• 제목/요약/키워드: pain quality

검색결과 1,369건 처리시간 0.029초

The Long-Term Safety and Efficacy of Intrathecal Therapy Using Sufentanil in Chronic Intractable Non-Malignant Pain

  • Monsivais, Jose Jesus;Monsivais, Diane Burn
    • The Korean Journal of Pain
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    • 제27권3호
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    • pp.297-300
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    • 2014
  • This report describes the long term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain in 12 chronic pain patients. Standardized psychological screening was used to determine treatment suitability. Evaluation data included the Visual Analog Scale (VAS), Wong-Baker Faces Scale, Brief Pain Inventory (BPI), Disability of Arm, Shoulder, and Hand (DASH), McGill Quality of Life Questionnaire, and complications (granulomas, toxicity, withdrawal, or deaths). SPSS version 18 was used for data analysis. Pre- and post- treatment BPI measures and pain scale scores showed a statistically significant difference. There were no complications directly related to drug toxicity, nor drug withdrawals, granulomas, or deaths. Intrathecal therapy with Sufentanil therapy offers a good treatment alternative for those cases that have failed both surgery and standard pain treatment. Strict patient selection based on psychological screening, control of co-morbidities, a proper pain management may contribute to successful outcome.

수중운동 프로그램이 골관절염 환자의 체력, 통증 및 삶의 질에 미치는 영향 (Effects of Water Exercise Program on Physical Fitness, Pain and Quality of Life in Patients with Osteoarthritis)

  • 최희권;김난수;김현수
    • 근관절건강학회지
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    • 제16권1호
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    • pp.55-65
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    • 2009
  • Purpose: The purpose of this study was to determine the effects of water exercise program on physical fitness, pain and quality of life(QoL) in patients with osteoarthritis. Methods: Thirty-four old women were divided into the exercise(EG, n=18) and control groups(CG, n=16) after 6-week self-help education program. The EG carried out 6-week supervised water exercise program(60min/day, 2days/wk). Physical fitness, pain, and QoL were assessed by Senior Fitness Test Manual(Rikli & Jones, 2005), Pain rating scale(0-10) and World Health Organization QoL BREF(Min et al., 2000), respectively. Results: Both EG and CG increased upper and lower-body strength(all, p<.05), which were measured by arm curl and chair stand, respectively. For flexibility test, the EG increased upper and lower body(all, p<.05). Balance of the EG increased(p<.05), but not in the CG. Pain significantly decreased in the EG post training(p=.000). However, both EG and CG did not significantly improve for QoL. Conclusion: Six weeks of water exercise program did induce significant improvement in physical fitness and pain control in patients with osteoarthritis.

여대생의 월경전 증후군, 월경통, 월경에 대한 태도, 수면의 질이 학습몰입도에 미치는 영향 (The Effects of premenstrual syndrome, menstrual pain, attitude toward menstruation, and sleep quality on learning immersion in female college students)

  • 김지영;김나연;김나현;김다은;김세은;김수경;제남주
    • 문화기술의 융합
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    • 제10권1호
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    • pp.35-50
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    • 2024
  • 본 연구는 여대생의 월경전 증후군, 월경에 대한 태도, 수면의 질, 통증이 학습 몰입도에 미치는 영향을 파악하고자 시도되었다. 연구대상자는 경상남도 C 대학교 여대생 166명이며, 자료수집은 구글 설문지를 이용하여 2023년 7월 01부터 8월 31일까지 진행하였다. 수집된 자료는 상관관계, 다중회귀분석으로 분석하였다. 월경전 증후군은 월경에 대한 태도(r=.40, p<.001)와 월경통(r=.33, p<.001)과 유의한 정적 상관관계가 있었다. 그리고 수면의 질은 월경통(r=.31, p<.001), 학습몰입도(r=.24, p=.002)와 유의한 정적 상관관계가 있었다. 학습몰입도에 유의한 영향을 미치는 변인은 식사 '불규칙적'(β=.20, p=.007), 월경통 완화 '복무마사지'(β=.27, p=.003), 수면의 질(β=.16, p=.038)이었다. 월경통 완화 '복무마사지'가 학습몰입도를 가장 잘 예측하는 요인으로 나타났고, 그 다음 식사 '불규칙적', 수면의 질 순이었다. 총 설명력은 13.9%이었다. 이상의 결과를 토대로 월경전 증후군을 완화를 통한 학습몰입도 증가를 위해서는 다양한 치료법과 이에 대한 관심을 증대시켜 적극적인 대처 방안을 모색하고, 올바른 식사 습관을 갖추어 월경에 대한 긍정적인 태도를 갖도록 교육이 필요하다.

