• Title, Summary, Keyword: 통증

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Words in the Korean Language Used to describe Pain in Cancer Patients - for the Development of Korean Cancer Pain Assessment Tool (K-CPAT) - (표준형 성인 암성 통증평가 도구 개발을 위한 암성 통증 어휘조사)

  • Jang, Se-Kwon;Park, Jean-No;Yeom, Chang-Hwan;Lee, Myung-Aha;Song, Chan-Hee;Yoon, So-Young;Lee, Young-Hee;Choi, Youn-Seon
    • Journal of Hospice and Palliative Care
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    • v.6 no.1
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    • pp.1-10
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    • 2003
  • This paper addresses the minor differences in the description of pain in Korean language in order to develop a standarized cancer pain aneument tool for Korean adults, Korean Caancer Pain Assessement Tool. The subtle differences in the meaning of expressions used cannot be translated into English and therefore we omiltted the English abstract.

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The Approaches to Postoperative Pain Management (술후 통증관리의 접근)

  • Song, Sun-Ok
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.1-7
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    • 1995
  • 효율적인 술후 통증치료를 위해서는 통증치료의 방법과 환자관리면을 동시에 고려하여야 한다. 방법은 상술한 바와 갈이 술후 통증기전에 부합되는 방법들이 예방적으로 적용되어야 하고 아울러 환자 개개인에 맞는 지속적인 균형제통이 시행되어야 한다. 그리고 환자관리면에서는 환자의 통증을 자주 평가하고 그에 동반된 처치 및 간호업무가 수반되어야 한다. 그러므로 술후 통증관리는 진통제에 대한 전문지식을 갖춘 의료인이 적합한 제통방법을 지속적으로 시행하여야 하는데 그러기 위해서는 효율적인 조직체제가 필요하다. 구미각국에서는 여러해 전부터 술후 통증관리가 통증관리센터란 체제하에서 효과적인 급성 통증치료실로 운영되어져 왔으며 현재는 병원의 중심센타로 확립된 실정이다. 우리나라도 국민의료보험이 도입된지 17년이 지났고 환자 위주의 병원환경이 마련되어야 한다는 데에는 대다수의 국민들로부터 공감대가 형성된 현시점에서 이제는 통증관리센터가 설립되어야 한다고 생각된다. 이러한 제안이 기정사실화 되기까지는 많은 논의와 임상결과에 대한 자료들이 있어야 하겠지만 무엇보다도 마취과 의사들의 술후통증관리에 대한 지속적인 관심과 연구가 뒷바침되어야 할 것으로 생각된다.

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Differences in Patients' and Family Caregivers' Ratings of Cancer Pain (암환자와 그 가족간호자가 지각하는 환자의 통증강도 차이)

  • Kim, Hyun-Sook;Yu, Su-Jeong;Kwon, Shin-Young;Park, Yeon-Hee
    • Journal of Hospice and Palliative Care
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    • v.11 no.1
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    • pp.42-50
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    • 2008
  • Purpose: Undertreatment of canter pain, especially due to the differences in the perception of pain between the patients and caregivers, is a well recognized problem. The purpose of this study were to determine if there exist differences in communication about pain intensity scores between patients and their family caregivers in Korea. Methods: A total of 127 patient-family caregiver dyads who have experienced canter pain participated in this study at a hospital in Seoul for six months. The data were obtained by fare to face interview with a structured questionnaire based on Brief Pain Inventory-Korean version and other previous researches. The clinical information for all patients was compiled by reviewing their medical records. Results: Patients' 'worst-pain for 24-hour' and 'right-now-pain' scores estimated by family caregivers were significantly higher than those by patient themselves. The degree of agreement between patients and family caregivers in the estimate of patients' 'worst-pain for 24-hour' intensity categories was 78.7% for 'severe pain', 40% for 'no pain', 27.5% for 'mild pain' and 22.9% for 'moderate pain'. In case of 'right-now-pain' intensity categories, the agreement was 50% for 'severe pain', 47.2% for mild pain, 46.3% for 'no pain', and 26.3% for 'moderate pain'. Conclusion: This study demonstrates that the degree of agreement between patients and family caregivers in the estimate of patients 'pain intensity categories was less than 50% except for 'severe pain'. The results indicate that Korean family caregivers tend to overestimate the canter pain intensity of their caring patients, especially, when a lancer patient has 'moderate' or 'mild pain'. Health Providers are advised to educate patient-family caregiver dyads to use a pain measurement scale to promote their agreement in pain Intensity stores. Further analyses and studies are needed to identify the factors and differences that influence their communication about pain intensity scores between patients and their family caregivers.

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Trigger Point Injection for Myofascial Pain Syndrome (근막 통증 증후군의 통증 유발점 주사)

  • Kim, Chul-Hong;Park, Jin-Woo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.2
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    • pp.127-131
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    • 2014
  • Skeletal muscles which are the largest part of human body may develop pain and dysfunction. The myofascial pain syndrome that has trigger points as a unique characteristic is a major cause of morbidity. Trigger points are focal, hyperirritable painful areas located in a taut band of skeletal muscle. They produce local area pain and a referred pattern pain and often accompany chronic joint dysfunction. Various modalities are used to inactivate trigger points in myofascial pain syndrome. Trigger-point injection has been shown to be one of the most effective treatment modality to provide prompt relief of symptoms. This review article presents general concept of myofascial pain syndrome and technique of trigger point injection.

