• Title/Summary/Keyword: 통증정도

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Comparison of pain, fatigue, and Achilles tendon in female college students wearing high heels and flat shoes: A Preliminary Study (여대생의 하이힐 착용에 따른 하지 통증, 피로, 아킬레스건의 융복합 비교: 예비연구)

  • Park, Young-Joon;Kim, Namsuk
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.329-336
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    • 2019
  • The purpose of this study is to analyze the differences of the lower back pain, fatigue, and Achilles tendon thickness according to wearing and not wearing high heels in order to understand symptoms of musculoskeletal diseases caused by wearing high heels in college students. lower extremity pain fatigue and achilles tendon thickness were measured in high heel wear group (n=19) and non high heels wear group (n=23). Participants' general characteristics and the lower extremity pain, fatigue, and Achilles tendon thickness were analyzed using mean, standard deviation. Differences in lower extremity pain, fatigue, and achilles tendon thickness were analyzed by independent t-test. The results showed that the difference between the participants' lower extremity pain (t=2.28, p=.028), right achilles tendon thickness (t=2.30, p=.027) and left achilles tendon thickness (t= 3.89, p<.001) The results of this study show that convergence approach can be applied as a basis for health problems in the structure and function of musculoskeletal disorders associated with wearing high heels. In the future, follow up observation according to the wearing of high heels in the same subject will be needed.

A Study on Menstrual Pain, Clinical Practice Stress and Clinical Competence Among Nursing Students (간호대학생의 월경통증, 임상실습 스트레스 및 임상수행능력에 관한 연구)

  • Moon, Duck-Hee
    • Journal of Convergence for Information Technology
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    • v.11 no.8
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    • pp.53-61
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    • 2021
  • The purpose of this study was to investigate the menstrual pain, clinical practice stress, and clinical competence and identify influencing factors of clinical competence of 3rd nursing students who start clinical practice for the first tim. The survey was conducted on 155 nursing students from June 1 to October 30, 2020. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficients and multiple regression analysis. The degree of influence menstrual pain was 5.01points, clinical practice stress was 2.82points, clinical competence was 3.42points. Menstrual pain was positive correlated with clinical practice stress(r=.319, p=.000), and menstrual pain was negative correlated with clinical competence(r=-.279, p=.000). Clinical practice stress was negative correlated with clinical competence(r=-.333, p=.005). Menstrual pain was main factor that affects clinical competence. The model explained 25.0% of the variables. Therefore, intervention education is needed to reduce menstrual pain in order to improve the clinical competence of nursing students.

Effect of the Prevention Programs for Musculoskeletal Disorders in one Farming Village (일부 농업인에서의 근골격계 질환 관리 프로그램의 효과)

  • Kwon, Soon-Chan;Ryou, Hyun-Chul;In, Hee-Kyo;Lee, Kyoung-Sook;Lee, Soo-Jin
    • Journal of agricultural medicine and community health
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    • v.33 no.1
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    • pp.1-10
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    • 2008
  • 일개 농촌 마을에서 농한기를 활용하여 시행된 근골격계 질환 예방사업을 소개하고 주요 사업결과를 분석하여 농업인의 건강증진을 위한 기초자료로 활용하고자 본 연구를 수행하였다. 2006년 12월 5일부터 2007년 1월 26일까지 사곳리 마을회관을 12회 방문하여 4번의 기초교육과 5번의 심화교육 등 9번의 근력 및 유연성 강화교육을 실시하였다. 교육 전(사전평가), 기초교육과 심화교육 사이(중간평가), 교육 후(최종평가) 등 3회에 걸쳐 의사 2인에 의한 근골격계 질환 평가, 시각통증척도에 의한 근골격계 통증 평가, 생활체육 전문가 3인에 의한 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성 측정을 통한 근골격계 근력 및 유연성 평가, 설문지를 사용한 어깨, 허리, 무릎의 기능 평가를 실시하였다. 총 12회의 일정 중 1회 이상 참석한 농업인은 총 57명이었으며 남자가 20명(35.1%), 여자가 37명(64.9%)이었으며 평균 연령은 60.7(±8.1)세였다. 근골격계 질환 검진에서 한 번 이상의 검진을 받았던 43명중 32명(74%)이 한 가지 이상의 근골격계 질환을 가지고 있었으며, 퇴행성관절염이 26명(60.5%), 근막통 증후군이 19명(44.2%), 허리디스크가 10명(23.3%)이었다.목어깨, 허리, 무릎다리의 통증정도는 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간의 비교에서 모두 감소하는 경향을 보였으며 3차 평가에서 1차 평가에 비해 목어깨, 허리, 무릎다리 모두 유의한 통증의 감소를 보였다(p<0.05). 근골격계의 기능을 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간 비교한 결과 모두 기능점수가 우수하게 변화했으나 통계적으로 유의하지 않았다. 근력 및 유연성 정도는 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성을 측정하였으며 1차 평가에 비해 3차 평가에서 모든 항목에서 근력 및 유연성 정도가 통계적으로 유의하게 증가하였다(p<0.05).연구대상자의 수가 적었고, 농한기에 의한 근골격계 질환의 개선 효과를 배제할 수는 없었지만 이번연구를 통하여 일부 농업인에서 근골격계 질환 관리 프로그램 실시 후 근골격계 질환의 단기적인 개선효과를 볼 수 있었다. 근골격계 질환의 중장기적인 개선효과를 기대할 수 있는 추가적인 연구와 농번기를 통한 관리 프로그램에 대한 추가적인 연구가 필요하다.

