• Title/Summary/Keyword: Pain experience

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Three Cases of Transdiscal Superior Hypogastric Plexus Block (경추간판적 상하복 신경총 차단 3예)

  • Lee, Sang-Hun;Lee, Keun-Sang;Woo, Nam-Sik;Lee, Ye-Chul;Kim, Chul-Ho;Kim, Ju-Woan
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.219-222
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    • 1996
  • Superior hypogastric plexus block is extensively recognized as a unique nerve block method for the treatment of low abdominal pain originating from organs of the pelvic area. This block is difficult to perform on older patients, especially those with osteophyte, as they will experience a high degree of pain with this technique. Therefore we reported trans-discal superior hypogastric plexus by method of approach needle through disc. This method is less painful to the patient as compared to bilateral approach; and easier to place the needle tip at precise and proper location.

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Percutaneous Cervical Discectomy using Dekompressor® to the Patient with Posterolateral Extrusion Disc -A case report- (후측면으로 거대 탈출된 경추부 추간판 탈출증 환자에게 Dekompressor®를 이용한 경피적 수핵 감압술 -증례보고-)

  • Jo, Daehyun;Kim, Sangjin;Kim, Myounghee
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.253-256
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    • 2006
  • Cervical disc herniation is one of the most common causes of neck, shoulder and arm pain. There are many treatments for a cervical disc herniation, such as rest, physical therapy, medication, epidural steroid injection and surgery. However, conservative treatments sometimes have limited effectiveness, and a surgical discectomy is often associated with numerous complications. Nowadays, a percutaneous discectomy, using a $Dekompressor^{(R)}$, has been used in herniated disc patients, but a posterolateral extruded disc is not an indication. Herein, our experience using a 19 G $Dekompressor^{(R)}$, on a 52 year-old male patient with a left C6-⁣7 posterolateral extruded disc, is reported. Decompression was successfully performed, and the pain and range of motion was immediately improved.

The Clinical Experience with Computer Aided Thermography during Treatment of Bell's Palsy (안면신경마비환자의 치료경과에 대한 Computer Aided Thermogrpahy를 이용한 관찰)

  • Lee, Kyu-Chang;Lee, Jin-Kyung;Woo, Nam-Sik;Lee, Ye-Chul
    • The Korean Journal of Pain
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    • v.4 no.1
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    • pp.47-50
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    • 1991
  • Bells palsy is a usually innocuous but psychologically distressing disease. The majority of cases are of the so-called idiopathic type, the etiology of which is unknown. This 52 year-old female patient was treated with repeated stellate ganglion bupivacaine blocks, acupuncture and transcutaneous electric nerve stimulation, with return of function. In our case studies, using thermographic images to diagnosis and to evaluate objective assessment of treatment of Bells palsy, we observed the correlation between neurologic symptoms and thermographic image.

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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.

Structural Equational Modeling of Fear Factors Associated with Dental among Teenagers (청소년의 치과치료와 관련된 공포감에 영향을 미치는 요인에 관한 공변량 구조모형)

  • Kim, Ji-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.350-361
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    • 2014
  • The purpose of this study was to find general trends in dental fear among adolescences at 15-17 years of age, differences in levels of dental fear according to relevant variables, and the degrees to which those variables influence fear of dental treatment and their causal relationships. The researcher made use of a questionnaire including tools of questionnaire survey DFS, DBS and questions regarding characteristics of adolescences, and then analyzed covariate structure modeling by using LISREL 8.12 after conducting univariate analysis by employing SPSS. Cronbach's reliability coefficients showed higher in DFS(0.957), DBS(0.916), and GFS(0.910). The more recent experience in pain in the oral cavity and the stronger pain when treating dental disease and the more frequent experience in pain when treating dental disease and also the more broken dental appointments, the higher levels of dental fear showed with statistical significance. The linear structure equation model was statistically appropriate and well fit. By the model, severity and frequency of pain during treatment, experience of breaking dental visit appointment, distrust for dentists and general fear were directly influenced on dental fear.

The effect of factors dental treatment fear of level middle-school student's (중학생들의 치과치료 공포수준에 미치는 요인)

  • Choi, Sung-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.585-593
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    • 2010
  • Objectives : The purpose of this study were to measure the effect of factors analyse the associated by the dental treatment fear of level middle school student's, and then to provide basic material which can help to improve adolescent's oral health and dental service. Methods : This subject of study consists of 342 middle schools each 1,2,3 grade Daegu city. The data were collected from July through August 2009, by way of the self-reported questionnaire. The data materials are analyzed by general characteristics and dental service behavior frequency analysis, dental fear of levels general characteristics, dental service behavior, the burden of dental visits, the pain experience of the past ${\chi}^2$-test and dental treatment fear relationship with multiple regression analysis. Results : General characteristics, 56.7% for boys and girls, with 43.3 percent of boys and girls high. dental service behavior in the dental visited was treatment purpose 76.5%, preventive purpose 23.5%. high-level dental treatment fear of the female 60.8%, male 33.0% was higher, The higher age also increased dental fear of the levels, dental services dental visit in 1-2 year the dental fear level of the higher, was statistically significant (p<0.05). Medical purpose 'preventive' than 'treatment' is a higher dental fear. Factors affecting dental treatment fear experiences directly from your pain (${\beta}$=0.116), inadequate anesthesia, treatment experience (${\beta}$=0.126), indirect painful experience (${\beta}$=0.125) in both a statistically significant positive relationship was found (p<0.05). Conclusions : Finally, it is necessary carry out further studies on the improvement of dental service of oral health of adolescent based on the dental treatment fear.

