Case Control Study of Recognition level for Dermatomycosis of Dermatomycosis Patient to be Treated in Ulleung Hospital of Ulleung island

울릉도의 일개 병원을 내원한 피부 진균증 환자들의 피부 진균증에 대한 인식도에 관한 사례 연구

  • Bae, Jung-Min (Ulleung Island Medical Center) ;
  • Jung, Man-Jin (Ulleung Island Medical Center) ;
  • Ha, Dong-Yeup (College of Medicine, Dongguk University) ;
  • Jung, Ho-Keun (College of Medicine, Dongguk University) ;
  • Jung, Ki-Hun (College of Medicine, Dongguk University) ;
  • Jung, Byung-Wook (College of Medicine, Dongguk University) ;
  • Oh, Min-Koo (College of Medicine, Dongguk University) ;
  • Bae, Sung-Han (College of Medicine, Dongguk University) ;
  • An, Woo-Sup (College of Medicine, Dongguk University)
  • 배정민 (울릉군 보건 의료원) ;
  • 정만진 (울릉군 보건 의료원) ;
  • 하동엽 (동국대학교 의과대학) ;
  • 정호건 (동국대학교 의과대학) ;
  • 정기훈 (동국대학교 의과대학) ;
  • ;
  • ;
  • ;
  • Published : 2005.09.30

Abstract

Objectives: In Ulleung island, many people was suffered from dermatomycosis. But many patients was not recognized to dermatomycosis due to little symptom. So, public health education was needed. We will plan education direction based on evidence. So, in one way, the recognition level was needed to determine education direction. Methods: From June to July in 2005, 45 patients was made a question. The questionnaire was composed of chief complaint, site, duration, similar disease in family, 5 questiones and so on. If patients was recognized to 1 question, 1 score was added. Remain 4 question was done in same manner. Results: The low score group were that total socre was beyond 2. And The high score group were that total score was above 3. The low score group was 24 persons, average age was 59. The high score group was 21 persons and average age was 42. Male and female ratio was 7 : 17 in low score group and 10 : 11 in high score group. Coinfection was 17 patients in low score group and 2 patients in high score group. There was only 17 patients that wete recognized that dermatomycosis and "Moozom" were same disease. And, many patients was not recognized to possibility of reinfection after treatment of dermatomycosis. Conclusions: In Ulleung island, coinfection rate was higher than other area bacause of low recognition level. And infection rate in family was higher too. So, there was essential to educate of dermatomycosis prevention. Dermatomycosis patient became older and was more female than other area, so there was need to centralize people to be needed of public health education. Finally, many statistical study for dermatomycosis should be needed for many patients and general populations in Ulleung island.

울릉도의 피부 진균증 환자들은 타 지역에 비해 중복 감염율이 높은데, 이는 피부 진균증에 대한 환자들의 인식도가 낮기 때문으로 생각된다. 또한 가족 내 감염율도 타지역 보다 높아서 피부 진균증에 대한 예방 교육이 절실하다. 그러나, 피부 진균증 환자들의 나이가 고령화, 여성화 되고 있어 피부 진균증에 대한 인식을 높이기 위한 보건 교육을 고령 환자들과 여성 환자들에 맞추어 시행할 필요가 있다. 주위 동료들의 감염율도 높으므로 적절한 예방 교육이 이루어 진다면 피부 진균증의 예방 효과는 클 것으로 예상된다. 부족하나마 설문 조사로 피부 진균증 환자들의 피부 진균증에 대한 인식도가 미흡다는 사실은 울릉군 지역의 피부 진균증 예방교육의 필요성을 제시 할 것으로 생각된다. 추후에도 울릉군 지역의 피부 진균증에 대한 여러 가지 방면에서의 연구가 필요할 것으로 생각되며, 인식도 조사도 많은 환자와 주민을 대상으로 시행하여 통계적인 유의성을 찾아야 할 것으로 생각된다.

Keywords

References

  1. Suh HS, Jung EC, Chang SE, Suh CW, Park IJ, Han MH, Kim SH, Ahn SJ. Choi JH, Sung KJ, Moon KC, Koh JK. Distribution and recognition of skin diseases in rural areas. Korean J Dermatol 2001: 39(2): 139-146(Korea)
  2. Moon HJ. Lee JB, Kim SJ, Lee SC, Won YH. Clinical and mycological studies on dermatomycosis (1991-2000). Korean J Med Mycol 2002: 7(2): 78-85 (Korea)
  3. Ro BI, Yang KM. Epidemiology of patients with superficial fungal diseases and their family members in Korea. Korean J Med Mycol 2001: 6(2): 5763 (Korea)
  4. Ro BI, Yang KM. Achilles project: An epidemiology survey to assess the seasonal incidence of foot diseases and patient compliance. Korean J Med Mycol 1999: 4(1): 40-48 (Korea)
  5. Ulleung County. Base statistic data in Ulleung Island in 2005. 2005, 19-20 (Korea)