• 제목/요약/키워드: Numerical rating scale

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Korean Medicine Treatment for Dyspepsia and Constipation in a Patient with HIV: A Case Report

  • Ji-Su Ha;Han-Song Park;Hyun-Seo Park;Ka-Hyun Kim;Hae-Won Hong;In-Ae Youn
    • Journal of Acupuncture Research
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    • 제40권2호
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    • pp.143-149
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    • 2023
  • Functional dyspepsia (FD) is a chronic and recurrent upper gastrointestinal symptom that has no organic cause. A 49-year-old male patient positive for human immunodeficiency virus (HIV) visited the clinic because of FD and constipation. He received complex Korean medicine treatment, including acupuncture and herbal medicines, from April 14 to July 18, 2022 (27 times) in the outpatient department. Gastrointestinal Symptom Rating Scale (GSRS), Nepean Dyspepsia Index (NDI), FD-related quality of life (FD-QoL), Euro QoL visual analog scale (EQ-VAS), and Numerical Rating Scale (NRS) were used as evaluation tools in this study. Symptoms were relieved after 3 months of treatment, and his QoL improved (GSRS, 15-3; NDI, 110-21; FD-QoL, 52-20 [eating status, 10-3; liveliness status, 12-8; psychological, 1-0; role-functioning status, 18-9]; EQ-VAS, 40-65; NRS, 8-4). The results revealed that complex Korean medicine treatment could alleviate FD and constipation in patients with HIV.

류마티스 관절염환자용 다차원적 피로척도의 타당도 및 신뢰도 (Validity and Reliability of Translated Multidimensional Assessment of Fatigue Scale for the Patients with Rheumatoid Arthritis)

  • 이경숙;이은옥
    • 근관절건강학회지
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    • 제5권2호
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    • pp.206-221
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    • 1998
  • The purpose of this study was to validate translated Multidimensional Assessment of Fatigue(MAF) scale. The scale is a 16-item scale that measures four dimensions of fatigue : severity, distress, impact, timing. Fourteen items are numerical rating scales and 2 items have multiple choice responses. Data were collected from the 137 patients with rheumatoid arthritis after content validation. Criterion validity was tested by correlation coefficient with Piper Fatigue Scale, which resulted in 0.7573(p<.0000). Construct validity was tested by item analysis and factor analysis. Corrected item-total correlation coefficients were 0.63-0.88. And factor analysis showed 2 factors : fatigue degree factor and fatigue impact factor. These two factors explained 73.5% of total variance. Reliability of internal consistency was 0.96 in Cronbach's alpha. Further validation study is necessary in each factor in other settings with other subjects.

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공황장애와 요통을 동반한 기능성 소화불량 환자에 대한 한방치료 1례 (A Case Report on Functional Dyspepsia Treated with Korean Medicine in a Patient with Panic Disorder and Lower Back Pain)

  • 권민진;김태주;이유진;김나영;권오빈;이도훈;장선우
    • 대한한방내과학회지
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    • 제43권5호
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    • pp.918-928
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    • 2022
  • Objectives: This study reports on the efficacy of Korean medical treatments for a functional dyspepsia patient with panic disorder and lower back pain. Methods: A 51-year-old male patient with functional dyspepsia was treated with herbal medicines and acupuncture for 17 days. The treatment effect was evaluated by measurements drawn from the Numerical Rating Scale, range of motion, Oswestry Disability Index, European Quality of Life 5 Dimensions Scale, and Gastrointestinal Symptom Score. Results: Following the treatment, the patient showed a decrease on the Numerical Rating Scale and Oswestry Disability Index and in Gastrointestinal Symptom Score, as well as an improvement in range of motion and European Quality of Life 5 Dimensions score. Conclusions: Korean medical treatments appear to be effective in reducing functional dyspepsia. Further clinical research on patients with functional dyspepsia is needed.