10 Years Survey of Pain Clinic (통증 치료실 10년간의 환자 현황)

  • Lee, Yoon-Ji;Lee, Sang-Gon;Kim, Jong-Il;Ban, Jong-Seouk;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.283-287
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    • 1998
  • Background: Recently, pain clinic is attracting attention and interest of both physicians and laymen. It is the purpose of this article to analyze our 10 years' experience to seek and improve better protocol of treating pain. Methods & Materials: We analyzed retrospectively 11,235 patients who visited the clinic during 10 years from 1986 to 1996. Total number of hospital visits was 51,908. Male to female ratio was 35:65(3910:7325). Treatment modalities employed were SGB(stellate ganglion block), TPI(trigger point injection), etc. Results: Yearly distribution showed a gradual upward curve until 1992 and remains in a horizontal pattern thereafter. Of age distribution, 6th decades occupied the largest proportion(27.29%). As of disease entities, Low back pain & lower extremities pain comprised of the majority(34.01%) and the epidural block was most frequently given as a treatment. Conclusion: Pain clinic is improving rapidly as an important part of medical science in Korea and outpatients of clinic are on an increasing trend. So, anesthesiologists should be make every efforts to research for treatment of good quality.

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A Study of the Nurses' Knowledge and Attitude about Pain Management (통증관리에 대한 간호사의 지식과 태도에 관한 연구)

  • Hwang, Kyung-Hee;Ryoo, Eon-Na;Park, Kyung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.41-51
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    • 2007
  • Purpose: This research studied the nurses' knowledge and attitude about pain management. Method: The research subjects were 465 nurses working at three university hospitals in Seoul and at one university hospital in Kyunggi-do. The survey results were collected between October 13 and 21 in 2004. Result: The overall mean score of correct answers on knowledge about pain management was 73.34, general knowledge 71.08, and cancer pain control was 93.93. Similarly, the mean score of correct answers on knowledge about the classification of analgesics was 75.89, while the knowledge of their use was only 52.48. The overall characteristics related to the degree of the nurses' knowledge about pain management were their educational background and their experiences of pain education. In a similar view, the overall characteristics related to the knowledge about the classification of analgesics were age and religion. Likewise, the use of analgesics was related to field of service and the experience of pain education. Finally, the overall characteristics related to the nurse's attitude toward pain management were their field of service and their position. Conclusion: The results of this study could be useful to institutions involved in the education and application of patient pain management.

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Low Back Pain and Related Factors in Railroad Engineers (일부 철도기관사의 요통경험 및 관련요인)

  • Yi Seung-Ju;Kwon Jin-Hee
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.398-411
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    • 2002
  • Objectives: The purpose of present study was to investigate the experience and point prevalence rate and factors related with Low Back Pain (LBP) in train egineers. Methods: Questionnaires were completed by 324 train engineers in Daejeon railroad administration from May 2002. The information was used to estimate odds ratio (OR) and 95$\%$ confidence intervals (CI) for factors relation to LBP. A retrospective study design was used. Results: The experience rate for LBP was 67.9$\%$, 54$\%$ in one year interval prevalence, 53.4$\%$ in 6 months interval prevalence, and 47.8$\%$ in a point prevalence rate. Variables significantly associated with LBP experience were age (p=0.0327), train vibration(p=0.0015), labour hour(p=0.0034), and pay(p=0.0534). As subjects got older, the higher experience for LBP was (OR=1.1, 95$\%$ CI 1.0-1.2). LBP experience rate for people who had felt train vibration was a higher than those who did not (OR=2.5, 95$\%$ CI 1.4-4.4, OR=2.3 95$\%$ CI 1.3-4.0 in a point prevalence). The people who worked for long hour was a higher than those who did not (OR=2.8, 95$\%$ CI 1.4-5.6, OR=2.2, 95$\%$ CI 1.1-4.5 in a point prevalence). The people who were not satisfied with pay was a higher than those who were (OR=1.7, 95$\%$ CI 1.0-3.0). Factors related to a point prevalence rate were train vibration(p=0.0027), chair vibration (p=0.0444), and labour hour(p=0.0340). LBP a point prevalence rate for people who had felt the vibration of train chair was a higher than those who did not (OR=1.8 95$\%$ CI 0.7-2.0). Conclusions: Results from present study indicated that a statistically significant factors associated with LBP experience were age, train vibration, labour hour, and pay, Factors related to a point prevalence rate were also train vibration, the vibration of train chair, and labour hour.

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