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Nonodontogenic Toothache : Case Reports (비치성 치통의 치험 증례)

  • Yoon, Seung-Hyun;Choi, Jong-Hoon;Kim, Seong-Taek;Ahn, Hyung-Joon;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
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    • v.33 no.4
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    • pp.401-407
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    • 2008
  • The most common type of orofacial pain is toothache. However, many other types of pain which derived from nonodontogenic problems can mimic toothache. Nonodontogenic toothache is heterotopic pain that the site of pain is not in the same location of the source of pain. This differs from primary pain, in which the site of pain is the actual site which the pain originates. Heterotopic pain can be alleviated by direct treatment toward the source of pain. The common sources of nonodontogenic toothache include neuropathic pain, sinus pain, Myofascial pain, neurovascular pain and even cardiac pain and psychogenic pain. Thus, clinicians should have a thorough knowledge about causes of nonodontogenic toothache, and through pain history and examination of dental and nondental structures are needed. This case report is about some cases of nonodontogenic toothache, and it also emphasizes essential considerations for proper differential diagnosis and appropriate treatment.

명사 칼럼-우리 몸의 조기경보시스템 '통증'

  • Hwang, Gyeong-Ho
    • 건강소식
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    • v.32 no.6
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    • pp.4-5
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    • 2008
  • 우리 몸에 상처를 입었거나 상처를 입을 만한 상황에서 느끼는 유쾌하지 않은 감정까지 모두 통증의 범주에 포함된다. 잠재적인 손상을 알리는 통증 즉, 바늘에 찔리거나 불에 데이는 순간에 느끼는 것과 같은 일차적인 통증은 재빠른 회피반사를 일으켜 다가오는 더 큰 조직 손상을 미연에 방지하려는 조기경보시스템이라고 할 수 있다. 반면에 어쩔 수 없이 우리 몸이 손상을 입게 되면 통증은 반사적으로 근육 수축을 일으켜 신체를 움직이지 않게 한다. 골절상을 입었을 때의 통증처럼 움직이면 통증을 더 느끼게 되고, 움직이지 않아야 아프지 않고 뼈가 아물게 되는것이다. 이처럼 통증은 신체의 이상을 신속히 알리고 경고하는 중요한 방어기전 중의 하나이다.

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Treatment of Chronic Myofascial Pain with Botulinum Toxin : Case Report (보툴리눔 톡신을 이용한 만성 근막통증의 치료 증례)

  • Hong, Seong-Ju;Yoon, Chang-Lyuk;Ahn, Jong-Mo;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.35 no.3
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    • pp.221-227
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    • 2010
  • MyoFascial Pain Syndrome(MFPS) is defined as a regional pain syndrome characterized by muscle pain caused by myofascial trigger points (MTrPs). Myofascial pain is a common cause of persistent regional pain such as neck pain, shoulder pain, headaches, and orofacial pain. Clinicians who deal with orofacial pain must also understand the role of myofascial pain. This case report presents the treatment of botulinum toxin A for chronic myofascial pain.

Pain Disorder Associated with Psychological Factors - Case Report and Review - (심리적 요인과 관련된 통증장애 - 증례 및 고찰 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.166-175
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    • 2002
  • Recently many researches support the use of traditional psychiatric treatments in the management of chronic pain. Chronic pain is a significant public health problem and frustrating to everyone affected by it. Psychiatrists offer skills with treatments now recognized as effective in the management of chronic pain. In addition to the diagnosis and treatment of psychiatric co-morbidity, the application of psychological treatments to chronic pain, and the development of interdisciplinary efforts to provide comprehensive health care to the patient disabled with chronic pain, psychiatrists have particular skill in pharmacological treatment that have proven efficacy for a variety of chronic pain conditions. With their expertise in the use of psychoactive medication plus their interest in the personal and family dynamics of patients, psychiatrists have the capacity to be involved in the treatment of patients with chronic pain. So, the author reported three cases of patient with pain disorder associated with psychological factors, and reviewed to propose that psychiatrists in Korea should take an active role in the care of these patients.

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Treatments of Complex Regional Pain Syndrome(CRPS) (복합부위 통증증후군의 치료)

  • Yang, Jong-Yeun
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.2
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    • pp.57-61
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    • 2010
  • The complex regional pain syndrome(CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, knowledge concerning its natural history and mechanism remains very limited. Many current rationales in treatment of CRPS are mainly dependent on efficacy originate in other common conditions of neuropathic pain. This article introduces various treatments for CRPS, but few studies of high methodological quality have been carried out into the effects of those treatments. I think early recognition and a multidisciplinary approach to management seems important in obtaining a good outcome.

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