통증 표정 척도를 이용한 두통환자의 통증평가를 위한 초보적 연구 (The Preliminary Study for Pain Measurements of Headache Patients used by Pain Face Scale)

  • 김경옥;최금애;김우철;김경수
    • 동의신경정신과학회지
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    • 제21권3호
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    • pp.65-75
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    • 2010
  • Objectives : The aim of this study is to validate the correlation between Pain Face Scale(PFS) and Numerical Rating Scale(NRS), and to find out the methods to assess headache by PFS. Methods : The study participants included 28 headache patients. All patients answered questionnair, which include PFS, NRS, and other questions for measurements headache. It is analyzed by frequency, correlation with spss windows 14.0. Results : 1. PFS include the strength of headache, and feelings. 2. PFS express strength of headache more than NRS. 3. There was no significant relationship between aspect and regions of headache. Conclusions : Therefore PFS is objective measurement scale of headache.

경혈 전기 자극 전처치요법을 통해 치료한 치핵 통증: 증례보고 (Acupoint Electrical Stimulation Preconditioning to Reduce Hemorrhoid Pain: A Case Report)

  • 이승민
    • Korean Journal of Acupuncture
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    • 제37권3호
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    • pp.198-202
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    • 2020
  • A 30-year-old woman with Grade III hemorrhoid complained of excruciating pain that continued for several hours, especially with defecation. She was not able to frequent the clinic due to COVID-19 shutdowns, therefore additional treatment using acupoint electrical stimulation (AES) was self-administered. She administered AES bilaterally on BL57 and LR10 for fifteen minutes before each defecation as a preconditioning treatment. She assessed her pain using a Numerical Rating Scale (NRS) during defecation, and 3 hours later. The patient initially complained of pain rating 9 on the NRS. After the first session of AES, the pain dropped to 5. On one-month follow-up, the pain was at 3 and the patient was able to terminate all treatment. Self-administered AES preconditioning at BL57 and LR10 can be used to reduce extreme cases of hemorrhoid pain.

소아환자의 수술후 P.R.N. 근주와 PCA의 제통효과의 비교 (A Comparison of Patient Controlled Analgesia and P.R.N. Intramuscular Injection for Postoperative Pain Control in Children and Adolescents)

  • 이강창
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.69-73
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    • 1998
  • Background: The postoperative pain in children and adolescents is most commonly managed by intramuscular injections of NSAIDs or opioids. This approach may result in fluctuating plasma drug levels and cycles of pain, comfort, and sedation. Patient-controlled analgesia(PCA) is a method of analgesia administration that consists of a computer-driven pump with a button that the patient may press to administer a small dose of analgesic drug. Materials & Methods: Forty ASA physical status 1 or 2 children and adolescents were divided into two groups. In the PRN group, patients received intramuscularly diclofenac(Valentac$^{(R)}$) on a p.r.n. basis. The PCA group patients received a mixture of nalbuphine and ketorolac by WalkMed$^{(R)}$PCA infusor. Analgesic efficacy was evaluated with NRS(numerical rating scale) and Faces Pain Rating Scale. The side effects were evaluated. Results: The patients of PCA group had less pain than those of PRN group. Complications were similar in both group. Conclusions: PCA with nalbuphine and ketorolac is a safe and effective methods of pain relief in children and adolescents after surgery, and is better accepted than intramuscular injections.

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The Effect of Complex Korean Medical Treatment with Acupotomy on Irritable Bowel Syndrome: A Case Report

  • Min, Baek Ki;Jin, Joon Soo;Lee, Do Eun;Shin, Won Bin;Shin, Jin Hyeon;Youn, In Ae
    • Journal of Acupuncture Research
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    • 제37권1호
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    • pp.59-63
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    • 2020
  • The effects of complex Korean medicine treatment including acupotomy, on irritable bowel syndrome (IBS) are reported in this case study. A 54-year-old woman with diarrheal symptoms that alternatively improved and worsened for many years and worsening abdominal pain visited the emergency room and was diagnosed with IBS; she was admitted for approximately 2 weeks at the Acupuncture and Moxibustion Department of National Medical Center (NMC). Numerical rating scale (NRS), irritable bowel syndrome-quality of life (IBS-QOL), and gastrointestinal symptom rating scale (GSRS) scores were evaluated on the day of hospitalization, midway through the hospitalization period, and on the day of discharge. Abdominal pain was measured daily using NRS, and the score decreased from 8 at admission to 0 at discharge. The IBS-QOL percentile score improved from 42 points to 100 points. The total GSRS score also improved, from 30 points to 2 points. These results suggest that complex Korean medicine treatment with acupotomy, is useful for treating internal diseases, such as IBS, as well as musculoskeletal disorders.

