• 제목/요약/키워드: Pain characteristics

검색결과 1,301건 처리시간 0.094초

통증관리에 대한 간호사의 지식과 태도에 관한 연구 (A Study of the Nurses' Knowledge and Attitude about Pain Management)

  • 황경희;류언나;박경숙
    • 한국간호교육학회지
    • /
    • 제13권1호
    • /
    • pp.41-51
    • /
    • 2007
  • Purpose: This research studied the nurses' knowledge and attitude about pain management. Method: The research subjects were 465 nurses working at three university hospitals in Seoul and at one university hospital in Kyunggi-do. The survey results were collected between October 13 and 21 in 2004. Result: The overall mean score of correct answers on knowledge about pain management was 73.34, general knowledge 71.08, and cancer pain control was 93.93. Similarly, the mean score of correct answers on knowledge about the classification of analgesics was 75.89, while the knowledge of their use was only 52.48. The overall characteristics related to the degree of the nurses' knowledge about pain management were their educational background and their experiences of pain education. In a similar view, the overall characteristics related to the knowledge about the classification of analgesics were age and religion. Likewise, the use of analgesics was related to field of service and the experience of pain education. Finally, the overall characteristics related to the nurse's attitude toward pain management were their field of service and their position. Conclusion: The results of this study could be useful to institutions involved in the education and application of patient pain management.

  • PDF

Factors Related to Preoperative Shoulder Pain in Patients with Atraumatic Painful Rotator Cuff Tears

  • Park, In;Lee, Hyo-Jin;Kim, Sang-Ki;Park, Min-Sik;Kim, Yang-Soo
    • Clinics in Shoulder and Elbow
    • /
    • 제22권3호
    • /
    • pp.128-134
    • /
    • 2019
  • Background: Patients with rotator cuff tears are usually afflicted with shoulder pain and disability. However, it is unclear which factors are related to shoulder pain in patients with rotator cuff tears. This study was therefore undertaken to determine the factors correlated with shoulder pain in patients with painful rotator cuff tears, but without any history of trauma. Methods: We evaluated a cohort of 745 patients with painful rotator cuff tears having no trauma history, and analyzed the relationship between pain and multiple factors including demographic data, tear characteristics, and passive range of motion. Pain was analyzed with a questionnaire concerning the visual analogue scale (VAS) for pain. Tear characteristics were determined by evaluating tear size, muscle atrophy, number of torn tendons, and presence of arthritis. Multivariate linear regression analysis and chi-squared test were applied to evaluate the relationship between the VAS for pain and variable factors. Results: Shoulder pain was associated with young age (p=0.01), male sex (p=0.01) and the presence of diabetes mellitus (p<0.001). Measurements of rotator cuff tear characteristics including tear size (p=0.53), muscle atrophy (p=0.16) and the number of torn tendons (p=0.34) did not correlate with shoulder pain. Symptom duration (p=0.60) and range of motion (p>0.05) also showed no correlation with VAS for pain. Conclusions: Young age, male sex and the presence of diabetes mellitus correlated positively with preoperative shoulder pain in patients with painful rotator cuff tears without a trauma history. Combined treatment of pain management and risk factor correction could be helpful to control preoperative shoulder pain.

산모의 요통 실태와 관리에 대한 조사 연구 (A Survey of Characteristics and Management of Low Back Pain in Postpartum Women)

  • 김선엽;남건우
    • 한국전문물리치료학회지
    • /
    • 제9권1호
    • /
    • pp.69-79
    • /
    • 2002
  • Many pregnant women have experienced low back pain (LBP) during pregnancy and after delivery, and it has been an important component in women health. This study was designed to investigate the characteristics and management of the LBP in postpartum women. Eighty-five postpartum women were participated in this survey. Mean age of 85 women was 28.1 years. Of 85 postpartum women, 55.3% (n=47) had LBP after pregnancy. Thirty of 47 women had pain on lumbar region, 17 postpartum women had pain on sacroilium region. Of 85 postpartum women, 74% (n=54) had LBP before pregnancy and 71.8% (n=61) had LBP during pregnancy. Of 47 postpartum women who had LBP, 83% (n=39) had not received medical management for LBP, 12.8% (n=6) took medication, and 4.3% (n=2) performed self-exercise. None of postpartum women had received physical therapy during pregnancy and after delivery for treatment low back pain. The pain in SI region was more severe than in lumbar region after pregnancy according to VAS (visual analog scale) (p<.05). However, there was no significant difference in VAS scores between SI pain and lumbar pain before and during pregnancy (p>.05). Pain region after delivery was related to pain region of pre-pregnancy and during pregnancy (p<.01). Pain level after delivery was related to the pain and night pain level during pregnancy (p<.01).

