scholarly journals Three Cases of Insomnia in Herniated Intervertebral Disk Patients Treated with Uhwangchungsim-won

2021 ◽  
Vol 42 (5) ◽  
pp. 767-776
Author(s):  
Ji-eun Bae ◽  
Gyu-cheol Choi ◽  
Jae-won Park ◽  
Dong-jin Kim ◽  
Jeong-su Hong ◽  
...  
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Intervertebral Disk ◽  
Five Dimensions ◽  
Subjective Sleep ◽  
Beneficial Effects ◽  
Intervertebral Disks ◽  
Numerical Rating ◽  
Medical Therapies

Objective: This study examined a case in which insomnia and pain due to herniated intervertebral disks were improved by treatment with an oriental herbal and the administration of Uhwangchungsim-won.Case Summary: Three patients with insomnia diagnosed with herniated intervertebral disks were treated with a series of Korean medical therapies, including the herbal medication Uhwangchungsim-won, acupuncture, herbal acupuncture, and physical therapy. We used the Numerical Rating Scale (NRS) to measure subjective sleep states and the European Quality of Life Five Dimensions (EQ-5d) Scale to evaluate the therapeutic effect. Following treatment, subjective sleep states and the overall scores for pain had improved.Conclusion: The results indicate that Korean medical therapies with Uhwangchungsim-won have beneficial effects on insomnia for patients with herniated intervertebral disks.

scholarly journals A Case Report on a Patient Treated with Combined Korean Medicine for Chronic Headache with Digestive Symptoms

2021 ◽  
Vol 42 (5) ◽  
pp. 923-90
Author(s):  
Gyu-cheol Choi ◽  
Ji-eun Bae ◽  
Jae-won Park ◽  
Dong-jin Kim ◽  
Jeong-su Hong
Keyword(s):  
Medical Treatment ◽  
Chronic Headache ◽  
Impact Test ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Five Dimensions ◽  
End Of Treatment ◽  
Numerical Rating ◽  
Headache Impact

Objectives: The purpose of this study was to examine the effect of combined Korean medical treatment on chronic headache with digestive symptoms.Methods: We collected data from October to December 2020 and evaluated the efficacy of combined Korean medical treatment using the Korean Headache Impact Test-g (KHIT-6), European Quality of Life Five Dimensions (EQ5D) Scale, and Numerical Rating Scale (NRS) at admission, after two weeks of hospitalization, and on discharge.Results: At the end of treatment, the patient had increased EQ5D and reduced KHIT-6 and NRS scores.Conclusions: After the combined Korean medical treatment, the patient showed improvement, suggesting the efficacy of treatment.

scholarly journals Consumptive Disease and Chronic Fatigue Improved by Nokyonggunbi-tang and Other Korean Medical Treatments: A Case Report

2021 ◽  
Vol 42 (5) ◽  
pp. 738-745
Author(s):  
Mu-jin Park ◽  
So-ri Jin ◽  
Eun-jae Oh ◽  
Woo-sub Song ◽  
Hyun-seok Lee ◽  
...  
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Neck Disability Index ◽  
Chronic Fatigue ◽  
Medical Treatments ◽  
Five Dimensions ◽  
Numerical Rating ◽  
Fatigue Severity ◽  
Neck Disability

Objective: This study investigated the efficacy of using Nokyonggunbi-tang and other Korean medical treatments for a patient with consumptive disease and chronic fatigue.Methods: A 59-year-old female patient with fatigue, headache, dizziness, and neck pain due to consumptive disease and chronic fatigue was treated with herbal medicine (Nokyonggunbi-tang), together with acupuncture, pharmacopuncture, cupping, and chuna manual therapy, for 22 days. The treatment effects on the pain were evaluated using the scores for the Fatigue Severity Scale (FSS), European Quality of Life Five Dimensions (EQ-5d) Scale, Neck Disability Index (NDI), and Numerical Rating Scale (NRS).Results: Following treatment, the patient showed a decrease in the FSS, NDI, and NRS scores and an improvement in the EQ-5d score.Conclusions: Nokyonggunbi-tang and Korean medical treatment significantly improved fatigue symptoms in a patient with no substrate disease.

