A Study on the Response Rate for Family Examination and the Morbidity of Family Examinees of Tuberculosis Patients Found in Rural Area

농촌지역 폐결핵 환자의 가족검진실태 및 가족의 이환상태

To investigate the response rate for family examination and the morbidity of family members, we reviewed the medical records of 1,525 tuberculosis patients at health center of Sunsan county in Kyungpook province from January 1981 to December 1990. The response rate for family examination in the first period(1981-1985) was 20.0%, and that in the second period(1986-1990) was 78.8%. The response rate for family examination was rapidly increased with the year. The kinship between the tuberculosis patients and examinees was very closely related with the response rate of family examination. The radiological finding was closely related with rate for family examination was 63.0% in the children of patients, 28.9% in wives or husbands of patients, 28.8% in other relatives and 19.9% the morbidity rate of family examinees. The severe the radiological finding, the higher the tuberculosis morbidity rate of family examinees. The prevalent rates of family examinees were 6.2% in parents, 4.3% in wives or husbands, 1.1% in children, and 1.5% in other relatives of parents. The results of this study suggest that the response rate for family examination should be increased especially for the old people, such as parents of tuberculosis patients.

농촌 지역 폐결핵 환자들의 가족검진율과 가족중 결핵이환율을 알아보기 위하여 1981년 1월부터 1990년 12월까지 경북 선산군 보건소에 등록된 환자 1,525명을 대상으로 환자 관리 기록부를 열람하였다. 가족검진율은 전반기가 20.0% 후반기가 78.7%로 시간이 지날수록 가족검진율은 증가하였다. 가족검진율과 관련이 강한 요인은 등록된 환자와 가족 검진 자의 관계였다. 즉 환자의 자녀일 때 검진율이 63.0%, 배우자가 28.9%, 기타 가족 28.8%, 그리고 부모가 19.9%였다. X선검사 결과는 점진자중 결핵이환율과 밀접한 관련이 있었다. 즉 X선검사 결과 더 심할수록 검진가족중 결핵이환율은 더 높았다. 검진자중 발견율은 부모가 6.2%, 배우자 4.3%, 자녀 1.1%, 기타 가족 1.55였다. 이상의 결과로 보아 환자와의 관계가 부모일수록 검진율이 낮고, 반면에 결핵이환율은 높아 이와 간은 고령층에 대한 가족 검진의 향상이 요구된다.