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Volume 9(10); October 1988

This study was attempted to identify psychological problems and various influencing factors posed for patient's families during hospitalization of a member of the family.
The data of a self-administered screening guestionnaire were analyzed which was given to study group, 346 family members of patients hospitalized in general ward, cancer ward and ICU, and 343 cases of control group.
The following results were obtained:
1) The study group had G.H.Q. scores of 9.0±6.6, which was significantly higher than 5.5±5.5 of control group(P<0.01).
2) Women had significantly higher G.H.Q. scores than men in study group and control group with the scores of 9.6±6.8 and 6.4±5.9, respectively. The difference was more prominent in the scale of severe depression(P<0.01), somatic symptom, and anxiety and imsomnia(P<0.05).
3) The more economic burden of admission fee, the study group had the higher G.H.Q. scores with 11.3±7.3 in heavy burden group, 8.1±6.1 in a little burden group and 6.9±5.3 in little burden group(P<0.01) than somatic symptom and social dysfunction(P<0.05).
4) The study group of more than a month duration of hospitalization had significantly higher G.H.Q. scores of 10.8±6.9 than 8.3±6.3 in those of less than a month duration(P<0.01) especially in the scale of anxiety and insomnia, severe depression(P<0.01). social dyfunction(P<0.05).
5) The G.H.Q. scores were highest(11.6±7.1) in family members of patients in ICU with cancer, and those who had hospitalized in ICU had significantly higher G.H.Q. scores than those of general ward with the score of 11.1±7.1 and 8.4±6.2, repectively(P<0.01).
6) There were no significant differences in G.H.Q. scores by age, education, income, religion, marrital status, family structure and relation with the patient.
In conclusion, the G.H.Q. scores of family members of hospitalized patients were significantly higher in cases of women, more economic burden of admission fee, longer duration of hospitalization and more serious disease, which suggested more psychological problems in the family members of hospitalized patients.
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A baseline survey on the knowledge and attitude of medical students to family medicine was carried out during the period of October 12 through October 15, 1987 to provide the basic information for the establishment family medicine in the regional medical college hospital.
The major findings of this survey were as follows:
1) The rate of knowledge of family medicine was 90.7% and most of them heard it from the mass media(34.7%) and their teachers(34.3%)
2) 77% of students answered that family medicine is needed in Korea medical system, and 82.3% of students answered that this hospital needs to establish family medicine.
3) 46.4% of students expressed a desire to select family medicine residency program, only 9.3% expressed no, and 44% did equivocality.
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가정의학 전공의 교육과정의 평가 (Assessment of Family Medicine Residency Curriculum)
J Korean Acad Fam Med 1988;9(10):17-23.   Published online October 1, 1988
Family medicine residency programs include so extensive contents that many differences are revealed in residency curriculums among the training hospitals. So, for the purpose of improving a curriculum for the now and future family medicine residency training, 24 graduates completed family medicine residency course and 23 residents at the Yonsei University Severance Hosital were measured for the need and the confidence for 59 items in family medicine training contents in now.
The mean score of the need was higher in the residents(2.17±0.29)than the graduates(1.93±0.37), but mean score of the confidence was lower in the residents(1.16±0.42) than the graduates(1.37±0.44).
The state of the need, 7 items were samed in the upper 10 items and 8 items in the lover 10 items between two groups.
The mean ratios of the confidence for the need were 68% in the graduates and 52.9% in the residents.
It the goalwas 80%, ten items were fitted in the graduates and one item was in the residents.
Below the 40% four items in the graduates and thirteen items in the residents.
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The epidemiologic and psychodynamic informations on 300 patients of acute durg intoxication admitted to the emergency rooms of P.M.C. in Chonju city from Oct. 1988 to sep. 1988 were reviewed for statistical analysis through medical record analysis, questionnaire and interview.
The general findings obtained were as follows:
1. The sex ratio of the patients was 1.05 females to 1 male, 26% of total cases were found in the age groups of 20-29, which indicated the highest in percent distribution of age.
2. The incidence of acute drug intoxication was variable according to the season, i.e., the highest in summer and the lowest in winter.
3. The area-distribution of drug intoxication was variable and the highest area was chonju.
4. The percentage of attempted suicide in durg intoxication was 79.3 among the total number and in the age-groups of 20-29, its percentage was 100.0
5. The pesticides was used most frequently in durg intoxications about 63.3%.
6. The main precipitating factors of suicide were the family troubles(61.9%) and personal problems(23.7%)
7. The attempts of suicide were psychodynamically motivated by hopelssness(50%) and impulsive hostility(42.2%).
8. The rate of admission was 20.3% and that of Against discharge was 40.7%.
The rate of the serious result of durg intoxication was 19.3%.
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호흡기 질환의 치료와 거담제 (The Tmatment of the Respiratory Diseases and Expectorants)
J Korean Acad Fam Med 1988;9(10):34-37.   Published online October 1, 1988
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헤외문헌초록 : 관상동맥질환에서 심방조동 (Atrial fibrillatioa in Coronary Artery Disease)
J Korean Acad Fam Med 1988;9(10):38-39.   Published online October 1, 1988
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해외문헌초록 : 임신에서 고혈압과 단백뇨 (Hypertensioa and Proteinuria in Pre- gnancy)
J Korean Acad Fam Med 1988;9(10):39-39.   Published online October 1, 1988
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해외문헌초록 : 노인에게서 주가의 과다한 졸음 (Excessive Daytime Sleepiness in the Elderly)
J Korean Acad Fam Med 1988;9(10):39-40.   Published online October 1, 1988
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해외문헌초록 : 급성 배뇨통의 치료기간 (Duration of Therapy for Acute Dysuria)
J Korean Acad Fam Med 1988;9(10):40-40.   Published online October 1, 1988
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해외문헌초록 : 골반염에서의 초음파사용 (Use of U/S in Pelvic Inflammatory Dis)
J Korean Acad Fam Med 1988;9(10):40-41.   Published online October 1, 1988
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해외문헌초록 : 소화불량증 환자 (The Dyspeptic Patient)
J Korean Acad Fam Med 1988;9(10):42-42.   Published online October 1, 1988
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해외문헌초록 : DDST 의 축소형 (A Short form of the Denver Develop- emental Screening Test)
J Korean Acad Fam Med 1988;9(10):44-44.   Published online October 1, 1988
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