• 제목/요약/키워드: Middle Aged Women's

검색결과 657건 처리시간 0.032초

노인 재가서비스의 확대가 가족의 생활시간에 미친 영향: 삼중차이 방법의 적용 (The Effects of the Expansion of Formal Home Care Services for the Elderly on Time Allocation of Family in Korea)

  • 이승호;변금선;신유미
    • 한국사회정책
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    • 제23권1호
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    • pp.227-256
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    • 2016
  • 본 연구는 노인 재가서비스의 확대가 노인을 돌보는 가족 구성원의 생활시간에 미친 효과를 분석하였다. 고령화와 가족구조의 변화 등으로 노인에 대한 가족의 돌봄부담이 가중되면서 공적 노인돌봄서비스를 확대해야 한다는 사회적 공감대가 형성되었고, 2000년대 이후부터 관련 제도가 본격화되었다. 본 연구에서는 가족의 노인돌봄 부담을 구성원이 직접 노인을 돌보는 부분과 이로 인해 노동이나 가사, 여가 등의 다른 주요 생활에 제약을 받는 부분으로 구분하고, 노인 재가서비스의 확대로 이러한 부담이 감소하였는지를 확인하였다. 분석자료는 통계청의 생활시간자료를 이용하였으며, 제도 확대의 효과는 건강이 취약한 노인을 돌보는 중하위 소득수준의 가구를 처치집단으로 삼아서 비교적 건강한 노인을 돌보는 가구 및 고소득 가구와의 비교를 통해 제도 효과를 추정하는 삼중차이(DDD) 방법을 통해 확인하였다. 분석결과, 노인 재가서비스의 확대는 노인을 돌보는 가족 구성원의 노인돌봄 시간을 감소시켰다. 이는 제도 확대의 목적과 부합하는 결과이지만, 돌봄 시간의 감소 정도가 크지 않았고, 여성 가구원에게만 그러한 효과가 관측되었다는 점에서 한계도 드러났다. 또한 노인돌봄 시간이 감소한 여성 가구원의 경우에도, 가사, 노동, 여가, 비노인돌봄 및 개인유지 등의 다른 생활시간 범주에서는 유의미한 변화를 보이지 않았다. 가족의 노인돌봄 부담을 실질적으로 줄이기 위해서는 공적돌봄의 대체효과를 높이기 위한 노력이 더 필요해 보인다.

대전한방병원 한방안이비인후피부과로 내원한 돌발성 난청 환자 특성 분석 - 2013년 1월부터 2021년 12월까지 - (A Clinical Analysis on Outpatients with Sudden Sensorineural Hearing Loss of Korean Medicine Ophthalmology, Otolaryngology & Dermatology Department at Daejeon Korean Medicine Hospital - From January, 2013 to December, 2021 -)

  • 최윤영;변정아;백종찬;황미리;안재현;정현아
    • 한방안이비인후피부과학회지
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    • 제35권4호
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    • pp.31-46
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    • 2022
  • Objectives : The purpose of this study is to analyze outpatients who visited for treatment for sudden sensorineural hearing loss in ophthalmology & otolaryngology & dermatology clinic of Daejeon Korean medical hospital from January 1st, 2013 to December 31th, 2021. Methods : We retrospectively analyzed outpatients who visited for treatment for sudden sensorineural hearing loss in ophthalmology & otolaryngology & dermatology clinic of Daejeon Korean medical hospital from January 1st, 2013 to December 31th, 2021. according to year, season, gender, age, clinical symptoms, number of visits and initial degree of hearing loss. The statistical analysis performed using IBM SPSS 25.0 for Windows. Results : The results of analyzing the medical records of 194 patients are as follows. 1. The number of patients showed a gradual increase from 2014 to 2021 and spring was highest in season. Acc ording to gender, women visited more than men and the age group that visited the most was middle-aged, including 40s and 50s. 2. Patients experienced 13 symptoms and the average number was 4.06. In the analysis of the major symptoms according to gender, hyperacusis and headache were found to be more common in female. 3. The average of initial hearing loss was 52.54dB and was higher in male. The loss was relatively higher in 60s or older than in the younger age group. Conclusions : If treatment and management methods that reflect these symptoms are developed, it is thought that it will greatly helpful to improve the quality of life of patients with sudden hearing loss.