  • PDF

뇌졸중 후 통증 발생과 삶의 질과의 관계 (The Relationship between Pain and Quality of Life in Stroke Patients)

  • 권미지
    • 대한물리의학회지
    • /
    • 제12권2호
    • /
    • pp.83-90
    • /
    • 2017
  • PURPOSE: Central post-stroke pain (CPSP), a chronic pain condition of stroke patients, can impair activities of daily living and worsen the quality of life (QOL), thereby negatively influencing the rehabilitation process. However, CPSP remains an underestimated complication of stroke. This study aimed to describe the prevalence and types of new-onset chronic pain and to identify the relation between pain and QOL in stroke patients. METHODS: All patients hospitalized because of a diagnosis of stroke were included. Questionnaire was used. Pain intensity was measured using Numerical rating scale (NRS), and pain characteristics were assessed using DN4. QOL was measured using SF-36. Descriptive statistics were used to analyze the characteristics and pain data, and chi-square test was used to compare QOL categorical data between the nociceptive and neurological pain groups. RESULTS: CPSP development was reported by 34% of the post-stroke pain patients. Perceived QOL was low in both groups, especially with respect to the physical functioning, bodily pain, physical-role functioning, emotional-role functioning, and mental health domains. However, no significant difference was observed in QOL between the nociceptive and neurological pain groups (p<.05). CONCLUSION: Our results indicated that CPSP is a common and disabling complication that is difficult to treat, often decreases QOL, and may negatively affect rehabilitation treatment.

요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석 (A Rasch Analysis of the Korean Version of Oswestry Disability Questionnaire According to General Characteristics of Patients With Low Back Pain)

  • 김경모;박소연;이충휘
    • 한국전문물리치료학회지
    • /
    • 제18권2호
    • /
    • pp.35-42
    • /
    • 2011
  • Three hundred and fourteen low back pain patients completed the Korean version of the Oswestry Disability Questionnaire (KODQ) and the Rasch analysis was then applied to identify the inappropriate items and to determine ODQ item difficulties according to a subject's characteristics. For women and youths, the 'sex life' item showed misfit statistics, whereas for older subjects it was the 'pain intensity' and 'standing' items. Also, in the acute low back group the 'pain intensity', 'standing' and 'sex life' items showed misfit statistics. For all subjects, the most difficult item was 'pain intensity', whereas the easiest item was 'walking'. But for the older and acute groups 'lifting' was the most difficult item and for those who have a visual analogue scale score of 3 or less 'sitting' was the most difficult item. These results show that differential item functioning is present in several items according to sex, age, acute and chronic pain, and VAS score. This study may be useful for adjusting the KODQ item difficulties for low back pain patients with different characteristics.

특발성 및 속발성 동결견에 대한 한방복합치료 성과의 후향적 분석 (Analysis of Treatment Outcomes for Idiopathic and Secondary Frozen Shoulder with Traditional Korean Medicine : A Retrospective Study)

