• Title/Summary/Keyword: 통증간호중재

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The Effects of Character Distraction on Intravenous Injection Pain of Hospitalized Preschooler (캐릭터를 이용한 관심전환중재가 학령전기 아동의 정맥주사 시 통증과 주사공포에 미치는 효과)

  • Lim, Ok-Woo;Cho, Kyoul-Ja
    • Child Health Nursing Research
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    • v.12 no.2
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    • pp.215-222
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    • 2006
  • Purpose: This study was done to identify the effects of the distraction generated by character stamp and stickers on reduction of intravenous injection pain. Method: This study was conducted using a quasi experimental non-equivalent control group non-synchronized design. 60 preschool children who admitted to a Pediatric Department in a C University Hospital were selected as subjects. Convenience assignment was used. The two groups were homogeneous on characteristics. Results: In the experimental group, objective pain(t=3.666, p=.001), subjective pain (t=3.415, p=.001) and perceived pain by the mother(t=2.528, p=0.014) decreased after intravenous injections than the control group. There were no statistical significant differences in pulse rate or fear between the experimental and the control group. Conclusion: These findings indicate that using character stamp and stickers could be considered as an independent nursing intervention for intravenous injection pain reduction in preschooler.

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The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention (요골동맥을 통한 경피적 관상동맥 중재술 환자의 손마사지 효과)

  • Shin, Eun Sil;Kim, Myung-Hee
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.465-474
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    • 2018
  • Purpose: This study aimed to determine the effect of hand massage in patients who underwent transradial percutaneous coronary intervention. Methods: This was a quasi-experimental study with a nonequivalent control group and non-synchronized design. The study included 30 patients in the experimental group and 30 in the control group. Hand massage was performed 2 times for 5 minutes each in the experimental group and the control group only received usual nursing interventions. Pain, level of discomfort, and vital signs were defined as key outcome measures, and the data were analyzed using the chi-square test, an independent t-test, Mann-Whitney U test, repeated-measures analysis of variance, and Friedman test. Results: Significant differences were observed between the 2 groups in the pain score (F=7.91, p=.003), discomfort score (F=18.15, p<.001), pulse (F=12.92, p<.001), and respiration rate (${\times}^2=19.35$, p<.001). Conclusion: Hand massage can be a helpful nursing intervention for transradial percutaneous coronary intervention by reducing pain and discomfort to a considerable degree.

Integrated Review for Interventions of Musculoskeletal Symptoms and Pain on Nurses (통합적 고찰을 통한 간호사들의 직업 관련 근골격계 질환 중재)

  • Seo, Ji Yeong;Choi, Eun Hee
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.10-17
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    • 2021
  • Purpose: This was integrative literature review for analyzing interventions of musculoskeletal symptom and pain on nurses. Methods: Data were searched by using databases, namely SAGE journals, EBSCOhost, PubMed, RISS, NDSL and KCI Search terminology included nurse and musculoskeletal and the language was Korean or Engli.sh. Data analysis was classified by risk of bias, inconsistency, indirectness and imprecision. Total six studies, one Korean and five English articles analyzed. Results: Risk of bias was serious in three of six studies. Regarding inconsistency, one study was moderate effect size and two studies were small effect size. There was no serious indirectness except one study. Regarding imprecision, three studies were not serious. Conclusion: Evidence from six studies was insufficient to support intervention's effect in means of no repeated studies and no high effect size of intervention. Evidence-based interventions must be applied on nurses for reducing musculoskeletal symptoms.

Effect of Distraction on Hospitalized Children's Fear of Hospital and Needle-related Pain (관심전환 중재가 영유아의 병원 공포와 주사통증에 미치는 효과)

  • Cho, Su Mi;Ahn, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.684-692
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    • 2013
  • Purpose: This study attempted to discover the effects of distraction on the hospitalized children's fear of the hospital and needle-related pain. Methods: The experimental group was given visual stimulation using a character from the injection room entrance. In addition, the video recording of 'bambarabam' was provided for visual and auditory stimulation to distract the children. The research tools included the hospital-related fear scale, Faces Pain Rating Scale (Wong & Baker, 1988) and Procedure Behaviour Check List (Lebaron&Zeltzer, 1984). For statistical analysis, the SPSS 19.0 program was used on the collected data for $X^2$-test and Mann-Whitney U test. Results: The experimental group showed significantly less fear ofthe hospital compared to the control group (U=151.50, p=.024). The experimental group showed significantly lower pain on both Faces Pain Rating Scale (U=167.50, p=.043) and the Procedure Behaviour Check List (U=106.00, p=.001) compared to the control group. Conclusion: These results suggest that distraction was effective in reducing the child's fear of the hospital and injection pain.