율동적 동작 훈련이 젊은 여성의 Wellness에 미치는 영향 (A Study of Dance Movement Training on the Wellness of young Women)

  • 최명애
    • 대한간호학회지
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    • 제25권3호
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    • pp.538-548
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    • 1995
  • Exercises are achievement oriented, the process is frequently perceived as hard and difficult Participants drop out from exercise programs in the middle of the training period. Dance movement, which is the deliberate and systematic use of movement, is enjoyable during the movement and provides opportunities for persons to express them-selves. Regular long term dance movement may in-duce a training effect with a decreased drop out rate. Dance movement could be one way to attain wellness, however, there have been few studies to evaluate both physiological and psychological aspects of dance movement. This study focused on evaluating the effects of dance movement training on body weight, resting blood pressure and heart rate, limb circumference and strength, stress response and subjective feelings. This quasi-experimental study was designed as a nonequivalent control group pre test -post test study. Ten healthy fe-male subjects, aged between 19 and 31 years volunteered for an eight week dance movement program. Ten healthy female subjects, between 19 and 21 years of age paticipated as controls. None of the subjects had performed regular physical activity for six months prior to the study. Dance movement was created with reference to Heber's movement guide. The Dance movement program consisted of approximately 30 minutes of dance, three days per week, for eight weeks. During each 30 minute work out, there were approximately 5 minutes of warm-up dancing, 20 minutes of conditioning dance and 5 minutes of cool-down dancing. The intensity for the conditioning phase was at between 60% and 65% of age-adjusted maximum heart rates. Body weight, resting blood pressure and heart rate, circumference of mid upper arm, mid thigh and mid calf, muscle strength of upper and lower limb, physical and psychological response to stress were measured prior to, and following the experimental treatment. Body weight was measured by digital weight scale(Kyung In Corp., Korea). Resting systolic and diastolic blood pressure were measured by sphygmomanometer, Resting heart rate was measured for one minute in a relaxed sitting position using the radial artery. Circumference of mid upper arm, mid thigh and mid calf was determined by tape measure. Muscle strength of the upper extremities was measured by a grip dynamometer (Takei Corp. No.1857, Japan) and that of the extremities was measured by the length of time the leg could be held at 45° Physical and psychological responses to stress were measured using the Symptoms of Stress (SOS)Scale. Paticipants in the dance movement were interviewed by the facilitator following the eight weeks, and their thematic responses about the dance movement were recorded. Following the eight week dance movement train-ing, body weight decreased significantly, circumference of mid thigh and mid calf increased. The length of time leg - raising could be held tended to increase following the dance movement training. Resting systolic and resting heart rate showed a tendency to decrease. Total mean score of stress response tended to de-crease, and mean score of habitual patterns, do-pression, anxiety / fear, anger and cognitive disorganization decreased remarkably following the eight week dance movement. Thematic responses about the dance movement were positive following the training.

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조기경험이 노인 정신건강에 미치는 영향 (Effect of the Early Traumatic Experience on the Mental Health of the Elderly)

  • 이광헌;이중훈;이종범;박병탁;정성덕
    • Journal of Yeungnam Medical Science
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    • 제7권2호
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    • pp.67-77
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    • 1990
  • 1988년 대구시내 거주하는 노인 278명을 대상으로 하여 불안우울통합척도(CADS)와 조기경험척도(PTES)로 평가한 성적은 다음과 같다. l. CADS로 평가한 성적이 49점이하는 대조군, 50점 이상은 실험군으로 나누었으며 이들 양군의 성적은 대조군 $40.15{\pm}6.19$, 실험군이 $57.75{\pm}6.37$로 실험군이 유의하게 높았다 (p<0.001). 2. 실험군과 대조군이 각각 평가한 불안우울 항목은 성욕감퇴(Decreased libido) 피로감(Fatigue) 정신적 혼란(Mental disintegration) 정신운동지연(Psychomotor retardation) 및 이상감각과 전신통증(Paresthesis and Body-ache & pain)등이 있다. 3. 실험군은 대조군보다 다음과 같은 조기경험 항목이 유의하게 높은 의미를 보였다. 식생활 곤란(Dietary life difficulty), 가족중 과음주자(Alcoholism among family members), 부모간의 불화(Disunion between husband and wife), 부자간의 불화(Trouble between mother and children), 모친상실(Early maternal loss), 부모의 무관심(Patent's indifference), 원치 않는 출생(Unwanted birth)등이었다(p<0.001). 그리고, 거부적 부모태도 항목중 주워 온 자식이란 부모의 위협(Threat of parent's rejection), 차라리 죽어버리라는 위협(Threat of my parent desiring my early death), 부모의 과잉간섭, 심한징벌(Severe punishment by parent), 잡일 시키기(Parent's demand of doing domestic chores) 및 기타 정신 사회적요인 항목중 도깨비나 귀신의 위협(Fear of devil or ghost)등이었다. 4. 실험군과 대조군을 비교했을 때 실험군에서 조기경험성적이 유의하게 높은 사회 정신의학적 요인은 다음과 같다. 성별, 연령별, 결혼 상태별 및 성장지별성적은 실험군에서 모두 높았다(p<0.001). 노인자신이 무직, 중류 및 하류계층일 경우와 부모가 농업 및 상업일 경우 그리고 무종교나 불교일 경우에 조기경험성적이 높았다(p<0.001). 형제자매가 많거나 자녀가 많을 경우 노인자신이 자녀와 동거할 때 조기경험성적이 높았다(p<0.001).

