• 호스피스학술지
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• 제4권2호
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• pp.52-68
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• 2004

• 한국호스피스완화의료학회:학술대회논문집
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• 한국호스피스완화의료학회 2001년도 동계학술대회
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• pp.175-175
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• 2001

• 한국호스피스완화의료학회:학술대회논문집
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• 한국호스피스완화의료학회 2001년도 동계학술대회
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• pp.187-187
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• 2001

• 성인간호학회지
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• 제14권2호
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• pp.174-183
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• 2002

Purpose: The purpose of this study was to determine the effect of nurses' pain experience on the inference of their patients' suffering. Method: Study subjects were sampled from 184 nurses who worked in general wards in one S university hospital located at Seoul. Nurses' pain experience consists of personal pain experience and professional pain experience. The Standard Measure of Inference of Suffering (Davitz & Davitz, 1981) was used for suffering inference measure, and patients' suffering which consists of physical pain and psychological distress. Result: Suffering inference scores of nurses without personal pain experience revealed a higher value than that of nurses with personal pain experience. But these differences were not statistically significant. The higher intense pain was experienced, the higher were suffering inference scores. This physical pain inference score was statistically significant(p=.044). Of the nurses who had personal pain experience, suffering inference scores of nurses with unrelieved pain experience revealed a higher value than that of nurses with relieved pain experience. Physical pain and psychological distress inference scores were statistically significant(p=.010, p=.006). Suffering inference scores of nurses without professional pain experience(internal medicine, general surgery, orthopedic surgery) revealed a higher value than that of nurses with professional pain experience. Professional pain experience of internal medical illness was statistically significant in psychological distress of internal medical illness(p=.044), and professional pain experience of orthopedic surgical illness was statistically significant in physical pain of orthopedic surgical illness(p=.027). Conclusion: Nurses who have experienced low pain intensity or good pain relief are inclined n to underestimate patient' pain. Although nurses who care for the same patient over a long time deal skillfully with that patient, nurses are inclined to underestimate that patients' pain. Nurses need to be aware of possible biases related to pain assessment as a result of pain experience.

• 약학회지
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• 제58권4호
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• pp.268-276
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• 2014

Background: World Health Organization considers opioid analgesic use as an important measure in the treatment of pain relief. However, there are limited data about the pattern of opioid analgesic use in tertiary care hospitals in Korea. The aim of this study was to describe the trends in the prescribed amount of the opioid for 13 years from 2000 to 2012 in a single tertiary care hospital. Methods: The data from the prescribed amount of opioid use in patients aged over 18 years were retrieved from medical charts and longitudinal pharmacy records of Seoul National University Hospital. Yearly prescribed amount of opioids were calculated using defined daily dose adjusted by hospital stay (DDD/1000${\bullet}$HS). Results: Over the 13 years of the study period, overall use of opioid has increased by 64.1%. Although, the opioid use by hospitalized patients comprised 98%~99% of total amount of opioid use, the proportions of opioid use by outpatient and by cancer patient increased from 1.1% to 2.2% and from 60.5% to 69.3%, respectively. The use of non-injectable opioids has increased by 47% and that of injectables has increased by 70%. While the amount of codeine and morphine use has decreased, the use of both transdermal and injection formulation of fentanyl has increased dramatically. Also, the use of oxycodone has increased, especially in outpatient setting. Conclusion: This longitudinal study showed that opioid analgesic use in tertiary hospital, especially in outpatient is continuously increasing. Improvement in pain management in tertiary care hospital can be cautiously inferred based on this results.

• 대한의료기공학회지
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• 제15권1호
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• pp.23-43
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• 2015

Objects : The purpose of this study is to evaluate Korean medicine treatment as an active postpartum care for women with San-Hu-Byung. Methods : We examined 35 patients(39 cases) with San-Hu-Byung who had hospitalized at the M Korean medicine hospital in Gyeonggi Province between January 1st, 2006 and March 31th, 2015. Based on medical records and questionnaires, we analyzed the general characteristics, main symptoms, duration of hospitalization, treatment satisfaction, etc. We also reviewed and analyzed the results using multifaceted questions. Results : 1. The patients were divided into four age groups; 30-34 years old(46%), 35-39 years old(33%), 27-29 years old(13%), more than 40 years old(5%) and less than 26 years old(3%) in the order. 2. Patients appealed musculoskeletal symptoms(44.05%), reproductive and breast symptoms(21.43%), circulatory symptoms(10.12%), neuropsychiatric symptoms(8.33%), digestive symptoms(7.14%), the other symptoms(5.95%), urinary symptoms(1.79%) and respiratory symptoms(1.19%) in the order. 3. Duration of hospitalization were; within 2 months(33.33%), more than 3 months(25.64%), within 1 month(17.95%), within 3 weeks(12.82%), within 3 months(5.13%) in the order. 4. The improvement of musculoskeletal symptoms including back pain was measured by VAS. After 6 weeks, the pain fell to less than half. After 12 weeks, the pain fell to less than 1. 5. Average satisfaction with Korean medicine treatment is a 4.51 out of 5. Conclusions : As an active postpartum care, Korean medical treatment had significant effect on San-Hu-Byung and patients found the treatment satisfying.