A Study of the Effects of Gold and Stone Therapies on Changes in Body Size in the Neck, Back and Shoulder (골드테라피와 스톤테라피가 목, 등, 어깨 부위 신체 치수 변화에 미치는 영향 연구)

  • Lee, Jin-Young;Jeong, Yeon-Jeong;Li, Shun-Hua
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.465-476
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    • 2017
  • This study attempted to investigate the effects of gold therapy on myofascial pain syndrome(MPS) in the neck, back and shoulder in comparison to stone therapy and verify its availability as an efficient nursing mediator in clinical trials. For this, therapy was given to a total of 20 women in two groups (gold therapy group, stone therapy group: 10 persons each) living in the capital region three times a week (40 min. at a time) for two weeks. In both groups, a statistically significant decrease was found in the following after the treatment: neck circumference, shoulder width, width of the inferior angle of scapula, shoulder thickness and waist circumference (p<0.001). In terms of differences, the gold therapy group was greater than the stone therapy group. In both groups, a statistically significant increase was observed after treatment in the following: cervical lateral bending (right), cervical lateral bending (left), cervical flexion and cervical extension angle (p<0.001). In terms of differences, the gold therapy group was greater than the stone therapy group. In conclusion, this study seems to show that gold therapy is a nursing intervention option having effective fascial relaxation and pain relief for the neck, back and shoulder. Therefore, it would be valuable as safe, non-invasive therapy.

Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process (녹음된 목소리를 통한 가족중재가 인공호흡기 이탈 과정 환자에게 미치는 효과)

  • Choi, Ah Young;Kim, Min Young;Song, Eun Kyeung
    • Journal of Korean Academy of Nursing
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    • v.54 no.1
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    • pp.32-43
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    • 2024
  • Purpose: This study aimed to determine the impact of an intervention using voice recording of family members on pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. Methods: A randomized control pre-post experimental design was implemented to 53 participants, with 27 and 26 participants in the experimental and control groups, respectively. A 70-second voice recording of a family member, repeated three times at 10-minute intervals was used as an intervention for the experimental group. Meanwhile, participants in the control group used headset for 30 minutes. Structured instruments were utilized to measure pain, anxiety, agitation, and the weaning process. Wilcoxon Signed Ranks test and the Mann-Whitney U test, or χ2 test, were used for data analysis. Results: The experimental group exhibited significant decrease in pain (Z = - 3.53, p < .001), anxiety (t = 5.45, p < .001), and agitation (Z = - 2.99, p = .003) scores compared with those of the control group. However, there was no significant difference between groups in the weaning process' simplification (χ2 = 0.63, p = .727). Conclusion: Intervention using family members' voice recording effectively reduces pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. This can be actively utilized to provide a more comfortable process for patients.

Patient Satisfaction with Cancer Pain Management (암성통증관리 만족도)

  • Lee, So-Woo;Kim, Si-Young;Hong, Young-Seon;Kim, Eun-Kyung;Kim, Hyun-Sook
    • Journal of Hospice and Palliative Care
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    • v.6 no.1
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    • pp.22-33
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    • 2003
  • Purpose : The purpose of this study was to evaluate the present status of patients' satisfaction and the reasons for any satisfaction or dissatisfaction in cancer pain management Methods : A cross-sectional survey was used to obtain the feedback about pain management. The results of the survey were collected from 59 in- or out-patient who had cancer treatment at two of the teaching hospitals in Seoul from July, 2002 to November, 2002. The data was obtained by a structured questionnaire based on the American Cancer Society Patient Outcome Questionnaire(APS-POQ) and other previous research. The clinical information for all patients were compiled by reviewing their medical records. Resuts : 1) The subjects' mean score of the worst pain was 6.77, the average pain score was 3.80, and the pain score after management was 2.93 for the past 24 hours. The mean score of total pain interference was $25.03{\pm}12.82$. Many of the subjects had false beliefs about pain such as 'the experience of pain is a sign that the illness has gotten worse', 'pain medicine should be 'saved' in case the pain gets worse' and 'people get addicted to pain medicine easily'. 2) 66.1% of the subjects were properly medicated with analgesics. 33.9% of the subjects reported use of various methods in controlling pain other than the prescribed medication. Only 33.9% of the subjects had a chance to be educated about pain management by doctors or nurses. 3) The mean score of patients' satisfaction with pain management was $4.19{\pm}1.14$. 72.9% of the subjects answered 'satisfied' with pain management. The reasons for dissatisfaction were 'the pain was not relieved even after the pain management', 'I was not quickly and promptly treated when I complained of pain', 'doctors and nurses didn't pay much attention to my complaints of pain.', and 'there was no appropriate information given on the methods of administration, effect duration and side effects of pain medicine.' The reasons for satisfaction were: 'the pain was relieved after the pain management.', 'doctors and nurses quickly and promptly controlled my pain.', 'doctors and nurses paid enough attention to my complaints of pain.' and 'trust in my physician'. 4) In pain severity or pain interference, no significant difference was found between the satisfied group and dissatisfied group. On the belief 'good patients avoid talking about pain', a significant difference was found between the satisfied group and dissatisfied group. Conclusions : The patients' satisfaction with cancer pain management has increased over the years but still about 30% of patients reported to be 'not satisfied' for various reasons. The results of this study suggest that patients' education should be done to improve satisfaction in the pain management program.

