| A Socio-medical Survey on Open Cases of Pulmonary Tuberculosis Registered at Health Centers - Especially concerning the degree of knowledge about TB - |
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Tae Kyu Kim1, Jie Young Han1, Sung Tchil Chang1, Sang Baik Oh1, Byoung Won Jin1, Hae Won Pyun2 |
1Seoul Branch. K. N. T. A.
2Dept. of Internal Medicine. Catholic Medical College |
| 결핵균 양성환자에 대한 사회의학적 고찰 -결핵에 관한 지식도를 중심으로- |
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김대규1, 한지영1, 장승칠1, 오상백1, 진병원1, 변해원2 |
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| Abstract |
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For the purpose of obtaining basic data for health education. a socio-medical survey on 315 open cases of pulmonary tuberculosis was carried out from February 9 to May 8. 1972. The patients involved in the survey comprised one third of the total open cases registered at the nine health centers in Seoul during 3 months from July 1 to September 30. 1971.
The results were as follows;
1) 16.6% of the respondents (patients) believe that there are other undiscovered tuberculosis cases among their household.
2) Of all the respondents 26.2% answered that there had been any tuberculosis patients among their family members in the past.
3) The motivation for diagnosis of most of the respondents (85.9%) was “ symptoms" of pulmonary tuberculosis. For initial treatment. the inf1ux of patients at health centers was increased up to 60.6%.
4) 46.9% of the initial diagnosis were made at health centers. 30.7% at private clinics and 19.1 % at general hospitals. For initial treatment. the influx of patients at health centers was increased up to 60.6%.
5) Of the total respondents 46.5% (the highest rate) indicated that the reason for registration at a health center was “ the free treatment service of the health center". At the same time. another 40.6% pointed out that the reason was ‘ the initial diagnosis at a health center".
6) It is believed that the household contacts are protected from the respondents' own TB by regular chest x-ray examination, isolation or BCG vaccination. The respective rates for the above-mentioned methods of protection were 62. 3% , 2.5.3% and 4.6% of the respondents.
7) 68. 0% of the respondents replied that they were sharing a room with 2 or more other people, while only 18.7% had their private room.
8) Most of the respondents (66.7%) obtained information concerning tuberculosis from other people including health center workers and neighbors, while only 8.7% received the information through the mass media.
9) 21.6% of the respondents knew what a ‘ tuberculin test" is, while 41. 5% knew that there is a BCG vaccination to prevent TB.
10) 24.1 % believed that tuberculosis is inherited.
11) Those who thought that the most effective measure for the prevention of TB is nutrition were 52.3% of the total (the highest rate) while 19. 9% said BCG vaccination was the most effective measure.
12) Those who thought that the most effective method of diagnosis for TB is X-ray examination were 65.2% of the total (the highest rate) while 17.4% said the appearance of symptoms.
13) 66. 0% answered that they knew the name of the therapeutic drugs they were taking. ‘ 22. 8% knew the reason why ‘ drug resistance-" occurred.
14) 92.6% believed that tuberculosis is completely curable. Of them, 99.5% believed their TB also is completely curable.
15) 59. 4 % knew the name ‘ KNTA". Most of them (90.9%) knew the functions of the association.
Of the total respondents, 59.8% knew the purpose of publishing Christmas seals and 56. 0% have bought them, but only 36.5% knew the issuing -agency.
16) ln view of the above results, it can be observed that in order to obtain the active cooperation of the public for TB eradication, more effective ways and、 means of health education should be studied, and then strongly implemented. |
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