내,외인성으로 유도된 Nitric Oxide가 흰쥐의 통각전달에 미치는 효과

  • 방준석;류정수;허인회
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1997.04a
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    • pp.91-91
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    • 1997
  • 흰쥐의 뒷발바닥에 carragennan(cg)을 피하투여하여 염증성 통증을 유발한 뒤, 그 통증이 최고에 달하는 3시간 뒤 Ach이나 SNP를 동일한 항법으로 투여해서 30분 후 cg유발 통증에 대하여 그 효과를 Randall-Selitto paw pressure test로 검색하였고, 체내 Nitric Oxide Synthase(NOS) 억제제인 L-NAME과 L-NOARG를 용량별로 적용하여 Ach의 진통효과를 억제하는 정도와 Methylene Blue 및 Hemoglobin을 투여해서 SUP효과 억제를 검사하였다. 그리고 척수 지주막하강내로 catheter를 삽입하여 위의 NO donor를 주입하고, NO의 중추신경계에서의 통각전도에 미치는 효과를 Tail-Flick test로 살펴보았다. 끝으로 NO가 가진 급,만성 통각관련효과를 희석한 formalin을 써서 검색하였다. 결 과: Ach과 SNP는 흰쥐에게 말초경로투여시 유의성있는 진통효과를 보였으며, NOS inhibitor와 NO scavenger로 그 효과가 역전되었다. 또한 NOS inhibitor간에는 억제효과가 용량의존성이 유사하게 나타났고, 중추신경계로의 직접투여때는 여러 생리적 조건이 직, 간접으로 관여함이 확인되었다.

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Effectiveness of Fentanyl Transdermal Patch (Fentanyl-TTS, $Durogegic^{(R)}$) for Radiotherapy Induced Pain and Cancer Pain: Multi-center Trial (방사선치료로 인한 통증 및 암성통증에 대한 듀로제식의 효과: 다기관연구)

  • Shin, Seong-Soo;Choi, Eun-Kyung;Kim, Jong-Hoon;Ahn, Seung-Do;Lee, Sang-Wook;Kim, Yeun-Sil;Lee, Kyu-Chan;Lee, Chang-Geol;Loh, John-JK;Chun, Mi-Son;Oh, Young-Teak;Kim, Ok-Bae;Huh, Seung-Jae
    • Radiation Oncology Journal
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    • v.24 no.4
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    • pp.263-271
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    • 2006
  • $\underline{Purpose}$: To evaluate the effectiveness and safety of fentanyl-TTS in the management of radiotherapy induced acute pain and cancer pain treated with radiotherapy. $\underline{Materials\;and\;Methods}$: Our study was open labelled prospective phase IV multi-center study. the study population included patients with more 4 numeric rating scale(NRS) score pain although managed with other analgesics or more than 6 NRS score pain without analgesics. Patients divided into two groups; patients with radiotherapy induced pain (Group A) and patients with cancer pain treated with radiotherapy (Group B). All patients received 25 ug/hr of fentanyl transdermal patch. Primary end point was pain relief; second end points were change in patient quality of life, a degree of satisfaction for patients and clinician, side effects. $\underline{Results}$: Between March 2005 and June 2005, 312 patients from 26 participating institutes were registered, but 249 patients completed this study. Total number of patients in each group was 185 in Group A, 64 in Group B. Mean age was 60 years and male to female ratio was 76:24. Severe pain NRS score at 2 weeks after the application of fentanyl was decreased from 7.03 to 4.01, p=0.003. There was a significant improvement in insomnia, social functioning, and quality of life. A degree of satisfaction for patients and clinician was very high. The most common reasons of patients' satisfactions was good pain control. Ninety six patients reported side effect. Nausea was the most common side effect. There was no serious side effect. $\underline{Conclusion}$: Fentanyl-TTS was effective in both relieving pain with good tolerability and improving the quality of life for patients with radiotherapy induced acute pain and cancer pain treated with radiotherapy. The satisfaction of the patients and doctors was good. There was no major side effect.