소화기증상을 동반한 섬유근육통 환자에 대한 오두탕 치험 1례 (A Case Report on a Fibromyalgia Patient with Gastrointestinal Symptoms Treated with Odu-tang)

  • 장혜연;유상구;김도형;이영수
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.863-871
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    • 2021
  • Objective: The purpose of this study was to investigate the effects of Korean medical treatment on a fibromyalgia patient with gastrointestinal symptoms, using herbal medicines selected according to new rather than existing standards. Method: A 52-year-old female patient with fibromyalgia was treated with Odu-tang and acupuncture, cupping, and moxibustion for 22 days. To evaluate the treatment, we used the Numerical Rating Scale (NRS), American College of Rheumatology's Preliminary Diagnostic Criteria (ACR), and Korean Gastrointestinal Symptom Rating Scale (KGSRS). Result: Following treatment, pantalgia diminished, NRS, and ACR scores improved, and the GSRS score decreased from 29 to 11. Conclusion: This study suggests that Korean medical treatment could effectively reduce pain and improve digestive symptoms in patients with fibromyalgia. It also presents a new method that considers individual characteristics when choosing herbal medicine.

복합 한의 치료를 시행한 교통사고 후 악화된 본태성떨림플러스 환자: 증례 보고 (Complex Korean Medicine Treatment for Essential Tremor Plus Patient Aggravated by Traffic Accident: A Case Report)

  • 신동국;심현아;김진현;김영준;고영탁
    • 동의신경정신과학회지
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    • 제34권4호
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    • pp.421-431
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    • 2023
  • Objectives: The purpose of this study was to report the effect of complex Korean medicine treatments on Essential Tremor Plus (ET plus) patient aggravated by a traffic accident. Methods: We treated an ET plus patient with complex Korean medicine. The patient's resting tremor and kinetic tremor in both hands intensified after experiencing a traffic accident, with tremor in the left hand being worse than that in the right hand. Effect of complex Korean medicine treatment was evaluated using Fahn-Tolosa-Marin Tremor Rating Scale (FTMTRS), Numerical Rating Scale (NRS), and Beck Anxiety Inventory (BAI). Results: After 26 weeks of treatments (acupuncture, pharmacupuncture, cupping, Iigyeungbyunqi-therapy, and herbal medicine), the FTMTRS decreased from 38 to 15. NRS of Lt. upper limb pain decreased from NRS 9 to 0. BAI score also decreased from 31 to 17. Conclusions: Complex Korean medicine could be used to treat patients with ET plus aggravated by a traffic accident.

한방치료로 호전된 횡문근 융해증 환자 치험 1례 (A Case Report of Rhabdomyolysis Patient Treated with Traditional Korean Medicine)

  • 고홍제;신정철
    • Korean Journal of Acupuncture
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    • 제34권3호
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    • pp.172-178
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    • 2017
  • Objectives : The purpose of this study is to report a case of traditional Korean Medicine effect on a patient with rhabdomyolysis who appealed leg pain, numbness and weakness. Methods : A patient received traditional Korean Medicine including acupuncture, herbal medicine, moxibustion, and cupping therapy daily. We evaluated the clinical results by observing the patient's symptoms, NRS(Numerical Rating Scale), MMT(Manual Muscle Test) grade and DITI(Digital Infrared Thermal Imaging). Results : After traditional Korean Medicine, the patient's pain and numbness decreased from NRS 10 to 1~2 and weakness improved from Gr3- to Gr4. And CPK(creatine phosphokinase) numerical value decreased from 330(IU/L) to 164 and body heat status improved. Conclusions : Traditional Korean Medicine can be effective in reducing rhabdomyolysis patients' symptoms and changing examination numerical value. And further studies on traditional Korean Medicine of rhabdomyolysis should be carried out.