• Title/Summary/Keyword: Pain Control

Search Result 2,946, Processing Time 0.038 seconds

The Effects of an Active Pain Management with Structured Physiotherapy on Postoperative Pulmonary Complications and Pain among Children (안위를 고려한 통증관리중재가 수술 후 아동의 폐합병증 발생, 통증, 안위에 미치는 효과)

  • Kim, Sun Gu;Kim, Ji Soo
    • Journal of Korean Clinical Nursing Research
    • /
    • v.14 no.3
    • /
    • pp.47-59
    • /
    • 2008
  • Purpose: The purpose of the study was to compare the active pain management (APM) with structured physiotherapy (SPT) with the conservative care on postoperative pulmonary complications, pain, and comfort in children under three year. Method: A non-equivalent control group, non-synchronized design study was used. A total of 64 children participated in the study. The children in the experimental group (n=32) received APM with SPT after surgical operation. After transferred to the general unit, the parents were instructed to hold the child for 30 minutes to relieve anxiety and have him/her sleep comfortably for 2 hours. Scheduled 20 minutes chest percussion was performed by the parents for 2 days: twice every 4 hours, one in 6 hours, then one every 8 hours for the rest of two days. Analgesic was administered as needed. Pain and comfort were observed and recorded by nurses using the FLACC and COMFORT Behavior Scale. Results: One child in the control group was diagnosed with postoperative pneumonia. The children in the experimental group who were received the APM with SPT reported higher scores in comfort and lower scores in pain than those in the control group. Conclusion: The findings suggest that APM with SPT can help prevent postoperative pulmonary complications and pain.

  • PDF

Effect of Electrical Stimulation Level on Quantitative Sensory Test Induced Erythema by UV Radiation (전기자극수준이 자외선에 의한 홍반의 정량적 감각검사에 미치는 효과)

  • Kim, Su-Hyon;Kim, Hyun-Jin
    • Journal of the Korean Academy of Clinical Electrophysiology
    • /
    • v.10 no.2
    • /
    • pp.1-6
    • /
    • 2012
  • Purpose : This study is to investigate the modulatory effects to the ultraviolet induced erythema of pain processing system. Methods : Thirty six healthy volunteers were divided into none treatment group (n=6), indomethacine group (n=6), subsensory level electrical stimulation group (n=6), sensory level electrical stimulation group (n=6), motor level electrical stimulation group (n=6), noxious level electrical stimulation group (n=6). Subjects were induced erythema for three times minimal erythema dose (MED) at upper arm of dermatome C6 level. Each experimental group had mechanical pain threshold (MPT), electrical pain threshold (EPT), thermal pain threshold (TPT). Results : This study revealed that we observed that pain thresholds were significantly correlated with each other in pain processing system. The effect of electrical stimulation levels evaluates were shown to be significant differences pain control effect in electrical stimulation group (sensory, motor level electrical stimulation groups) more than indomethacine group, subsensory level and control group. Conclusion : In this study, it was found that the effect of ultraviolet induced erythema of pain control by modulatory electrical stimulation.

The Effect of Back Pain Prevention Intervention Program on Back Pain Relief in Patients Following Percutaneous Coronary Intervention (요통예방 중재 프로그램이 경피적 관상동맥 중재술 후 환자의 요통완화에 미치는 효과)

  • Lee, Hyea Kyung;Park, Yeon Suk
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.16 no.2
    • /
    • pp.100-111
    • /
    • 2013
  • Purpose: The purpose of this study was to identify the effectiveness of back pain prevention intervention program on reducing back pain of patients undergoing percutaneous coronary intervention (PCI). Methods: The patients were divided into two groups as the experimental group and control group. In the experimental group, the participants took bedrest for 4 hours after PCI and then received back pain prevention intervention program (BPPIP). Total of 5 times BPPIP with 1 hour interval for 5-10 minutes per each intervention was administered to the patients taking bedrest for 4 hours after PCI. In the control group, total of 5 times routine nursing care with 1 hour interval was administered to the patients taking bedrest for 4 hours after PCI. The data were collected on admission in the ICU and after the 5 exercise sessions. The collected data were analyzed using SPSS/WIN program. Results: No significant differences in the occurrence of hemorrhage after the BPPIP were observed between the experimental group and the control group. After the BPPIP, back pain outcomes were significantly low in the experimental group. However, urination disorder and cortisol level did not show a statistically significant differences between two groups. Conclusion: It is clear that BPPIP is a useful nursing intervention for reducing back pain of patients undergoing PCI.

