• Title/Summary/Keyword: Numerical rating scale

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The Effect of Music Therapy on Postoperative Pain in Patients with Total Hip Replacement (음악요법이 전고관절 대치술 환자의 수술 후 통증에 미치는 영향)

  • Park, Jeong Sook;Yeom, Ji Ho;Shin, Hye Jeong
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.183-193
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    • 2006
  • Purpose: The purpose of the study was to test the effects of music therapy on postoperative pain in patients with total hip replacement. Method: The research design was a nonequivalent control group pretest-posttest design. The subjects were composed of thirty patients with total hip replacement. Fifteen of them were assigned to the experimental group and fifteen to the control group. Fifteen minutes tailored music therapy was given to the experimental group during five consecutive days. The instruments used for this study were pain NRS(numerical rating scale). The data were analyzed using percent, mean, standard deviation, ${\chi}^2-test$ and repeated measure ANOVA using SPSS WIN 11.0. Results: Hypothesis 1 "The score of pain NRS of experimental group will be lower than those of control group" was accepted(F=15.945, p<.001). Hypothesis 2 "The frequency of PCA analgesics of experimental group will be fewer than those of control group" was accepted (t=-2.312, p=.028). Hypothesis 3 "The vital signs(pulse, systolic BP and diastolic BP) of experimental group will be different from those of control group" was rejected. Conclusion: This music therapy can be recommended as an efficient nursing intervention to reduce postoperative pain in patients with total hip replacement.

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A Case of Successful Management of Lung Cancer Pain Using Ultrahigh-dose Fentanyl Patch

  • Kim, Soo-Ok;Kim, Min-Jee;Kwon, Yong-Soo;Lim, Sung-Chul;Ban, Hee-Jung;Oh, In-Jae;Kim, Kyu-Sik;Kim, Young-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.5
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    • pp.286-289
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    • 2010
  • A 55-year old woman with advanced stage non-small cell lung cancer was admitted to hospital for the management of severe chest pain, which measured 7 out of 10 on a numerical rating scale (NRS). Despite palliative radiation and the application of multiple epidural blocks, she continued to experience severe cancer pain. We gradually increased the dose of transdermal fentanyl patches from $500{\mu}g/hr$ to $3,650{\mu}g/hr$, for 3 months without any significant side effects. Concomitantly, adjuvant therapy with antidepressants and anticonvulsants were added, decreasing the patient's pain to NRS 3~4 down from 7. After being transferred to a hospice clinic, her chest pain was well-controlled below NRS 4 by means of strong opioid medications, including the highest dose of transdermal fentanyl $4,050{\mu}g/hr$ for more than 16 months.

A Case Report on the Effect of Short-term Intensive Fat Treatment on an Obese Patient with Metabolic Syndrome (대사증후군 환자의 단기 집중 비만치료 프로그램의 효과에 대한 증례 보고 1례)

  • Yoo, Jung-hwa;Na, Hyun-young;Lee, Da-eun;Ahn, Se-young;Ahn, Young-min;Lee, Byung-cheol
    • The Journal of Internal Korean Medicine
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    • v.37 no.6
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    • pp.1051-1058
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    • 2016
  • Objectives: This case study reports on a case of rhabdomyolysis that occurred after spinning exercise. Methods: A patient diagnosed with rhabdomyolysis received Korean medical treatment and Western medical treatment for 6 days. We observed the patient for 13 days. Clinical symptoms were evaluated with the Numerical Rating Scale (NRS) and laboratory tests that included Liver Function Test, Renal Function Test, creatinine phosphokinase (CPK), myoglobin, and urine. Results: The clinical symptoms improved after treatment. In this case, acute renal failure has not occurred. The Laboratory results, including AST, ALT, CPK, and LDH, improved. Conclusions: Rhabdomyolysis can be treated with Korean medical and Western medical cooperative treatment.