scholarly journals A Case Report on Korean Medical Treatment for a Patient Hospitalized with Acute Compression Fracture

2021 ◽  
Vol 42 (5) ◽  
pp. 1027-1034
Author(s):  
Yu-jin Lee ◽  
Ki-won Choi ◽  
Min-jin Kwon ◽  
Won-suk Jang ◽  
Jun-heum Youn ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Range Of Motion ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Compression Fracture ◽  
Five Dimensions ◽  
Lower Back ◽  
Numerical Rating ◽  
Symptom Changes

Objectives: This study aimed to determine the effects of Korean medical treatment on a patient with compression fractures.Methods: The patient was treated with herbal medicine and acupuncture for 51 days. Symptom changes were measured using the Numerical Rating Scale (NRS), Range of Motion (ROM), Oswestry Disability Index (ODI), and European Quality of Life Five Dimensions (EQ-5D) Scale.Results: The NRS score for lower back pain decreased from 7 to 3, and the ODI score decreased from 51.11 to 22.22. Range of motion (ROM) increased meaningfully in flexion(from 30 to 60), Left/Right lateral bending(from 10/30 to 30/45), Left/Right rotation (from 10/30 to 30/45), and the EQ-5D score also increased from 0.506 to 0.677.Conclusion: The results indicate that Korean medical treatment may be effective for managing patients’ acute compression fractures.

Assessment of pain, care burden, depression level, sleep quality, fatigue and quality of life in the mothers of children with cerebral palsy

2019 ◽  
Vol 23 (3) ◽  
pp. 483-494 ◽  
Author(s):  
Ilknur Albayrak ◽  
Ayten Biber ◽  
Ahmet Çalışkan ◽  
Funda Levendoglu
Keyword(s):  
Sleep Quality ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Control Group ◽  
Care Burden ◽  
Sf 36 ◽  
Numerical Rating ◽  
Depression Level ◽  
Pain Care

The aim of this study were to evaluate pain, care burden, depression level, sleep quality, fatigue and quality of life (QoL) among a group of mothers of children with cerebral palsy (CP) and to compare their results with a group of healthy controls. The study involved 101 mothers who had children with CP and 67 mothers who had a healthy child as the control group. Pain, care burden, depression level, sleep quality, fatigue and QoL of all the participants were evaluated by the numerical rating scale, the Zarit care burden scale (ZCBS), the beck depression inventory (BDI), the Pittsburgh sleep quality index (PSQI), the checklist individual strength (CIS) and the short form-36 (SF-36), respectively. Numerical rating scale value was 3.57 ± 2.96 in the patient group. When the two groups were compared, the CP group showed higher scores for ZCBS, BDI, PSQI, total CIS and SF-36 subscales of general health and vitality whereas the scores for role physical, role emotional, mental health and mental component summary were found to be lower in the patients, compared to the control group. Reducing caregiving burden of the mothers’ by other family members and increasing psychosocial supports may help improve the mother’s health status.

The Development of the Mymop Pictorial Version

2004 ◽  
Vol 22 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Anthony Day
Keyword(s):  
Quality Of Life ◽  
Complementary Therapies ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Life Instrument ◽  
Numerical Rating

The MYMOP is a well accepted quality of life instrument that is particularly suitable for assessing the effect of complementary therapies; however, some groups of patients find it difficult to use. A pictorial version was developed using faces instead of the numerical rating scale – it is called MYMOP pictorial. This version appears to be more acceptable to patients but has not been formally validated.

scholarly journals Regression in the Symptoms and Discal Hernia in Case of Lumbar Radiculopathy

2020 ◽  
Vol 8 (B) ◽  
pp. 216-220
Author(s):  
M. A. Ivanova ◽  
V. A. Parfenov ◽  
Ekaterina Silina ◽  
A. I. Isaykin
Keyword(s):  
Rating Scale ◽  
Clinical Symptoms ◽  
Numerical Rating Scale ◽  
Intervertebral Disk ◽  
Lumbar Radiculopathy ◽  
Average Pain Intensity ◽  
Average Pain ◽  
Numerical Rating ◽  
Reduction Of Pain ◽  
Magnetic Resonance Imaging Mri

