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이은옥 ( ) - 서울대학교 간호대학
유정희 ( ) - 미국 뉴욕대학교
장혜정 ( ) - 한국보건의료관리연구원
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Abstract
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Factors related to the prevalence, prediction and course of gastric cancer in male taxi drivers (N=199) in Korea were examined, since gastric cancer represents the first leading cause of death in Korea among all malignant diseases and also taxi drivers are in its high risks. It is known that factors associated with increased risk of developing gastric cancer are related to nutritional, environmental, social, and medical domains. Among these domains, the nutritional, environmental, diet and mental factors can be avoided by individual precautions and efforts.
Using a prospective research design, educational materials reaches to 500 taxi drivers in one company and requested to answer the planned questionnaire. In the questionnaire, age, family history, past history of chronic gastritis, dietary habit, and physical symptoms were measured. One hundred ninety nine individuals (39.8%) responded to the questionnaire and were interviewed for clarification of the answers and reeducated them individually related totheir knowledge, attitude, and practice for early detection of diseases on the bases of the returned questionnaires.
Forty five cases(24.7%) with age of 45 or over, 16 cases(8.0%) with family history, 164 case: ;824%) with smoking habit, 52--81 cases(26.1%---40.7%) with irregular meal time, 10 cases(5.0%) with chronic gastritis were found in terms of criteria for high risk of gastric cancer. Majority of the drivers prefer Korean traditional good such as Kimchee and bean soup which could not account for the amount of sodium
Thirty six cases(18.1%) reported anorexia, 75 cases(37.7%) indigestion, 36 cases(18.1%) upper gastric pain, 45 cases (24.65/0 melena, and 36 cases (18. 1%) weight loss. Patients included in 4 out of 6 criteria and having 2 or more symptoms out of 10 symptoms were recommended for gastroscopy. As a result 51 patients were selected for further gastroscopy test. Out of these 51 drivers, 32(63%) visitee docter´s clinics for gastroscopy. One patient(3. 1%) turned out to be a gastric cancer, 12(37.5%) duodenal or gastric ulcer. 10(3.1%) chronic gastritis, and 9(28.1%) no disease. Seven drivers who did not previously recognize their diseases were newly diagnosed in this research. The rese 19 patients of 51 subjects did not comply with the recommendation or the telephone were disconnected. It was found that many subjects among taxi drivers have gastric problesms. Further intensive approach is needed especially for the patients having chronic gastritis.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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