Background: Pregnancy-related low back pain (PLBP) has fewer systematic guidelines than pregnancy-related pelvic girdle pain, previous studies have not evaluated physical therapy for this ailment in Korea. Objects: We aimed to provide a detailed account of clinical decision making by Korean physiotherapists while treating PLBP. Methods: In total, 955 questionnaires were distributed mainly in places of continuing education held by the Korean Physical Therapy Association from April to July 2019. The same questionnaire was posted on a website used by physiotherapists. We collected subject information, a specific Vignette typically represent symptoms of PLBP, and responses to multiple questions about decision making, subjective recognition and interest level in the field of women’s health physiotherapy (WHPT). Results: The overall response rate was 56% (n = 537); of these, responses to 520 questionnaires were analyzed. Most respondents chose various combinations of physical therapy methods. There were significant differences in subjective recognition levels of WHPT according to gender (p < 0.05), age (p < 0.01), education level (p < 0.01), and clinical experience (p < 0.05). There were significant differences in interest according to gender (p < 0.01) and education level (p < 0.01). With respect to the types of treatment, significant differences were noted in selective rates for “manual therapy”, “pain control”, and “supportive devices” based on gender. Manual therapy tended to be chosen more with increasing age and clinical experience. With increased education level, there were fewer choices for the use of pain control. Conclusion: This is the first data on how Korean physiotherapists manage PLBP patients using the vignette method. We were able to recognize the Korean physical therapist's decision on PLBP patients, and observed statistically significant correlations. This may aid in developing future research and education plans in the WHPT field.

만성 췌장염은 점진적인 염증성 질환으로 췌장의 비가역적인 손상 및 섬유화를 유발한다. 이러한 과정은 통증과 외분비장애, 내분비장애와 같은 췌장기능 이상을 일으킨다. 통증은 가장 흔한 증상으로 췌장의 구조적 변화와 신경병적 이상으로 생긴다. 통증 평가는 강도, 지속 시간, 빈도, 삶의 질 등과 연관하여 다각도로 평가해야 한다. 통증의 치료를 위하여 금주, 금연이 필수이다. 진통제 사용은 세계보건기구 지침을 따르며 그 외에 췌장효소, 항산화제, 항우울제, 항경련제 등을 사용할 수 있으나 표준화된 지침은 없고, 상황에 따라 사용할 수 있다. 외분비장애에 췌장효소를 투여할 수 있으며 크기가 2 mm보다 작은 장피복형 최소 미세구이면서 리파아제 함량이 최소 40,000-50,000 USP인 것이 좋다. 식사와 함께 복용하고 치료 반응이 없으면 용량을 늘리거나 프로톤펌프억제제나 항생제를 추가해 볼 수 있다. 만성 췌장염과 관련된 당뇨병은 3c형 당뇨병으로 조기 진단 및 매년 추적 검사가 중요하며 1형과 2형 당뇨와의 감별도 중요하다. 적절한 약물 치료에 대한 지침은 현재 없는 상태로 당조절이 잘되고 저혈당이 오지 않도록 생활 개선을 해주는 것이 중요하다. 영양실조가 심할 때는 1차적으로 인슐린 사용이 권장된다.

Background: Team-based learning (TBL) strategy have been applied in various nursing education as focusing on what students doing in-class and how learning from their experience. The purpose of this study was to develop and apply the TBL approach to teach pain assessment and management for undergraduate nursing students. Methods: Pain management education using TBL was applied in fundamentals of nursing course and consisted of three sessions for 2nd year nursing students. For developing the TBL, instructors redesigned the course before starting the semester and collected the cases reports from clinical environment. TBL on pain management was then applied into fundamentals of nursing course for 3 weeks. After completion the TBL course, satisfaction and self-confidence were collected. Result: We designed activities in four different points of TBL course such as a) before class begins, b) preparation, c) readiness assurance, and d) application. In before class, students can be identified instructional goal of TBL and activities of each point of course with their team member. The scores of students’ satisfaction and self-confidence in learning were high. Most students were positively described their experience of TBL course on pain management. Conclusion: Based on this development process and application, TBL approach will be applicable in various nursing education for enhancing the knowledge and making a clinical decision of nursing students.

Many pregnant women have experienced low back pain (LBP) during pregnancy and after delivery, and it has been an important component in women health. This study was designed to investigate the characteristics and management of the LBP in postpartum women. Eighty-five postpartum women were participated in this survey. Mean age of 85 women was 28.1 years. Of 85 postpartum women, 55.3% (n=47) had LBP after pregnancy. Thirty of 47 women had pain on lumbar region, 17 postpartum women had pain on sacroilium region. Of 85 postpartum women, 74% (n=54) had LBP before pregnancy and 71.8% (n=61) had LBP during pregnancy. Of 47 postpartum women who had LBP, 83% (n=39) had not received medical management for LBP, 12.8% (n=6) took medication, and 4.3% (n=2) performed self-exercise. None of postpartum women had received physical therapy during pregnancy and after delivery for treatment low back pain. The pain in SI region was more severe than in lumbar region after pregnancy according to VAS (visual analog scale) (p<.05). However, there was no significant difference in VAS scores between SI pain and lumbar pain before and during pregnancy (p>.05). Pain region after delivery was related to pain region of pre-pregnancy and during pregnancy (p<.01). Pain level after delivery was related to the pain and night pain level during pregnancy (p<.01).