BACKGROUND: Discogenic lumbar radiculopathy has a favorable potential for survival; the regression of clinical symptoms may outpace the subsidence of discal hernia. AIM: The objective of the study is comparing the clinical data and the results of magnetic resonance imaging (MRI) in patients with discogenic lumbar radiculopathy over 1 year of observation. MATERIALS AND METHODS: Thirty-two patients (13 males at the average age of 39.1 ± 11.8 years) with discogenic lumbar radiculopathy confirmed by MRI were examined in the study. The intensity of pain condition was assessed using the numerical rating scale; disability was assessed using the Oswestry disability index. Sixteen patients were subjected to repeated MRI. RESULTS: Statistically significant (p < 0.01) reduction of the average pain intensity and intensity of disability more than 2 times was observed as early as in the first 2 weeks. Gradual reduction of pain and disability was observed during the year. Reduction of discal hernia by more than 50% was observed on average after 8.7 ± 4.7 months. CONCLUSION: In the case of discogenic radiculopathy, the reduction of pain and related disability far outstrips the regression of the herniation of intervertebral disk.

scholarly journals Sedation in the post-anaesthesia care unit

2012 ◽  
Vol 19 (3) ◽  
pp. 195-200
Author(s):  
Andrius Macas ◽  
Lina Andriuškevičiūtė ◽  
Jūratė Paltanavičiūtė ◽  
Ieva Slauzgalvytė
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Quality Of Sleep ◽  
Post Anaesthesia Care Unit ◽  
Activity Assessment ◽  
Anaesthetic Care ◽  
Significant Difference ◽  
Numerical Rating ◽  
Anaesthesia Care

Background. Post-anaesthetic sedation is a common practice as it pro­ vides greater comfort and psychological stability for patients. Some spe­ cialists claim that sedation in the post-anaesthetic care unit (PACU) is applied too seldom due to several reasons. The goal of this study is to evaluate sedation in PACU in several aspects. Materials and methods. A total of 299 patients admitted to the PACU after general, orthopedic-traumatologic or urologic surgical procedures were enrolled in this prospective study. The patients evaluated their qual­ ity of sleep and the worst intensity of pain experienced in PACU, which was assessed using the Numerical Rating Scale. Nurses evaluated sedation using the Motor Activity Assessment Scale and filled in the questionnaire about the importance of sedation. Results. Statistically significant difference was observed in the quality of sleep between the patients sedated using benzodiazepines and opioids together and non-sedated patients (p = 0.025). There is no considerable difference in the statistics concerning the behavior of the patients. The patients prescribed only with opioids IV or IM, as well as the patients prescribed with opioids together with benzodiazepines, feel less intense pain compared to the non-sedated patients (p = 0.016, p = 0.03). Accord­ ing to the personnel, sedation is necessary in PACU. Half of them think that patients prescribed with opioids need additional sedation. Conclusions. Sedation is necessary in PACU. This fact is evident in the statistically significant difference of comfort factors among the patients as well as in the opinion of the nursing personnel that spend most of the time communicating and caring about the comfort of the patients.

scholarly journals Can Naloxegol Therapy Improve Quality of Life in Patients with Advanced Cancer?

Cancers ◽  
2021 ◽  
Vol 13 (22) ◽  
pp. 5736
Author(s):  
Rita Ostan ◽  
Giuseppe Gambino ◽  
Italo Malavasi ◽  
Gianluca Ronga ◽  
Maria Solipaca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Bowel Function ◽  
Advanced Cancer Patients ◽  
Background Pain ◽  
Bowel Movements ◽  
Numerical Rating