테이핑과 손목 안정화 운동의 병행훈련이 출산 후 여성의 손목건강과 삶의 질에 미치는 효과 (Effect of Wrist Stabilization Exercise Combined with Taping on Wrist Health and Quality of Life in Postpartum Women with Wrist Pain)

  • 정경심;인태성
    • 한국엔터테인먼트산업학회논문지
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    • 제14권4호
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    • pp.393-400
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    • 2020
  • 본 연구는 4주간 테이핑을 병행한 손목 안정화 운동이 출산 후 여성의 손목건강과 삶의 질에 미치는 효과를 규명하기 위하여 실시되었다. 단일맹검 및 사전 무작위 임상시험으로 진행되었으며, 17명의 손목통증 환자는 무작위로 실험군(n=8)과 대조군(n=9)으로 배정되었다. 모든 대상자는 손목에 테이핑을 적용하였다. 추가적으로 실험군은 손목 안정화 운동을 하루 2번, 주 5회, 4주간 시행하였고, 대조군은 같은 기간 동안 관절가동범위 운동을 시행하였다. 통증은 시각사상척도(VAS)를 사용하여 측정하였고, 기능장애는 Disabilities of the Arm, Shoulder and Hand (DASH), 삶의 질은 Short-Form 36 items (SF-36)을 사용하였다. 훈련 후 실험군이 대조군에 비해 통증과 기능장애, 삶의 질이 유의하게 개선되었다(p<.05). 본 연구는 테이핑을 병행한 손목 안정화 운동이 출산 후 여성의 손목 건강과 삶의 질을 효과적으로 향상시킴을 증명하였다.

Repetitive transcranial magnetic stimulation in central post-stroke pain: current status and future perspective

  • Riva Satya Radiansyah;Deby Wahyuning Hadi
    • The Korean Journal of Pain
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    • 제36권4호
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    • pp.408-424
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    • 2023
  • Central post-stroke pain (CPSP) is an incapacitating disorder that impacts a substantial proportion of stroke survivors and can diminish their quality of life. Conventional therapies for CPSP, including tricyclic antidepressants, anticonvulsants, and opioids, are frequently ineffective, necessitating the investigation of alternative therapeutic strategies. Repetitive transcranial magnetic stimulation (rTMS) is now recognized as a promising noninvasive pain management method for CPSP. rTMS modulates neural activity through the administration of magnetic pulses to specific cortical regions. Trials analyzing the effects of rTMS on CPSP have generated various outcomes, but the evidence suggests possible analgesic benefits. In CPSP and other neuropathic pain conditions, high-frequency rTMS targeting the primary motor cortex (M1) with figure-eight coils has demonstrated significant pain alleviation. Due to its associaton with analgesic benefits, M1 is the most frequently targeted area. The duration and frequency of rTMS sessions, as well as the stimulation intensity, have been studied in an effort to optimize treatment outcomes. The short-term pain relief effects of rTMS have been observed, but the long-term effects (> 3 months) require further investigation. Aspects such as stimulation frequency, location, and treatment period can influence the efficacy of rTMS and ought to be considered while planning the procedure. Standardized guidelines for using rTMS in CPSP would optimize therapy protocols and improve patient outcomes. This review article provides an up-to-date overview of the incidence, clinical characteristics, outcome of rTMS in CPSP patients, and future perspective in the field.

Ultrasound-guided PENG block versus intraarticular corticosteroid injection in hip osteoarthritis: a randomised controlled study

