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Journal of the Korean Academy of Family Medicine 1999;20(8):978-990.
Published online August 1, 1999.
An analysis of fatigue among outpatients.
Bang Bu Youn, Kyun Sang Lee, Hee Cheol kang, Kyung Kyun Shin
Department of Family Medicine, College of Medicine, Yonsei University, Korea.
외래환자의 피로에 대한 분석
윤방부, 강희철, 신경균, 이균상
Abstract
Background
: Up to the present, there has been little study on chronic fatigue or chronic fatigue syndrome, and there is equally sparse relevant statistical data For this reason, we attempted to investigate the present status of fatigue, particularly its incidence and actual conditions.

Methods : The study subjects were 12,152 outpatients who visited family practice in hospitals all over Korea between July 24 and September 21,1997. They were given a questionnaire which included questions reflection the (U.S) Center for Disease Control criteria defining chronic fatigue syndrome.

Results : Among the subjects, 861 people complained of fatigue in their response to the questionnaire-re and they became the focus of the study. Of this fatigue group, 426 people(49.4%) had manifested fatigue for more than 6 months, and the male/female ratio was 54%/46%, respectively. People who re-ported that fatigue impaired their ability to function on a daily basis made up 35.8% of the fatigue group and the percentage of people who had considered visiting a clinic due to fatigue was an unexpectedly high 52.8%. The reported causes of fatigue, in decreasing order, were: social interactions(males 68.5%/females 45.1%); sleep disturbance(males 26.8%/females 21.8%); and physical maladies(males 24.2%/fe-mals 26.5%). There were significant gender differences in social interaction relating to domestic problems(males 4.7%/females 16.7%) and emotional problems(males 12.2%.femals 21.4%). Among 33 chronic fatigue syndrome patients who indicted what they thought were the causes of their problems, 68.8% reported physical maladies, 65.5% social life, 31.3% emotional problems, 21.9% sleep disturbance, and 21.9% domestic problems. The associated symptoms of fatigue reported in both males and females, in de-creasing order, included: myalgia, headache and neurological symptoms. The prevalence of chronic fatigue was 0.27%.

Conclusion : Our study showed that 7.1% of family practice outpatients complained of fatigue and that their daily activities or occupational life were disturbed as a result. This group demonstrates is serious need for medical assistance. Therefore, doctors should have more interest in fatigue, particularly in chronic fatigue syndrome, so as to provide real and versatile care.( J Korean Acad Fam Med 1999;20:978-990)
초록
연구배경 : 현재 국내의 만성피로나 만성피로증후군에 대한 연구나 통계자료는 매우 빈약한 실정이다. 따라서 본 연구를 통하여 피로의 실태 특히 만성피로증후군의 유병률 및 실태에 대해 알아보고자 한다.
연구

방법 : 1997년 7월 24일부터 9월 21일 사이에 전국의 가정의학과 외래환자 12,152명을 대상으로 하였다. 설문지에는 만성피로증후군에 대한 미 질병관리센터(Center for disease Control) 정의기준이 반영된 질문들을 포함하였다.

결과 : 대상자중 861명이 피로를 호소하였으며 이들을 대상으로 설문결과를 얻을 수 있었다. 이들 중 6개월 이상의 피로를 보인 경우는 모두 426명(49.4%)으로 남/녀 별로 각각 피로군의 53.9/45.9%에 해당하는 것으로 나타났다. 일상생활에 장애를 초래할 정도로 피로한 경우도 35.9%이고 피로로 인해 병원진료를 고려했던 경우도 52.8%나 되었다. 피로의 원인으로는 사회생활(남 68.5%/여 45.1%), 수면이상(남 4.7%/여 16.7%)와 정서적인 문제(남 24.2%/여 26.5%)등의 순으로 꼽았고 사회생활, 가정내의 문제(남 4.7%/여 16.7%)와 정서적인 문제(남 12.2%/여 26.5%)에서 남녀간의 유의한 차이가 있었다. 33명의 만성피로증후군 환자들은 피로의 원인을 신체이상 68.8%, 사회생활 65.6%, 정서적인 문제 31.3%, 수면이상 21.9%, 가정내 문제 21.9%의 순으로 생각하고 있었고 피로의 동반증세는 남녀 공통적으로 근육통, 두통, 신경증세의 순으로 많이 나타났다. 만성피로증후군의 유병률은 0.27%였다.

결론 : 가정의학과 외래를 찾아오는 환자들의 7.1%가 피로를 호소하였고 이로 인해 일생생활이나 직장생활에 장애를 초래하여 의사의 도움을 절실히 느끼고 있었다. 따라서 의사들도 피로 특히 만성피로, 만성피로증후군에 대한 관심을 높여서 다각적이고 실제적인 치료가 제공되어야 하겠다.


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