This observational study aims to evaluate the efficacy of naloxegol therapy in resolving opioid-induced constipation (OIC) and in improving the quality of life in a home palliative care cancer setting. Advanced cancer patients with OIC (Rome IV criteria) not relieved by laxatives started a naloxegol therapy 25 mg/day for 4 weeks. Quality of life was evaluated by Patient Assessment of Constipation Quality-of-Life (PAC-QoL) at day 0 and day 28; background pain by Numerical Rating Scale, number of weekly spontaneous bowel movements and Bowel Function Index (BFI) were evaluated at day 0 and every week. Seventy-eight patients who completed the 4-week study improved all four PAC-QoL dimensions (physical and psychological discomfort, worries/concerns and satisfaction level). Weekly spontaneous bowel movements increased and BFI improved. Background pain reduced after seven days and remained lower during the following weeks. Seventy-two patients dropped out the study before day 28 with a reduced survival compared to patients completing the study. Even in these patients, an improvement of bowel function was observed after two weeks. Naloxegol was effective in improving the quality of life, resolving OIC and reducing overall pain in patients with advanced cancer.

scholarly journals Clinical Evaluation of a Topical Patch for the Management of Acute and Chronic Osteoarticular Pain

2020 ◽  
pp. 1-4
Author(s):  
Gaetana Rizzi ◽  
◽  
Carlo Braga ◽  
Alessandro Corsi ◽  
◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Therapy ◽  
Rating Scale ◽  
Negative Impact ◽  
Numerical Rating Scale ◽  
Age Groups ◽  
The Elderly ◽  
Topical Product ◽  
Numerical Rating

Pain is a symptom common to many pathological conditions that can affect all age groups, with greater incidence among adults and the elderly. It is an important clinical, social and economic aspect of all ages and has a negative impact on the quality of life. Pain therapy, also called antalgic therapy or pain medicine, aims to identify, evaluate and treat acute and/or chronic pain. The objective of this observational study is to evaluate the effect of the ”Tecnologia DUKTOR ionoattiva” iPatchMed ZeroDol patch in reducing in the short-term painful symptoms in case of local acute and chronic inflammatory states. The patch is a topical product to be applied on the affected area in order to create a hydro-active environment. The mechanism of action consists in the generation of micro-currents and micro-electromagnetic fields that promote ion exchange and the passage of micro-currents in the cutaneous tissues, increasing the use of oxygen by the cells and the restoration of the cell membrane. This results in both cellular reinvigoration and a high antalgic effect.This single-arm monocentric investigation has 50 subjects with acute and chronic pain.The pain measurement was recorded through the Numerical Rating Scale (NRS) at selected time points: at baseline (T0) and after 2, 8 and 24 hours. The use of the ”Tecnologia DUKTOR ionoattiva” iPatchMed ZeroDol patch significantly promotes a decrease in acute and chronic pain; furthermore, no adverse effects were recorded, thus demonstrating that the medical device is optimally tolerated.

scholarly journals Pain Assessment in Emergency Department of Teaching Hospital in Lalitpur

2019 ◽  
Vol 2 (3) ◽  
pp. 209-213
Author(s):  
Srijana Gauchan
Keyword(s):  
Emergency Department ◽  
Data Collection ◽  
Pain Assessment ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Medical Officer ◽  
Third Stage ◽  
Numerical Rating ◽  
Assessment Standard

Background: Proper pain assessment is directly related to proper pain management.The American pain society (APS) in 1996 instituted “the pain as the 5th vital sign”, in an effort to reduce the burden of underassessment and inadequate pain management. The objective of this study is to find out the practice of pain assessment and to make improvement. Methods: This was an observational study of pain assessment by the medical officer in emergency department (ED).Convenience sampling was done at three different shift in ED. All the data of pain assessment was taken and tabulated and analysed to know the practice of pain assessment. Standard as set at 80%. In first stage data collection was done for one month as per convenience. Following the observed finding, in the second stage intervention was done. After this in third stage re-data collection was done to see the improvement. Results: A total of 503 patients were enrolled in this study. Out of this 53% (n=265) were in first stage and 47% (n=238) in third stage of the study. In first stage of the study there was 7% (n=19) documentation of numerical rating scale (NRS) and PQRST (P-precipitating and palliating factor, Q-quality of pain, R-radiation, S-site of pain, T-timing of pain) was not documented. After intervention in third stage documentation of NRS was done in 70% (n=167) and documentation of PQRST were variable. Conclusions: The study revealed that existing practice of pain assessment in the emergency department is poor but after the intervention there was remarkable improvement in the pain assessment.

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