Effect of Stabilizing Reversal Technique of Proprioceptive Neuromuscular Facilitation and Taping Convergence on Wrist Pain and Grip Strength (고유수용성신경근촉진법의 안정적 반전기법과 테이핑 융합이 손목통증과 악력에 미치는 영향)

  • Kim, Beom-Ryong;Yi, Dong-Hyun;Yim, JongEun
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.117-124
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    • 2018
  • This study investigated the effect of wrist taping (WT) after application of stabilizing reversal technique (SRT) of proprioceptive neuromuscular facilitation (PNF) on pain and grip strength (GS) in patients with wrist pain (WP). Twenty patients with WP were randomly assigned to an experimental group (n=10) that received WT after application of SRT, and a control group (n=10) that received WT after application of stretching. The total intervention time consisted of a maximum of 10 minutes including breaks, and was performed 5 times a week for 2 weeks. Pain reduction was measured using a visual analogue scale. GS was measured using a dynamometer. Within group changes in pain and GS were significant in both experimental and control groups (p<0.01). Between group changes in pain and GS were greater in the experimental group than in the control group (p<0.01). This findings indicate that SRT of PNF and WT convergence can be an effective intervention for patients with WP. Continued development of convergence interventions for patients with WP various conditions in practice, is suggested.

Pain Disability of Orofacial Pain Patients (구강안면통증 환자의 통증활동제한)

  • Choi, Se-Heon;Kim, Ki-Suk;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.34 no.2
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    • pp.217-225
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    • 2009
  • As Pain is a comprehensive, biopsy chosocial phenomenon, improved understanding and successful management of pain need assessment of health-related quality of life and psychological states. The purpose of this study was to evaluate pain severity and pain-related interference to daily lives for patients with non-dental, orofacial pain(OFP) and a possible relation of OFP with psychological morbidity. Relation with such factors as gender, age, pain duration and diagnosis was also assessed. Inclusion criteria was all new patients with non-dental OFP attending the oral medicine.orofacial pain clinic of Dankook University Dental Hospital over 3 months' period, who completed the questionnaires of the Brief Pain Inventory (BPI) and Hospital Anxiety and Depression Scale (HADS). Prior to the first consultation, the patients were asked to fill out the questionnaire in the waiting room and were diagnosed through consultation and clinical examination. Total subjects were 163 with M:F ratio of 1:1.5 and mean age of 34.6${\pm}$17.7 years. Mean duration of pain was 13.3${\pm}$26.2 months and all patients were divided into; Trigeminal Neuralgia group (TN, N=8), Neuropathic Pain group (NeP, N=9), Persistent Idiopathic Facial Pain group (PIFP, N=8), and Temporomandibular Disorders group (TMD, N=138), subdivided into muscle problem (TMD-m, N=73), joint problem (TMD-j, N=24) and muscle-joint combined problem (TMD-c, N=41). OFP patients showed moderate pain severity and moderate pain-related interference. There was no gender difference in overall pain severity and interference and levels of anxiety and depression. Elderly patients aged ${\geq}$ 60 years showed higher pain severity (p<0.05). Patients with chronic pain ${\geq}$ 3 months reported more increased level of anxiety and depression than those with acute pain (p<0.05). Compared to TMD patients, patients with TN, NeP and PIFP suffered from higher level of pain and pain-related interference and reported higher level of anxiety and depression (p<0.05). Pain interference was closely correlated with their pain severity and with psychometric properties such as anxiety and depression. Pain severity was weakly correlated with levels of anxiety and depression. The results suggest a need for psychosocial assessment and support for successful management of OFP in addition to control of pain itself.