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사고로 남편을 잃은 여성의 경험 (A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident)

  • 박성학;최미혜;정연강
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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당뇨병 환자의 구강건강지식 정도와 구강관리실태의 관련성 (The Relationship Between Knowledge of Oral Health and Actual Condition on Oral Health Care of Diabetic Patients)

  • 김기은;한지형
    • 치위생과학회지
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    • 제9권3호
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    • pp.345-351
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    • 2009
  • 본 연구는 당뇨병 환자들의 구강건강지식 정도 및 구강관리실태와의 관련성을 파악하여 구강건강에 대한 교육의 필요성 도출과 구강건강교육 프로그램을 개발하는데 필요한 기초 자료로 활용하고자 당뇨병 환자 121명을 대상으로 설문 조사한 자료를 통하여 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따른 구강건강 지식정도는 여자가 남자보다 높았고, 연령별로는 20개 이하와 50대 이상인 집단에서 구강건강 지식이 높았으며, 당뇨 유병기간이 길수록 지식정도가 높은 것으로 조사되었다. 2. 구강관리실태 중 잇솔질 방법은 전체 연구 대상자의 21.5%만이 회전법이라 답하였으며, 구강건강 지식정도가 상인 경우 당뇨 진단 후 치과치료 경험이 많았으며, 구강질병 상담자는 치과의사가 가장 많은 것으로 나타났다. 3. 연구 대상자가 치과치료를 망설이는 이유로는 모든 집단에서 '치료비용이 비싸서'라고 답하였고, '당뇨와 구강질환이 상관이 없어서'라는 항목의 경우 구강건강 지식정도가 상인 집단에서 가상 높게 나타났다. 4. 구강건강 지식정도와 구강건강교육 여부의 경우 구강건강 교육용 받았었거나, 받고 있는 당뇨병 환자일수록 구강건강 지식정도가 높게 나타났다. 5. 구강건강 지식정도가 중인 집단에서 대부분의 구강관리행위에 높은 점수를 부여하는 것으로 조사되었으나 통계적 유의성을 보이지 않았다.

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40대 이상 농촌 및 중소도시 성인의 식품섭취 패턴 (Pattern)과 질환별 유병위험도 - 한국인유전체역학조사사업 일부 대상자에 대해 - (Dietary Patterns and Prevalence Odds Ratio in Middle-aged Adults of Rural and Mid-size City in Korean Genome Epidemiology Study)

  • 안윤진;박윤주;박선주;민해숙;곽혜경;오경수;박찬
    • Journal of Nutrition and Health
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    • 제40권3호
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    • pp.259-269
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    • 2007
  • Recently, dietary pattern analysis was emerged as an approach to examine the relationships between diet and risk of chronic diseases. This study was to identify groups with population who report similar dietary pattern in Korean genome epidemiology study (KoGES) and association with several chronic diseases. The cohort participants living in Ansung and Ansan (Gyeonggi province) were totally 10,038. Among those, 6,873 subjects with no missing values in food frequency questionnaire were included in this analysis. After combining 103 food items into 17 food groups, 4 dietary factors were obtained by factor analysis based on their weights. Factor 1 showed high factor loadings in vegetables, mushrooms, meats, fish, beverages, and oriental-cereals. Factor 2 had high factor loadings in vegetables, fruits, fish, and factor 3 had high factor loadings in cereal-oriental, cerial-western and snacks. Factor 4 showed positive high factor loadings in rice and Kimchi and negative factor loadings in mushrooms and milk and dairy products. Using factor scores of four factors, subjects were classified into 3 clusters by K-means clustering. We named those 'Rice and Kimchi eating' group, 'Contented eating' group, and 'Healthy and light eating' group depending on their eating characteristics. 'Rice and Kimchi eating' group showed high prevalence in men, farmers and 60s. 'Contented eating' group and 'Healthy and light eating' group had high prevalence in women, people living in urban area (Ansan Citizen), with high-school education and above, and a monthly income of one million won and more. 'Contented eating' group appeared lower distribution proportion in the sixties and 'Healthy and light eating' group does higher in the fifties. 'Contented eating' versus 'Rice and Kimchi eating', odds ratio for hypertension, diabetes, metabolic syndrome and obesity significantly decreased after adjusting age and sex (OR=0.64, 0.73, and 0.85 respectively, 95% CI). Although our results were from a cross-sectional study, these imply that the dietary patterns were related to diseases.

