| A study on disease concepts and medical utiligation habits to solvemedical problems of headache in cetain community. |
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Kyoung Mi Kim, Young June Kim, Ho Sik Hong, Hye Suk Chung, Nam Cheol Kim, Min Soo Kim, Hong Soo Lee |
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| 일부 지역주민의 두통에 대한 질병인식 및 의료이용 실태에 관한 고찰 |
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김경미, 김영준, 홍호식, 정혜숙, 김남철, 김민수, 이홍수 |
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성남병원 가정의학과 |
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| Abstract |
For comprehensive approach in planning practice, a family physician, as gate keeper of primary care on certain community health, has been required to be noticed such informations which are associated with patient's private life, sociocultural background as well as physical conditions.
Therefore, a questionnaire concerning general people was proposed to randomized 1,000 persons in community hospitals, a few industries and public offices from Aug. 1990 to Sep. 1990. Data on 270 persons were selected and analyzed so that results were as follws;
1. The total number of patients was 270, in which 183 were male(67.8%) and 87 were female(32.2%). The age distribution was largest in 31-40yrs(38.1%). The occupation was largest in officer, 120(44.4%). The living places were mainly Seoul and Sung Nam city. The environmental hazards were present in 122(45.2%). The family satisfaction and social satisfaction were positive trend in 149(55.2%), 112(41.5%).
2. Of disease charactes of headache, experiences of diagnosis were in 149(55.2%)-infectious disease, tension headache, hypertension, in order and the location was common in posterior area of head and forehead. The frequency was 1-3 times on a day in 137(50.7%). The intensity was mild and very mild in 122(45.2%). The 3 most common associated symptoms were dizziness, G-I troubles, weakness and numbness on extremities.
3. There was close statistical correlation between diagnosis of headache and age, occupation, insurance, living place(P<0.05), and between intensity of headache and environmental hazards, marital status, social satisfaction(P<0.05).
4. The method of headache was self resolution and drug store visits in 230(85.2%), The reason for that was "considered being able to solve with the methods" in 115(42.6%). There was close correlation between above 2 items(P<0.05).
5. In drug use, after check information about its mechanisms, indications, side effects was in 125(46.3%). The duration of headache to visit hospital was less than 1 week in 128(47.4%).
6. The 3 most common subjective causes of headache were psychological problem, alcohol drinking, hidden disease, in order. The main reason for visit doctor was "for diagnosis of etiologic disease" in 103(37.3%) and concepts on doctor's role was "able professional in diagnosis and treatment" in 158(58.5%). Between above 2 items, there was close correlation(P<0.05). |
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