  • 이주현;석경환;류수형;이수연;김홍국;유덕우;구본혁;김민정;박연철;서병관;백용현
    • Journal of Acupuncture Research
    • /
    • 제32권4호
    • /
    • pp.177-186
    • /
    • 2015
  • Objectives : This study was performed to analyze treatment outcomes of idiopathic and secondary frozen shoulder patients with clinical characteristics, as well as percentage of pain reduction, and to find out relevant factors for pain reduction in the frozen shoulders of each patient group. Methods : Data were collected from outpatients who visited the Acupuncture and Moxibustion department and treated with traditional Korean Medical treatments at a Korean Medicine Hospital from June 12, 2006 to June 30, 2015. Patients were divided into two groups; idiopathic and secondary frozen shoulder, based on imaging and medical records. Clinical characteristics (demographic characteristics, disease characteristics, treatment characteristics) and percentage pain reduction were collected. Percentage pain reduction was compared between two groups and relevant factors for pain reduction were analyzed. Results : 78 outpatients'medical records were reviewed. There was no significant difference of clinical characteristics between idiopathic and secondary frozen shoulder patients. In percentage pain reduction, there was no significant difference between the two groups. In the idiopathic frozen shoulder group, patients who had a short duration from the onset had a tendency for less pain (p<0.05). In the secondary frozen shoulder group, patients taking herbal medicine experienced significantly less pain (p<0.05). Conclusions : We could find no significant difference in percentage pain reduction with traditional Korean medicine between idiopathic and secondary frozen shoulder. Duration from the onset could be relevant in percentage pain reduction in idiopathic frozen shoulder, and taking herbal medicine could be relevant in the percentage pain reduction in secondary frozen shoulder.

악성종양 환자의 통증 및 통증관리에 관한 연구 (The Study of Pain and Pain Management of Cancer Patients)

  • 윤귀옥;박형숙
    • 기본간호학회지
    • /
    • 제3권2호
    • /
    • pp.299-316
    • /
    • 1996
  • This study is the descriptive survey to provide basic data for nursing intervention to pain management of cancer patients by finding more effective way to manage pain with recognize pain level and pain characteristics. To achieve the purpose of this study, the subjects of this study are 110 male or female gastro intestinal tract patients who are older than twenty, are hospitalized in Pusan University Hospital from 1995. 5. 28 to 1995. 9. 25 and have had medical treatment. The modified pain assessment of cancer patients of Cornne, H. Rosermary, M. was used as the tool of study with 16 questionaries. The pain score consists of sensory intensity score and distress score. The data was analyzed by the SPSS statistical program number, percentage, mean, standard deviation, t-test, One Way Anova and Duncan's Multiple Range Test were utilized for analysis. The results were summarized as follows : 1. In population-sociological characteristics : in the age-range of subject, the sixties are most as 32.7% and the subjects after the forties are 89.5%, in sex of subjects, male patients are 66.4% and female 33.6%, in the number of family, the subjects who has 4 or above families are 70% and the subjects who live with their spouse, sons and daughters are 54.5% 2. In the disease characteristics : stomach cancer patients were most as 39.1%. And the most of patient who had never been operated before. In time of pain, the most of subjects were intermittent. In the type of pain, the most of subjects were 'dully pain' as 31.8%. Metastatic subjects were 30.0%. In the origin of pain, nervous pressure was 50.8%. The number of complication was 46 and most of complication are obstruction as 6%. 3. In the pain level, 91subjects complained pain. And mean pain score was $287.1{\pm}116.1$ The mean pain score of female subjects was higher than that of male subjects. 4. In the pain characteristics, the pain began usually at meal time as 40.7%. The duration of pain was mostly from 1 month to 3 months as 57.1%. The appetite was mainly concerned with the pain as 31.8%. The etiology of pain was usually tumor as 69.3%. The meaning of pain was incurable disease as 14.5%, anxiety, death and suffering. 5. The 56(61%) of 91subjects were treated with Analgesic pain management. The kinds of Analgesic is usually valentac as 46.4%. The medication was usually intramuscle as 66.1% at whenever necessary, Response of Analgesic after Medication was usually 'moderate release'. The side effects of medication were nausea as 26.8%. The average amount of morphine dosage hospitalized to cancer patients with pain was 80mg in a day and metastatic cancer patients with pain was 101.9mg in a day. 6. In the relation between the disease characteristics and pain level, there is a significant statistical difference : whether subjects had been operated or not : (t=2.88, p=0.005), time of pain is(t=3.34, p=0.005), stage of metastatic(F=9.323, P=0.0002), and type of pain(F=4.013, p=0.0008). In the pain level of diagnosis, Colon cancer was $353.3{\pm}81.7$(F=2.34, p=0.049), the origin of pain, nerve pressure $316.3{\pm}98.5$(F=2.44, P=0.045), In the complication, ascites and obstruction $324.9{\pm}96.8$(T=2.60, P=0.04).