• 지역사회간호학회지
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• 제21권3호
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• pp.311-320
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• 2010

Purpose: The aim of this study was to investigate the status of visiting nurses assessment and management of chronic musculoskeletal pain in older adults. Methods: The subjects of this study were 285 visiting nurses working at 24 public health centers located in Seoul, Gyeonggi-do, and Gangwon-do. Data were collected using a structured questionnaire from June to July, 2008. The SPSS/WIN 13.0 program was used for data analysis. Results: Of the visiting nurses, 195 (77.4%) reported lack of pain education for nurses. The education of exercise (83.3%) was used most frequently by nurses as a pain intervention. Barriers to effective pain management were inadequate pain management guidelines and lack of pain education for nurses. Conclusion: It is necessary to develop evidence-based nursing interventions for pain management and to develop systematic educational programs for visiting nurses management of chronic musculoskeletal pain.

• Journal of Korean Biological Nursing Science
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• 제26권2호
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• pp.71-82
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• 2024

Purpose: This study systematically analyzed the impact of aromatherapy on pain in individuals with diabetes. Methods: A search was performed in seven electronic databases based on the PICO-SD (Population, Intervention, Comparison, Outcome, Study Design) framework. The population (P) of interest was individuals with diabetes, and the intervention (I) included aromatherapy targeting pain reduction. The comparison (C) consisted of control groups that received no intervention, another intervention, or usual care. The outcome (O) measured was pain. The quality of the selected literature was assessed using the Joanna Briggs Institute checklist. In MIX 2.0 Pro, the pooled overall effect of pain was calculated using Hedge's g and a random-effects model, and heterogeneity was calculated using the Q statistic and Higgin's I2 values. Meta-regression and exclusion sensitivity analyses were performed. Results: Five articles and seven studies were included, showing a significant pooled overall effect of aromatherapy on diabetes-related pain (Hedge's g = -1.83, 95% CI: -2.76 to -0.91). Meta-regression demonstrated that effectiveness in reducing pain was associated with studies conducted in West Asia, those with IRB approval, and those receiving funding. Additionally, interventions involving subjects under 60, lavender oil (vs. turpentine oil or blended oils), massage therapy (vs. topical application), fewer hours per session, and more repeated measurements (vs. pre/post measurements) were associated with pain reduction. Conclusion: Aromatherapy, especially with lavender oil, effectively manages diabetes-related pain. Short-duration massage application is also effective. A personalized selection of oil type and application method could optimize therapeutic outcomes for individuals with diabetes.

• 국제물리치료학회지
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• 제4권2호
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• pp.625-632
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• 2013

This study was to investigate the needs of the functional abnormality of the Temporomandibular joint. The purpose of this study was to find out basic concept for the Chiropractic-care necessity of the neuromuscular skeletal patients with functional abnormality of the temporomandibular joint. I evaluated the change of the range of motion, neck pain, headache by post xray, orthopedic test and patient's charts. The range of motion at temporomandibular joint was improved and the necessity of chiropractic care was recognized in the neuromuscular skeletal patients with having temporomandibular joint problems.

• 치위생과학회지
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• 제16권5호
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• pp.355-360
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• 2016

본 연구는 우리나라 성인의 미충족 치과의료와 그에 관련요인을 파악하기 위해 진행되었다. 미충족 치과의료를 정의하는 데 있어 치과의료의 필요를 치통을 경험한 사람 중 적절한 치과 의료서비스에 접근하지 못한 사람으로 제한하여 의료 필요에 따른 충족을 보다 명확하기 측정하기 위해 노력하였다. 미충족 치과의료의 원인으로는 경제적 부담, 직업/학업적 이유, 다른 문제에 비해 덜 중요해서가 높은 비중을 차지하는 것으로 나타났다. 미충족 치과의료와 관련된 요인으로는 성별, 연령, 본인이 인지하는 구강건강 상태, 씹기 문제가 통계적으로 유의미한 것으로 나타났다. 이와 같은 결과를 바탕으로 건강보험 보장성 강화 정책과 관련하여 치과의료비의 본인부담금의 비중을 낮추는 방안을 제안할 수 있을 것이다. 또한 치과 의료서비스 접근에 있어 취약한 집단을 파악하고, 해당 집단에 대한 보건의료 정책 개발 및 서비스 제공이 이루어져야 할 것으로 생각된다.