중년층의 구강건강지식, 실천 및 보철치료 만족실태 조사 (A study for middle-aged on oral health knowledge, oral health care and satisfaction with prosthetic treatment)

  • 고은정;이용환;박광환
    • 한국치위생학회지
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    • 제11권5호
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    • pp.671-683
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    • 2011
  • Objectives : The purpose of this study was to examine the oral health knowledge and actual oral health care of the selected subjects, their decision making about prosthetic treatment, the state and characteristics of their prosthetic treatment and their satisfaction with prosthetic treatment in an attempt to provide some information on the improvement of the quality of life related to oral health and the promotion of oral health. Methods : The subjects in this study were 250 people who received education in two different lifelong education institutions in the city of Busan. After a survey was conducted from May 23 to June 15, 2011, the answer sheets from 217 respondents were analyzed. Results : 1. As for the general characteristics of the respondents, the men(52.1%) outnumbered the women. Those who were in their 60 and up(47.5%) made up the largest age group, and the married people(65.4%) outnumbered the unmarried ones. By occupation, the company employees(20.3%) made up the biggest group. By education, the greatest group was high-school graduates(36.1%). By monthly mean income, the biggest group gained an income of 2.01 million won or more(36.9%). As to medical security, community-based insurance was most prevailing (36.9%). In terms of health promotion, the largest group worked out to stay fit(52.4%). 2. Regarding oral health knowledge, they had a good knowledge about the cause of dental caries(56.7%), but they weren't well aware of the right time for regular dental checkup(47.9%). In relation to oral health care, regular scaling wasn't prevailing(16.9%). 3. Regarding connections between the general characteristics and satisfaction with prosthesis, the less-educated respondents expressed significantly more dissatisfaction(p=0.015). By monthly mean income, those who had a smaller income were dissatisfied in general(p=0.028). Conclusions : The findings of the study illustrated that it's required to spread awareness of the importance of oral health among people in general, and that differentiated incremental oral health care should be provided for different age groups. In order to raise the satisfaction of patients with prosthesis, how to relieve their pain and anxiety and how to adjust prosthetic treatment cost properly should carefully be considered. In addition, the government should take measures to offer assistance for the low-income classes in preparation for an increase in the elderly population.

구강편평태선 환자에서 발생한 암종의 증례보고 및 문헌 고찰 (Case Report of Squamous Cell Carcinoma arising in an Oral Lichen Planus and Literature Investigation)

  • 임현대;이유미
    • Journal of Oral Medicine and Pain
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    • 제34권1호
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    • pp.49-54
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    • 2009
  • 편평태선은 작고 편평한 다각형의 구진을 피부나 점막에 보이는 만성 염증성 질환으로 편평태선을 유발하는 원인은 명확하지는 않으나, 피부나 점막에서의 항원변화가 세포매개성 면역반응을 유도하여 발생하는 것으로 생각되어진다. 구강편평태선은 초기에는 양성 병소로 생각되었으나 세계보건기구에 의해 전암 병소로 분류되었다. 구강편평태선이 악성화되는 단계는 명확하게 밝혀지지 않았으며, 편평태선등의 만성 염증성 질환은 구강암 발생에 있어 일반적인 위험 요인(예: 흡연, 음주)과 관계없이 악성 발현을 보인다. 구강편평태선의 악성전이는 여러 문헌에서 논란을 보이나, 0.5%에서 5%까지 보고되었다. 구강편평태선의 악성 전이는 특정 임상적 양상, 과각화나 미란성에서 더 높은 비율로 발생한다. 구강편평태선의 악성 전이는 예후가 불량하므로 예후의 개선과 조기 진단을 위하여 임상가는 일년에 최소 일회에서 2회까지 추적 조사를 해야 한다. 본 증례 보고에서는 중년의 여성에게서 십수년간 지속된 구강편평태선에서 발생한 편평상피암종을 살펴봄으로써, 임상가가 유념해야 할 구강편평태선의 악성 변이에 대한 고찰 및 진단시와 추적 조사시에 고려사항을 고찰하자고 한다.

Fracture patterns in the maxillofacial region: a four-year retrospective study

  • Park, Kyung-Pil;Lim, Seong-Un;Kim, Jeong-Hwan;Chun, Won-Bae;Shin, Dong-Whan;Kim, Jun-Young;Lee, Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권6호
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    • pp.306-316
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    • 2015
  • Objectives: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures.