• 제목/요약/키워드: numerical rating scale (NRS)

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노인의 감각처리유형과 통증 파국화 수준의 상관성 검토 (Correlations between Sensory Processing Patterns and Pain Catastrophizing Levels in Well Older Adults)

  • 정우영;강대혁;박소연
    • 한국산학기술학회논문지
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    • 제14권1호
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    • pp.214-222
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    • 2013
  • 본 연구는 노인의 감각처리유형과 통증 파국화 수준과의 상관관계에 대하여 알아보고, 이를 통해 재활중재를 위한 기초자료로 제시하고자 하였다. 연구대상은 65세 이상 노인 216명으로 하였다. 감각처리의 유형은 청소년/성인 감각프로파일을 사용하여 측정하였고, 통증의 심리적인 변인들은 통증파국화척도를 사용하여 측정하였다. 성별과 연령에 따른 차이는 t-검정을, 감각처리유형과 통증파국화와의 상관관계를 피어슨 상관분석을 실시하였다. 감각처리유형은 여성이 남성에 비해 '감각민감', '감각회피'의 경향이 높았으며(p<.05), 연령이 75세 이상인 군이 65~74세 군에 비해 '감각회피', '등록저하', '감각찾기'의 경향이 높은 것으로 나타났다(p<.05). 감각처리유형이 '등록저하'일 때 통증파국화의 '반추적사고'와 그리고 '감각찾기'일 때 통증 파국화의 '무력감'과 음의 상관관계를 나타내었다. '감각민감', '감각회피' 일 때 통증파국화의 모든 항목에서 양의 상관관계를 나타내었다. 65세 이상 노인의 감각처리 유형은 통증에 대한 심리적인 변인과 관련되어 있으며, 성별과 연령에 따라 차이가 있음을 알 수 있었다. 앞으로는 노인의 감각처리 유형 및 통증관련 요인들에 관한 더 진전된 연구가 이루어지기를 기대한다.

하지 절단 환자의 환상통에 대한 한방 치험1례 (A Case Report on a Phantom Limb Pain Patient after Below Knee Amputation using Korean Medicine Treatment)

  • 서형범;배고은;최진용;서희정;심소현;한창우;김소연;최준용;박성하;윤영주;홍진우;권정남;이인
    • 대한한방내과학회지
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    • 제39권6호
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    • pp.1306-1312
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    • 2018
  • Objectives: This study presented the case of a 49-year-old Korean female with phantom limb pain after below right knee amputation and aimed to assess the effectiveness of Korean medicine treatment. Methods: The patient was treated with scalp acupuncture, electroacupuncture and herbal medicine. We executed a numerical rating scale (NRS), conducted a global assessment (G/A), administrated a Short-Form McGill Pain Questionnaire 2 (SF-MPQ-2) and measured total daily sleep time to evaluate symptom improvement. Results: The patient's G/A scores decreased from 10 to 2 and SF-MPQ-2 points decreased from 20 to 6 after treatment. The total daily sleep time did not changed due to anxiety. Conclusions: This study suggests that Korean medicine treatment could be effective in treating phantom limb pain after amputation. Further studies are needed.

아토피피부염을 동반한 성인 삼출성 중이염 치험례 (A Case of Adult Otitis Media with Effusion Accompanied by Atopic Dermatitis)

  • 송지훈;우배언;김종한;정민영;최정화;박수연
    • 한방안이비인후피부과학회지
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    • 제35권2호
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    • pp.95-104
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    • 2022
  • Objectives : This study is to report a case of otitis media with effusion accompanied by atopic dermatitis improved by Korean medicine monotherapy. Methods : A 31-year-old woman patient visited our clinic for aural fullness, hearing loss, and tinnitus of the left ear on August 14th, 2021. She also had abdominal pain, diarrhea, and general weakness because of side effects of antibiotics. Besides, she had nasal congestion, rhinorrhea, and dry skin. Through otoscopy, her tympanum was fully filled with yellow effusion. She only took Korean medicine therapy including acupuncture and herbal medicine weekly. The treatment continued for about 4 months(total 14 visits) until December 4th, 2021. Otoscopy, numerical rating scale(NRS), scoring atopic dermatitis(SCORAD) index were used to assess the symptoms. Results : On August 30, 2021, her intestinal symptoms improved. The left tympanum was recovered to normal condition as the treatment continued. The effusion disappeared on October 16th, 2021. On November 6th, 2021, peritympanic blood congestion also almost alleviated. Subjective symptoms including aural fullness, hearing loss, and tinnitus disappeared on October 16, 2021. Nasal symptoms and dry skin also improved. The SCORAD index dropped from 15 to 4. Conclusions : These results suggests that otitis media with effusion can be sufficiently managed by Korean medicine therapy. Further, active application of Korean medicine therapy to common otolaryngological diseases is necessary.