Effects of Elastic Band Exercise Combined with Swiss Ball Exercise on Lower Extremity Muscle Strength, Balance, and Pain in Middle-Aged Women with Osteoarthritis

  • Yohan Yoo;Jongeun Yim
    • Physical Therapy Rehabilitation Science
    • /
    • v.12 no.3
    • /
    • pp.355-364
    • /
    • 2023
  • Objective: The aim of this study is to test the effects of elastic band exercise accompanied by Swiss ball exercise on lower limb muscle strength, balance and pain in middle-aged women with osteoarthritis. Design: A randomized controlled trial. Methods: Thirty-five participants were randomly assigned to the experimental group (n=18), which performed elastic band exercise combined with Swiss ball exercise, and the control group (n=17), which performed elastic band exercise only. Both groups did a 30-minute session of exercise three times a week for eight weeks and were assessed for lower extremity muscle strength, static and dynamic balance, and pain levels before the first therapy session. All participating patients underwent outcome assessment after eight weeks of therapy without any additional treatment. Results: The experimental group made a significant increase in muscle strength of the lower extremities, static and dynamic balance ability, and pain level (p<0.05). The control group made a significant improvement in lower limb muscle strength, dynamic balance ability and pain level (p<0.05) with no such improvement in static balance ability. The exercise group made a significant increase in static and dynamic balance ability and pain level compared to the control group (p<0.05). Conclusions: These results demonstrated that both Swiss ball exercise and elastic band exercise were effective for middle-aged women with osteoarthritis and found that elastic band exercise combined with Swiss ball exercise produced more significant effects on their balance and pain.

Effects of Wearable Near-Infrared Rays on Knee Pain in Korean Elderly Adults

  • Lee, Jin-Min;Kim, Kye-Ha
    • Journal of Integrative Natural Science
    • /
    • v.13 no.4
    • /
    • pp.121-127
    • /
    • 2020
  • To investigate the effects of wearable near-infrared ray-emitting knee pads on knee pain among elderly adults in Korea. Randomized controlled trial evaluating the effects of near-infrared rays (NIR) on knee pain in Korean elderly adults. Five community-based research facilities (two welfare centers, a senior citizen center, and two churches). Forty-seven participants aged 65 years and older who had experienced knee pain. The experimental group (n = 25) wore NIR-emitting knee pads for one month at nighttime while sleeping. The control group (n = 22) wore knee pads without NIR. Demographic characteristics, intensity and duration of knee pain, amount of analgesic medication used, range of motion, gait speed, and health-related quality of life were collected using questionnaires. The experimental group showed decreased intensity (t = -6.17, p < 0.001) and duration (t = -3.34, p = 0.002) of knee pain and reduced analgesic use (t = -2.30, p = 0.026) compared to the control group. NIR may be an effective non-pharmacological option for relieving knee pain in elderly adults.

Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study

  • Ugur Sozlu;Selda Basar;Ulunay Kanatli
    • Clinics in Shoulder and Elbow
    • /
    • v.27 no.1
    • /
    • pp.52-58
    • /
    • 2024
  • Background: Deficiency in scapular muscle endurance (SME) is a risk factor for rotator-cuff-related shoulder pain (RCRSP). However, the exact relationship among SME, pain, and functionality remains unclear. This study aims to compare SME, pain, and functionality in RCRSP patients to those in age-sex-matched healthy controls. Methods: Twenty-three patients with RCRSP and 23 age-sex matched healthy controls were included in the study. SME was measured using a 1-kg dynamometer. Self-reported pain level was assessed using a visual analog scale. The Functional Impairment Test-Hand, Neck, Shoulder, and Arm (FIT-HaNSA) was also used to assess functional impairment. Results: The control group had higher SME and total FIT-HaNSA scores than the patient group (P<0.05). There was a statistically significant and positive correlation between SME and FIT-HaNSA scores in both groups (P<0.05). Conclusions: SME was affected by RCRSP. Pain and functional impairment were correlated with low SME.

