Ki Woo Kwak | 7 Articles |
The diabetic patients were evaluated by Diabetes Quality of Life(DQOL) measure in this study. The diabetes quality of life(DQOL) was initially designed for use in the Diabetes Control and Complication Trials.
The purpose of this study is to evaluate DQOL toward fasting blood sugar, sex, treatment modality, duration of the D.M., and site of life. This study has been made of 105 patients that have been visited to Severance, Kanghwa, Chungmu hospital during 6 months (1990.4-1990.9) 1. The difference between males and females was not found on the total DQOL, but males were significantly less distressed than females in diabetes related worry individual scale. (P<0.05) 2. The difference in fasting blood sugar levels was not found on the DQOL. There were no significant differences in fasting glucose levels. 3. The difference in treatment modality group such as diet & exercise group, oral hypoglycemic agent group, and insulin therapy group were found on the the total DQOL, with diet & exercise group being significantly less distressed than oral hypoglycemic agent group and insulin therapy group were found on the the total DQOL, with diet & exercise group, being significantly less distressed than oral hypoglycemic agent group and oral hypoglycemic agent group being significantly less distressed than insulin therapy group.(P<0.01), especially in satisfaction and impact individual scale. 4. The difference between urbans and rurals, was found a total DQOL, with urbans being significantly less distressed than rurals.(P<0.01), especially in worry individual scale.
In order to be available in fundamental data for establishment & assesment of OB & Gyn. Curriculum and for practice guidance in family practice residency program practiced by a family physician at a community hospital from Jan. in 1990.
The results were as follows ; 1. The age distribution in 277 outpatients of this study was 39.9% in the twenties, 22.2% in the thrties, 16.4% in forties, 13.3% in fifties, 6.45% in the over sixty years old, 1.8% in the under nineteen years old. 2. The total number of chief complaints of problems of the outpatients was 436 and among them, leukorrhea was the most common problem(20.4%) 2nd was amenorrhea or antenatal care(18.7%). The percentage of problems from the most frequent to the 10th most frequent was 91.9%. 3. The following history takings were asked to the patients by physican : menstrual & parity history to 93.6%, 91.6% of patients, respectively. Contraceptives & sexual history to 29.2% of patients, family history & other medical history to 27.9% of patients. 4. The average number of diagnostic tools done per patient was 1.4, of which the top 10 most commonly performed tests comprised 99.2% of the total. Gram stain & wet smear ranked first comprising 21.8% of the total and followed by Pap smear with 19.0%, and pelvic sonogram with 15.0%. 5. The diagnosis by physician were classified according to 378 items in the ICH PPC-2 defined method. Among 356 diagnoses, pregnancy or antenatal care was the most common diagnosis(21.9%) and followed by nonspecific vaginitis(18.0%). The cumslative percentage from the most common diagnosis to 19th most common accounted for 95.9%. 6. Among them, normal delivery was 87.8%, vacuum delivery was 4.9%, and Cesarean section was 7.3%.
Family physician should understand the various changes by family life cycle, and know the risk factors which can be expected from each stage. So he can help a family to cope with a change in a new stage. This study was designed to understand the changes of family and marital satisfaction according to the family life cycle.
For this purpose, we surveyed 341 men and women who had visited 3 general hospitals OPD in Seoul and Seochun from May to August in 1990. The family satisfaction(adaptability;6 items, cohesion 8 items) and the marital satisfaction(10 items) was evaluated according to the family life cycle(5 stages). The results were as follows; 1. The family satisfaction score was higher in stage 5(launched; 52.5) and stage 1(beginning family; 52.4) than in other stages, but there was no significant difference. 2. The family adaptability score was the highest in stage 5(launched; 23.5), and was the lowest in stage 3(school age; 22.0). The family cohesion score was the highest in stage 1(beginning family; 29.8), and the lowest in stage 4(launching; 28.3) 3. The marital satisfaction score was the highest in stage 1(beginning family; 37.6), and decreased gradually according to the family life cycle, and was the lowest in stage 4 (launched; 31.7), and increased in stage 5(launched; 33.8). There was a significant difference(P<0.01). 4. The marital satisfaction had a significant difference in the items (P<0.01) of personality, role, communication, sexual relationship, family & friends, and the item(P<0.01) of conflict resolution, but had no significant difference in the items of financial management, leisure activities, children, religious orientation. 5. The family satisfaction and the marital satisfaction had a significant correlation in each family life cycle stage (r=0.69, P<0.01).