한방 치료로 고안드로겐혈증을 개선한 다낭성 난소 증후군 연속증례연구 (A Case Series of Polycystic Ovary Syndrome with Improved Hyperandrogenism Treated with Korean Medicine)

  • 신혜규;배지용;지영근;안해인;윤영흠;김남권
    • 대한한방부인과학회지
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    • 제34권3호
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    • pp.175-191
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    • 2021
  • Objectives: This study aims to analyze the medical record of eight cases of polycystic ovary syndrome (PCOS) in a local Korean medicine clinic, in order to provide evidence on Korean medicine treatment of PCOS and to suggest the direction of future studies. Methods: The medical records of eight cases diagnosed with PCOS based on 2003 Rotterdam Criteria and whose total testosterone level was 0.53 ng/ml and over were retrospectively analyzed. The primary outcome was total testosterone level, and the secondary outcomes included luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels, LH/FSH ratio, weight, last mentrual period (LMP), numerical rating scale (NRS) score of dysmenorrhea, and other associated symptoms pre- and post-treatment. Korean medicine treatment consists of the complex herbal prescription consisting of Yukmijihwang-tang, Baekho-tang, Daesiho-tang, and Gyejibokryeong-hwan, modified according to symptoms; acupuncture and electroacupuncture on 中脘 (CV12), 下脘 (CV10), 關元 (CV4), 石門 (CV5), 合谷 (LI4), 太衝 (LR3), 三陰交 (SP6), and 懸鍾 (GB39); and indirect moxibustion on 神闕 (CV8). Results: The average total testosterone level lowered statistically significantly after the treatment. The average FSH and LH levels lowered with insignificance, while the average LH/FSH ratio and weight lowered statistically significantly. During the treatment period of three to six months, every patient had the menstrual cycle shortened except for one case; and two cases with infertility problem succeeded in being pregnant. There was no adverse event. Conclusions: The Korean medicine treatment was found effective in treating PCOS, especially regarding hyperandrogenism, amenorrhea or oligomenorrhea, and infertility.

교통사고 후 발생한 급성 수면장애 환자에 대한 M&L 심리치료와 한방 복합치료 치험 3례 (Acute Insomnia in Post-Traffic Accident Patients Treated with M&L Psychotherapy Combined with Traditional Korean Medicine: Three Case Reports)

  • 구강모;박지원;지정효;김나영;이동환;김효림;임유라;손자연;양석규
    • 동의신경정신과학회지
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    • 제35권2호
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    • pp.205-216
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    • 2024
  • Objectives: To evaluate the effectiveness of Mindfulness & Loving Beingness (M&L) psychotherapy combined with traditional Korean medicine in treating acute sleep disorders in patients hospitalized following traffic accidents. Methods: We applied traditional Korean medicine treatments in conjunction with various mindfulness meditation techniques from M&L therapy, including Resource Mindfulness and Nourishment Brief Therapy. This study was conducted on three patients who reported acute sleep disorder symptoms on the first day of hospitalization following a traffic accident. The effectiveness of these interventions was assessed using the PTSD Checklist for DSM-5 (PCL-5-K), Insomnia Severity Index (ISI), EuroQol 5-Dimension (EQ-5D), Numerical Rating Scale (NRS), and Patient Global Impression of Change (PGIC). Results: ISI and PCL-5-K scores showed significant improvements after treatment, indicating reduced sleep disturbances and stress symptoms. Additionally, EQ-5D and PGIC scores were enhanced, reflecting an overall improvement in quality of life. Conclusions: This study suggests that integrating M&L therapy with traditional Korean medicine could significantly improve symptoms in patients with acute sleep disorders following traffic accidents.