• 기본간호학회지
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• 제13권1호
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• pp.86-95
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• 2006

Purpose: This study was done to investigate the relationship among the variables, chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Method: Data were collected by self-reported questionnaires from 270 older adults. Data analysis was done with SPSS 10.1 for descriptive statistics and a PC LISREL program for covariance structural analysis. Results: According to modified model, chronic pain was found to have a significant direct and total effect on pain coping. Chronic pain and pain coping were found to have a significant direct and total effect on fatigue. Chronic pain, pain coping and fatigue were found to have a significant direct and total effect on self-esteem. Chronic pain, pain coping, and self-esteem were found to have a significant direct effect on depression. Conclusion: This modified model is considered appropriate for explaining the relationship among chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Also, the findings support the development of an intervention strategy to relieve chronic pain in elders.

• Journal of Oral Medicine and Pain
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• 제38권1호
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• pp.19-28
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• 2013

우리 사회의 급속한 고령화로 인해 노인 인구는 이미 사회적으로나 의료계에 중요 연령집단으로 자리매김했으며 그 중요도는 향후 더욱 증가할 것이다. 특히 만성의 비치성 구강안면통증질환과 구강건조증, 하악운동이상증, 구강연조직질환 등을 주로 다루는 구강내과의 특성상 노인 환자들의 비중이 증가할 것이나 구강내과에 내원하는 노인 환자에 대한 연구는 부족하다. 그러므로 본 연구는 지난 10년 사이 치과대학병원에 내원하는 환자의 연령별 분포의 변화를 조사하고 특히 구강내과에 내원하는 노인 환자의 다양한 임상 특성을 조사하기 위하여 시행하였다. 본 연구는 2001년과 2011년의 단국대학교 치과대학 부속 치과병원의 초진환자에 대한 병원전산자료와 2011년 구강내과 환자의 챠트와 설문지 자료를 이용하여 후향적으로 시행되었다. 본 연구 결과, 지난 10년 사이에 치과병원과 구강내과의 노인환자 비율이 뚜렷하게 증가하였으며, 특히 구강내과의 노인환자는 2배 이상 증가하여 전체 치과병원 환자의 증가 (1.6배) 보다 뚜렷하였다 (p=0.000). 구강내과에 내원하는 18세 이상의 성인 환자의 13.5%는 노인환자였으며(남:녀=1:2.1), 이들 중 약 83%가 하나 이상의 전신질환을 가지고 있었다. 진단별로 볼 때 노인 환자들도 18~64세 사이의 일반 성인 환자들과 마찬가지로 턱관절장애의 비율이 가장 높았지만, 구강연조직질환, 구강건조증, 구강작열감증후군, 하악운동이상증의 발생이 성인 환자에 비해 많았다(0=0.000). 통증과 일상생활제한, 우울과 불안 역시 노인 환자들이 높았다 (p<0.05). 구강내과에 내원하는 노인환자들은 재발성 혹은 만성의 질환이 많고, 다양한 전신질환과 다수의 약물복용 등, 의사소통의 제한 등으로 인해 질병의 평가와 치료가 더욱 복잡해지고 제한되기 때문에 증가하는 노인환자의 효율적인 관리를 위해 평가법의 개선이나 특화된 관리가 필요하다.

• 재활간호학회지
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• 제4권2호
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• pp.155-164
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• 2001

Purpose: this study was implemented to develop new nursing intervention, Kyongrak massage, and to examine its effect on chronic pain in elderly women. Method: Kyongrak massage is a manipulation massaging on Kyonghyul site, and Duboo, Kyongchoo, Chucksoo, Hajee, Sangjee Kyongrak massages were used in this study. The subjects(11persons) took Kyongrak massage on head, neck, spinal cord, upper extremities and back lower extremities for 25minutes daily during 5days. The dependent variables were subjective health state, paid, blood pressure, pulse and body temperature. This study was carried out, at 10-12 o'clock, from August 7th, to 22th, 2000. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test by SPSS PC. Results: subjective health state((t=-3.560, p=.005), body temperature(t=-2.557, p=.029) were increased, and pain level(t=7.884, p=0.000), systolic blood pressure(t=2.923, p=.015) were decreased significantly by Kyongrak massage. Conclusions: The above results have informed us that this Kyongrak massage program(Duboo, Kyongchoo, Chucksoo, Hajee, sangjee) for 25minutes is a useful nursing intervention to decrease chronic pain in each life styles.

