During various check up tests, we happen to find out that her serum beta-hCG was positive and confirmed pregnancy. SCS is not recommended in pregnancy because the effects of SCS on pregnancy and nursing mothers had not been confirmed. However, many female patients suffering from chronic pain may expect future pregnancy and we think that they must be informed about the possibility of pregnancy and the effects of SCS device implantation in the course of pregnancy. First of all, a good outcome requires a multidisciplinary team approach, including obstetrics, neonatology, pain medicine and anesthesia, as was used from an early pregnancy. Unfortunately, she had a misabortrion after 6 weeks.

간호학 전공 여대생이 인지한 분만의 의미에 대한 연구 (A Nursing College Women's Meaning of Labor and Delivery : Phenomenological Method)

  • 여정희
    • 여성건강간호학회지
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    • 제7권2호
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    • pp.203-211
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    • 2001
  • A women's meaning about labor and delivery may influence the process of childbirth and performance of the maternal role. Therefore, negative meaning about the birth experience may have a negative impact on the childrearing. The purpose of this study is to explore the meaning of labor and delivery for the strategies of nursing intervention in positive childbirth experience. The data were collected through the in-depth interviews of 10 nursing college women on Jeju Island from October 2000 to January 2001. The interviews were conducted by investigator in the class room after school hours. Each interview lasted for about 30 minutes on average. Subjects were interviewed one at a time. The interviews were recorded with the consent of the subject. The data were analyzed by means of Giorgi's phenomenological analysis methods and catagorized according to the similarities of its contents. The investigator read the data repeatedly to identify the themes and the main meanings. Eight main meanings were identified as follows : 1)pain 2) shame and disgust 3)load 4)naturality 5)unreality 6)happiness 7)anxiety 8)maturity. Under these main meanings there were seventeen themes. I. Pain : (a) It's too painful (b) I don't want to deliver II. Shame and Disgust : (a) I am shameful (b) I am hateful III. Load : (a) I don't feel free (b) I have responsibility IV. Naturality : (a) It's in order to obtain a child (b) It's natural for women (c) It's a destiny of women V. Unreality : I don't feel real VI. Happiness : (a) I am glad (b) I am happy (c) It's miraculous VII. Anxiety : (a) I am anxious (b) I am worried VIII. Maturity : (a) I understand parents (b) I feel great. The results of the study will provide basic data for positive childbirth experience.

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출산 후 관절과 관절 주위 통증에 대한 고찰 (Postnatal Pain on Joints and around Them)

  • 이동규;윤병국;김동일;이태균
    • 대한한의학회지
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    • 제24권1호
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    • pp.92-99
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    • 2003
  • Postpartum physiological, psychosocial, and economic changes bring with them some disorders of maternal mind and body, so postpartum management has been emphasized to date. After labor, some problems may appear like uterine bleeding, infection, depression and ache in or around joints. Some reports from traditional medical practitioners remark that over 50% of postpartum women have complaints within or around joints. For this study, arrangement of nomenclature, criteria and historical summarization are needed.

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간호학생의 산부에 대한 지지간호 효과 (Women's Perception of Nursing Student Support during Labor)

  • 박난준
    • 여성건강간호학회지
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    • 제4권3호
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    • pp.297-308
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    • 1998
  • The purpose of this study was to define whether NSILQ is useful for the nursing student in supporting women labor room(Nursing Support in Labor Questionnaire). The retrospective study was conducted to identify the helpfulness of nursing student support behaviors as perceived by women in Labor. This sample of 152 women completed two data collection instruments : a demographic & obstetric questionnaire(12) and NSILQ(20). The data were analyzed by Cronbach alpha, descriptive statistics, t-test, ANOVA with SAS program. The result of this study are as follows. 1. All of NSILQ nursing behaviors were perceived as helpful in this study. The total mean of perceived score was $3.4{\pm}0.90$. 2. According to the type of nursing support, the mean of Affect(AT) care was $3.48{\pm}0.79$, the mean of Aid(AD) care was $3.37{\pm}0.82$, the mean of Affirmation(AM) care was $3.35{\pm}0.90$. Among the type of care, the AD care was 52.2%, and the most helpful one. 3. The significant characters of nursing support are antenatal care numbers and husband with or not in labor process. In the group of score of nursing support, the number of antenatal care was low(F=3.90, P=0.02). The score of the group husbands in labor process was higher.(T=4.55, P=0.001). 4. The significant characters of influencing on nursing support required are the person who helped and whether women has job or not. 5. The highest numbers of wanting nursing support are Aid cares(74.3%). The care the women wanted mostly was Aid cares (74.3%; pain control in labor(56.6%), physical comfort(6.6%), coach in labor(3.9%), explain of dilatation(1.3%) in rank.