Acupuncture Stimulation on LR3 Reduced Shoulder Pain Caused by Upper Trapezius Rigidity. A Case Report (상부 승모근 경직으로 유발된 견비통에 대한 태충혈 자침의 효과 1례)

  • Lee, Hey-Jin;Lee, Nam-Heon;Son, Chang-Gue;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
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    • v.25 no.1
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    • pp.63-69
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    • 2016
  • 이 임상례는 근육 경직으로 인한 견비통에 태충혈이 유효함을 제시하고 있다. 환자의 주관적인 만족도를 평가하기 위해 점수식 평점 척도(Numerical rating scale;NRs)를 측정하였고 어깨 경직의 객관적인 호전 정도를 평가하기 위하여 양측 견정혈의 통증 통각 역치(Pressure pain threshold;PPT)와 어깨 외전력, 어깨관절의 외전시 가동범위(Range of motion;ROM)을 측정하였다. 양측 태충혈에 15분간 유침 후 NRS는 5에서 2로 감소하였다. 치료 전 왼쪽 견정혈의 PPT는 19N이었고 오른쪽은 22N이었다. 치료 후 왼쪽 견정혈의 PPT는 22N이었고 오른쪽은 27N이었다. 치료 전 견관절의 외전력은 왼쪽에서 29N, 오른쪽에서 22N으로 측정되었다. 치료후 견관절의 외전력은 왼쪽에서 33N, 오른쪽에서 22N으로 측정되었다. 견관절 ROM은 치료 전과 후 동일하게 왼쪽 관절 170도, 오른쪽 관절 165도로 나타났다. 결론적으로, 태충혈 자극은 어깨의 경직을 해소하고 어깨 근력을 강화하는 것으로 나타났다. 또한 그것은 상부 승모근의 압통을 감소시킬 수 있다. 이러한 측면에서, 태충혈의 효과에 대해서 보다 추가적인 연구가 필요할 것으로 보인다.

A Case Report of Spondylolytic Spondylolisthesis Treated with an Oriental Medical Treatment (한방치료를 적용한 척추분리성 척추전방전위증 환자의 치험 1례)

  • Park, Sam-min;Hwang, Dong-gyu;Kim, Eun-ji;Kim, Jae-young;Jung, Sun-young
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.685-690
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    • 2016
  • Objective: To report the effect of an oriental medicine treatment, including chuna manual therapy, for a patient suffering with spondylolytic spondylolisthesis. Methods: One patient was treated by oriental medical treatment including acupuncture, pharmacopuncture, and chuna manual therapy and the results were assessed with a Numerical Rating Scale (NRS), walking distance, and radiological examination. Results: After treatment, the NRS changed from 6 to 2 and walking distance changed from 250 m to 1000 m. Conclusions: In this study, oriental medical treatment, including chuna therapy, was an effective treatment for patients with spondylolytic spondylolisthesis. However, additional studies are needed, as are more and observations of these patients.

Pain Management Survey of Psychiatric Unit Nurses (정신과 근무하는 간호사의 통증관리 지식 및 태도에 대한 조사)

  • Park, Hey In;Lee, Kyunghee
    • Journal of Korean Biological Nursing Science
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    • v.16 no.2
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    • pp.150-156
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    • 2014
  • Purpose: This study was intended to measure the knowledge and attitudes of nurses working in a psychiatric ward regarding the subject of pain. Methods: In this descriptive study, data were collected in psychiatric wards(or hospitals) located in the Kyungnam and Kyungpook area from December 2013 to January 2014, using a modified version of the McCaffrey and Pasero Clinical Manual Survey Regarding Pain. The content of the survey follows a logical progression from common pain management problems through mechanisms of pain, assessment and pharmacology. Results: The average score of knowledge regarding pain was roughly $21.59{\pm}2.93$ among the 181 participants. The nurses selected Tylenol as the preferred choice (81.2%). Seventy-one percent of respondents didn't use Pain Intensity Instruments during the pain assessment. The subjects preferred the Numerical Rating Scale rather than Visual Analogue Scales. Pharmacology questions were the least likely to be answered correctly. No specific correlations were found between score and demographic variables of age and experience. No specific correlation between score and educational level was noted. Conclusion: Nurses require ongoing education on pain management, particularly regarding pharmaceutical agents.

