내시경 검사 후 다음 내시경 검사의 수검 의지에 영향을 미치는 요인
The factors associated with a willingness to repeat an endoscopic examination
오경주, 김진일, 정대영, 조세현, 박수헌, 한준열, 김재광, 최규용,
소속 상세정보
오경주 ( Oh Kyung-Joo )
가톨릭대학교 의과대학 여의도성모병원
김진일 ( Kim Jin-Il )
가톨릭대학교 의과대학 내과학교실
정대영 ( Cheung Dae-Young )
가톨릭대학교 의과대학 내과학교실
조세현 ( Cho Se-Hyun )
가톨릭대학교 의과대학 내과학교실
박수헌 ( Park Soo-Heon )
가톨릭대학교 의과대학 내과학교실
한준열 ( Han Joon-Yeol )
가톨릭대학교 의과대학 내과학교실
김재광 ( Kim Jae-Kwang )
가톨릭대학교 의과대학 내과학교실
최규용 ( Choi Gyu-Yong )
가톨릭대학교 의과대학 내과학교실
KMID : 0882420070730050481
Abstract
Background : The purpose of this study was to evaluate the association of physical distress and mental health characteristics with the willingness to repeat an esophagogastroduodenoscopic (EGD) examination.
Methods : A questionnaire survey was conducted on 137 patients who had an EGD procedure. The mental health status was evaluated with the Checklist-90-Revision tool, which is based on the Multidimensional Self Report Symptom Inventory.
Results : The results were as follows. 1) The elderly and those patients with two or more procedures had a significantly higher willingness to repeat the EGD examination. Those who were willing to repeat the examination had more EGD examinations than those who did not (p<0.05). 2) As for the mental health characteristics, persons with a willingness to repeat the EGD examination showed significantly lower scores on the interpersonal, sensitivity, depression, anxiety, hostility, and paranoid ideation than did those without a willingness. 3) As for the degree of physical distress during the EGD examination, persons with a willingness to repeat the EGD examination had significantly lower scores on the total symptom score and global discomfort score than those without a willingness (p<0.05). 4) The younger patients, under 30, had a significantly lower willingness to repeat the EGD examination than did the elderly patients over 60 (OR=86.03, 95% CI 2.11-999). According to patient occupations, homemakers showed a significantly higher willingness than did others (OR=16.24, 95% CI 1.69-156.23).
Conclusion : The results of this study suggested that a willingness to repeat the EGD examination was closely associated with the mental health characteristics of the patients.
키워드
Esophagogastroduodenoscopy; Mental health; Physical suffering
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