| Home Visiting |
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Kwan Hi Lee, Hai Won Pyun, Eung Soo Han |
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National T. B. Center Seoul, Korea |
| 폐결핵통원치료에 수반되는 제반문제 -가정방문을 중심으로 |
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이관희, 변해원, 한응수 |
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| Abstract |
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There are Several indispensable Problemes for the treatment of Pulmonary T. B. Patients on the ambulatory basis. The most important things of them, to carry out the ambulatory treatment efficientry, are home care and case finding. The home care and case finding. Home care must be done carefuly in order to prevent the T. B. infection among the members of patients family as well as the patient himself. The case finding is also significant for the aforementioned purpose. It is because we can not expect perfection in T. B. control on the ambulatory basis other than finding T. B. patients as possible.
Therefore we have conducted Home visiting for the patients who were diagnosed to have them knowledges on home care. On the other hand we have tested tuberculin reaction for their families, positive cases of whom had been x-rayed also. Here is our report on the home visiting conducted for 100 cases being under our treatment.
1) The most of the patients are living with their families together in their small rooms and 38% of them are living the rented rooms.
2) Many patients are living in the poor condition and almost half of them are supporters of their familγ.
3) 47% of them are keeping modified rest, however, which is not considered enough for care of their sickness, 32% of them are keeping sufficient rest, and 21% of them have not any rest.
4) We could find out the sourse of infection on 54% of the patients through our visits of their home. 50% of it has its source with their family.
5) 19 % of them are isoated completely 81% of them are living in same room with their families, and over half of them are living with the children younger than 10 years old.
6) For result of tuberculin test on their family, 90.4% are positive it is significant result that about 70% of the tested children younger than 10 years old is positive.
7) 25% of their families are active T. B. patients, primary T. B. is 40.2% of them the highest rate.
8) There is no remarkable diffference in Tuberculin reaction on some view point such as Isolation, Sputum Examination, Classification of Pulmonary T. B. and T. B. death etc. However, we could find remarkable difference in incidence of active T. B. among them. The rate of incidence of active T. B. is higher under the unfaverable condition.
9) The rate of infection and incidence of T. B. among the coupIes is not consid erable. However, it is remarkably higher among children younger than 10 years old comparing with that of them .
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