A clinical analysis was made by 83 cases of snake bitten patients who received the emergent treatment at the Yong In Severance Hospital from Jan. 1988. to Dec. 1989. The results were as follows;
1. Sex ratio was 1.9:1 and the age distribution was the most prevalent in the 7th decade. 2. The seasonal distribution was frequent in July(30.2%), and the most common bitten site of the body was the finger(42.2%). 3. The one fang mark was observed in 39 cases(47.0%). 4. In 40 cases(48.2%), it took within one hour for the first aid treatment, and in 77 cases (92.8%) of studied patients were arrived at emergency room within 24 hours. 5. The tourniquet was applied in 21 cases(25.3%). 6. The most frequent general symptom or sign was dizziness(38.6%), followed by visual disturbance(15.7%), fever(10.8%), nausea or vomiting(10.8%), and dyspnea(10.8%), and the most frequent local symptom of sign was pain(95.2%), followed by swelling(85.5%), skin color change(8.4%) and bleeding from wound site(2.4%). 7. In laboratory findings, coagulation time was prolonged in 13 cases(86.7%) of 15 cases who were performed this test, and elevated SGOT was seen in 24 cases(55.8%) of 43 cases. 8. The treatment was consisted of the medical and the surgical treatment. In medical treatment, 66 cases(79.5%) were received the tetanus antitoxin and 79 cases(95.2%) received antivenin. In surgical treatment, 73 cases(87.9%) received skin incision and irrigation, 7 cases(8.4%) received skin incision and suction. 9. There were 18(21.7%) complicated cases, the phlegmon was 10 cases(12.0%) followed by lymphadenitis in 5 cases(6.0%), arthritis, abscess and gastroenteritis in 1 case(1.2%).
In the many studies of the family relationship, it is essential to figure out the marital satisfaction to know how much the people of their society enjoy happy life and it is necessary to solve the causes of dissatisfaction to study which factors have irfluence and give satisfaction.
This study was performed in order to measure the sociodemogaphic factors which influence marital satisfaction during the school age stage of the family life cycle by the Dr. Olson's Marital Satisfaction Scale. Responese to self-administered questionnaire, which were given to 120 married couples were analysed. The results were as follows: 1. Maital satisfaction of those who are male(p<0.05), have higher income(p<0.01), have son in children(p<0.05) were significantly higher than those who are not. But, there were no significant differences in age, education levels, occupation, house, total family number, number of children, and living with their parents. 2. In marital satisfaction of married couples, the marital satisfaction scores of husband were significantly higher than those of wife in family which have income of 300-590 thousand won for month(p<0.01), have 4-6 persons in member, have two children, have son or sons in children, and which does not live wiht their parents(p<0.05). 3. In subscale analysis of marital satisfaction scale, the marital satisfaction scores of husband were significantly higher than those of wife in PERSONAL CHARACTERISTICS(p<0.01), COMMUNICATION(p<0.01), SEXUAL RELATIONSHIP(p<0.01), ROLE RESPONSIBILITIES(p<0.05), RELATIONSHIP WITH FAMILY AND FRIENDS(p<0.05), but, in the part of CONFLICT RESOLUTION, LEISURE ACTIVITY, the marital satisfaction of husband tend to be higher than those of wife but there were no significant difference, and the marital satisfaction scores of wife were higher than those of husband in FINANCIAL CONCERNS, PARENTS RESPONSIBILITY, RELIGIOUS ORIENTATION, but there were no significant difference.
Thirty-seven suicidal attempters and depressed patients were examined in an effort to determine the importance of life stress as factors in suicidal attempt.
The results were as follows : 1) The suicide group was found to be younger than the depressed group(P<0.05). Sex distribution and socioeconomic status score were revealed no significant difference between two groups. 2) Structured Interview Guide for Hamilton Depression Score(SIGH-D) was not significantly different between two groups. 3) Total stress score and total negative stress score were significantly high in suicidal group than in depressed group(P<0.05), but total positive stress score was not significantly different between two groups. As a result, this study suggested that suicidal attempt is high in early adulthood group and in high stressed group under the control of degree of depression.
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