| A Study on Compliance of Registered Health Center Tuberculosis Patients with Streptomycin Injection |
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Moon Hwan Cho |
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Health Section, Jeon Bug Province, Jeonju, Korea |
| 보건소 등록 결핵환자의 Streptomycin 주사시주 실태 |
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조문환 |
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| Abstract |
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From Septmber to November of 1977, a socio medical study concerning the compliance of streptomycin (SM) injections by the tuberculosis patients registered at health centers was carried Out in Jeon Bug Province.
The study consisted of two parts, a survey on the attitudes of patients and a survey on doctors in health subcenters.
The patients surveyed lived in five rural areas of Wanju-gun, the county surrounding Jeonjucity, Jeon Bug Province, Korea. These five areas consisted of 2 eups (towns), one with a gun (county) health center and the other with a health subcenter, and of 3 Myons (subcounty) only one of which had a health subcenter.
The total number of registered tuberculosis patients in these five areas numbered 302, 108 of which were prescribed SM injections.
The results of this study were summarized fellows.
1. Of the patients residing in the 3 myons, 82.2% lived over 4 km from a clinic, resulting in irregularity of SM injections.
2. On the average, 40.0% of the patients received injections from a family member, 11.6% from a former medic, 10.5% from a charIatan, only 5.3% at a health center and 4.2% at a health subcenter.
3. Of the 108 patients prescribed SM, only 44 persons (40.7%) received 100% of the injections, 13(12.0%) received no injections for over a month and 51(47.2%) received injections irregularIy.
4. The two major reasons given for irregularity of injections were too busy (37. 3%) and toopainful (23.5%).
5. The major reason given for discontinuance of SM injections for more than one month was no one to administer the injections (61. 5%).
6. The major reasons given as to why patients did not receive injections at the health center were:
a. Too far to health center (31. 9%) b. there was a person within close proximity who could administer the injections (22.9%) c. they were not informed that injections could be received at the health center or subcenters
(19.3 %)
7. Of the people who paid for injections, the cost was 100 won per injection for 83.3% of them.
8. Of the 75 month subcenter doctors in Jeon Bug Province, 54 responded to the survey.
9. the average number of patients receiving SM injections per week at their clinics.
The answer most often given was:
1) five doctors give injections more than 10 times (9%)
2) eight doctors give injections 5 to 9 times (15%)
3) twentysix doctors give injections 1 to 4 times (48%)
4) fifteen doctors give injections practically none (28%)
b. When asked their opinions on giving SM injections at health subcenter, 30(55%) responded they would freely give the injection to any tuberculosis patient coming, 9(17%) said they disliked giving SM injections and 15(28%) said they would prefer to refùse SM injections due to the risk of anaphylactic shock and the lack of necessary equipment at health subcenters to deal with such a crisis. |
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