| A Study of the Effect of the Health Education with Personal Letters on the Improvement of TB Patient Control at a Rural Health Center |
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Won Duck Lee1, Jong Koo Park2, Kyung Suh2 |
1Ganghwa-gun Public Health Center
2Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea |
| 사신을 이용한 농촌보건소 결핵환자 관리개선의 효과에 관한 연구 |
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이원덕1, 박종구2, 서경2 |
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| Abstract |
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Personal letters for the health education on TB were sent with short term interval to the patients newly registered for 1 year between 1st of September ’76 and 31th of August ’77 (experimental group ) looking forward to improving TB patient Control. The results were compared with those of the patients registered between 1 st of September ’75 to 31th of August ’76 to whom the letters were not sent (control group ).
1. The numbers of study patientis were 243. Among them 63.8 % were male, 36.2 % female, and 37.4 % were positive cases by initial sputum examination.
The numbers of control patient were 265. Among them 67.9 % were male, 32.1 % female and56.6 % were positive cases by initial sputum examination.
2. 57.5 % of study group live at"convenient areas in traffic. 73.4 % of control group live at similarly convenient areas in traffic.
3. Negative conversion rate of all positive cases of study group was 56 % within 1st lyear of registration, which was higher than control group by 14 %. However difference of the rate was very little between two groups who got sputum examination regularly.
4. About half of the patients of both groups gave up their treatment within 0-3months after registration 41. 2 % of study group interrupted treatment within 0-3 months after registration while 52.8 % of control group did.
5. About 70 % of the patients of the both groups got follow-up checkings by X-ray more than once during 1st year of registration. 76.4 % of study group got follow -up checkings by X -ray, while
64.9 % of control group did.
6. Less than 70 % of both groups took sputum examination more than once 30 % of study group never took sputum examination during 1 st year of registration. 40.8 % of control group never took it during 1st. year of registration.
In case of sputum examination more than twice, study group was much higher than control group.
7. In 59.5 % of the study group, more than one of the members of their families took TB examination X -ray, sputum AFB or both. It was 12 % higher than in the control group |
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