• Title/Summary/Keyword: Pain Scale

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Approach of Conservative Treatment in Low Back Pain (요통의 보존적 치료 접근)

  • Kang, Jeom - Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.2
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    • pp.79-84
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    • 2007
  • Purpose: The data was performed to evaluate the effect of conservative treatment in 30 patients aging from 21 to 71 with lumbar back pain. Methods: The effect of conservative treatment was analyzed with use of pain behavior scale, pain self assessment scale by Million Index in according to age, occupation, duration of symptom, symptom. Results: The occupation were desking job 43.4%, standing job 33.3%, house wife 23.3%. Duration of symptoms in over 2-5 months was 40.0%. The pain in below 1 months, classified by duration of symptoms, was reduced from 2.1 to 3.0 in pain behavior scale, 6.0 to 2.2 in pain self assessment scale(p<0.05). The pain in only lumbar back pain, classified by symptoms, was reduced from 2.0 to 3.0 in pain behavior scale, 6.6 to 2.4 in pain self assessment scale(p<0.05). Conclusion: The pain in over 9 months. classified by duration of physical therapy, was increase 2.0 in pain behavior scale, 4.0 in pain self assessment scale (p<0.05).

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Validity, Reliability and Efficiency of Pain Self-report Scale in Elderly with Dementia (치매노인의 통증사정에 대한 자가보고 도구의 타당도, 신뢰도 및 효율성 검증)

  • Ryoo, Eon-Na;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.111-122
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    • 2011
  • Purpose: The aim on this study was to establish the validity, reliability and efficiency of a Pain Self-Report Scale for elderly with dementia and compare these results with an observational pain rating scale. Methods: Study subjects were 136 elderly with dementia who were residents in a nursing home, geriatric hospital, or day care center. The subject's pain was measured by five self-report scales and observational scale. DS-DAT (discomfort scale-dementia of the Alzheimer's type) was used for pain behavior observational measure. Cognitive state was assessed using the MMSE (Mini-Mental State Examination). Results: Observational rating correlated moderately with self-report (r=.225~.585, p<.05) and tended to underestimate pain intensity. Test-retest reliability was high for all five self-report scales, and the correlation between these scales was very strong (r=.735~.856, p<.05). Comprehension rate of VDS (verbal descriptor scale) was 88.3%, and NRS (numeric rating scale) 69.9%, FPS (face pain scale) 66.9%, HVAS (horizontal visual analog scale) and VVAS (vertical visual analog scale) 65.4%. Conclusion: Nurses should not apply observational scales routinely in demented patients as many of these are capable of reporting their own pain. Self-report, the highest standard of pain measurement can be reliably performed in a large proportion of demented elderly.

Pain measurement in oral and maxillofacial surgery

  • Sirintawat, Nattapong;Sawang, Kamonpun;Chaiyasamut, Teeranut;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.253-263
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    • 2017
  • Regardless of whether it is acute or chronic, the assessment of pain should be simple and practical. Since the intensity of pain is thought to be one of the primary factors that determine its effect on a human's overall function and sense, there are many scales to assess pain. The aim of the current article was to review pain intensity scales that are commonly used in dental and oral and maxillofacial surgery (OMFS). Previous studies demonstrated that multidimensional scales, such as the McGill Pain Questionnaire, Short form of the McGill Pain Questionnaire, and Wisconsin Brief Pain Questionnaire were suitable for assessing chronic pain, while unidimensional scales, like the Visual Analogue Scales (VAS), Verbal descriptor scale, Verbal rating scale, Numerical rating Scale, Faces Pain Scale, Wong-Baker Faces Pain Rating Scale (WBS), and Full Cup Test, were used to evaluate acute pain. The WBS is widely used to assess pain in children and elderly because other scales are often difficult to understand, which could consequently lead to an overestimation of the pain intensity. In dental or OMFS research, the use of the VAS is more common because it is more reliable, valid, sensitive, and appropriate. However, some researchers use NRS to evaluate OMFS pain in adults because this scale is easier to use than VAS and yields relatively similar pain scores. This review only assessed pain scales used for post-operative OMFS or dental pain.