• 대한간호학회지
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• 제36권6호
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• pp.917-924
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• 2006

Purpose: This study was to examine the effects of electrical muscle stimulation therapy on chronic knee pain in the elderly. Method: The research design was a one-group pretest-posttest design. The subjects were 45 (TE: 17, SE: 15, SY: 13) elderly, 65 years old and above with chronic knee pain. Pain was measured by the S-F McGill Pain Questuionnaire (S-F MPQ) and Arthritis Impact Measurement Scale (AIMS). Electrical muscle stimulation therapy experimental treatment was applied for 12 weeks, 3 times/week, 15 min/time. Data was collected from March 2005 to February 2006. Data was analyzed using the SPSS PC+ 12 version. Results: After receiving electrical muscle stimulation therapy, chronic knee pain in TE (S-F MPQ: t=-62.143, p=.000, AIMS: t=-29.155, p=.000), SE (S-F MPQ: t=-76.345, p=.000, AIMS: t=-39.323, p=.000), and SY (S-F MPQ: t=-43.691, p=.000, AIMS: t=-30.306, p=.000) groups were significantly decreased. Conclusion: Electrical muscle stimulation therapy can be a better effective primary nursing intervention for chronic knee pain for community dwelling elderly people with TE, SE, and SY.

• 성인간호학회지
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• 제18권2호
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• pp.223-230
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• 2006

Purpose: This study was to examine the effect of electrical muscle stimulation therapy on chronic knee pain and depression for the aged. Method: Design was one-group pretest-posttest design. Samples were 32 elderly of 60 years old and above with chronic knee pain and depression. Measures were the S-F McGill Pain Questuionnaire for chronic knee pain and the Korean Elderly Depression Scale for depression. Electrical muscle stimulation therapy, experimental treatment, was applied for 12 weeks, 3 times/week, 15 min/time. Data were collected from January 2005 to May 2005. Data were analyzed using SPSS PC+ 12 version. Results: After receiving electrical muscle stimulation therapy, chronic knee pain (t=-88.034, P=.000) and depression (t=-114.659, P=.000) were significantly decreased. Conclusion: Electrical muscle stimulation therapy can be a better effective primary nursing intervention on chronic knee pain and depression for community dwelling elders.

• 지역사회간호학회지
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• 제21권1호
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• pp.21-30
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• 2010

Purpose: The aim of this study was to investigate the effects of chronic musculoskeletal pain and depression on health-related quality of life (HRQoL) according to gender in community-dwelling older adults. Methods: The subjects of this study were 209 elderly individuals who were receiving visiting nursing services from a public health center located in Gangwon-do. Data were collected using a structured questionnaire from March to April, 2008. SPSS/WIN 13.0 was used for data analysis. Results: Depression and HRQoL showed a significant difference between male and female subjects. There was a negative correlation between chronic musculoskeletal pain, depression, and HRQoL. In the male elderly, depression was the most significant predictor of HRQoL, while in the female elderly, chronic musculoskeletal pain was the most significant predictor of HRQoL. Conclusion: The study showed that chronic musculoskeletal pain was the variable with the highest explanatory power for HRQoL in the female elderly. Therefore, chronic musculoskeletal pain needs to be assessed and managed first in nursing interventions to improve HRQoL of the female elderly.

• 대한간호학회지
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• 제37권3호
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• pp.305-312
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• 2007

Purpose: This study was to examine effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for Korean elderly women. Methods: The design was a nonequivalent control group pretest-posttest study. Subjects were 60 (experimental: 30, control: 30) elderly women 65 years old or above with good orientation and communication. The experimental treatment was electric stimulation on both thigh quadriceps muscles for 15 minutes per time, 3 times per week, for a total of 12 weeks. Measures were the S-F McGill Pain Questionnaire and Arthritis Impact Measurement Scale for chronic knee pain, activities measurement of daily living for activities of daily living, and living satisfaction measurement for living satisfaction. Data was analyzed through the SPSS Win 12.0. Results: Chronic knee pain by S-F MPQ (t=43.563, p=.000) and chronic knee pain by AIMS (t=31.364, p=.000) were significantly decreased in the experimental group, and the activities of daily living (t=124.353, p=.000) and living satisfaction (t=71.268, p=.000) were significantly increased in the experimental group for Korean elderly women. Conclusion: Muscle electrical stimulation decreased chronic knee pain, and increased the activities of daily living and living satisfaction for Korean elderly women. Further studies for muscle electric stimulation need to be done.