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경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과 (Effect of Magnetic Field Therapy Applied to Acupuncture Point on Dysmenorrhea Experienced by High School Girls)

  • 장현정;박정언
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7367-7376
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    • 2015
  • 본 연구는 경혈점에 적용한 자장요법이 여고생의 월경통에 미치는 효과를 파악하여 여고생들에게 효율적인 자가 간호 중재로써의 활용가능성을 검증하고자 시도된 무작위 할당 대조군 전후설계이다. 자료수집기간은 2006년 3월부터 4월까지로, 보건실을 방문한 여고생에게 실험 전, 설문지에 통증척도인 도표 평정 척도(Grapic Rating Scale, GRS)와 분만어휘 평정척도(Adjective Labor Pain Rating Scale, ALPRS)를 작성하게 한 뒤 각 군에게 직경 12mm, 두께 3mm의 원형 자석에 800~1200Gauss의 자력이 있는 의료용 자석을 3시간동안 적용하였다. 설문지는 각각 자석 적용 직후 3시간과 제거 후 3시간에 설문지인 GRS와 ALPRS를 작성하게 하였다. 연구결과 경혈점에 자장요법을 적용한 실험군은 적용하지 않은 대조군보다 월경통 GRS와 ALPRS가 유의하게 감소하였다. 이상의 결과로 경혈점에 적용한 자장요법이 여고생의 월경통에 통증경감에 효과가 있는 것으로 확인되었다. 따라서 비약물요법으로서의 월경통 완화를 위한 간호중재법으로 활용할 것을 기대한다. 또한 본 연구에서 ALPRS가 월경통에 대해 타당성이 제시되었으므로 추후 연구를 통해 ALPRS의 타당도 검증을 위한 반복 연구가 필요하다. 여고생들의 월경통 경감을 위한 보완대체요법으로 적용하게 될 것을 제언한다.

일부 생산직 여성근로자의 월경곤란증에 관한 연구 (A study on dysmenorrhea of women labor workers)

  • 이인숙
    • 한국보건간호학회지
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    • 제13권2호
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    • pp.115-130
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    • 1999
  • This study was conducted to investigate the prevalence of dysmenorrhea in women labor workers The subjects were 327 women labor workers in the area of Kyunggi. Kyungsang and Chunla Provinclils. The data were collected from 20. January to 20. February. 1999 by using self-administered structured questionnaires. The contents of, questionnaire were composed of demographic(3 items). work related(2 items). life style (6 items), obstetric-menstrual(8 items) characteristics. and experiences of dysmenorrhea(6 items). The results were as follows 1. Prevalence rate of dysmenorrhea was $76.8\%$. Among women who had dysmenorrhea. $52.0\%$ of them had family history on dysmenorrhea. $46.0\%$ of them experienced limitation of daily activities. $18.3\%$ of them have started the dysmenorrhea since their employment present company. and $8.8\%$ of them visited hospital due to dysmenorrhea of the subjects who took analgesics for relieving menstrnal pain. $7.2\%$ had no effect. 2. The frequency of dysmenorrhea was significantly different by educational level. working period. and the amount of mentrual flow.

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직업성 요통 근로자의 장애기간에 영향을 미치는 요인 연구 (Survival Analysis for Prognostic Factors of Occupational Low Back Pain)

  • 김지윤
    • 지역사회간호학회지
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    • 제17권1호
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    • pp.17-25
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    • 2006
  • Purpose: The goals of this research are to find out factors influencing the duration of work-related disability and to present implications for policies to prevent delayed recovery. Method: The subjects of this study were 238 workers who had been proved to be industrial disaster victims for occupational low back pain between January 1 2000 and December 31 2003. Kaplan-Meier method was used to estimate the proportion of duration of disability associated with low back pain, and Cox proportional hazards analysis was used to identify factors predicting it. The model distinguished main symptom variables affecting acute(${\leq}90\;days$) and chronic phase of disability (>90 days). Result: Fifty percent of the workers had not recovered in 408 days. The results of Cox regression show that delayed duration of disability was predicted by diagnosis, pain radiation (in chronic phase), sex, the size and labor union of the workplace, scheduled rest, compensation from the company, and operation. Conclusion: Duration of disability associated with compensated low back pain is influenced not only by factors related to the company and compensation system but also by individual factors. Thus, future efforts to reduce duration of disability may need to take into account all these factors.

