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만성요통 환자에서 마약성 진통제 투약 전·후의 통증, 일상생활 기능장애와 삶의 질의 변화

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Author(s)
오주심
Issued Date
2015
Abstract
ABSTRACT

Pain, Functional Status and Quality of Life in Patients with Chronic Back Pain
Before and After Medication
with Narcotic Analgesics


Oh, Ju-Sim
Advisor : Prof. Ryu, so Yeon, M.D, Ph.D.
Department of Public Health,
Graduate School of Health Science,
Chosun University


Objectives: This study aimed to identify changes in pain, functional status and quality of life in patients with chronic back pain before and after medication with narcotic analgesics.
Methods: The subjects of this study were 140 outpatients who had chronic back pain, and were considered to prescribe the narcotic analgesics from December 10, 2014 to May 6, 2015. After a four-week medication period, this study measured changes in pain, functional disorder and quality of life using VAS, K-ODI and SF-12. For statistical tests in changes before and after medication, a paired t-test was conducted and to compare changes according to the characteristics of the subjects, a t-test and ANOVA were conducted.
Results: The mean scores of pain, functional status and quality of life before medication were 7.8±0.8, 70.1±14.4, and 23.9±11.1, respectively.
After 4-week medication, the mean scores of pain, functional status and quality of life were 3.4±1.7, 38.0±16.9, and 56.9±16.4, respectively. Changes in the scores for pain, functional disorder and quality of life were statistically significant. Changes in pain, functional disorder and quality of life according to the characteristics of the subjects were not statistically significant.
Conclusion: Patients with chronic back pain could have better functional status as the pain was controlled after medication with narcotic analgesics and positive changes were found in the quality of life of the patients. Thus, for effective pain control which can increase the value of life in patients with pain, the use of narcotic analgesics should be considered after active consultation with doctor.


Key words: Chronic back pain, Functional status, Narcotic analgesics,
Quality of life
Alternative Title
Pain, Functional Status and Quality of Life in Patients with Chronic Back Pain Before and After Medication with Narcotic Analgesics
Alternative Author(s)
Oh, Ju Sim
Department
보건대학원 보건학과
Advisor
류소연
Awarded Date
2015. 8
Table Of Contents
목 차
표목차 ⅲ
ABSTRACT ⅳ

I. 서론 1

II. 연구방법 3
A. 연구대상 및 기간 3
B. 조사방법 4
C. 분석방법 6

III. 연구 결과 7
A. 연구 대상자의 일반적 특성 7
B. 연구 대상자의 요통 관련 특성 9
C. 마약성 진통제 투약 전·후 통증, 일상생활 기능장애, 삶의 질 변화량 비교 11
D. 마약성 진통제 투약 전·후 요통 양상의 변화 12
E. 마약성 진통제 투약 전·후 비약물 치료 요통 조절 특성 13
F. 마약성 진통제 투약 전·후 일반적 특성에 따른 일상생활 기능장애 변화량 비교 14
G.요통 관련 특성에 따른 마약성 진통제 투약 전·후 일상생활 기능장애 변화량 비교 16
H. 마약성 진통제 투약 전·후 일반적 특성과 삶의 질 변화량 비교 17
I. 요통 관련 특성에 따른 마약성 진통제 투약 전·후 삶의 질 변화량 비교 19

IV. 고찰 20

V. 요약 및 결론 23

참고문헌 24

부록 27
Degree
Master
Publisher
조선대학교
Citation
오주심. (2015). 만성요통 환자에서 마약성 진통제 투약 전·후의 통증, 일상생활 기능장애와 삶의 질의 변화
Type
Dissertation
URI
https://oak.chosun.ac.kr/handle/2020.oak/2351
http://chosun.dcollection.net/common/orgView/200000265014
Appears in Collections:
Medicine & Parmacy > Theses(Master)(의학전문대학원/보건대학원/임상약학대학원)
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