  • Selin Guven Kose;Halil Cihan Kose;Feyza Celikel;Serkan Tulgar;Omer Taylan Akkaya
    • The Korean Journal of Pain
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    • 제36권2호
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    • pp.195-207
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    • 2023
  • Background: This study aimed to compare the effectiveness of the pericapsular nerve group (PENG) block and intra-articular injection (IAI) of steroid-bupivacaine in the treatment of hip osteoarthritis (OA). Methods: After randomization, patients received either a PENG block or IAI under ultrasound-guidance. Clinical evaluations were recorded at baseline, day 1, and weeks 1, 4, and 8 post-intervention. The numerical rating scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Harris Hip Scale (HHS) scores, pain medication use determined by a quantitative analgesic questionnaire, and patient satisfaction were evaluated. Results: Sixty patients were included in this study. NRS scores improved significantly for both groups during the follow-up compared to pretreatment (P < 0.001), with better pain scores for the PENG group (P < 0.001) at day 1 with larger effect size (Cohen's d = 4.62), and IAI group at 4 (Cohen's d = 5.15) and 8 (Cohen's d = 4.33) weeks (P < 0.001). There was no significant difference in pain medication consumption (P = 0.499) and patient satisfaction (P = 0.138) between groups. Patients in the IAI group experienced significant improvement in HHS (Cohen's d = 2.16, P = 0.007) and WOMAC (Cohen's d = 1.02, P = 0.036) scores at 8 weeks compared to the PENG group. Conclusions: The ultrasound-guided PENG block provides effective pain relief which improves functionality and quality of life in hip OA patients up to 2 months. The PENG block can be considered an easy, safe, and useful alternative treatment modality for hip OA.

Use of stellate ganglion block for treatment of recurrent syncope followed by chest pain

  • Kim, Young-ung;Shin, Yong-joon;Cho, Young Woo
    • Journal of Yeungnam Medical Science
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    • 제35권1호
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    • pp.104-108
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    • 2018
  • Syncope is defined as a transient loss of consciousness and postural tone, characterized by rapid onset, short duration, and spontaneous recovery. Stellate ganglion block (SGB) is a nerve block method that is used for treatment of neuropathic pain in the head, neck and upper extremities, especially trigeminal neuralgia, postherpetic neuralgia and complex regional pain syndrome. SGB can modulate and stabilize the sympathetic nervous system, which prevents it from overexcitation and improves symptoms of syncope. The authors report a patient who was treated for pain and edema of both upper extremities with SGB, then showed improvement in recurrent syncope followed by chest pain and overall quality of life.

한국인 대학생에서 수면의 질과 정서적 요인에 관한 상관관계 (Association between Sleep Quality and Psychologic Factors among University Students in Korea)

  • 강진규;임현대;이유미
    • Journal of Oral Medicine and Pain
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    • 제33권3호
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    • pp.257-267
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    • 2008
  • 정신신체질환은 개개인의 서로 다른 성격, 정서적 스트레스에 대한 반응과 기질적인 요소 등이 함께 반응하여 소화기계, 순환기계, 호흡기계 및 근골격계 등에 수많은 질환을 야기하며, 그 중에 만성통증도 역시 포함한다. 구강안면 영역의 증상으로 내원하는 이유 중 가장 많은 비율을 차지하는 것은 통증이며 증상에 영향을 주는 기여요인은 생물학적 요인, 행동요인, 환경요인, 사회요인, 정서요인, 인지요인 등을 포함한다. 이러한 기여요인은 개인의 성격, 인성에 좌우되어 증상의 경로에 영향을 미치게 된다. 통증에 있어 수면은 하나의 기여요인으로 작용하며, 통증은 수면장애를 가져오거나 악화시키기도 하며, 수면장애 역시 통증을 악화시킬 수 있다. 수면의 질의 저하는 정서적 스트레스를 가속화 시킬 수 있는 한 요인으로 작용할 수 있다. 이에 구강안면 영역에 증상을 보이는 환자에게 비교적 정확하고 간단하게 시행할 수 있는 수면의 질 평가 및 정신 검사를 필히 시행하여 평가해야 한다. 본 연구는 PSQI를 통한 수면의 질 평가와 간이정신진단검사(SCL-90-R)를 비교 평가하여 수면과 정서적, 심리적 상태와의 관계를 규명하고자 하였으며, 다음과 같은 결과를 얻었다. poor sleeper 는 남자가 18명, 여자가 1명이었으며, PSQI 총수면 지수는 남자에서 $6.11{\pm}2.38$, 여자에서 $4.67{\pm}2.18$로 나타났다. SCL-90-R 지수는 남녀간 차이를 보이지 않았고 poor sleeper에서 신체화(SOM), 강박증(O-C), 대인예민성(I-S), 불안(ANX), 공포불안(PHOB), 정신증(PSY)에서 유의성 있게 높은 평균치를 보였으며 전체 심도지수(GSI), 표출증상합계(PST)가 유의성 있게 높았다. 또한 수면의 질에 따른 SCL-90-R의 T-점수는 주관적 수면의 질이 나쁠수록 강박증(O-C), 대인 예민성(I-S)에서, 수면장애가 심할수록 편집증(PAR), 정신증(PSY), 표출증상합계(Positive symptom total, PST)가, 주간수면장애에서는 우울(DEP), 불안(ANX), 적대감(HOS), 공포불안(PHOB), 편집증(PAR), 전체 심도지수(GSI)에서 유의하게 높은 평균치를 보였다. 이와 같이 수면의 질과 정서적 상태는 서로 밀접한 연관성을 지닌다고 할 수 있으며, 이는 구강안면 영역의 만성 통증에 영향을 미치리라 생각된다. 이에 구강안면통증을 다루는 임상가들은 환자의 수면의 질과 정서적 상태에 대해 적절히 평가하는 것이 반드시 필요하며, 추후 구강안면통증에 있어 수면과 정서적, 심리적 인성관계에 대한 연구가 더 필요하리라 사료된다.