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한양방 병용 치료로 임신 유지된 조산 고위험군의 조기진통 환자 1례 보고 (A Case Report of Preterm Labor Patient at High Risk for Preterm Delivery Treated by Combination of Herbal Medicine and Conventional Treatment)

  • 조준영;박경선;이창훈;장준복;이경섭;이진무
    • 대한한방부인과학회지
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    • 제25권2호
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    • pp.200-206
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    • 2012
  • Objectives: The purpose of this study is to report the effect of combination of herbal medicine and conventional treatment on preterm labor patient at high risk for preterm delivery. Methods: The patient in this case was 33-year-old female with gravid 3, para 2, abortus 1. She experienced 1 preterm birth 5 years ago. She visited our clinic with lower abdominal pain at 14th gestational week. We treated her by herbal medicine. She also take vaginal progesterone from 19th gestational week to 34th gestational week. Results: She maintained her pregnancy until giving a birth by cesarean section at 38th gestational week. No adverse effects were not observed among mother or infant. Conclusions: Combination of herbal medicine and conventional treatment is effective on preterm labor patient at high risk for preterm delivery.

산부의 간호요구와 간호원의 간호활동과의 비교 연구 (A Comparative Study of Reported Nursing Needs and Nursing Care During Labor and Delivery)

  • 안혜숙
    • 대한간호학회지
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    • 제6권1호
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    • pp.51-59
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    • 1976
  • Contemporary nursing is concerned with meeting patients physical psychological and secio-economical needs and with helping persons to sore their own problems. At the time of confinement and delivery, women often have physical and psychological disco- mort related to fear, tension or anxiety. Pain related to these causes varies with the individual woman. Effective nursing care to meet individual needs during labor and delivery is important if nurses are to understand and relieve woman's physical and psychological pain. A questionnaire prepared for the purpose by the investigator was administered to 162 women in two general hospitals, one in Seoul and one in TaeGu, during August 1 and September 20, 1975 and to the 13 delivery-room nurses who cared for them. It was hoped that the study would contribute to comprehensive nursing care during labor and delivery and to improve maternal and child health. 1. The sample of mothers ranged in age from 18 to 39; the majority were from 25 to 29 years old (54.3%). Most of them were housewives (87.6%). Sixty-three percent had high school or higher education. They had a range of one to seven deliveries. Sixty-one percent were primiparas Most had some prenatal care (87.6%). 2. The age of the group of nurses ranged from 22 to 39. Ten were 22 or 23. Five of the 13 had from six to ten months experience in the de]ivory room. Twelve were single and ten had a religious affiliation. 3. Both primiparas and multiparas thought equally that physical and psychological care, nursing skills and attitudes were important during labor and delivery, but did not relate basic nursing care directly to normal delivery. Need for nursing care was rated more highly by primiparas (2.83-3.48) than by multiparas (2.51-3.17) (p〈0.05). 4. There was no difference in need for nursing care according to the educational level of the women nor according to whether they had a religious affiliation or not (p〉0.05). 5. There was no difference in the reported nursing care given regarding of the educational preparation of the nurses (p〉 0.05). 6. There the reported nursing needs of the women and the reported nursing care given were compared, physical and psychological nursing care directed toward protecting the mother and fetus and a safe do]ivory were considered important by both groups. Neither group related simple nursing care directly to protection of the mother and fetus or to a safe delivery. The women rated highly their needs for nourishment (3.05) and having a relative with them (2.90) for emotional support but there was little evidence (2.39) that the nurses provided care to meet these needs (p〈0.05). In conclusion, the nursing needs of the women during the three stages of labor and the nursing care given were generally similar. The women had more psychological needs than physical needs but in comparison, nurses gave a little more physical than psychological care. The results point up the need to make adjustments in labor and delivery room nursing care the nurse should Prepared to pay more attention and bigger consideration in psychological comfort care than physical care.

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