| A study on Family Function of Patients presenting with Upper Gastrointestinal Symptoms using FACES3. |
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Hyeong Yoo, Yong Woo Kim, Byung Wook Cho, Soon Ok Kim, Jae Kyoung Yoon |
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| FACES3 |
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유형, 김용우, 조병욱, 김순옥, 윤재경 |
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제주한국병원 가정의학과 |
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| Abstract |
Background
: The family members with family dysfunction frequently complains of multiple psycosomatic symptoms. Of theses, the psychosomatic factors-sensitive Upper Gastrointestinal(UGI) symptoms account for a large part of them on our out-patient department. This study was carried out to related the family function with UGI symptoms.
Methods : The subjects were 243 cases who attended the department of Family Medicine or Inernal Medicine, Pyung-Tak Bak-Ae Hospital, during a period of approximately 6 months from Feb. 1994 to Jul. 1994, categorized into two groups according to UGI symptoms. One had 106 cases who were regarded as healthy control group without UGI symptoms, another regarded as patient group of 137 cases with them, and who have been given the flexible Gastrofiberscopy with the resulting endoscopic findings.
We compared family function with UGI symptoms using FACESⅢ questionare, acronym for FAmily Adaptibility and Cohesion Evaluatin Scales, which was developed by Dr. Olson, David H. to tap adaptibility and cohesion.
Results : The results processed by SPSS/PC program were as followed :
1) Male was 150(61.7%), and female was 93(38.3%)
2) Epigastric pain(63.2%) or bloating sensation(63.1%) were the most common symptoms and followed by indigestion(37.7%), nausea(32.1%), weight-change(27.4%), vomiting(24.5%), and foreign body sensation(24.5%).
3) Gastroscopic findings were as followed ; niormal finding in 54 cases(50.9%), gastritis in 32.1% , gastric ulcer in 5.7%, duodenal ulcer in 4.7%, cancer in 3.8% and others in 0.9%.
4) The patients group with the indigestion showed significant enmeshed or disengaged cohesion than the contol group.
5) The patients group with the foreign body sensation showed more disengaged cohesion and rigid adaptibility than the paients without it, and the patients group with the epigastric pain showed omre chaotic adaptibility than the patients without it. But these two groups were not nefferent from the healthy control group.
6) No difference was noted in family type related to UGI symptoms or Endoscpic ffindings.
Conclusion : This study showed the family dysfunction from patients with some UGI symptomes. Thus we suggest that the family dysfunction related to UGI symptoms. But as our subjects were not enough, we need further follow up study. N |
| 초록 |
연구배경 : 가족기능장애가 있는 가족의 구성원들은 흔히 여러 신체증상을 호소한다. 특히 상부위장관 증상은 심리적 요인과 밀접한 관계가 있으며 신체화증상중 많은 범위를 차지하고 있다. 이에 상부위장관 증상과 가족기능 사이의 관계에 대하여 알아보고자 하였다.
방법 : 1994년 2월부터 7월까지 6개월간 평택박애병원 가정의학과 및 내과에서 진료를 받은 243명중 증상이 없는 137명을 무증상군(대조군), 상부위장관 증상을 호소한 106명을 증상군(조사군)으로 구분하여 FACESⅢ의 가족적응력척도, 가족결속력척도를 포함한 인구사회학적인 설문지를 작성하여 이를 SPSS/PC 프로그램으로 분석하였다.
결과 : 상부위장관 증상의 일부인 소화불량을 호소하는 증상군은 무증상군에 비해 밀착된 결속력과 이탈된 결속력을 보여주었다(P<0.05). 이물감을 호소하는 증상군은 타증상을 호소한 증상군보다 이탈된 결속력과 경직된 적응력을 보였고, 복통을 호소하는 증상군은 타증상군보다 혼란된 가족적응력을 보여주었으나 무증상군과는 유의한 차이가 없었다.
결론 : 상부위장관 증상중 일부증상인 소화불량, 이물감, 통증을 호소하는 가족에서 가족기능의 장애를 보였으나 대부분의 증상은 가족기능과 유의한 상관관계가 없었다. |
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