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우리나라 都市 通院 核結患者에 對한 精神衛生學的 調査

A Psycho-hygienic Survey on Tuberculosis Patients Frequented the Clinic Located in Inchon, Korea

공중보건잡지 1965년 2권 1호 p.111 ~ 118
유명자,
소속 상세정보
유명자 (  ) - 서울대학교 보건대학원

Abstract


A study was made of the mental hygiene of the present class of T.B. patients who frequented our Clinic from August 1, 1965 through October 15, a period of two and a half months. The following are some of the conclusions drawn up as a result of interviewing some 200 of these patients.
Ⅰ. Living Status:
a) Of the 200 patients interviewed, 55.0% were male, 45.0% female. Concerning the mean age of both male and female patients, 17.3% were aged between 25 to 29 years; 35 to 39 years. Only 0.9% of patients interviewed were from 0 to 4 yrs., or 10 to 14 years of age. The lowest incidence, only 1.1%, was discovered in the 65 to 69 yrs, and 70 to 74 yr. age bracket.
b) Concerning employment, 45.8% of the patients were not employed before registration, and 64.4% were unemployed after registration.
c) Concerning financial status, 55.5% of the patients were from 1 to 5,000 won monthly income bracket. Only 1.5% were from 10,000 won or above income.
Ⅱ. Epidemnological Viewpoint:
a) 52.5% of the patients were diagnosed in pulmonary T.B., while only 5.5% were discovered from a mass survey of residents in the area.
b) Existence of pulmonary lesions on X-ray are as follows:
1. minimal 39.0%
2. moderately advanced 32.0%
3. far advanced 29.0%
32.0% of patients were about 2 years duration in sickness; only 2.0% had been ill for 16 years or more form pulmonary T.B. 28.0% were approximately in 2 years duration of treatment. A few, merely 5.0%, received treatment a duration of 16 years or more for pulmonary T.B.
c) 56.0% of patients were emaciated in appearance, whereas only 2.5% were obese. 50.0% of patients were stational body weight after sufficients administration of milk, whil 16.0% remained underweight even after administration of milk.
d) More than half of the male patients, 58.2%, had imbibed in alcoholic beverages before treatment, while only 6.7% of women had done so. After treatment began, 10.0% of male patients continued to drink, and 5.6% of women likewise. As regards smoking, 62.7% of men indulged before treatment, and 48.0% continued to smoke even after treatment began; whereas only 2.2% of the women patients had smoked before treatment, and 6.75 fo them continued to smoke after treatment.
e) 34.5% of patients had between 6 and 7 members to their family, 3.0% had 11 to 15 members to their family. Of the 200 patients interviewed, a total of 1,184 persons are involved in close exposure to the Tubercular patient. Each patient has an average of from 5 to 9 persons in his family.
f) 39.0% of male patients enjoyed private room of their home, in contrast to only 15.0% of women. 71.0% of males and 84.6% of females shares same room with one of more members of the family.
g) As regards inter-family communicability of T.B., upon investigation the families of the patients who were X-rayed, 18.5% of the cases showed definited communication. Of these, 3 cases were of man-wife relation; 24 cases of brother-sister relation; 9 cases of parent-child relationship. Of all, 36 new T.B. patients were discovered as a result of this survey.
Ⅲ. Socio-psychological Study:
a) 43.0% of patients interviewed were convined of a perfect cure in his or her own case; whereas 16.0% regard the possibility of a complete cure as very little or hopeless.
b) As regards interests and leisure, 45% concern themselves with only bed rest, while the same number had no time think of interests. A very small rate, only 2.5% of patients found interest in frequent movie shows.
c) 41.0% of patients experienced a diminution in memorization power on account of the T.B. conditon, whereas a very slight percentage. 2.2% noticed a clearer memory power.
d) 67.0% of patients experienced no paticular change in sexual desire as a result of their disease, while 3.7% experienced an increase, and 36.0% a decrease in sexual tendency and desire. In 33.0% of cases interviewed, the wife and husband were temporarily living separately, and husband were temporarily living separately, and increased 1.7% upon discovery of T.B.
e) As regards social relationships, 54.0% of patients avoided social contacts, while a few cases, 2.0%, continued their social contacts and interests.

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