The Study For Clinical Measurement of Pain (통증(痛症)의 임상적평가법(臨床的評價法)에 관한 고찰(考察))

  • Shin, Seung-Uoo;Chung, Seok-Hee;Lee, Jong-Soo;Shin, Hyun-Dae;Kim, Sung-Soo
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.25-46
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    • 2000
  • Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient's self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidimensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient's linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

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A Survey on Changes of Postoperative Pain of Surgical Patients according to Time Variation (환자의 수술후 경과시간에 따른 동통정도의 변화에 관한 연구)

  • 이은옥;김수진;이경숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.1
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    • pp.60-68
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    • 1984
  • The main purpose of this study is to observe patterns of pain of surgical patients following surgery The postoperative pain was checked with the interval of every 2 hours from 6 hours to 80 hours after surgery. Graphic rating scale from unidimensional concept of pain and sensory intensity scale and unpleasantness scale from two dimensional concept of pain were used for pain measurement. Thirty two patients were participated in this study in which 22 were undergone upper abdominal surgery, 7 thyroid or neck surgery and 3 other surgeries. The findings obtained from this study were as follows: 1) In all cases of using 3 different pain measurement tools, postoperative pain was markedly decreased since 36 hours after surgery. In case of patient's less cooperation, either sensory intensity scale or graphic rating scale may be chosen for the measurement of pain. 2) Pain amounts measured by sensory intensity scale were highly correlated with those measured by unpleasantness scale in all situations except several situations having few cases included. Unpleasantness scale may be separately used for themeasurement of affective response due to pain. 3) Almost 90% of total amount of analgesics used for relief of pain were used within 36 hours after surgery. 4) Mean frequency of analgesics used by every patient during 80 hours following surgery was 0.84.

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Correlation of Pain and Anxiety (통증과 불안의 관계분석)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.8 no.2
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    • pp.19-29
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    • 2002
  • Objectives: This study was to analysis of pain using visual analogue scale and self rating anxiety scale questionnaire. Methods: Questionnaire were completed by 83 adult patients of department relation to pain in hospitals of Daegu from June 20, to August 10, 2001. The information was used to estimate multiple regression for the pain and anxiety scale related factors association. Results: Women visual analogue scale 4.6 scores of mean was higher than man 4.3 scores. Man self rating anxiety scale 30.2 scores of mean was higher than women 26.8 scores. The scores of 6 months above was discomfort 51.8, 1 month below was mild 22.1%, 2-3 months was discomfort 10.5%, and 4-5 months was discomfort 9.3% in association between present pain index and duration. Conclusion: Visual analogue scale scores was significantly associated with frequency of present pain index. Self rating anxiety scale scores was significantly associated with frequency of occupation and present pain index.

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An Overview of Pain Measurements (통증평가도구에 관한 고찰)

  • Shim, Sung-Youn;Park, Hi-Joon;Lee, Jun-Mu;Lee, Hyang-Sook
    • Korean Journal of Acupuncture
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    • v.24 no.2
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    • pp.77-97
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    • 2007
  • Objectives : The aim of this study is to introduce pain measurement tools that are considered suitable for clinical practice and research for Korean Medicine Doctors. Methods : We analysed some widely used and also useful pain measurement tools in terms of their methods and dimensions. Results : Diagrams, scales and questions are usually used to measure pain intensity, temporal pattern, treatment including exacerbating and/or relieving factors, pain location, pain interference, pain quality, pain affect, pain duration, pain beliefs and pain history. Specific pain measurements are also available for specific conditions such as Western Ontario and McMaster Universities Osteoarthritis Index, Oswestry Disability Index and Neck Disability Index. Conclusions : Faces Pain Rating Scale, numeric rating scale, visual analogue scale, McGill Pain Questionnaire and Brief Pain Inventory and commonly used pain measurements. Specific measurements should be considered depending on research topics.

