Background : Adolescents experience many physical, psychological and social stresses. It is well known that there is a strong relationship between stress and illness. It has been told that good health goes with good health habits. We examine the relationship between several health habits and stress in adolescents.
Methods : We surveyed adolescents and their parents who visited an adolescent clinic in a general hospital for 8 months. Structured questionnaires about status of several health habits and BEPSI(The Brief Encounter Psychosocial Instrument) score wren used. BEPSI is a quick stress measure that is composed of several items.
Results : This study included 486 adolescents and their 486 parents. Average number of good health habits was 3.2±1.7 and average BEPSI score was 2.1±1.6 The group that had more god health habits tended to mark lower BEPSI scores(p<0.05). There was a significant relationship between stress and drinker group showed higher BEPSI scores, respectively. The conversation time between parents and adolescents had a significant relationship with BEPSI scores.
Conclusion : Several health habits were significantly connected with stress in adolescent. We can assume that good health habits and conversation with their parents are important in the management of stress in adolescents.
Background : Proper management of diabetes is important in family practice. This study aimed to assess the quality of diabetes care in an outpatient department of family medicine in a general hospital.
Methods : We reviewed all the charts of patients who had a new diagnosis code of diabetes in an outptient department of family medicine at Asan medical center from January 1, 1994 to December 31, 1995. The documentation of medical history, physical examination, laboratory tests and treatments were examined. We surveyed the doctors who had managed the above patients.
Results : This study included 95 patients with diabetes. In the chart audit, history of smoking and symptoms of chronic complications of diabetes were documented in 61.1% and 33.6%, respectively. Blood pressure measurement, fundus examination and neurologic examination were done in 100.0%, 47.4% and 18.9%, respectively. Lipid profile and urine microalbumin were checked in 47.4% and 1.00%, respectively. Management of hypertension and exercise education were documented in 65.0% and 47.4%, respectively. In the doctor survey, doctors responded that they had provided services to diabetic patients more frequently than the results of chart audit except on a few items.
Conclusion : The care of diabetic patients was relatively adequate in many items, but insufficient in some items. Efforts to improve the quality of diabetes care in family practice are needed.