• 대한간호학회지
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• 제32권5호
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• pp.735-742
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• 2002

This study was conducted to identify the pain characteristics, family support and physical functioning and to determine predictors of the quality of life in aged women with chronic pain. Method: The questionnaires were collected through direct interview by a trained research assistant from July 2 to August 24, 2001. Subjects were 108 women clients with chronic pain over 65 years of age. Data analyzed frequency, percentage, mean, Pearson's correlation, ANOVA and stepwise multiple regression by SAS. Result: Care providers were mostly spouses and daughters in law. Care providers who took care of elderly for a few hours a day had the highest percentile. Aged women had persistently had chronic pain of moderate intensity and was moderately satisfied with pain management. The mean score of disability due to pain was 3 on a 10 point scale. The mean scores of physical function and quality of life were moderate and there were negative correlations between pain characteristics, physical functioning, and quality of life at the range from r=-.46 to r=-.83. Satisfaction with care, duration of pain, disability due to pain, and physical functioning accounted for 56% of the variance in perceived quality of life for aged women with chronic pain. Disability due to pain was the most predictable variable of quality of life and physical function was the second .Conclusion: The results suggest that care by family, education in pain control, prevention of disability, and maintenance of physical function are important to improve and maintain quality of life in aged women with chronic pain. Therefore, there is a need for program development that enhance family support and nursing intervention that focuses on active pain control.

• 한국콘텐츠학회논문지
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• 제12권2호
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• pp.358-368
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• 2012

본 연구는 우리나라 재가 노인의 신체활동 수준과 이에 영향을 미치는 요인을 파악하여, 향후 노인 신체활동 전략과 프로그램을 개발하는데 기여하고자 수행되었다. 연구자료는 보건복지가족부 주관으로 실시되는 전국적 조사인 '2008년도 노인실태조사' 원시자료를 활용하였고, 연구대상자는 65세 이상 노인 중 자료에 결측값이 없는 12,322명이었다. 연구결과 29.9%의 남성 노인과 46.4%의 여성 노인이 신체 비활동군으로 분류되었다. 남성 노인의 신체활동에 영향을 미치는 변수는 연령(OR=1.44, p<.001), 교육수준(OR=1.17, p=.026), 거주지역(OR=1.19, p=.016), 주관적 건강(OR=2.18, p<.001), 만성질환 유무(OR=1.23, p=.020), 통증유무(OR=1.24, p=.011), ADL(OR=1.86, p<.001), 낙상두려움(OR=1.26, p=.003), 우울(OR=1.78, p<.001)이었고, 여성 노인의 신체활동에 영향을 미치는 변수는 연령(OR=1.54, p<.001), 주관적 건강(OR=1.63, p<.001), 통증 유무(OR=1.45, p<.001), 낙상경험 유무(OR=1.24, p=.001), ADL(OR=1.72, p<.001), 우울(OR=1.46, p<.001)이었다. 이러한 결과는 재가 노인의 성별 특성에 부합하는 신체활동 전략 및 프로그램 계발에 도움을 줄 것으로 기대한다.

• 기본간호학회지
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• 제7권2호
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• pp.332-344
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• 2000

The subjects of this study were 100 elderly people who were over 60 years of age and had chronic pain. The study examined the matter of quality of life and self-efficacy of elderly patients with chronic pain including the influence of related factors on these variables. Also, by examining their relation, it provides basic data for the development of efficient nursing interventions for the elderly patients with chronic pain. The tools were the general self-efficacy scale by Sherer & Maddux(1982) and a specific self-efficacy Scale(Lorig et al, 1989) modified to better suit the subjects of this study. The quality of life scale by You-Ja Ro(1988) modified to better suit the subjects of this study was used. The data were collected from August to October 1999. Four researchers and two research assistants developed a data collection protocol subjected to a pilot study for confirmation of validity. In this study, the research assistants read the questionaire to the subjects and recorded the responses themselves. The interviews lasted 40-50 minutes on an average. The data thus collected were analyzed in terms of t-test, ANOVA, Pearson's correlation coefficient, using the SAS PC program. The major findings are as follows: 1) For self-efficacy it was found that males had higher self-efficacy than females for specific self-efficacy. But for general efficacy, males and females showed similar results. The the quality of life was found to be higher for males than females. 2) A positive correlation was identified between the specific self-efficacy, general self-efficacy and quality of life. 3) The general characteristics affecting the self-efficacy of elderly patients with chronic pain were employment, age, level of education, spouse, economic status and income. Self-efficacy was higher among those who were employed, aged between 66-70, well-educated, married and rich or having their own income. 4) The general characteristics affecting the quality of life of elderly patients with chronic pain were lodging with children, religion, level of education and economic status. The quality of life was higher among those who lived with their children and were Buddhists, were well-educated and rich.