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Comparison of Visual Analogue Scale, Categorical Scale and Satisfaction for Postoperative Pain (수술 후 통증 평가를 위한 Visual Analogue Scale, Categorical Scale 그리고 환자 만족도와의 비교)

  • Kim, Yong-Ik;Nam, Sang-Goo;Hong, Seung-Taek;Kang, Kyu-Sik;Park, Wook
    • The Korean Journal of Pain
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    • v.14 no.2
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    • pp.156-163
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    • 2001
  • Background: The categorical scales and visual analogue scales (VAS) are methods used for evaluating variations of postoperative pain intensity. Several studies have introduced the idea that there is a clear correlation between visual scales and categorical scales. However, when VAS is the only pain measure in the study, we do not know what point on the VAS represents a category on the categorical scale and their degree of correlation with satisfaction for postoperative pain. Methods: 252 patients who had undergone elective surgery were studied. A 5-point categorical scale (none, mild, moderate, severe, worst possible pain), a 0-100 mm VAS (no pain to worst possible pain) and patient satisfaction score were checked 24 hours after surgery using a pain questionnaire and VAS tool. Results: The mean VAS score of the 14 patients reporting 'no-pain' was $1.9{\pm}0.9$, $23.9{\pm}1.0$ for the 132 patients reporting 'mild-pain', $47.2{\pm}1.1$ for the 82 patients reporting 'moderate-pain' and $67.5{\pm}2.8$ for the 24 patients reporting 'severe-pain'. Of the patients reporting moderate pain, 85% scored over 45.6 mm on the corresponding VAS, with a mean score 47.2 mm. The mean satisfaction scores were $90.6{\pm}2.7$ for the 'no pain', patients, $75.1{\pm}1.3$ for ‘mild pain', $58.3{\pm}1.5$ for 'moderate pain', and $55.1{\pm}4.0$ for 'severe pain' patients. The categorical scale was significantly correlated with VAS (P < 0.01). The satisfaction score was significantly inversely correlated with VAS (P < 0.01). Conclusions: Our results indicate that if a patient records a VAS score in excess of 45.6 mm they would probably have recorded at least moderate pain on a 5-point categorical scale. The categorical scale can be used properly for postoperative pain measurement with VAS. More research is required for the development of suitable pain descriptor for a categorical scale and pain questionnaire in Korean.

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Analysis of Pain using Visual Analogue Scale Questionnaire (VAS 평가표를 이용한 동통에 대한 분석)

  • Kang Jeom-Deok;Kim Chul-Yong
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.165-174
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    • 2000
  • Objectives : This study was to analysis of pain using visual analogue scale questionnaire. Methods : Questionnaire were completed by 101 adult patients of department relation to simple pain in hospitals of Taegu from March 10, to April 10, 2000. The information was used to estimate multiple regression for the pain related factors association. Results : Visual analogue scale scores of mean was 4.29. work modification scores was 5.50. The scores of 1 month below was mild$(45.16\%)$, 6 months above was discomfort$(56.41\%)$. distressing$(72.73\%)$. and excruciating$(100.0\%)$ in association between present pain index and duration(p=0.002). Visual analogue scale scores was significantly associated with frequency of pain and present pain index. Conclusion : Date from this study support a statistically significant association between visual analogue scores scores and two factors found in other research to increase the relation with pain. This findings may have implications for targeting frequency of pain and present pain index.

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The Study Of Functional Disability Scales for Low Back Pain (요통의 기능 평가방법에 대한 고찰)

  • Moon, Sang-Hyun;Ryu, Han-Jin;Lee, Jons-Soo;Youn, You-Suk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.39-53
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    • 2003
  • Objectives : The object is to the difference among the funtional disability scale for low back pain and to use Methods : I researched the contents of funtional disability scale for low back pain Results & Conclusions : 1. The funtional disability scale for low back pain is specific-condition and general-health 2. A proposal of set core of funtional disability scale for low back pain is back specific function, generic health state, pain, work disability, satisfaction 3. Oswestry disability index or Rolland disability questionnaire. wase used for standard specific-condition scale and SF-36 was used for standard general-health scale 4. SF-36 is able to use the funtional disability scale for low back pain independence 5. In the future, scale for low back pain shulod be standardized in multiple dimension by computer

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