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Effect of Death Education Program on Self-Esteem, Spiritual Well-Being, and Pain of Adults (죽음교육 프로그램이 성인의 자아존중감, 영적안녕, 통증에 미치는 효과)

  • Kim, Bock-Ryun;Oh, Chung-uk;Kang, Hye-kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.156-162
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    • 2016
  • This study was conducted to investigate the effects of a death education program on self-esteem, spiritual well-being, and pain in adults. This investigations employed a nonequivalent control group non-synchronized design, and was performed in C hospital located in Chungju, Chungcheongbukdo province, Korea from January 4-13, 2016. The study included 48 participants who agreed to enrolled. Participants were randomly divided into an experimental and a control group of 22 and 26 applicants each. Participants (n=22) in the experimental group participated in the death education program for 2 hours, three times a week for 2 weeks. The effects of treatment were measured using a structured questionnaire to evaluate self-esteem, spiritual well-being, and pain before and after 2 weeks of intervention. Data were analyzed using a t-test, chi-squared test, Fisher's Exact-test and a paired t-test. The experimental group showed significantly increased self-esteem (P<0.002) and spiritual well-being (P<0.015), and significantly reduced pain (P<0.014) compared to the control group after 2 weeks of intervention. Overall, the death education program was shown to be an effective nursing intervention for adults; therefore, of its use in various fields should be considered.

Effects of a Suicide Prevention Program on Pain, Depression, Meaning of Life, and Suicidal ideation of Low-income Women aged 80 or older in Rural Area (자살예방프로그램이 농촌 거주 저소득 80세 이상 여성 노인의 통증, 우울, 삶의 의미 및 자살생각에 미치는 효과)

  • Oh, Hyun Joo;Gang, Moon Hee
    • Journal of Industrial Convergence
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    • v.20 no.6
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    • pp.65-72
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    • 2022
  • The purpose of this study was to examine the effects of a suicide prevention program on pain, depression, meaning of life, and suicidal ideation of low-income women aged 80 or older in rural area. A non-equivalent control group pre-post test study design was used. The participants were 89 women, aged 80 or older of a project for employment from O & K province. (experimental group = 45, control group = 44). The experimental group were participated in a total of eight-session, once a week. The collected data were analyzed with descriptive statistics, 𝑥2-test, t-test using SPSS 26.0 program. After a eight-week of intervention, the experimental group showed significant differences in depression (t=-2.19, p=.031), meaning of life (t=2.13, p=.036), and suicidal ideation (t=-2.11, p=.038). Therefore, the study program has proven to be effective in reducing depression and suicidal ideation, and improving the meaning of life of participants.

The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adult (재가 노인의 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경 위험 비교)

  • Lim, Kyung-Choon;June, Kyung Ja;Yoon, Jong-Lull
    • 한국노년학
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    • v.29 no.4
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    • pp.1577-1589
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    • 2009
  • The purpose of this study was to compare the health status, functional status, and home environment hazards by the fear of falling and explore the factors that contribute to the fear of falling. This was a descriptive study. Data were collected for two years with 973 older adults who enrolled in a health center at A city. Trained nurses visited subjects' home and collected data using Resident Assessment Instrument MDS-HC. The average age of the subjects was 76.8 (±7.6) and female was 74.8%. 20.7% of subjects reported fear of falling. In terms of the fear of falling, two groups were compared. There were significant differences in vision, urinary incontinence, pain that interrupts daily activity, unstable gait, comorbidities, frequency of depressive or anxious sign. The greater the age, IADL and ADL dependency, comorbidities, unstabled gait, the more fear of falling. In conclusion, this study reassured the importance of assessing the major factors related to fear of falling such as age, IADL and ADL, comorbities, gait among older adults. This study will contribute to establish strategies for preventing fall. Reducing the fear of falling through the comprehensive nursing intervention will ultimately improve the quality of life in the elderly.