통증평가도구에 관한 고찰 (An Overview of Pain Measurements)

  • 심성윤;박히준;이준무;이향숙
    • Korean Journal of Acupuncture
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    • 제24권2호
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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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관절염환자의 삶의 질에 영향을 미치는 요인탐색 (Investigation on Factors Influencing the Quality of Life of Arthritis Patients)

  • 오현자
    • 성인간호학회지
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    • 제12권3호
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    • pp.431-451
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    • 2000
  • In this paper, I will examine the variables influencing the Quality of Life of arthritis patients and present basic materials which help arthritis patients have positive thinking in life and ultimately lead a satisfactory life. The subjects for this study are 231 inpatients and outpatients with arthritis living in J and K city in Chonbug Province. For the analysis of collected data I employed the SAS program. The variables for characteristics and the quality of life were analysed by descriptive statistics, T-test and ANOVA, and the relations among variables were analysed through Pearson Correlation; the Regression method was employed to predict the factors affecting quality of life. For the validity of reliance on measuring equipment Cronbach Alpha was used. The results of the study are as follows : (1) The mean score of quality of life of arthritis patients is 3.09(5 in the maximum). The general characteristics which affect the quality of life are age(F=5.13, p=0.0006), standard of education(F=6.49, p=0.0003), marriage status(F=7.77, p=0.0005), monthly pay(F=4.37, p=0.0020), medical benefits (F=4.85, p=0.0087), and supports(F=4.39, p=0.0050). For the disease-related characteristics, there is a significant difference in the 6 items: pain control method(F=5.92, p= 0.0002), physical therapy(F=3.25, p=0.013), whethere or not patients exercise(F=4.62, p=0.0000), regularity of exercise(F=4.79, p=0.0000), frequency of exercise(F=6.29, p=0.0001), and amount of exercise(F=4.62, p=0.0043). Depending on the type of arthritis, there is also a significant difference in the degree of pain felt. The patients with infectious arthritis suffer from pain the most, followed by those with gout, rheumatism and degenerative arthritis, in that order. Although statistics don't show any convincing evidence, those with gout perceive that they are in best health condition, followed by those with rheumatism, degenerative arthritis, and infectious arthritis, in that order(F=2.23, p=0.0669). (2) The quality of life of arthritis patients is correlated positively with perceived health status(r=0.56, p=0.0001), health promoting behavior(r=0.53, p=0.0001), family support (r=0.46, p=0.0001), amount of exercise (r=0.36, p=0.0001), ADL(r=0.36, p=0.0001), HLOC(r=0.32, p=0.0001), frequency of exercise(r=0.32, p=0.0001)in that order, while correlated negatively with the degree of pain felt(r=-0.32, p=0.0001), the number of pain regions(r=-0.19, p= 0.0041), and the duration of pain(r=-0.14, p=0.0279). (3) Regression analysis reveals that the most powerful predictor of the quality of life is perceived health status, which account for 31.11%. The other predictors of the quality of life, which account for 60.22%, are health promoting behavior(16.51%), family support(3.81%), ADL(2.52%), gender(1.86%), the number of family members(1.36%), level of pain(1.24%), duration of pain (1.08%), and level of education(0.67%). The results of the study show that perceived health status and health promoting behavior are the two most important variables. However, considering that the perceived health condition is difficult to control by nursing intervention, it is suggested that the level of expectation for patients, must be decided first, and the health promoting behavior and the family support influencing the quality of life must be taken into account as targets for nursing intervention. As a way of controlling the quality of life, I think that a more comprehensive approach comprising the above important variables along with demographic and general characteristics is needed. I also suggest that we must continue to explore the variables affecting the quality of life and include those variables in nursing intervention.

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