Family Physician as a Counsellor Focused on Sexual and Family Problems: Cheonan Practice-Based Research Network Study.

Jin, Seong Hee; Cheong, Yoo Seock; Park, Eal Whan; Choi, Eun Young; Yoo, Sun Mi; Kim, Eun Kyung; Kim, Ki Sung; Park, Yun Jong; Yeoum, Hung Tag; Jung, Hye Weon; Lee, Jong Min; Kim, Guwang Hwy

Original Article

Journal of the Korean Academy of Family Medicine 2004;25(4):322-328.
Published online April 10, 2004.

Family Physician as a Counsellor Focused on Sexual and Family Problems: Cheonan Practice-Based Research Network Study.

Seong Hee Jin, Yoo Seock Cheong, Eal Whan Park, Eun Young Choi, Sun Mi Yoo, Eun Kyung Kim, Ki Sung Kim, Yun Jong Park, Hung Tag Yeoum, Hye Weon Jung, Jong Min Lee, Guwang Hwy Kim

¹Department of Family Medicine, Dankook University College of Medicine, Korea. drloved@unitel.co.kr
²Privite Clinics in Cheonan Practice-Based Research Network, Korea.

가족문제와 성생활 문제의 상담자로서의 가정의 -천안 진료중심 연구망 연구

진성희,정유석,박일환,최은영,유선미,김은경,김기성,박윤종,염형택,정혜원,이종민,김광휘

^¹
^²

Abstract

Background
: The primary concern of a family physician is the healthcare of patients and their families, with the patient's disease itself being secondary. Family physicians should make efforts to discuss personal issues with their patients. This study examined how many patients were counseled about their private problems, especially family or sexual issues in the private clinics of Cheonan.

Methods : The subjects were the patients who visited a practice-based network from April to June in 2003. The data were collected through simple questionnaire about sociodemographic features of patients and their family and sexual problems.

Results : Eighty eight patients were studied for a total of 107 cases that consisted of 67 cases of family problems (62%) and 40 cases of sexual matters (38%). The common issues about family problems were `the partners' (23 cases, 21%) and `the patients` children' (29 cases, 27 %). The most frequent sexual problems were 'sexually transmitted diseases' (13 cases, 32.5%), `impotence' (7 cases, 17.5%), 'loss of libido, and unsatisfaction' (6 cases, 15.0%). Most physicians were involved in family and sexual issues with medications, and simple counseling with reassurance. Simple counseling was given for 14 cases (21.0%) for family issues and 18 cases (44.0%) for sexual issues. The patients were treated with medications in 47 cases (70.0%) for sexual and 15 cases (38.0%) for family problems.

Conclusion : The most common issue for family problems was their partners and for sexual problems was 'sexually transmitted diseases'. Most family physicians were involved with both simple counseling and medications.

Key Words: family physician, counselor, family relations, sexual partners

초록

연구배경 : 가정의는 질병 자체보다는 환자 및 가족 전체의 건강에 관심을 가진다. 따라서 가정의의 진료실에서는 다양한 상담이 이루어져야 한다. 본 연구는 짧은 진료 시간에 쫓기는 지역사회 가정의들이 실제로 가족 문제 및 성적인 문제에 대하여 얼마나 상담하고 있는지와 그 내용을 알아보고자 시행하였다.

방법 : 2003년 4월 20일부터 2003년 6월 20일까지 3개월간 천안지역 가정의학과 개원의 진료중심 연구망 소속 7개의 진료실에서 당일 진료 내용 중 가족 문제나 성생활 문제로 상담을 받은 사례를 미리 준비된 설문지에 그 내용을 기록한 후 모아진 자료들을 분석하였다.

결과 : 총 상담 건수 107건 중 가족상담이 67건(62%), 성생활상담이 40건(38%)이었다. 가족상담의 내용으로는 '배우자관련' 23건(21%), '자녀문제' 29건(27%), '개인문제' 10건(9%), '부모관련' 5건(5%)이었다. 성생활 관련 상담의 내용으로는 '성전파성질환'이 13건(32.5%)으로 가장 많았으며 '발기부전' 7건(17.5%), '성욕저하 및 불만족'이 6건(15.0%), '배우자 외도'가 5건(12.5%), '조루', '의처, 의부증' 각각 2건(5.0%), '인공 삽입물', '성교통'이 각각 1건(2.5%), '기타' 3건(7.5%)순으로 나타났다. 가정의들의 개입정도는 가족 문제에 있어서는 '단순상담 및 교육'이 47건(70.0%), '약물투여'가 14건(21.0%)이었고, 성생활 문제에 대하여는 '약물투여'가 18건(44.0%), '단순상담 및 교육'이 15건(38.0%)이었다.

결론 : 가족상담의 내용 중에서 배우자관련 내용이 가장 많았고, 성생활 상담의 내용 중에서는 발기부전문제가 가장 많았다. 지역사회 가정의들은 가족문제와 성생활 문제에 대하여 단순상담이나 부가적인 약물투여 수준에서 개입하고 있었다.

중심 단어: 가정의, 성문제, 가족 문제, 상담