A Case Report of Sleep Bruxism-induced Temporomandibular Jount (TMJ) Pain Improved by Appliance of FCST (수면중 이갈이에 의해 발생한 턱관절 통증 환자에 대한 FCST 활용 1예 보고)

  • Eom, Tae-Min;Kim, Yoon-Sik;Seol, In-Chan;Yoo, Ho-Ryong
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.8-11
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    • 2014
  • A 27 year-old male patient with sleep bruxism-induced temporomandibular pain was managed by appliance of FCST with 3 weeks of duration, combined with acupuncture. After being treats for 3 weeks, the patient's pain was improved. Assessment was made by self assessment (Numerical Rating Scale, NRS; Korean Oral Health Impact Profile, KOHIP) and clinical observation. An impressive effect was observed and further clinical and biological research on FCST is expected.

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The Two Cases Report of Iliolumbar Ligament Syndrome Showed a Physical Examination Positive Result by Acupuncture and Chuna Therapy (이학적 검사상 장요인대 증후군으로 진단된 환자에 대한 침과 추나치료 치험 2례)

  • Kwon, Jeong-Gook;Park, Jae-Won;Park, Seo-Hyun;Keum, Dong-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.75-84
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    • 2016
  • Objectives : The objective of this study is to report the improvement of two patients with Iliolumbar ligament syndrome showed a physical examination positive. Methods : Two patients were treated by acupuncture therapy with chuna therapy at pelvic. We evaluated the effectiveness by numerical rating scale (NRS) and Oswestry Disability Index(ODI). Results : Both patients improved significantly NRS score and ODI score. And both patients' symptoms were alleviated. Iliolumbar ligament stress test was changed from positive to negative. Conclusions : We conclude that acupuncture therapy with chuna therapy at pelvic is an effective treatment to reduce the iliolumbar ligament originated pain. But there is a limit on this study due to sufficient number of cases. Further studies will be needed.

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The Effects of Taping Treatment on Sports Injury of Knee, Three Case Reports (첩대요법으로 호전된 스포츠 슬관절 손상 환자 3례)

  • Ahn, Hee-Bin;Kim, Ji-Young;Kim, Soon-Joong;Jeong, Su-Hyeon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.1-11
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    • 2011
  • Objectives : The purpose of this study is to access the taping treatment in patients with sports injury of knee. Methods : Three patients were treated by taping to evaluate the effect of the treatment. The patient's symptoms were assessed by range of motion(ROM), verbal numerical rating scale(VNRS), knee injury and osteoarthritis outcome score(KOOS) and physical examinations. Results : In all case, the pain was reduced according to VNRS score. ROM and KOOS of two cases were improved. Conclusion : These results suggest that taping might be an effective method to treat patients with sports injury of knee. But, it's necessary to have more observations and experiment with taping.

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A Case Report of Korean Medicine Treatment of Chronic Peroneal Nerve Palsy (만성기 비골신경 마비의 한방치료 증례보고)

  • Yu, Keun-jeong;Hwang, Gyu-sang;Lee, Jun-yeong;Lee, Un-jung
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.668-674
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    • 2017
  • Objective: This case report describes the effects of Korean medicine treatment on chronic peroneal nerve palsy. Methods: One patient with peroneal nerve palsy was treated 6 months after onset with various Korean medicine treatments, such as acupuncture, cupping, herbal medicine (Bojungikki-tang and Palmijihwang-tang), and Hominis Placental pharmacopuncture for 14 days. The Manual Muscle Test (MMT), range of motion (ROM) of the ankle, and a numerical rating scale (NRS) were used to evaluate the effectiveness of treatment. Results: After 14 days of treatment, the scores for all 3 scales were improved. The MMT grade increased from 1-3 to 4-4+. The ankle ROM was restored to a nearly normal range. The NRS showed a considerable improvement, decreasing from 7 to 2. No side effects were noted. Conclusions: Korean medicine may be effective for the treatment of chronic peroneal nerve palsy, but further studies are needed.