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1.Neurotic Symptoms of Patients with Fatigue.

Journal of the Korean Academy of Family Medicine 1997;18(10):1017-1026

BACKGROUND: Fatigue is one of the most common complaints of primary care practices and consists of symptoms of physical diseases and neurotic symptoms. This study was conducted to find that fatigue related to neurotic symptoms is as important as fatigue related to symptoms of the physical diseases itself. In addition to it, this study is to clarify and to understand the details of the neurotic symptoms. METHODS: In the course of six months(from April to september, 1996.), the 73 subjects were selected among the people that visited the outpatient department of family medicine with symptom of fatigue. The control group was selected from the healthy population which matched nearly the same number as the fatigue group. As tools of measurement, we used SCL-MPD consisted of 67 items. We performed statistical analysis among the data by means of SPSS/PC+. We analysed statistical dat,a for significance using non-parametric Mann-Whitney U test. RESULTS: There was no difference between the prevalence of men and women in the fatigue group. As the level of education decreased and employment increased, the proportion of patients that complained of fatigue increased. The fatigue group scored significantly higher than the control group in all questionnaire of SCL-MPD. The results of the somatization scale and phobic-anxiety were significant,ly high(p<0.01) and the rest of the scales were even more significantly high(p<0.001). Women scored higher in all aspects of SCL MPD than men. CONCLUSIONS: The author emphasize the importance of neurotic symptoms related to fatigue and biopsychosocial approach towards the patient. Considering the increase in medical cost and the decrease in productivity due to fatigue, there needs to be a thorough study on fatigue.
Education ; Efficiency ; Employment ; Fatigue* ; Female ; Humans ; Male ; Outpatients ; Prevalence ; Primary Health Care ; Weights and Measures ; Surveys and Questionnaires

2.Correlation of physical and family function in disabled patients.

Jung Bum LEE

Journal of the Korean Academy of Family Medicine 1997;18(5):531-540

BACKGROUND: Chronically disabled rehabilitating patients influence their family members by their physical dysfunction. The purpose of this study was to know the relation of family function and physical function in disable person who is periodically treated in r ehabilitation department. METHODS: To know the family function according to physical disability, 64 patients(M/ F: 40/24) in rehabilitation clinic in 1 university hospital was studied by questionnaires including ADL(activity of daily living), IADL(instrumental actvity of daily living), FIM(functional independence measure), family APGAR. RESULTS: Causes of disabilities were stroke 2, traumatic brain injury 14, fracture 16, spinal cord injury 12, burn 2, arthritis 9, back pain syndrome 9 in order. Physical function of functional families was better than dysfunctional families. And physical function according to FIM score was statistically significant(p<0.05). Physical function was significantly(P value, ADL: 0.021, IADL: 0.009, FIM: 0.005) correlated with family APGAR score. CONCLUSIONS: Physical function and family function in rehabilitating patients with irreversible disability have significant correlations. Physician have to consider family function and dynamics in care of physically disabled patients.
Activities of Daily Living ; Apgar Score ; Arthritis ; Back Pain ; Brain Injuries ; Burns ; Disabled Persons ; Humans ; Rehabilitation ; Spinal Cord Injuries ; Stroke ; Surveys and Questionnaires