  • PDF

통증 치료실 내원 환자의 분석 (A Survey of Patients Visiting Pain Clinic)

  • 서창민;문철원;백운이;홍정길
    • The Korean Journal of Pain
    • /
    • 제13권2호
    • /
    • pp.224-231
    • /
    • 2000
  • Background: Currently, the number of patients visiting pain clinics is increasing with the augmented concerns of the patients about management of pain. We conducted this study in order to comprehend the characteristics of the patients visiting pain clinics and to find a method to further raises the public's awareness about pain treatment. Methods: We surveyed 497 new patients who had visited pain clinic of Kyungpook national university hospital from August 1998 to July 1999. We analysed these patients about their age, sex, chief complaint, duration of pain complaints, resident district, educational level and route of visiting pain clinic by use of questionnaire. Results: In age distribution, the largest proportion (29.8%) were in their 60's. Low back pain was the most common chief complaint (33.0%), the highest (43.7%) percentage of patients had complained of pain for over 6 months. Two thirds of the patients lived in urban area. Patients who were educated to only elementary school level made up the largest group with 35.3%. Referrals from former patients who had visited our pain clinic and had received treatment. Conclusions: As increasing patients who have pain complaints are related to social advanced age, it is prudent to consider the characteristics of age related pain complaints. And we have to guide the pain patients to have more earlier treatments using mass media because there is still insufficient general information about pain clinic and pain managements.

  • PDF

중환자실 요통관련 간호업무특성 (Nursing Work Related to Low Back Pain in Intensive Care Unit)

  • 이재희;송영신
    • 산업융합연구
    • /
    • 제21권10호
    • /
    • pp.103-110
    • /
    • 2023
  • 본 연구는 종합병원 중환자실 간호사의 요통 유무에 따른 개인적 특성과 간호업무 특성을 파악하고 요통 유발에 영향을 미치는 주요 요인을 탐색하기 위한 서술적 비교 조사 연구이다. D시에 소재한 종합병원 중환자실 간호사를 대상으로 설문조사를 실시하였고, 총 100부를 분석에 이용하였다. 자료 분석은 IBM SPSS 24.0을 이용하여 기술통계, 카이제곱 검정, Fisher 정확 검정, 로지스틱 회귀분석을 하였다. 연구 결과 중환자실 간호사의 69%가 요통이 있었고 이 중 65.2%가 최근 1년 동안 3개월 이상의 요통을 경험하였으며 중환자실 업무 후 요통이 발생한 경우가 84.1%로 나타났다. NRS로 측정한 요통 강도 점수는 49%가 4점 이상을 경험하는 것으로 응답 하였다. 요통 관련 요인으로 개인적 특성에서 성별(p=.03)과 간호업무 특성에서 환자 부축 횟수(p=.03), 환의 교환 횟수(p=.01), 무거운 물건 들기(p=.04), 신발 상태 만족도(p=<.001)가 요통 유발에 영향을 미치는 유의한 변수로 확인되었다. 중환자실 간호사의 요통 예방 및 관리를 위해서 병원 조직 및 국가 정책이 필요할 것으로 사료된다.

월경통 환자를 대상으로 환자용 사상체질진단 설문지의 체질별 응답차이 연구 (A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions in Adult Women with Menstrual Pain)

  • 나영주;강석환;김종원;전수형
    • 사상체질의학회지
    • /
    • 제28권4호
    • /
    • pp.330-337
    • /
    • 2016
  • Objectives The purpose of this study was to investigate whether the menstrual pain affect the Sasang constitutions questionnaire response in adult women. Methods Using a structured menstrual history questionnaire, we evaluated the degree of menstrual pain of 550 adult women who participated in this clinical trial. Based on the survey we classified them into menstrual pain group and control group. They filled out SSCQ-P (Sasang Constitution Questionnaire for Patients) and we had compared the difference in response by Sasang constitutions. From 329 women in menstrual pain group and 212 women in control group, 541 questionnaire was analyzed statistically by their constitutions. Results 7 questions in Soyangin, 11 questions in Taeeumin and 20 questions in Soeumin were statistically significant in response between menstrual pain group and control group. Conclusions Soyangin's menstrual pain shows less influence on SSCQ-P than Taeeumin and Soeumin. Taeeumin who has Taeyangin's appearances and characteristics has more menstrual pain. In Soeumin, menstrual pain may result in negative and less expressive characteristics.