The Relationship among the degrees of pain coping strategies, Pain and Depression of patients with Rheumatoid Arthritis (류마티스 관절염 환자의 통증대처, 통증 및 우울정도의 관계)

  • Park, Gyung;Choi, Soon-Hee
    • Journal of muscle and joint health
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    • v.5 no.2
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    • pp.253-264
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    • 1998
  • This study has done for the purpose of investigation among the degrees of pain coping strategies, pain, and depression of patients with rheumatoid arthritis. The subjects of this study were 214 patients diagnosed with rheumatoid arthritis. The data were collected from september 4 to 16, 1995 by questionnaires. The data were analysed by the use of frequency, t-test, Pearson Correlation Coefficients, ANOVA, and Duncan test. The results Were as follows ; 1. The mean score of pain was 213.5(range : 4-390) and that of depression was 21.4 (range : 1-50). The mean score of passive pain coping strategies was 30.2(range : 11-48) and that of active pain coping strategies was 18.6(range : 7-33) 2. The passive pain coping degree showed a positive correlation with the pain degree (r=.475, p=.0001) and the active pain coping degree showed a inversive correlation with that(r= -.296, p=.0001). The passive pain coping degree showed a positive correlation with the depression degree (r=.425, p=.0001) and the active pain coping degree showed a inversive correlation with that(r=-.299, p=.0001). The pain degree showed a positive correlation with the depression degree(r=.374, p=.0001).

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A Study of Pain, Depression and Self-Efficacy According to the Classifications of Pain among Chronic Pain Patients (만성통증환자의 통증분류에 따른 통증, 우울 및 자기효능감 정도)

  • Yang, Jin-Hyang
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.202-210
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    • 2004
  • Purpose: this study was to examine the differences of the level of pain, depression and self-efficacy according to the classifications of pain among chronic pain patients. Method: The data were collected by means of self-reported questionnaire from 164 patients with chronic pain visited in one university hospital and one local pain clinic in Busan, from October 7 to November 16, 2002. Analysis was done by ANOVA, and Scheffe test using SPSS program. Result: The subjects were divided into five classifications of chronic pain : 26.2% low back and extremity pain, 23.2% neck, shoulder and upper extremity pain, 19.5% postherpetic neuralgia, 15.9% complex regional pain syndrome and 15.2% peripheral neuralgia. There were significant differences in pain (p=.000), depression (p=.000) and self-efficacy (p=.003) according to the 5 kinds of chronic pain. With the results of the Scheffe test, the patients with peripheral neuralgia experienced pain and depression higher than those with the other kinds of chronic pain. The patients with neck, shoulder and upper extremity pain experienced self-efficacy higher than those with peripheral neuralgia. Conclusion: Chronic pain patients should be provided effective individualized intervention depending on the classifications of chronic pain. Therefore the development of interventions for pain management according to the classifications of pain in chronic pain patients is needed.

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Pain Management in Cancer Patients Who Are Registered in Public Health Centers (보건소 등록 재가암환자가 지각하는 통증관리와 통증관리 방해 정도)

  • Choi, So-Young;Chang, Kyung-Oh;Park, Myoung-Nam;Ryu, Eun-Jung
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.77-83
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    • 2012
  • Purpose: This study was designed to describe outcomes of pain management, to identify pain intensity, pain management and barriers to pain management, and to test correlation among the variables in cancer patients who are registered in public health centers. Methods: By using a descriptive survey design, 3 instruments were used to collect data: the Numeric Rating Scale for pain, the Barriers Questionnaire-Korean version, and a one-item self-report tool about patient satisfaction. A sample of 190 patients with cancer was recruited from a public health center. Results: The mean rating for pain during the past 24 hours was mild and the mean score of barriers to pain management was 3.20. Patients were satisfied with pain management but they also had concerns it. A negative correlation was found among pain severity, pain relief and satisfaction of pain management. However, there was not significant correlation between the patient-related barriers to pain management and other variables. Conclusion: These results suggest that the intervention for cancer patients should focus not only on patient-related barriers to pain management, but also address health-care system related barriers.