Epidural Analgesia Using High Dose Morphine in a Terminal Lung Cancer Patient -A case report- (고용량 모르핀의 지속적 경막외주입에 의한 암성 통증 조절 -증례보고-)

  • Lee, Ji Yeon;Shinn, Helen Ki;Kim, Tae Jung;Cho, Young Deog;Song, Ha Na;Yang, Chun Woo
    • The Korean Journal of Pain
    • /
    • v.19 no.1
    • /
    • pp.96-100
    • /
    • 2006
  • Pain control is very important in managing terminal cancer patients and there are several modalities to alleviate their pain. A high dosage of epidural morphine is effective to control terminal cancer pain. Furthermore, to decrease the amount of morphine, adding an alternative adjuvant like ketamine to the morphine regimen is considered helpful for controlling the pain of a terminal cancer patient. A 45 year old male patient with terminal lung cancer had neck pain that was caused by multiple bone metastases. Continuous epidural block was started with 2 mg/day of morphine and the dosage was gradually increased to 90 mg/day in 86 days. 30 mg/day of ketamine was then added to it. Overall, the morphine and ketamine dosages were increased to 564 mg/day and 140 mg/day, respectively, in 11 months until the patient expired. In this case, the high dosage of epidural morphine, 580 mg/day, was administered to control cancer pain without any severe adverse effects.

Effect of audio distraction with thermomechanical stimulation on pain perception for inferior alveolar nerve block in children: a randomized clinical trial

  • Devendra Nagpal;Dharanshi Viral Amlani;Pooja Rathi;Kavita Hotwani;Prabhat Singh;Gagandeep Lamba
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.23 no.6
    • /
    • pp.327-335
    • /
    • 2023
  • Background: Pain control is a crucial aspect of pediatric dentistry for patient management. Thermo-mechanical devices (BuzzyTM Pain Care Labs, USA) work on the concept of vibration and cooling and have shown promising results in pain control during local anesthesia in pediatric dentistry. On the other hand, audio distraction has also been used for pain management. The amount of pain endured is determined by the patient's perception and attentiveness. Thus, if audio function is added to the thermomechanical device it might increase its efficiency. Hence, the present study aimed to compare pain on injection using a thermo-mechanical device with and without audio during inferior alveolar nerve block (IANB) injection in children aged 5-10 years old. Methods: Twenty-eight children aged between 5 and 10 indicated for IANB were included in this randomized study. Children who were undergoing the dental procedure were divided into 2 groups, with 14 children in each group. The study group was the thermo-mechanical device with audio distraction; the control group was the thermo-mechanical device without audio distraction. IANB was administered. Subjective pain evaluation was performed using the Wong-Baker Faces Pain Rating Scale (WBFPR) and objective pain evaluation was done using the Faces, Leg, Activity, Consolability, Cry (FLACC) scale. Results: The outcome depicted a significant reduction in pain on injection for both objective and subjective evaluations in the thermo-mechanical device with an audio distraction group. Conclusions: Less pain on injection was observed, when a thermo-mechanical device was used with audio distraction for IANB procedures.

Effects of Aromatherapy Massage on Pain, Physical Function, Sleep Disturbance and Depression in Elderly Women with Osteoarthritis (향 요법 마사지가 골관절염 여성 노인의 통증, 신체기능, 수면장애 및 우울에 미치는 효과)

  • Choi, In-Ryoung
    • Women's Health Nursing
    • /
    • v.12 no.2
    • /
    • pp.168-176
    • /
    • 2006
  • Purpose: This study was to investigate the effects of aromatherapy massage on pain, physical function, sleep disturbance and depression in elderly women with osteoarthritis. Method: The study design was a quasi-experiment design with a non-equivalent control group pre and post-test. The study pool included elderly female patients older than 65years old suffering from osteoarthritis. Results: Pain in the experimental group after the aromatherapy massage was significantly decreased than that in the control group. The physical disability in the experimental group after the aromatherapy massage was significantly decreased than that in the control group. The sleep disturbance in the experimental group after the aromatherapy massage was significantly decreased than that in the control group. The depression in the experimental group after the aromatherapy massage was significantly decreased than that in the control group. Conclusion: Aromatherapy may be adopted as an effective nursing intervention for osteoarthritis.

  • PDF

Pain and Physical Therapy (통증과 물리치료)

  • Hwang, Seong-Soo;Kwon, Hei-Jeoung
    • Journal of Korean Physical Therapy Science
    • /
    • v.3 no.4
    • /
    • pp.215-228
    • /
    • 1996
  • Pain is a protective mechanism for the body in that it occurs when tissues are damaged. Patients who need physical therapy intervention has various pain. Thus, pain is one of aim for physical therpay. The purposes of this review are to give information and basic data for pain control which is related physical therapy. We discuss about pain pathways, pain theory, type of pain, variance which is affected pain, assessment tools, and managing pain.

  • PDF