• Journal of Preventive Medicine and Public Health
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• v.33 no.1
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• pp.109-116
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• 2000

Objectives : Routine vaccination against influenza is recommended for all people aged 65 years or more. Without active encouragement to receive the vaccine, the rate of compliance is generally low. A study was undertaken to assess and compare the effectiveness of two reminder systems in improving the influenza vaccination rate. Methods : A total of 2,017 patients aged 65 or over in a tertiary care hospital family practice center were randomly assigned to a control, a telephone reminder, or a postcard reminder group before the influenza season in 1998. The outcome measure, receipt of vaccination, was determined by telephone interview. Demographic and clinical characteristics were checked through the medical chart review. Results : Among the 1,312 patients who actually received reminders and interviewed, the vaccination rate was 46.7% in the control group, 56.3% in the postcard reminder group, and 63.3% in the telephone reminder group. Vaccination compliance was significantly higher in people reminded by telephone (Odds ratio [OR], 2.00; 95% confidence interval [CI], 1.52-2.64) and postcard (OR, 1.55; 95% CI, 1.18-2.02) compared to that in the control group. Of the characteristics investigated, number of high risk co-morbidity was positively associated with vaccination compliance while current smoking was negatively associated. Conclusions : This result suggests that telephone and postcard reminders can significantly improve compliance with influenza vaccination in this group of Korean elderly. However, additional strategies need to be developed to encourage vaccination among noncompliant.

• Journal of Preventive Medicine and Public Health
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• v.32 no.3
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• pp.400-414
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• 1999

Objectives: This is a descriptive study which was carried out to identify characteristics of the chronic mentally ill and their families in a rural area and the influencing factors on family burden. Methods : Data was collected for seven months beginning April 1, 1998 by questionnaire from chronic mentally ill patients and their families in two towns and seven townships of the rural areas of Kyonggi Province. In additional to the mental diagnosis of the mentally ill patients, family burden was measured by interviewing the other family members using the questionnaire developed by Pai & Kapur (1981). Of those interviewed, 103 patients were selected for final analysis. Results : Of 103 mentally ill patients, 36.1% of the subjects were not under treatment. In particular, of 29 patients with schizophrenia, 48.3% of the subjects had stopped taking medication and 6.9% of the subjects had never been treated. According to the results of a specialized examination by a psychologist, 81% of patients were in need of Hospitalization. Most primary caregivers were parents. Of the 101 primary caregivers in the study, 39.6% were over 65 years old. In case of death of the primary caregiver, 50.5% of these 101 mentally ill patients would not have anyone to care for them. Of the various kinds of family burden, primary caregivers most often reported psychological stress. Overall, the families of dementia and schizophrenia patients complained of the most family burden. Through univariative analysis, the variables of sex, education and current treatment type of the patients, the relationship with the patient and marital status of the primary caregiver and the number of people living together in the household showed significant correlation with the family burden of schizophrenia patients. Univariative analysis also showed that there were a number of variables which were correlated to the family burden in mentally retarded patients. Concerning the need for mental health services, the most common requests were for entitlement to disability benefits and housing programs. Conclusions: Community mental health services in rural areas must be developed, planned and executed in consideration of the local situation. In particular, the development of various family support programs is needed in order to mitigate emotional, mental and economic burdens and carry out a positive role to care for and rehabilitate patients.

• The Journal of the Korean bone and joint tumor society
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• v.10 no.2
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• pp.134-137
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• 2004

The osteochondroma is the most common benign bone tumor which arise in the metaphyseal or metaphysiodiaphyseal portion of long bone. Osteochondroma is rare in hand and extremely rare in the intraarticular location of the hand. We report a case of intraarticular osteochondroma which occurred at the third metacarpal head of the hand in a 53 year old female patient. The size of the excised mass was $10{\times}8{\times}5$ mm with definite cartilage cap.

• Archives of Reconstructive Microsurgery
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• v.10 no.2
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• pp.137-142
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• 2001

This study evaluated the results of reconstructions of thumb web space in the patients with adduction contracture of thumb. Between February 1990 and April 2000, 28 patients with thumb web space adduction contracture were treated with various reconstruction methods. We divided the patients according to the severity; mild$(41^{\circ}{\sim}80^{\circ})$, moderate$(21^{\circ}{\sim}40^{\circ})$, severe$(20^{\circ}less)$ contracture. The number of patients with mild contracture was 5, moderate; 12, severe; 11. We performed Z-plasty in 15, free flap in 8, local flap in 3, abdominal flap in 1 and scar release only in 1 case. The mean follow-up period was 5.7 years, ranged from 1.5 to 11.2 years. The results of web reconstruction were evaulated by thumb web space angle. There were excellent in 9, good in 16, fair in 3 cases. Z-plasty was performed in the 5 cases with mild contracture, and all the results were excellent. Especially, free flap was performed in the 6 cases with severe contracture, and all the results were good or excellent. in the reconstruction of thumb web space contracture, we recommend Z-plasty for a mild contracture, and free flap for large soft tissue defect created by release of a severe contracture.

• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.199-207
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• 2014

Family type is not only an important sociodemographic variable for health studies but also influences the health behavior and health condition of individuals. This study assessed a representative sample to see whether family type is associated with health behavior in Korean adults age 65 and older. This is a cross-sectional study of 9,535 Korean elderly who participated in the 2010-2012 Korean National Health and Nutrition Examination Survey. The subjects were classified as couple cohabitation, couple-offspring cohabitation, alone, or alone-offspring cohabitation. We assessed the relationship between family type and six health behaviors (smoking, high risk drinking, walking, oral examinations, health screenings, and influenza vaccinations) after controlling covariates. The "alone" classification had a significantly higher risk of no health screening, but was more likely to have an influenza vaccination than couples. Significant interactions between family type and healthy behavior were observed with oral health screening, influenza vaccination, and smoking {Odds ratio (95% confidence interval), 1.452 (1.066-1.980), 1.375 (1.083-1.747), 2.246 (1.604-3.146)}. There is a significant association between family type and healthy behaviors.

• Journal of Korean Academy of Nursing
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• v.46 no.2
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• pp.159-167
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• 2016

Purpose: This article provides an overview of current knowledge on the impact of caregiving on the psychological and physical health of family caregivers of intensive care unit (ICU) survivors and suggestions for future research. Methods: Review of selected papers published in English between January 2000 and October 2015 reporting psychological and physical health outcomes in family caregivers of ICU survivors. Results: In family caregivers of ICU survivors followed up to five years after patients' discharge from an ICU, psychological symptoms, manifested as depression, anxiety and post-traumatic stress disorder, were highly prevalent. Poor self-care, sleep disturbances and fatigue were identified as common physical health problems in family caregivers. Studies to date are mainly descriptive; few interventions have targeted family caregivers. Further, studies that elicit unique needs of families from diverse cultures are lacking. Conclusion: Studies to date have described the impact of caregiving on the psychological and physical health in family caregivers of ICU survivors. Few studies have tested interventions to support unique needs in this population. Therefore, evidence for best strategies is lacking. Future research is needed to identify ICU caregivers at greatest risk for distress, time points to target interventions with maximal efficacy, needs of those from diverse cultures and test interventions to mitigate family caregivers' burden.

• Journal of Preventive Medicine and Public Health
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• v.28 no.2 s.50
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• pp.347-363
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• 1995

The increase of health care expenditures is an important problem in the almost countries. Also, suppression of the health care expenditures is an important problem in the health field of Korea since the national health insurance for total people in 1989. Thus, it is very important to grasp the change of the health care expenditures of family and proportions of the health care expenditures to total expenditures of family, because they are the basis of national health care expenditures in Korea. While the health care expenditures of urban family were increased during 1980-1993 by 12.8% annually, the total expenditures of urban family were increased by 14.8% annually. Consequently, the proportions of health care expenditures to total expenditures were decreased from 5.98% to 4.76%. The proportions of health care expenditure for 3 years to come were predicted to 4.75% in 1994, 4.67% in 1995, and 4.63% in 1996 by the time-series analysis. That is, it was predicted that they would be decreasing slowly. The product elasticity of health care expenditure was less than 1 in the multiple regression analysis. so the health care is normal good rather than superior good. Therefore, it seems that the household economy is able to bear the expense pursuing the improvement of quality of health care by actualizing the medical insurance fee.

• Journal of Society of Preventive Korean Medicine
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• v.12 no.2
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• pp.85-100
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• 2008

The purpose of this study was to determine factors influencing family closeness in family with an elderly members. The study was conducted with 1,904 subjects during 3 months from 1st March to 30,May. 2006. The results were as follows. 1. Family closeness of subjects was significantly associated with age, sex, marital status, monthly allowance, education level, occupation, the number of family members living together, health state, stress, and emotional conflict with children. 2. Emotional conflict with children was significantly associated with age, sex, religion, the number of family members living together, occupation, health state, stress, family closeness. 3. Stress was significantly associated with age, sex, religion, the number of family members living together, occupation, stress, family closeness. Finaly, Family closeness in family with an elderly member was positively related to family type(living with a spouse), monthly allowance, occupation but negatively related to emotional conflict with children and stress levels. The government, social service units and experts need to pay more attention to factors influencing family closeness and devise effective policy and programs for healthier family relations.

• Journal of Korean Medicine Rehabilitation
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• v.18 no.3
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• pp.187-199
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• 2008

Objectives : The purpose of this study is to report the concept of familial scoliosis through eight cases. Methods : The family tree was constructed with eight cases which was diagnosed idiopathic scoliosis by physical examination and radiological study. Results : According to the family tree of this sibs, idiopathic scoliosis apparently behaves as an autosomal dominant inheritance. As to parents and grandparents, although they are not confirmed the appearance of idiopathic scoliosis, we know that they transmit trait to their descendants as a genotype. Conclusions : This study is shown that idiopathic scoliosis has a familial condition and provided useful information that can be used early diagnosis and treatment with screen tests based on the family tree.

• 대한예방의학회:학술대회논문집
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• 2001.10a
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• pp.155-156
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• 2001